chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.3
Sex: F
Vaccine: DTAP, FLU3, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Rash
Clinical narrative: Had febrile seizure on 11/11/07, was febrile following MMR vaccine admin. Also with rash to trunk
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Blood test, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: Swelling of lips, tongue, throat and face, tightness in throat and chest, trouble swallowing and breathing and wheezing. Feeling dizzy and Faint, muscle aches and joint pain. rash and hives. fast pounding heart and chest pains
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dysphagia, Dyspnoea, Electrocardiogram, Lip swelling
Clinical narrative: Swelling of lips, tongue, throat and face, tightness in throat and chest, trouble swallowing and breathing and wheezing. Feeling dizzy and Faint, muscle aches and joint pain. rash and hives. fast pounding heart and chest pains
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Palpitations, Pharyngeal oedema, Rash, Swelling face
Clinical narrative: Swelling of lips, tongue, throat and face, tightness in throat and chest, trouble swallowing and breathing and wheezing. Feeling dizzy and Faint, muscle aches and joint pain. rash and hives. fast pounding heart and chest pains
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Throat tightness, Urticaria, Wheezing
Clinical narrative: Swelling of lips, tongue, throat and face, tightness in throat and chest, trouble swallowing and breathing and wheezing. Feeling dizzy and Faint, muscle aches and joint pain. rash and hives. fast pounding heart and chest pains
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Influenza like illness, Injection site infection, Injection site rash
Clinical narrative: Broke out in a rash; developed blisters on tongue and throat; rash and infection at injection site. I was put on antibiotics and allergy medicine for itching; Arm was sore; I developed flu like symptoms such as chills, low grade fever and joints hurting severely.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Oral mucosal blistering, Pain in extremity, Pruritus, Pyrexia, Rash
Clinical narrative: Broke out in a rash; developed blisters on tongue and throat; rash and infection at injection site. I was put on antibiotics and allergy medicine for itching; Arm was sore; I developed flu like symptoms such as chills, low grade fever and joints hurting severely.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Rash pustular, Swelling
Clinical narrative: Patient came up to office on 11/7/07 for PHN to Look at left Deltoid area. Patient had a red; swollen indurated area that measured 40x50mm with small Intact pustule Like bLeb. PHN Looked at patient's left Deltoid on 11/8 - area still swollen; Indurated and warm to touch. Discussed with medical Director. Patient advised to take Ibuprofen; apply ice and obtain medical Attention if she deams Necessary
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Pain in extremity, Surgery
Clinical narrative: Pain MRI 10/22/07, surgery 10/24/07 LETTER FROM PATIENT ATTACHED; I received a flu shot at pharmacy on Oct 2 2007, By the Pharmacist. The shot was given Very High in the left arm, I said that felt like you hit bone, she said well I would know if I hit bone. My arm was a little sore for a couple of days witch I expected is something Normal even in the past. I've gotten flu shots before no problem. But this hurt bad even after a few days and continue to get worse and worse I couldn't sleep and move my arm with out some great pain so my husband and I decided it was time to go to the doctor and see what he would say. I went to the Dr. on 10-18-07 he sent me for a M.R.I. on 10-22-07 Then sent me to a Orthopedic Specialist on 10-23-07 and the results were remove the and clear Liquid inside a bursa  and scope surgery on 10-24-07 at 430 pm.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Electrocardiogram
Clinical narrative: Pericarditis: 4 days after vaccination classic symptoms/ EKG, positive rub on exam TX: anti-inflammatory.  11/27/07 Reviewed hospital ER medical records of 11/8/2007 which reveal patient experienced pleuritic chest pressure that increased when laying down, SOB, productive cough of clear sputum, indigestion, nausea, vomiting x 1 day.  Exam revealed (+) friction rub, abdominal tenderness.   Tx w/ASA & d/c home to f/u w/cardio in AM. FINAL DX: acute pericarditis.
Age: 16.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Patient received Tdap on 5/4/06, and then received another dose of Tdap, inadvertently, on 11-14-07.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Dyspnoea, Pruritus
Clinical narrative: After 45 minutes of receiving vax. symptoms were itching, shortness of breath, dizziness, light headed
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Influenza like illness, Injection site swelling
Clinical narrative: Called 11-15-07 Stated: "I got TDAP on 11-13-07 and today I have Flu type symptoms, temp 101, and some swelling at injection site." Instructed she could use a cold compress to site prn, and Tylenlol or Ibuprofen if not allergic to either. Also explained that there are a lot of virus' going around right now and she could have been exposed to one of them or it could possibly be a reaction tot he TdAP, as everyone reacts differently to medications. Instructed if symptoms are no better or if she sees a Dr to let us know, will F/U. in the AM tomorrow.
Age: 1.4
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives developed <24 hrs after Receiving Vaccine; Treated with Benadryl
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Patient tells PHN went to MD in July due to pain shooting down arm. Complaint of pain with pain still continue on 11-13-07. Referral given again. No edema noted.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Fainted approximately 5 sec after injection given
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain, Pain in extremity, Paraesthesia, Radiculitis brachial
Clinical narrative: Developed signs and symptoms of Brachial Plexus Neuritis: Intense burning pain my right shoulder and upper arm. This began spontaneously after I got up Sunday morning Oct 28th. 2 days later I developed intermittent parathesias in my right hand and upper arm. I consulted with Dr who referred me to a neurologist. I was treated with Prednisone.
Age: 51.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema multiforme
Clinical narrative: DEVELOPED ERYTHEMA MULTIFORME 1 DAY AFTER GIVEN VACCINE
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Oedema peripheral, Pain, Pyrexia
Clinical narrative: 11/7 PC from client - reports fever of 101 deg F, chills, aches during night. Plans to see Dr. today - Reports just finished antibiotic; 11/6 - Back incision no Redness or drainage. P/C on 11/8 PC Reports has 6" Red area left arm at injection site. States Dr. -refilled antibiotics as questioning fever from post - back laser surgery; 11/3 - P/C - Redness Edema left arm gone - no further Fever, chills.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Erythemic, tender area at injection site
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Lethargy, Muscle spasms, Pain, Pyrexia
Clinical narrative: Onset 36hrs post vaccine - 103.8 Fever x 8hrs, lower grade fever x12 hrs. Muscle cramping, aches, headache, lethargic; Motrin x4, ice chips.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient complained of left arm and shoulder soreness on 10-29-07 and still complained of pain 11/13/07 Saw Dr. - was given Rx - Anti-inflammatory Patient was told should recover completely. Apt with Dr. Dec 3, 07 orthopedic
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Abdominal pain, Back pain, Rash, Sleep disorder
Clinical narrative: lower right sided abdominal pains that moved to trunk area then back within 4 days of receiving vaccine. Then rash appeared on waist on 10-27-07 and back pain that would awaken patient from sleep.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Headache, Urticaria
Clinical narrative: Patient received flu shot on 11/29/07. On 11/1/07 had headache. On 11/2/07 neck became red with hives. Call b Er Physician who told her to take benadryl 25mg q-4-6 hr. prn. Took it for 2 days. Hives resolved. Patient feet back to normal.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Pain and no range of motion in left arm.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Dermatitis allergic, Urticaria
Clinical narrative: allergic rash - small hives, bumps, head, face, chest, back.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever, Swelling, at injection site/ no drainage, no discharge, warm to touch. (Tdap)
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Food allergy, Rash vesicular
Clinical narrative: Received Zostavax vaccine 10/29/2007, broke out in vesicular rash right chest/neck next day. Seen by Dr., Treated with Prednisone by mouth and Triamcinolone cream 1% to rash twice a day. Rash "99% better" on 11/7/07.
Sex: F
Vaccine: FLU3
Symptoms: Deafness, Nausea, Pyrexia, Tinnitus, Vertigo
Clinical narrative: Severe - unremitting vertigo - However nausea, vomiting - fever - very next dry - This is by far the very worst vertigo I have ever bad!; To whom it may concern: Here is my form for a severe reaction to the flu shot. I might say I have had some slight vertigo over the years with definite deafness and tinnitis (genetic). I have probably been loosing my hearing since I was a child.........definitely since my late teens. I will be 54 years old as of December. My vertigo was never of this kind......it was very mild and stable. I don't ever, ever remember having nausea with this condition..........ever! The very next day, I woke up to some vertigo, I thought I would just get some thing to eat and it would go away. (I have always had a considerable degree of control over this.) However, it would not go away as the day wore on. It only got worse. I became nauseated, ran a fever and then vomited a couple of times. Normally with the flu........I would run a fever, throw up (no vertigo) and then get over it. Now everything seems to move at the slightest provocation. I often feel like I am walking on the wall. It is too dangerous to drive. This is a big, big change!! I am absolutely furious.....not to mention scared. I have talked with an ENT MD at my clinic. We both thought that the shot probably triggered a severe auto-immune reaction (I am a health-care professional also). I can't do anything. This comes at an extremely crucial time. I never had a flu shot before and I never will again......BIG-BIG MISTAKE!!!!
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Severe - unremitting vertigo - However nausea, vomiting - fever - very next dry - This is by far the very worst vertigo I have ever bad!; To whom it may concern: Here is my form for a severe reaction to the flu shot. I might say I have had some slight vertigo over the years with definite deafness and tinnitis (genetic). I have probably been loosing my hearing since I was a child.........definitely since my late teens. I will be 54 years old as of December. My vertigo was never of this kind......it was very mild and stable. I don't ever, ever remember having nausea with this condition..........ever! The very next day, I woke up to some vertigo, I thought I would just get some thing to eat and it would go away. (I have always had a considerable degree of control over this.) However, it would not go away as the day wore on. It only got worse. I became nauseated, ran a fever and then vomited a couple of times. Normally with the flu........I would run a fever, throw up (no vertigo) and then get over it. Now everything seems to move at the slightest provocation. I often feel like I am walking on the wall. It is too dangerous to drive. This is a big, big change!! I am absolutely furious.....not to mention scared. I have talked with an ENT MD at my clinic. We both thought that the shot probably triggered a severe auto-immune reaction (I am a health-care professional also). I can't do anything. This comes at an extremely crucial time. I never had a flu shot before and I never will again......BIG-BIG MISTAKE!!!!
Age: 1.48
Sex: M
Vaccine: FLU3
Symptoms: Abnormal behaviour, Asthenia, Body temperature increased, Crying, Disturbance in attention
Clinical narrative: See attached copies;
Age: 1.48
Sex: M
Vaccine: FLU3
Symptoms: Febrile convulsion, Feeling hot, Heart rate increased, Respiratory rate increased, Staring
Clinical narrative: See attached copies;
Age: 1.48
Sex: M
Vaccine: FLU3
Symptoms: Trance
Clinical narrative: See attached copies;
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Urticaria
Clinical narrative: Whelps left upper arm and upper back - midline between shoulder blades; Treatment - Benadryl`
Age: 52.0
Sex: F
Vaccine: FLU3, IPV, TYP
Symptoms: Injection site pain, Laboratory test, X-ray
Clinical narrative: 11/7/07 at 4pm vaccines administered. 11/8/07 patient calls reporting arm pain at IPV injection site. No redness/fever/swelling. Advised NSAID, cold compress. Calls later that day. in "extreme" pain. Advised -> ER. Refused. (spoke to- NP) 11/9/07 called patient at home in am. Trying to get in with her PCP. will call her if she can't to let us see her. -> over 11/9/07 at 5 pm I called patient later when I hadn't heard back from her. own PCP couldn't see her - she went to ER. X-rays/labs negative. Sent home on pain meds. No infection. Just woke up. I informed patient I would file VAERS report on pain seemed in excess of 'Normal' sxn..
Age: 10.0
Sex: M
Vaccine: FLUN3, HEPA
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came to office x2 days after receiving vaccines with red, swollen area site approximately equal to 2-3 inches. Child was put on Augmentin, continue to do warm compress and to return if worsening
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure, Heart rate normal, Paraesthesia, Respiratory rate decreased
Clinical narrative: 2:45 PM 11/8/07 FLUZONE VACCINE WAS GIVEN IN LEFT DELTOID, CLIENT FELT TINGLING ENTIRE INNER LEFT ARM FROM IM SITE TO ALL 5 FINGERS OF LEFT HAND.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Redness/Swelling at injection site Large local reaction -8cm x 5cm
Age: 5.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
Clinical narrative: Patient developed redness, swelling of his arm to the wrist. Experienced pain. Area warm to touch; Follow up in 2 to 3 days
Age: 70.0
Sex: U
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Received flu shot - 20 minutes later developed itching and <dime sized wheal
Age: 0.4
Sex: F
Vaccine: FLU3
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: No Adverse events. Child less than  6mos old received flu vaccine
Age: 90.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Rash macular
Clinical narrative: Macular erythema  about 6 x 10cm. No hives
Age: 29.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Dysphonia, Injection site erythema, Injection site pruritus, Injection site warmth, Throat irritation
Clinical narrative: Above injection site, Arm Red, warm. itchy, Felt like throat Needed clearing Voice Became raspy
Age: 15.0
Sex: M
Vaccine: FLUN3, MNQ
Symptoms: Injection site discolouration, Injection site erythema, Injection site warmth
Clinical narrative: 15 x 15cm red warm browny area mostly under inj. site left deltoid. Advised to use ice pack and motrin prn
Age: 40.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Eye swelling, Ocular hyperaemia, Swelling face
Clinical narrative: Approximatley five hours after injection eyes became very red and swollen. The developed facial swelling. Symptoms subsided with Benadryl and Patanol drops
Age: 1.28
Sex: F
Vaccine: MMRV
Symptoms: Erythema
Clinical narrative: Mother called stating small Red dot on stomach and back; Told to give tylenol and call if symptoms change.
Sex: F
Vaccine: TDAP
Symptoms: Swelling face, Swollen tongue
Clinical narrative: 10:00am T-dap administered; 13:30 p/c from patient informing Occ health of symptoms toungue/facial swelling - To ER SWG4 from home. 1400 EE left EE left ER 5 treatment by ER took Benadryl 50 by mouth at home
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pruritus, Rash
Clinical narrative: rash on torso; itching at injection site
Age: 30.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Pallor, Throat tightness
Clinical narrative: 5-10 min. after the vaccination patient reported-light headed dizzy, Nausea, had patient seated with legs elevated and ice on back of neck, complaints persisted, Lost color in face and lip's, reported throat closing. placed patient on floor and elevated feet, proceeded with .3ml epi and 50mg benadryl cruet's arrived, o2 given
Age: 40.0
Sex: F
Vaccine: FLUN3
Symptoms: Erythema, Flushing, Throat irritation
Clinical narrative: Received Flumist and 12 minutes later c/o facial flushing, red, throat felt strange. Rec'd Epipen and diphenhydramine
Age: 18.0
Sex: F
Vaccine: FLUN3, HPV4
Symptoms: Grand mal convulsion, Loss of consciousness, Nausea, Syncope
Clinical narrative: received flu mist followed by hpv vaccine after 5 min. complaining of nausea and requested to lie down, upon standing patient collapsed, lots consciousness went into grand maul seizure lasting 1 min., second mild seizure after the first, regained consciousness
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in hands and fingers after injection of vaccine
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site swelling
Clinical narrative: Swellowin at injection site, bleeding told to talk to MD
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Injection site induration, Injection site swelling
Clinical narrative: Patient c/o immediately of lightheadness after receiving injection. Site right deltoid became swollen and had hard lump. Lightheadness lasted about 5 mins. Wns able to stand without problems after 5 mins. No other problems were noted. Lump had decreased in size when client left the clinic. Instructed patient to let MD know about reaction. Called patient at 1250 pm and client was feeling good. 322 pm - still had swollen arm area on right deltoid. No other problems.
Age: 8.0
Sex: F
Vaccine: PNC, PPV
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: patient received a PPV-23 0.5mL and PCV7 0.5ml; 11-16-07 No Side Effects
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness and pain at injection site
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Blood albumin normal, Blood chloride increased, Blood creatinine increased, Blood glucose increased, Blood phosphorus normal
Clinical narrative: Had a follow-up appointment on 11/8/2007 patient reported an idiosyncratic reaction to the Influenza Fluviron vaccine. C/O persistent right shoulder/deltoid upper arm pain. Received a recent injury to arm, trauma, - Heavy lifting
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea increased, Carbon dioxide normal, Glomerular filtration rate abnormal
Clinical narrative: Had a follow-up appointment on 11/8/2007 patient reported an idiosyncratic reaction to the Influenza Fluviron vaccine. C/O persistent right shoulder/deltoid upper arm pain. Received a recent injury to arm, trauma, - Heavy lifting
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Pain in extremity, Vitamin D
Clinical narrative: Had a follow-up appointment on 11/8/2007 patient reported an idiosyncratic reaction to the Influenza Fluviron vaccine. C/O persistent right shoulder/deltoid upper arm pain. Received a recent injury to arm, trauma, - Heavy lifting
Age: 5.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness and tenderness around vaccine site 1st noticed 2 d after vaccine
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye discharge, Eye pruritus, Eye swelling, Feeling of body temperature change
Clinical narrative: 6pm - Dry cough with tickle in her throat swollen glands in her neck; 630pm - Eyes became bloodshot , swollen and itchy Breathing was shallow and rapid; 830pm - Developed headache and felt chilled; 200AM - Felt "warm" and eyes were draining and had nausea; 10AM - next day - complained of headache
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hypoventilation, Lymphadenopathy, Nausea, Ocular hyperaemia
Clinical narrative: 6pm - Dry cough with tickle in her throat swollen glands in her neck; 630pm - Eyes became bloodshot , swollen and itchy Breathing was shallow and rapid; 830pm - Developed headache and felt chilled; 200AM - Felt "warm" and eyes were draining and had nausea; 10AM - next day - complained of headache
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Respiratory rate increased, Throat irritation
Clinical narrative: 6pm - Dry cough with tickle in her throat swollen glands in her neck; 630pm - Eyes became bloodshot , swollen and itchy Breathing was shallow and rapid; 830pm - Developed headache and felt chilled; 200AM - Felt "warm" and eyes were draining and had nausea; 10AM - next day - complained of headache
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Decreased appetite, Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: 1 wk after vaccines, developed redness, swelling and itching at infection site on left Thigh. Redness has slowly spread over time. On 10-31-07 MD visit. 3.5 x 4cm, red, indurated over injection site. Adjacent and medial to site 8cm wide x 10cm long that is erythematous, indurated and warm. Diagnosed: Cellulitis left thigh - See attached MD office Notes for 10-31-07 and 11-2-07 ; "Patient" is a 2 year Old Female who presents today for evaluation of reaction to immunizations given 10/17 at health dept. She received DTaP #4, Varivax, MMR #2, and Hep #2, then a week later developed redness, swelling, and itching at the injection site on the left thigh. She received two vaccines on each thigh. She has had a subjective fever, and decrease in appetite, runny nose, but no other skin rash. The redness has spread slowly over the time. She never had a reaction to other vaccines in the past. Child not seen by PCP until 2 wks after injection. Mother hx said redness started wk after shots.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Injection site swelling, Pyrexia, Rash, Rhinorrhoea
Clinical narrative: 1 wk after vaccines, developed redness, swelling and itching at infection site on left Thigh. Redness has slowly spread over time. On 10-31-07 MD visit. 3.5 x 4cm, red, indurated over injection site. Adjacent and medial to site 8cm wide x 10cm long that is erythematous, indurated and warm. Diagnosed: Cellulitis left thigh - See attached MD office Notes for 10-31-07 and 11-2-07 ; "Patient" is a 2 year Old Female who presents today for evaluation of reaction to immunizations given 10/17 at health dept. She received DTaP #4, Varivax, MMR #2, and Hep #2, then a week later developed redness, swelling, and itching at the injection site on the left thigh. She received two vaccines on each thigh. She has had a subjective fever, and decrease in appetite, runny nose, but no other skin rash. The redness has spread slowly over the time. She never had a reaction to other vaccines in the past. Child not seen by PCP until 2 wks after injection. Mother hx said redness started wk after shots.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Swelling
Clinical narrative: 48 hours after vaccine developed erythema sl swelling and itching - improved with compress and antihistamine
Age: 57.0
Sex: F
Vaccine: TD
Symptoms: Balance disorder, Hypoaesthesia, Joint sprain, Mobility decreased, Pain
Clinical narrative: Pain numbness loss of use entire left arm extending to upper back adversely affecting balance/ordinate forking. Then went to right arm with effect. Elbows and both wrists felt sprained. Seemed to travel on both arms
Age: 0.2
Sex: F
Vaccine: DTAP, HIBV, PNC
Symptoms: High-pitched crying
Clinical narrative: On 10-30-07 mother stated after 7-31-07 immunizations , child would cry (high pitched) for 1 hr at a time Called Dr - No further pertussis
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: Inappropriate schedule of drug administration, Inappropriate schedule of drug administration
Clinical narrative: NONE (We gave DTap instead of TdaP).  There was no adverse event.  Therefore no date or time available.
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: 2" wheel, redness, puffiness and warm to touch at sight of injection.
Age: 42.0
Sex: U
Vaccine: TD
Symptoms: Rash, Skin warm
Clinical narrative: RAISED and warm to touch 5" X 3.5" AT widest margin Biaxin 500 mg BID x10 days
Age: 52.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Skin warm, Tenderness
Clinical narrative: Patient Reports upper arm Red warm and very Tender - "Hurts To Move It"
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Blister
Clinical narrative: 3 DAYS POST-VACCINATION DEVELOPED DISCRETE LINEAR TO CIRCULAR BLISTER - LIKE RASH (2-5 MM) ON UPPER ARMS/SUBMENTIAL AREA. URI Sx ON VACCINATION DATE. BACTROBAN OINTMENT ON EXDERMATIONS
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Nausea, Neck pain, Pain
Clinical narrative: 24 hrs after shot: severe nausea for 1 day; 2 day - neckack and headack; 3rd day just small amount of ackes
Age: 34.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Erythema, Influenza like illness, Injection site erythema, Pruritus
Clinical narrative: Erythema about 15x10cm around injection site and on dorsum of left hand (ipsa -lateral) Pruritis. RX with Alavert with good response Had flu-like symptoms x3-4 d
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None Reported
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash pruritic, Rash vesicular, Skin ulcer
Clinical narrative: 11/4/07 - fever of 102. 11/5/07 - woke up with itching rash on back, vesicular, persisten with a few ulcerations on entire body - as described by Dr.. Prescribed Voltrex. Siblings are going to be given Varivax booster.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site nodule, Injection site pruritus
Clinical narrative: Systemic reaction resulting in multiple joint pain and chronic fatigue for 30 days. Injection site reaction (golf ball sized lump, redness, itching) lasted 5 months.
Age: 34.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site reaction
Clinical narrative: Systemic reaction resulting in multiple joint pain and chronic fatigue for 30 days. Injection site reaction (golf ball sized lump, redness, itching) lasted 5 months.
Age: 26.0
Sex: M
Vaccine: MMR
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: MMR vaccine administered in RUE SQ in posterior upper arm approximately 3" above elbow. By early evening had developed a large knot and swelling and redness of RUE posterior where vaccine was given. 12 hour later area of redness the size of 25 cents
Age: 13.0
Sex: M
Vaccine: TTOX
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Patient got a fever within 24 hour his arm was swollen at the site.
Age: 1.51
Sex: F
Vaccine: DTAP, OPV, VARCEL
Symptoms: Varicella
Clinical narrative: Diagnosed with Varicella 11-8-07; received Varivax 9-29-99.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, UNK, VARCEL
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Slight redness and swelling on left deltoid measure 60mm x 40mm, mother said patient c/o itching and pain last night 11/6/07. No c/o pain today at time of TB skin test reading 11/07/07.
Age: 1.02
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash, Rash papular, Rash pruritic
Clinical narrative: 11/6/07 Temp of 101, papules and eruptions inside of arms chest and upper legs - seen in office by doctor for itchy rash treated with Benadryl and Aveeno baths and keep isolated. 11/7/07 papules increased to further up legs, temp continues, no papules on back per phone follow up by nurse. Instructed to observe 11/8/07 Progress report - afebrile today not as itchy 4-5 new eruptions on neck reported ----> doctor dx Varicella after Varivax.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Joint range of motion decreased, Pain in extremity, Swelling
Clinical narrative: Given pneumovax 10/23 - evolved pain, swelling, restricted motion left upper arm and shoulder - when seen 10/25 already receding Told use NSAID's - cold pak if needed
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Allergy test positive, Arthralgia, Blood test abnormal, Endoscopy abnormal, Injection site swelling
Clinical narrative: Swelling arm around Injection site Immediately after Shot- 10 Days Later Hives that eventually covered her entire Body - Welts and Hives and elevated skin on entire Back and Body Lasted 18 Days - Has Joint Pain Also and Fever of 100.2 deg. Took Benedryl 3x daily and Tylenol 3x daily - I HAVE PHOTO'S IF NEEDED - STILL GETTING FEW HIVES AND PAINFUL JOINTS (8 Weeks After)
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Swelling arm around Injection site Immediately after Shot- 10 Days Later Hives that eventually covered her entire Body - Welts and Hives and elevated skin on entire Back and Body Lasted 18 Days - Has Joint Pain Also and Fever of 100.2 deg. Took Benedryl 3x daily and Tylenol 3x daily - I HAVE PHOTO'S IF NEEDED - STILL GETTING FEW HIVES AND PAINFUL JOINTS (8 Weeks After)
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Varicella
Clinical narrative: Varicella vaccine breakthrough. Had vaccine 6-2-00 and 8-17-07. Diagnosed with varicella 11-7-07
Age: 54.0
Sex: F
Vaccine: RAB
Symptoms: Chills, Pain, Pyrexia, Rash
Clinical narrative: Chills, fever (100.1) Saturday, November 3, 2007 2:00pm rash on buttocks Sunday, November 4, 2007 9:00am (at October 27 injection site) low grade temperature (99.7) Sunday, November 4, 2007 9:00am and aches worsening rash on buttocks - Monday, November 5 and Tuesday, November 6 Took aspirin and Tylenol Saturday - Monday.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: C/O large red area 15 x 12cm with welt 2 x 6cm in center of red patch. Red patch was warm and mildly itchy. Noticed 5 hours after vaccine admit. We examined this patient b/c of age, new vaccine for us. Adv patient to take Benadryl 11-8-07 area improvement.
Age: 26.0
Sex: F
Vaccine: TD
Symptoms: Hypokinesia, Injection site pain, Joint range of motion decreased
Clinical narrative: pain in left deltoid can't raise arm, turn steering wheal sleep on that side. Pinpoint pain posterolat aspect of deltoid. Limited range of motion, Rx for Naproxen Sodium 500mg one twice a day with food
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash papular, Rash pustular
Clinical narrative: 3 days of  "BITES" more each day. Friend with same. Venous papules, pustular lesions with Excuriations in various stages of healing.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Patient seen in the office this morning by M.D. Pain and swelling of right arm, starting 10 days after injection of right arm.
Age: 52.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: patient give flu vaccine 11/13/07 in Medical clinic.presented to ER 11/17 for pain, swelling, redness left upper arm x 4 days. patient discharged home with motrin and benadryl po.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Nasal congestion, Nasopharyngitis, Pharyngolaryngeal pain, Sinus congestion
Clinical narrative: I received the Flu-Mist on 14 November 07 at approximately 0815.  I had the sinus drainage in my throat throughout the day.  Since then, I have had a sore throat and "head cold" like symptoms: nasal and sinus congestion.  When I got the Flu-Mist, I was not having any of these symptoms.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Fatigue, Headache, Immunisation reaction, Musculoskeletal stiffness
Clinical narrative: Symptons:Day 1: Skin sensitive to touch (like sun-burn)on left side of neck.Poison-ivy-type rash appeared in two spots on neck, left side. Headache, increasing in intensitiy during the day. Stiff neck and pain extending up back of head, left side.  Day 2: Sensitivity of skin spread to left cheek. Headache. Another small patch of rash appeared in front of neck under chin. Sensitivity of skin extending to upper chest, left side.VISITED DOCTOR AND WAS DIAGNOSED WITH REACTION TO IMMUNIZATION.PRESCRIPTIONS GIVEN.  Day 3: Slight nausea and vomiting during early morning. Severe headache and stiffness and pain in neck, left side throughout the day. No more outbreak of rash. Fatiqued.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Neck pain, Rash, Vomiting
Clinical narrative: Symptons:Day 1: Skin sensitive to touch (like sun-burn)on left side of neck.Poison-ivy-type rash appeared in two spots on neck, left side. Headache, increasing in intensitiy during the day. Stiff neck and pain extending up back of head, left side.  Day 2: Sensitivity of skin spread to left cheek. Headache. Another small patch of rash appeared in front of neck under chin. Sensitivity of skin extending to upper chest, left side.VISITED DOCTOR AND WAS DIAGNOSED WITH REACTION TO IMMUNIZATION.PRESCRIPTIONS GIVEN.  Day 3: Slight nausea and vomiting during early morning. Severe headache and stiffness and pain in neck, left side throughout the day. No more outbreak of rash. Fatiqued.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Oxygen saturation decreased, Wheezing
Clinical narrative: She had the flu shot at about 10:30am and by ab out 6:30 that evening she was coughing wheezing and seemed to be struggling to breath. I watched her and held her for a while but it didn't go away and then her coughing became uncontrollable. i checked her SATS because i kept an oxygen moniter in the house and they were in the 70's.  By about 9:30pm after consulting the doctor on call we took her to the hospital ER.  She was given high levels of oxygen and a steroid breathing treatment and then admitted into the PICU.  She had a chest xray that showed similar signs to pneumonia and she continued for the next 3 days to receive oxygen, breathing treatments and chest palpations until she could safely return home.  For another week after being discharged, she needed breathing treatments and lower levels of oxygen.  02/05/2008 MR received for DOS 11/3-5/2005 with D/C DX:  Presumed viral syndrome.  Bronchospasm. Pt presented to ER with 1 day hx of cough, increased RR, and increased work of breathing. On PE pt was tachypneic, in mild respiratory distress with nasal flaring and intercostal retractions. (+) coarse breath sounds with expiratory wheezing. Temp 39'C. O2 sats 82% on RA, up to 92% on 50% FiO2. Suctioning revealed thick, yellow secretions. Weaned off O2 on hospital day #2.  D/Cd on Xopenex nebs PRN.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: No reaction on previous exposure to drug, Pruritus generalised, Swelling face, Urticaria
Clinical narrative: Noticed body itching and hives/swelling on face day following injection. Hives and itching increased for 3 days following the shot. I am not allergic to eggs and have not had an adverse reaction to previous flu vaccines. At 3 day point, started following regimen of washing all over with benzoyl peroxide/sulfur cleanser, and layering benadryl gel, coal tar gel, calamine & zinc oxide, sulfur ointment on face to relieve the hives/swelling. This helped to alleviate the hives and swelling.
Age: 0.17
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PPV, RVX
Symptoms: Inappropriate schedule of drug administration, Medication error, Vomiting projectile
Clinical narrative: projectile vomiting X4 within 24 hours of vaccinations, no previous vomiting prior to vaccination
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Angioedema, Crying, Diet refusal, Mouth ulceration, Pyrexia
Clinical narrative: FEVER,HIVES ALL OVER THE BODY, INCLUDING THE MOUTH ULCER, TONGUE, CRYING DAY AND NIGHTS, NO EATING, FOUR DAYS ALREADY.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Flu vaccine was voluntarily given by my employer at my work site on Friday, November 16, 2007.  On Saturday, November 17, 2007 I awoke to a large red itchy swollen area at the site of the injection (upper left arm) about 7" in diameter.  My neck and chest were itchy as well.  I treated my symptoms by applying a topical allergy cream.  Sunday, November 18, 2007 I am still treating symptoms.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Injection site pain, Myalgia
Clinical narrative: Sore/achy muscles around elbow joint in same arm (left), which is NOT the patient's dominant arm. No apparent other causes of this joint discomfort. Notably, the location of the shot is still very tender and has been since the shot was administered.
Age: 19.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles
Clinical narrative: Pt received small pox vaccine on 08nov07 on L arm.  After 7 days pt had eqivicol reaction.  Pt was revaccinated on 15nov07 on R arm.  Two days after revaccination pt noticed 3 vessicles on L arm at original small pox vacine site.  The main vessicle is 5mm, the second is 3mm, and the third is 2mm.
Age: 56.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test, Chills, Computerised tomogram, Convulsion, Pain in extremity
Clinical narrative: Initial report received from a health care professional on 06 November 2007. A 56-year-old female with history of glucose intolerance, high cholesterol and allergies to codeine and sulfa had received a left deltoid, intramuscular injection of Fluzone SV 2007-2008 (lot number U2511AA) on 01 November 2007 at 08:10 hours and at approximately 19:00 hours, she developed sore arm and chills. Convulsions began at 21:00 hours and the patient was taken to the hospital via ambulance. The patient reported that results of bloodwork and CT head scan were normal. The patient was released at approximately 01:30 hours and was instructed not to receive flu vaccinations in the future. No additional information had been provided at the time of this report.
Age: 56.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Blood test normal, Chills, Computerised tomogram normal, Convulsion, Pain in extremity
Clinical narrative: Initial report received from a health care professional on 06 November 2007. A 56-year-old female with history of glucose intolerance, high cholesterol and allergies to codeine and sulfa had received a left deltoid, intramuscular injection of Fluzone SV 2007-2008 (lot number U2511AA) on 01 November 2007 at 08:10 hours and at approximately 19:00 hours, she developed sore arm and chills. Convulsions began at 21:00 hours and the patient was taken to the hospital via ambulance. The patient reported that results of bloodwork and CT head scan were normal. The patient was released at approximately 01:30 hours and was instructed not to receive flu vaccinations in the future. No additional information had been provided at the time of this report.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Erythema, Migraine, Musculoskeletal stiffness, Oedema peripheral
Clinical narrative: "Got Tdap Friday, woke up Saturday morning with migrane arm swollen and with red patches and felt feverish, slept all day with chills, arm sore all day. Slept all day Sunday with chills, arm sore all day. Monday still sore, red and stiff, and now left are is sore."
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Pyrexia, Somnolence
Clinical narrative: "Got Tdap Friday, woke up Saturday morning with migrane arm swollen and with red patches and felt feverish, slept all day with chills, arm sore all day. Slept all day Sunday with chills, arm sore all day. Monday still sore, red and stiff, and now left are is sore."
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Hypoaesthesia, Immunisation reaction, Insomnia, Nerve injury
Clinical narrative: Dr.  used these terms: brachial plexitis or acute brachial neuritis and Parsonage-Turner Syndrome. Literature on both seem to totally match up with my experience. I got my shot on Thursday, October 18. In the next hours the pain spread down my arm, worsened, and then by 1am th next morning, was severe. I went to the ER - had x-rays, blood work, given pain pills. It was predicted to lessen in a week. However, the pain persisted and made me unable to sleep, even with the pain pills. Additionally, my right pointer finger went totally numb. So after a week, I saw my PCP. He said there was nerve damage, and he wanted me to totally rest my arm in a sling to let the nerves start to heal and assess in a week more. At the next week's appointment, I was not better and he referred me to the neurologist, Dr., who I saw the next day (November 2.) He quickly diagnosed it. He said the brachial plexus was very inflamed, causing the pain and damage. He described it as a fairly rare "auto-immune" reaction to the flu shot that required an immediate high dose of steriods, physical therapy to maintain mobility and strength and monitoring. A "nerve mapping" is scheduled for November 28. He said that some of the damage may be permanent. He said the present goal was to work through the pain, avoiding further complications of guarding a painul area, a potential of something he called RSD. I started a course of physical therapy at Rehab yesterday, November 12. 11/30/07 Reviewed medical records from neurologist which reveal patient experienced pain & sensory change in RUE x approx 3 weeks.  Initially injection site had a tender bump & then pain traveled downward to distal aspect of RUE & had intractable pain & sensory loss of right index finger since then.  Difficulty sleeping due to pain.  Had received previous flu shots w/o problems.  Had been seen in ER on 10/21.  CBC, chemistry & shoulder x-ray WNL.  Exam revealed stiff tender c-spine musculature; tenderness of right axilla; abduction & extension of right shoulder caused pain; & entire RUE was dusky in dependency.  RUE musculature was weak w/reduced sensation of right index finger.  Reduced RUE reflexes.  Tx w/steroid tapering dose.  Referred for CXR & EMG/NCS, PT/OT.   FINAL DX: post vaccination right brachial plexitis, presumably with an autoimmune mechanism.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Neuralgic amyotrophy, Pain in extremity, Radiculitis brachial, X-ray
Clinical narrative: Dr.  used these terms: brachial plexitis or acute brachial neuritis and Parsonage-Turner Syndrome. Literature on both seem to totally match up with my experience. I got my shot on Thursday, October 18. In the next hours the pain spread down my arm, worsened, and then by 1am th next morning, was severe. I went to the ER - had x-rays, blood work, given pain pills. It was predicted to lessen in a week. However, the pain persisted and made me unable to sleep, even with the pain pills. Additionally, my right pointer finger went totally numb. So after a week, I saw my PCP. He said there was nerve damage, and he wanted me to totally rest my arm in a sling to let the nerves start to heal and assess in a week more. At the next week's appointment, I was not better and he referred me to the neurologist, Dr., who I saw the next day (November 2.) He quickly diagnosed it. He said the brachial plexus was very inflamed, causing the pain and damage. He described it as a fairly rare "auto-immune" reaction to the flu shot that required an immediate high dose of steriods, physical therapy to maintain mobility and strength and monitoring. A "nerve mapping" is scheduled for November 28. He said that some of the damage may be permanent. He said the present goal was to work through the pain, avoiding further complications of guarding a painul area, a potential of something he called RSD. I started a course of physical therapy at Rehab yesterday, November 12. 11/30/07 Reviewed medical records from neurologist which reveal patient experienced pain & sensory change in RUE x approx 3 weeks.  Initially injection site had a tender bump & then pain traveled downward to distal aspect of RUE & had intractable pain & sensory loss of right index finger since then.  Difficulty sleeping due to pain.  Had received previous flu shots w/o problems.  Had been seen in ER on 10/21.  CBC, chemistry & shoulder x-ray WNL.  Exam revealed stiff tender c-spine musculature; tenderness of right axilla; abduction & extension of right shoulder caused pain; & entire RUE was dusky in dependency.  RUE musculature was weak w/reduced sensation of right index finger.  Reduced RUE reflexes.  Tx w/steroid tapering dose.  Referred for CXR & EMG/NCS, PT/OT.   FINAL DX: post vaccination right brachial plexitis, presumably with an autoimmune mechanism.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pyrexia, Sluggishness
Clinical narrative: Received shots on Monday, Nov 5, 2007.  Became sick on Tuesday afternoon with fever, chills, and body aches.  Left work early on Tuesday, came to work on Wednesday and went home sick that morning. Returned to work on Thursday, better, but feeling a little sluggish.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received Flu shot 11/15/07,came back to office 11/16/07 injection site ed,swolle,hot to the touch. Given Keflex 500mg.BID for 10 days and Benadryl-OTC.PRN.
Age: 0.33
Sex: M
Vaccine: DPP, FLU3, HBPV, PNC
Symptoms: Erythema multiforme, Rash generalised, Rash pruritic
Clinical narrative: Developed itchy rash day after vaccines given.  Started on back and now spread to entire body. On exam on 11/19/07, noted to have s/s erythema multiforme.  Multiple lesions over entire body.
Age: 90.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Abasia, Injection site erythema, Injection site pain
Clinical narrative: Received pneumovax injection in left thigh on 10/29/07.  Several hours later complained of pain at injection site.  Had redness at injection site. No swelling. Had pain severe enough that patient was unable to ambulate on leg for 48 hours.  Patient on medications for pain prior to this incident.  Patients primary MD consulted (and saw patient)and ordered site to be intermittently iced.  Pain and inability to ambulate resolved within 48 hours.  This information was reported to Certified Home Care Agency providing vaccine 22 days after incident occured.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Joint stiffness, Malaise, Oedema, Pain in extremity
Clinical narrative: Pt. received Fluzone and Pneunovax on 11/16/07 both in Left Deltoid due to previous Right Mastectomy.  Approximately 5 AM on 11/17/07 Patient noted edema, increased warmth, pain, and redness to Left Deltoid, along with malaise, stiffening of elbow and shoulder joints and fever.  This continued throughout 11/17/07 and 11/18/07.  Patient presented to Health Dept today for evaluation of area.  Erythma extends to an area approx. 10cm X 15cm on L upper arm, with warmth and redness noted to area.  Patient states she feels slightly better today, and was instructed to take OTC Tylenol as needed for pain and/or fever, and to apply a thin layer of neosporin to area and cover with warm compresses to help decrease pain/edema.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: Pt. received Fluzone and Pneunovax on 11/16/07 both in Left Deltoid due to previous Right Mastectomy.  Approximately 5 AM on 11/17/07 Patient noted edema, increased warmth, pain, and redness to Left Deltoid, along with malaise, stiffening of elbow and shoulder joints and fever.  This continued throughout 11/17/07 and 11/18/07.  Patient presented to Health Dept today for evaluation of area.  Erythma extends to an area approx. 10cm X 15cm on L upper arm, with warmth and redness noted to area.  Patient states she feels slightly better today, and was instructed to take OTC Tylenol as needed for pain and/or fever, and to apply a thin layer of neosporin to area and cover with warm compresses to help decrease pain/edema.