chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: F
Vaccine: HPV4, PPV, FLU3, HPV4, PPV, FLU3, HPV4, PPV
Symptoms: CSF white blood cell count positive, Computerised tomogram abdomen, Computerised tomogram head, Culture urine negative, Headache
Clinical narrative: This spontaneous report as received from a Licensed Practical Nurse refers to a 9 years old female patient with pertinent history of hay fever and possibly ZITHROMAX reaction/allergy. The patient was vaccinated with first dose (lot # :671994/1537AA, Exp date 21-JUN-2014) and second dose (lot # :671994/1537AA, Exp date 21-JUN-2014) of GARDASIL on 20-APR-2012 and 02-JUL-2012 respectively. The patient received her third dose of GARDASIL (lot # :672652/0022AE, Exp date 28-SEP-2014) and a first dose of PNEUMOVAX 23 (671038/0811AA, Exp date 15-MAR-2013) on 06-NOV-2012, concomitant medications included: loratadine (manufacture unknown), then the patient developed fever within 24 hours of receiving vaccines on 06-NOV-2012 and went to ER. After series of tests, it was noted that her white blood cell count was elevated and spinal tap was performed and she was diagnosed with meningitis. Patient was admitted to Medical Center on 08-NOV-2012. Patient was treated with IV antibiotic (name unspecified) and her current condition was listed as "in the hospital but stable". The outcome of meningitis was unknown. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: HPV4, PPV, FLU3, HPV4, PPV, FLU3, HPV4, PPV
Symptoms: Human rhinovirus test positive, Injection site erythema, Injection site pain, Injection site swelling, Lumbar puncture
Clinical narrative: This spontaneous report as received from a Licensed Practical Nurse refers to a 9 years old female patient with pertinent history of hay fever and possibly ZITHROMAX reaction/allergy. The patient was vaccinated with first dose (lot # :671994/1537AA, Exp date 21-JUN-2014) and second dose (lot # :671994/1537AA, Exp date 21-JUN-2014) of GARDASIL on 20-APR-2012 and 02-JUL-2012 respectively. The patient received her third dose of GARDASIL (lot # :672652/0022AE, Exp date 28-SEP-2014) and a first dose of PNEUMOVAX 23 (671038/0811AA, Exp date 15-MAR-2013) on 06-NOV-2012, concomitant medications included: loratadine (manufacture unknown), then the patient developed fever within 24 hours of receiving vaccines on 06-NOV-2012 and went to ER. After series of tests, it was noted that her white blood cell count was elevated and spinal tap was performed and she was diagnosed with meningitis. Patient was admitted to Medical Center on 08-NOV-2012. Patient was treated with IV antibiotic (name unspecified) and her current condition was listed as "in the hospital but stable". The outcome of meningitis was unknown. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: HPV4, PPV, FLU3, HPV4, PPV, FLU3, HPV4, PPV
Symptoms: White blood cell count increased
Clinical narrative: This spontaneous report as received from a Licensed Practical Nurse refers to a 9 years old female patient with pertinent history of hay fever and possibly ZITHROMAX reaction/allergy. The patient was vaccinated with first dose (lot # :671994/1537AA, Exp date 21-JUN-2014) and second dose (lot # :671994/1537AA, Exp date 21-JUN-2014) of GARDASIL on 20-APR-2012 and 02-JUL-2012 respectively. The patient received her third dose of GARDASIL (lot # :672652/0022AE, Exp date 28-SEP-2014) and a first dose of PNEUMOVAX 23 (671038/0811AA, Exp date 15-MAR-2013) on 06-NOV-2012, concomitant medications included: loratadine (manufacture unknown), then the patient developed fever within 24 hours of receiving vaccines on 06-NOV-2012 and went to ER. After series of tests, it was noted that her white blood cell count was elevated and spinal tap was performed and she was diagnosed with meningitis. Patient was admitted to Medical Center on 08-NOV-2012. Patient was treated with IV antibiotic (name unspecified) and her current condition was listed as "in the hospital but stable". The outcome of meningitis was unknown. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: HPV4, PPV, FLU3, HPV4, PPV, FLU3, HPV4, PPV
Symptoms: Abdominal pain upper, Blood test abnormal, C-reactive protein increased, CSF white blood cell count, Headache
Clinical narrative: This spontaneous report as received from a Licensed Practical Nurse refers to a 9 years old female patient with pertinent history of hay fever and possibly ZITHROMAX reaction/allergy. The patient was vaccinated with first dose (lot # :671994/1537AA, Exp date 21-JUN-2014) and second dose (lot # :671994/1537AA, Exp date 21-JUN-2014) of GARDASIL on 20-APR-2012 and 02-JUL-2012 respectively. The patient received her third dose of GARDASIL (lot # :672652/0022AE, Exp date 28-SEP-2014) and a first dose of PNEUMOVAX 23 (671038/0811AA, Exp date 15-MAR-2013) on 06-NOV-2012, concomitant medications included: loratadine (manufacture unknown), then the patient developed fever within 24 hours of receiving vaccines on 06-NOV-2012 and went to ER. After series of tests, it was noted that her white blood cell count was elevated and spinal tap was performed and she was diagnosed with meningitis. Patient was admitted to Medical Center on 08-NOV-2012. Patient was treated with IV antibiotic (name unspecified) and her current condition was listed as "in the hospital but stable". The outcome of meningitis was unknown. Additional information has been requested.
Age: 9.0
Sex: F
Vaccine: HPV4, PPV, FLU3, HPV4, PPV, FLU3, HPV4, PPV
Symptoms: Influenza like illness, Lumbar puncture abnormal, Myalgia, Pyrexia, White blood cell count increased
Clinical narrative: This spontaneous report as received from a Licensed Practical Nurse refers to a 9 years old female patient with pertinent history of hay fever and possibly ZITHROMAX reaction/allergy. The patient was vaccinated with first dose (lot # :671994/1537AA, Exp date 21-JUN-2014) and second dose (lot # :671994/1537AA, Exp date 21-JUN-2014) of GARDASIL on 20-APR-2012 and 02-JUL-2012 respectively. The patient received her third dose of GARDASIL (lot # :672652/0022AE, Exp date 28-SEP-2014) and a first dose of PNEUMOVAX 23 (671038/0811AA, Exp date 15-MAR-2013) on 06-NOV-2012, concomitant medications included: loratadine (manufacture unknown), then the patient developed fever within 24 hours of receiving vaccines on 06-NOV-2012 and went to ER. After series of tests, it was noted that her white blood cell count was elevated and spinal tap was performed and she was diagnosed with meningitis. Patient was admitted to Medical Center on 08-NOV-2012. Patient was treated with IV antibiotic (name unspecified) and her current condition was listed as "in the hospital but stable". The outcome of meningitis was unknown. Additional information has been requested.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity, X-ray
Clinical narrative: Case number PHEH2012US022377 is an initial spontaneous report received from a consumer on 12 Nov 2012. This case refers to a 58-year-old female patient. Her medical history and concomitant medications were not reported. She was vaccinated with FLUVIRIN (batch number: not reported) intramuscularly on 05 Oct 2012. On 06 Oct 2012, she began having symptoms of pain and difficulty moving arm which progressively got worse to point where she could not move arm without severe pain. She saw her primary care physician and was given prednisone and DUEXIS. On 02 Nov 2012, she saw her orthopedic physician and had an x-ray (result not reported). She was given cortisone injection into the right shoulder. Her orthopedic physician stated that she could have nerve or muscle problem or frozen shoulder. She stated that she still has symptoms as of 12 Nov 2012 and was scheduled for an MRI. No other information was available at the time of this report.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Herpes zoster ophthalmic, Nerve injury, Sensory loss
Clinical narrative: Information has been received from a doctor of pharmacy (Pharm. D.) concerning a male patient of unknown age. On an unspecified date, the patient was vaccinated with a dose of ZOSTAVAX, subcutaneously (dose and frequency were not provided) (Lot # and expiration date were not reported). On an unknown date, the patient developed a severe case of shingles after receiving ZOSTAVAX. Patient's condition was described as having nerve damage, loss of feeling in hands and his shingles had spread to his eye. On an unspecified date, patient sought unspecified medical attention and was hospitalized. Unspecified treatment was given for the events. At the time of the report, the patient had not recovered from the events. Additional information has been requested.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV4, TDAP
Symptoms: Blood test, Cold sweat, Diarrhoea, Dizziness, Fall
Clinical narrative: This spontaneous report as received from a physician refers to a 11 years old male patient with no pertinent medical history, drug reactions or allergies. The patient was vaccinated with dose 1 of GARDASIL (lot #, dose and route not reported) on 09-NOV-2012. Other suspect therapies included a dose of AFLURIA (lot #, dose and route not reported) on 09-NOV-2012. Concomitant medications included: Tdap (manufacturer unspecified). The physician reported that the patient also had blood drawn for unspecified blood work (results not provided) on 09-NOV-2012. After receiving the GARDASIL, the patient felt dizzy and nauseated, and had an episode of "explosive diarrhea" and fainted on toilet. No injuries incurred. Physician reported at that time, patient had no wheezing, no injuries and no hypotension but patient was "clammy and pale". After leaving the office, he had another syncopal episode and diarrhea in the parking lot. No injuries reported from fall. The mother of the patient called the physician the weekend to report that the patient continued to have vomiting, diarrhea and severe headache and that she was taking him to the emergency room. The physician stated the mother would call to follow up on his status. No treatment information was reported. The outcome of syncopal episode and fall was unknown. The relatedness for the reported events was not provided for GARDASIL and AFLURIA. Additional information has been requested.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV4, TDAP
Symptoms: Headache, Nausea, Pallor, Syncope, Vomiting
Clinical narrative: This spontaneous report as received from a physician refers to a 11 years old male patient with no pertinent medical history, drug reactions or allergies. The patient was vaccinated with dose 1 of GARDASIL (lot #, dose and route not reported) on 09-NOV-2012. Other suspect therapies included a dose of AFLURIA (lot #, dose and route not reported) on 09-NOV-2012. Concomitant medications included: Tdap (manufacturer unspecified). The physician reported that the patient also had blood drawn for unspecified blood work (results not provided) on 09-NOV-2012. After receiving the GARDASIL, the patient felt dizzy and nauseated, and had an episode of "explosive diarrhea" and fainted on toilet. No injuries incurred. Physician reported at that time, patient had no wheezing, no injuries and no hypotension but patient was "clammy and pale". After leaving the office, he had another syncopal episode and diarrhea in the parking lot. No injuries reported from fall. The mother of the patient called the physician the weekend to report that the patient continued to have vomiting, diarrhea and severe headache and that she was taking him to the emergency room. The physician stated the mother would call to follow up on his status. No treatment information was reported. The outcome of syncopal episode and fall was unknown. The relatedness for the reported events was not provided for GARDASIL and AFLURIA. Additional information has been requested.
Age: 52.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site pain, Injection site urticaria, Pyrexia
Clinical narrative: This spontaneous report was received from another health professional who refers to a 52 years old female patient with dyslipidemia, diabetes mellitus, sulfur allergy and GERD. The patient was vaccinated into left deltoid with a first dose of PNEUMOVAX23 (dose and route not reported) (lot# reported as H013399) on 23-OCT-2012 09:30. Other suspect therapies included FLUAD administered into left deltoid (dose, route not reported, lot # 12099d) on 23-OCT-2012. Concomitant medications included metformin, NEXIUM and atorvastatin. On 23-OCT-2012 the patient experienced localized severe deltoid pain, wheals on out upper left arm and 102 F fever. It was reported that the patient required ER/doctor visit (unspecified). The outcome of all adverse events was reported as unknown. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Grip strength decreased, Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: 9/14/12 localized swelling, redness, pain at inj. site. Pain c/o while inj. given. 11/09/12 reports decreased mobility of arm that vaccine was given in, which has been present since inj. given. C/O swelling, puffiness, pain at all times. Grip strength less in affected arm. C/O pain keeps her awake at noct. Has been seen 1x by chiropractor & has another appt. scheduled. Was advised by this reporter to see PCP also.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Insomnia
Clinical narrative: 9/14/12 localized swelling, redness, pain at inj. site. Pain c/o while inj. given. 11/09/12 reports decreased mobility of arm that vaccine was given in, which has been present since inj. given. C/O swelling, puffiness, pain at all times. Grip strength less in affected arm. C/O pain keeps her awake at noct. Has been seen 1x by chiropractor & has another appt. scheduled. Was advised by this reporter to see PCP also.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Blood test, Caesarean section, Fatigue, Immediate post-injection reaction
Clinical narrative: I was pregnant. I became immediately very sick feeling & tired. My blood pressure went way up and stayed, I had 6 grams of protein in my urine by 4 days later. I was hospitalized. My son was born 13 days after the vaccine by C-section and was 30 days premature.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Maternal exposure during pregnancy, Premature delivery, Protein urine present, Urine analysis
Clinical narrative: I was pregnant. I became immediately very sick feeling & tired. My blood pressure went way up and stayed, I had 6 grams of protein in my urine by 4 days later. I was hospitalized. My son was born 13 days after the vaccine by C-section and was 30 days premature.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Severe redness, hot to touch, painful vaccine given SQ on 11/05/12 - returned to clinic on 11/8/12. Redness measured at 10" L 8"W at its largest site.
Age: 4.0
Sex: F
Vaccine: FLUN3
Symptoms: Bronchitis, Pyrexia
Clinical narrative: A report has been received from a physician via sales representative, concerning a 4 year old, female patient. The patient's concurrent disease included cerebral spastic paresis. No concomitant medication was reported. The patient had been receiving FLUENZ, for vaccination which was started on 23-Oct-2012. The lot number was AF1205. The physician reported that the child who received FLUENZ for vaccination on 23-Oct-2012. On the same day she suffered from fever and later on from severe bronchitis. Influenza vaccine was discontinued on 23-Oct-2012. At the time of reporting, the event of fever and bronchitis was ongoing. The company physician assessed the events of fever and bronchitis to be serious due to important medical event.
Age: 44.0
Sex: F
Vaccine: FLUN3
Symptoms: Disturbance in attention, Dizziness, Headache, Pain, Sensation of pressure
Clinical narrative: Felt increased nasal pressure shortly after receive FluMist, within 20 minutes had feeling that she was going to passout r/t increased pressure, headache.  Felt slightly dizzy, concentration problems for 24 hrs. and general achiness for ~72 hrs. Headache lasted until 11/12/12. All symptoms resolved 11/12/12.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Dizziness, Eating disorder, Injection site warmth, Pain in extremity, Pallor
Clinical narrative: Child had wheezing, paleness and pain down spine. Both arms hurt-no swelling, R arm warm where shot given, but no redness. Pt. dizzy. Not eating well. May have a fever.
Age: 16.0
Sex: M
Vaccine: FLU3, MNQ
Symptoms: Spinal pain, Wheezing
Clinical narrative: Child had wheezing, paleness and pain down spine. Both arms hurt-no swelling, R arm warm where shot given, but no redness. Pt. dizzy. Not eating well. May have a fever.
Age: 5.0
Sex: M
Vaccine: DTIPV, MMR, VARCEL
Symptoms: Cellulitis, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Rash, red and raised. Leg was swollen and warm.
Age: 22.0
Sex: M
Vaccine: SMALL, YF
Symptoms: Vaccination complication
Clinical narrative: Pt received smallpox vaccine on 26 Oct 12.  After 19 days pt has multiple satellite lesions on L arm.  Only Tx has been gauze and tegaderm placed on the affected skin and then changed out every morning.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Blister, Scab
Clinical narrative: 20-30 2-3mm vesicles that ruptured and crusted.
Age: 3.0
Sex: F
Vaccine: FLUX
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Multiple emesis since 1:00 AM, also complaining of bilateral leg pain-from the knees down.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pain
Clinical narrative: Slight nausea; aches over entire body; headache; slept for 36 hours.
Age: 10.0
Sex: F
Vaccine: FLUN3
Symptoms: Epistaxis, Headache
Clinical narrative: After Flumist, experienced headache and nosebleed; all resolved shortly after.
Age: 14.0
Sex: F
Vaccine: HPVX
Symptoms: Hypoaesthesia, Limb discomfort, Paraesthesia
Clinical narrative: PT C/O (L) ARM TINGLING AND BEING NUMB AND PROBLEMS WITH HER (L) LEG NOT ACTING RIGHT JUST THROUGH THE NIGHT. WAS BETTER IN THE MORNING.
Age: 51.0
Sex: M
Vaccine: RAB
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Today was the third and final shot of the rabies series vaccination. During each of the three shots, I experienced tingling and itchiness of cheek muscles proceeding to the lips approximately 15 minutes after shot administration. The second shot's reaction (10/29/2012) was the worst of the series with the side effects lasting four hours.  During the first (10/22/2012) and third shots, the effects lasted about 15 and 60 minutes respectively.
Age: 13.0
Sex: M
Vaccine: FLUN3, HEPA, HPV4, MNQ, TDAP
Symptoms: Syncope, Wart excision
Clinical narrative: PT had an episode of syncope post vaccinations and wart removal.  PT was assessed and monitored, vitals stable in care to mother to home.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Mobility decreased, Pain in extremity, Periarthritis, X-ray limb normal
Clinical narrative: Immediate mildly sore arm persisting for 3 months, then progressing to increasing pain, especially at night, and reduced ROM until Frozen Shoulder (April 2012); say primary care physican, Orthopaedic specialist, 6 weeks Physical Therapy for Frozen Shoulder (adhesive capsulitis). Improved after 7 months.
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Fever, Chills, sore arm.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Headache
Clinical narrative: Headache and diarrhea.
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Vaccine positive rechallenge
Clinical narrative: Hot to the touch and swollen at injection site. The next morning turned bright red with increased swelling. Exact same symptoms as last time she received the DTAP vaccine. Swelling at that time took 8 weeks to resolve.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Redness, swollen Left lateral arm til below the elbow.
Age: 11.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Headache, Loss of consciousness
Clinical narrative: PATIENT RECEIVED TDAP, MCV4 AND HPV VACCINE TODAY. AFTER GIVING THE LAST VACCINE WHICH WAS HPV AT 11:16 AM PATIENT PASSED OUT. SHE WAS STILL SEATED IN CHAIR AT TIME. I CAUGHT PATIENT WHEN SHE WAS STARTING TO LEAN OVER AND LAID HER BACK ON MY LAP. WE APPLIED COOL DAMP CLOTHES TO HER FACE AND NECK. SHE CAME BACK AROUND WITHIN THE NEX MINUTE. WE SAT HER BACK UP IN CHAIR AND SHE WENT OUT AGAIN. WE THEN MOVED HER ONTO THE EXAM TABLE TO LIE DOWN. AFTER SHE CAME BACK AROUND WITHIN THE NEXT MINUTE SHE DENIED ANY NAUSEA. SHE SAID HER HEAD HURT A LITTLE BIT. O2 SAT WAS 99% HER BP WAS 119/57 AND PULSE WAS 88. BP REPEATED AND WAS 110/59. STATED SHE WANTED TO TRY AND SIT UP. AT 11:33 WE SAT HER UP AND SHE DRANK SOME WATER. AT 11:34 HER BP WAS 108/67 AND PULSE 93. AT 11:39 HER BP WAS 101/53 AND PULSE 82. SHE SAID SHE WANTED TO LAY BACK AGAIN. I RECHECKED HER BP AT 1145 AND IT WAS 102/56 AND PULSE 82. AT 1154 SHE SAT UP ON EDGE OF EXAM TABLE AND SAID "SHE FEELS BETTER" COLOR WAS GOOD AT THIS TIME ALSO. AT THIS TIME WE HAD HER TO STAND UP AND SHE SAID SHE FELT FINE. HAD HER TAKE A FEW STEPS AND SHE SAID SHE WAS FINE. HER GAIT WAS GOOD. AT 11:58 SHE SAID SHE "FEELS BETTER" AND WALKED OUT OF CLINIC WITH HER MOTHER.
Age: 75.0
Sex: F
Vaccine: FLUX
Symptoms: Eye discharge, Eye irritation, Eye pruritus, Lacrimation increased, Malaise
Clinical narrative: Within 3 hours of vaccine administration my vision became blurry and both my eyes itched then shortly after an increasingly burning sensation and flaring red both eyes like acid in my eyes. Within 4 hours of vaccination pus was streaming like tears from both eyes had strong heart palpitations, chest compression, fever as well as intractable nausea. Major symptoms began to lessen after 8 hours post injection and a weakening of my legs began with generalized malaise. Now, 24 hours post injection, both my eyes itch and are watery still. I took no medications of any kind during all this. Every single one of these symptoms occurred to me LAST YEAR within a couple of hours of injection of FLU vaccine when the vaccine was administered 2011. I have a handicapped son and did not want to leave him home alone, so I did not seek professional medical attention.
Age: 75.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Nail discolouration, Nausea, Ocular hyperaemia, Palpitations
Clinical narrative: Within 3 hours of vaccine administration my vision became blurry and both my eyes itched then shortly after an increasingly burning sensation and flaring red both eyes like acid in my eyes. Within 4 hours of vaccination pus was streaming like tears from both eyes had strong heart palpitations, chest compression, fever as well as intractable nausea. Major symptoms began to lessen after 8 hours post injection and a weakening of my legs began with generalized malaise. Now, 24 hours post injection, both my eyes itch and are watery still. I took no medications of any kind during all this. Every single one of these symptoms occurred to me LAST YEAR within a couple of hours of injection of FLU vaccine when the vaccine was administered 2011. I have a handicapped son and did not want to leave him home alone, so I did not seek professional medical attention.
Age: 75.0
Sex: F
Vaccine: FLUX
Symptoms: Purulent discharge, Pyrexia, Vision blurred
Clinical narrative: Within 3 hours of vaccine administration my vision became blurry and both my eyes itched then shortly after an increasingly burning sensation and flaring red both eyes like acid in my eyes. Within 4 hours of vaccination pus was streaming like tears from both eyes had strong heart palpitations, chest compression, fever as well as intractable nausea. Major symptoms began to lessen after 8 hours post injection and a weakening of my legs began with generalized malaise. Now, 24 hours post injection, both my eyes itch and are watery still. I took no medications of any kind during all this. Every single one of these symptoms occurred to me LAST YEAR within a couple of hours of injection of FLU vaccine when the vaccine was administered 2011. I have a handicapped son and did not want to leave him home alone, so I did not seek professional medical attention.
Age: 5.0
Sex: M
Vaccine: FLUN3
Symptoms: Lip swelling, Rash, Rash erythematous, Swelling face
Clinical narrative: Mother reports, red rash right temple, that moved to entire face, with lip and facial swelling.  No respiratory difficulties, no nausea or vomiting.  Rash resolved in 24 hours.
Age: 37.0
Sex: F
Vaccine: MEN, TYP, YF
Symptoms: Hypoaesthesia, Oedema peripheral, Pain in extremity, Rash
Clinical narrative: Pain, numbness, severe swelling, rash on most of arm. Rash, swelling, pain has lasted 2 weeks (though shrinking, has not yet subsided completely on 12/14).
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Stabbing pain and weakness in same arm as injection given.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mom states on 10/31/12 she noticed redness, swelling and warmth on left leg where shot had been given. The swelling extended all the way to the back of the leg. No fever. MD diagnosed with cellulitis and was put on an antibiotic and improved.
Age: 12.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Dizziness, Dizziness postural, Ear discomfort, Tinnitus, Visual impairment
Clinical narrative: Pt described of dizziness shortly after vaccine was given and the next AM.  Exacerbated by standing/getting up quickly. Asso. symptoms included ear fullness, tinnitus, and visual changes. Recommended rest, fluids, and regular meals.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Activities of daily living impaired, Chills, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Severe well-demarcated erythema, pain, edema of R upper arm, chills, nausea; had to leave work, missed 3 days of work.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea
Clinical narrative: Severe well-demarcated erythema, pain, edema of R upper arm, chills, nausea; had to leave work, missed 3 days of work.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Fever/chills, headache, fatigue, joint pain.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal discomfort, Pain in extremity, Tendonitis
Clinical narrative: Patient said the day after the Flu shot, her arm was sore, but she said she thought it was normal soreness after a shot, but it continued to hurt. After 4 to 5 days she called her physician who gave her a steroid shot and said she thought it was tendonitis. The shot helped for a couple of days, but came back, not as severe. She called the MD again, who prescribed Diclofenac. She can still feel some discomfort in the shoulder.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Burning sensation, Chills, Nausea, Oedema peripheral, Pain in extremity
Clinical narrative: Fever, chills in back extending to whole body; pain and swelling in L upper arm; developed nausea, vomiting by 11/10/12 PM, noticed vesicular rash ~ 12 x 6 cm area distal to the injection site by 11/11/12 w/burning and pruritis; fever, n,v, subsided as did pain by 11/13/12.  Pt. reported to the clinic 11/13/12, not prior and was Rxed diphenhydramine and valacyclovir for possible zoster; improved further by 11/14/12. Vesicles subsiding.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Pruritus, Pyrexia, Rash vesicular, Vomiting
Clinical narrative: Fever, chills in back extending to whole body; pain and swelling in L upper arm; developed nausea, vomiting by 11/10/12 PM, noticed vesicular rash ~ 12 x 6 cm area distal to the injection site by 11/11/12 w/burning and pruritis; fever, n,v, subsided as did pain by 11/13/12.  Pt. reported to the clinic 11/13/12, not prior and was Rxed diphenhydramine and valacyclovir for possible zoster; improved further by 11/14/12. Vesicles subsiding.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness
Clinical narrative: Client attended the flu shot clinic.  She received a 0.5cc flu injection, Sanofi, Lot # UH734AC, Expiration date 6/30/13, in the left deltoid muscle at 1630 hours by RN.  After receiving the injection the client reported she felt like she was going to faint.  RN instructed the client to remain seated and allowed her to lean forward with her head between her knees.  RN then put a wrapped cold pack to the back of the client's neck and retrieved this nurse to assist.  This nurse retrieved the emergency kit and a mat for the client to lie down on.  When this nurse got to the client with the mat, the client refused to lie down and stated she was feeling better.  This nurse assessed vital signs at 1640 hours: Blood pressure 108/62, pulse 74, respirations 16.  The client was allowed to stand and walk to the bleachers with her mother for further observation.  The client remained on the bleachers without further problems for another 15 minutes.  Client was released with her mother at 1655 hours.  This nurse spoke with the client's mother today (11/14/12) at 0854 hours.  Her mother reports no further concerns and stated the client is doing well.  This nurse then called the client's physician's office at 0903 hours and reported the incident to an office nurse.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor, Syncope
Clinical narrative: Client had syncope after receiving vaccine.  She lost consciousness for 2 seconds, skin pale, dizzy, and diaphoretic.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Pt has redness, inflammation in the area of the injection site.  Injection site is hot to the touch, pt states area is very sore and tender.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt has redness, inflammation in the area of the injection site.  Injection site is hot to the touch, pt states area is very sore and tender.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral
Clinical narrative: Swollen arm.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Asthenia, Chills, Fatigue, Malaise, Migraine
Clinical narrative: Patient experienced extreme fatigue, weakness, nausea and vomiting, felt like she had a fever, chills, migraine, and malaise.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Patient experienced extreme fatigue, weakness, nausea and vomiting, felt like she had a fever, chills, migraine, and malaise.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Asthenia, Chills, Fatigue, Headache, Malaise
Clinical narrative: Patient experienced extreme fatigue, weakness, nausea and vomiting, felt like she had a fever, chills, migraine, and malaise.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pyrexia, Syncope
Clinical narrative: Patient experienced extreme fatigue, weakness, nausea and vomiting, felt like she had a fever, chills, migraine, and malaise.
Age: 3.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: No adverse reaction noted. Live virus given out of sequence.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling in area of tetanus imm.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: SORENESS IN UPPER ARM, PAIN IN ELBOW AND WRIST JOINTS.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Cellulitis, Grip strength decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The needle hit the bone during injection of the vaccine in my right arm. The site turned red, tender to touch and started to swell. I thought this would go away in a few days. I took nsaids but the pain started to travel down my arm and by Oct 25 my arm and down to my thumb was swollen and very painful. I was feeling a sharp pinpoint pain at the injection site which radiated down to my thumb upon touching it. I was unable to grasp or move my thumb.  I went to the ER and was tx for cellulitis and given a shot of toradol, a wrist splint and told to use heat pads. Xray revealed no foreign body at injection site. On Sunday I was still the same. I spoke with my sister whom told me she had and allergic reaction to the swine flu vaccine last year an had the same symptoms and was tx with Benadryl. I took 50mg and the pain swelling decreased.  As of today I still have pain at the injecton site and my thumb is still painful to move.
Age: 60.0
Sex: F
Vaccine: FLUX
Symptoms: Oedema peripheral, Pain, Pain in extremity
Clinical narrative: The needle hit the bone during injection of the vaccine in my right arm. The site turned red, tender to touch and started to swell. I thought this would go away in a few days. I took nsaids but the pain started to travel down my arm and by Oct 25 my arm and down to my thumb was swollen and very painful. I was feeling a sharp pinpoint pain at the injection site which radiated down to my thumb upon touching it. I was unable to grasp or move my thumb.  I went to the ER and was tx for cellulitis and given a shot of toradol, a wrist splint and told to use heat pads. Xray revealed no foreign body at injection site. On Sunday I was still the same. I spoke with my sister whom told me she had and allergic reaction to the swine flu vaccine last year an had the same symptoms and was tx with Benadryl. I took 50mg and the pain swelling decreased.  As of today I still have pain at the injecton site and my thumb is still painful to move.
Age: 60.0
Sex: F
Vaccine: DTP
Symptoms: Arthralgia, Feeling cold, Injection site erythema, Pain
Clinical narrative: Every joint in my body hurt.  Was in excruciating pain and was extremely cold.  Had to have 4 blankets on me.  Not sure if I had a fever or not.  Did not take my temperature as I hurt too much to find thermometer.  My injection site is large and very red with the redness radiating out more and more on 11/14/12.
Age: 44.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: The pharmacist gave me the shot and less than 24 hours later I had severe pain in my left shoulder. It is now 5 weeks later and I cannot raise my arm above my head or use my left arm. Pain is still severe and not getting better. I have an appointment with my primary care physician Wednesday November 21st, 2012.
Age: 44.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Injury, Nuclear magnetic resonance imaging abnormal
Clinical narrative: The pharmacist gave me the shot and less than 24 hours later I had severe pain in my left shoulder. It is now 5 weeks later and I cannot raise my arm above my head or use my left arm. Pain is still severe and not getting better. I have an appointment with my primary care physician Wednesday November 21st, 2012.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Cerebrovascular accident, Laboratory test abnormal
Clinical narrative: This spontaneous report as received from a physician via a company representative refers to a 12 years old female patient. Lab diagnostic studies showed that she was MTHFR homozygous. The patient was vaccinated intramuscularly with GARDASIL on 14-SEP-2012. No other co-suspects were reported. No concomitant medications were reported. In September 2012 (reported as two weeks post vaccine) the patient experienced a stroke (hospitalization and medically significant by MAH). Unspecified treatment was given. The outcome of stroke was not provided. The relatedness for stroke was not provided for GARDASIL. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Hysterectomy
Clinical narrative: This spontaneous report as received from a consumer refers to her mother-in-law of unknown age. The patient was vaccinated with ZOSTAVAX on an unknown date. Lot # and route were unspecified. The patient developed shingles on her neck while she was in hospital after having a surgery to take out her uterus. The outcome of patient was unknown. Additional information is not expected.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Ataxia, CSF test abnormal, Diplopia, Encephalitis, Nuclear magnetic resonance imaging brain normal
Clinical narrative: On 10-4-12 pt seen for ataxia & double vision. Pt admitted to hospital initial Dx of cerebellitis. Pt worsened, readmitted now with Dx of Myoclonus-opsoclonus ataxia. Pt is profoundly impaired and her prognosis is very uncertain.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Opsoclonus myoclonus
Clinical narrative: On 10-4-12 pt seen for ataxia & double vision. Pt admitted to hospital initial Dx of cerebellitis. Pt worsened, readmitted now with Dx of Myoclonus-opsoclonus ataxia. Pt is profoundly impaired and her prognosis is very uncertain.
Age: 72.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Injection site vesicles, Pain in extremity
Clinical narrative: Developed soreness & redness of arm about 3-4 days after receiving. Present at HD with 2 areas of redness with small vesicle like lesions of (R) deltoid. Client states is better today than few days ago.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Fluid retention, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: 9/19/12 In with question about site of pneumonia shot - Rt arm is swollen & warm to touch & itching. Rt. arm is swollen & warm at site of shot. Rt. inner arm above elbow is swollen, warm to touch with fluid accumulation under the skin. Localized reaction to pneumonia shot. Referred to PMD for evaluation - client to call clinic with results from visit to PMD. 9/20/12 Client called clinic - reported she saw Dr. 9/19/12 pm & she told client to take BENADRYL - the doctor called vaccine company & discussed reaction to vaccine with them - Dr. saw client 9/20/12 & gave shot of DECADRON - client say area on arm is red with warmth & itching & has enlarged in size - Dr. will continue to follow-up on her status - clinic will call client 9/21/12 to recheck status. 9-21-12 Left message for client to call clinic. 9-22-12 No response from client.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema peripheral, Pruritus, Skin warm
Clinical narrative: 9/19/12 In with question about site of pneumonia shot - Rt arm is swollen & warm to touch & itching. Rt. arm is swollen & warm at site of shot. Rt. inner arm above elbow is swollen, warm to touch with fluid accumulation under the skin. Localized reaction to pneumonia shot. Referred to PMD for evaluation - client to call clinic with results from visit to PMD. 9/20/12 Client called clinic - reported she saw Dr. 9/19/12 pm & she told client to take BENADRYL - the doctor called vaccine company & discussed reaction to vaccine with them - Dr. saw client 9/20/12 & gave shot of DECADRON - client say area on arm is red with warmth & itching & has enlarged in size - Dr. will continue to follow-up on her status - clinic will call client 9/21/12 to recheck status. 9-21-12 Left message for client to call clinic. 9-22-12 No response from client.
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Maternal exposure during pregnancy
Clinical narrative: Client was given FLUMIST and is 22 weeks pregnant.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster, Influenza
Clinical narrative: Developed flu 5 days of shot. Developed shingles 2-3 weeks of shot.
Age: 31.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, White blood cell count increased
Clinical narrative: Pt had pneumonia vaccine 11/1/12, had a fever 11/2/12 and redness/swelling at injection site.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Paraesthesia
Clinical narrative: Pt described a "funny feeling" when she got vaccinated - called 10-26-12 to report this & tingling in arm radiating down to hand - has been to doctor & doctor says she feels we have hit a nerve - pt would like to hear from pharmacy.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Received flu shot left upper arm on 10-24-12 about 1500. Developed itching et hives left temporal area, left outer et inner ear, left upper chest - lasted approx 4 days.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: (L) arm swollen & red at site. ? diarrhea.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Hyperhidrosis, Lymphadenopathy, Myalgia, Pyrexia
Clinical narrative: Woke up during night 10-29-12 with fever, chills & sweating. Reported swollen node under Rt arm this morning (10-30-12) and muscle aches. 10-31-12 spoke with client is better but some muscle tenderness.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 69 years old female patient with medical history of mastectomy in right side and unspecified cardiac history who on 15-OCT-2012, was vaccinated with a 0.5 ml dose of PNEUMOVAX 23 (lot number reported as: 1420AA, expiration date: 11-APR-2013) intramuscularly and a dose of FLUZONE both in her left arm. Concomitant medications included carvedilol, furosemide, imipramine hydrochloride, diazepam, ramipril, potassium chloride, pantoprazole and estrogens (unspecified). The pharmacist reported that he believed that the patient had received a dose of PNEUMOVAX 23 in the past at an unspecified date. The pharmacist also reported that the patient called the pharmacy on 16-OCT-2012 and reported that she was getting redness around the injection site and swelling around her elbow on the injection arm. The pharmacist reported that he instructed to the patient to follow up with primary physician, but he did not know if she ever contacted her physician or if the injection site worsened or had presently improved. At the time of the report, the patient's outcome for the adverse events was unknown. The relatedness for the adverse events was unknown for PNEUMOVAX 23. Additional information has been requested.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Systemic pruritic rash.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Large, raised, red reaction on the arm where the injection site was. Area was warm to the touch and painful for a day or so.
Age: 44.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: High fever 103 degrees. Extreme body aches. Nausea.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Pain, Pruritus
Clinical narrative: Patient called and reported feeling tired & achy & lightheaded for past 2 days, also a little itchy.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt. rec'd 2 flu vaccines - pt did not recall receiving 1st vaccine 9-21-12, so she requested another vaccine 10-26-12 & received that one as well. Pt. denies any adverse effects no known injury.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Mood altered
Clinical narrative: Unexplainable bad mood. This also happened w/ flu shot in 2011. Headache after shot but may be unrelated.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Eye swelling, Urticaria
Clinical narrative: Hives all over 1 hour after flu shot, eyes swollen.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient reports that a rash developed on her chest about a week after receiving influenza vaccine. The patient has sought no treatment for the rash. It has yet to resolve.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pruritus, Rash maculo-papular
Clinical narrative: Immunization given 10/17/12. Next day in evening, patient experienced chills, itching and maculopapular manifestation of allergy. 3rd day: Patient sought medical care and was given steroid injection followed by dose pak.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Extreme pain at injection site for prolonged time 1 month sharp stabbing pain an undulation at site as well.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site exfoliation, Injection site reaction, Injection site warmth, Pain
Clinical narrative: 24 hr after vaccine noticed peeling near injection site later in am, noticed warm & red. Came to pharmacy at 4:45 pm. Injection site was red, warm. Approx 1 1/2 in area of redness. Advised to take BENADRYL, TYLENOL & ice to area. Some infreq shooting pain in area. 11/9/12 pt much better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU3
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Red area that is warm about 3 inches diameter at injection site and fever 101.9.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Red, warm area at vaccination site.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Injection site pain
Clinical narrative: When I received the shot it hurt so bad. I had deep pain. He gave me the shot very high next to my shoulder. It has been three weeks and it is no better. Went to Dr's. He said he gave it to me in my bursae.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Pain in extremity
Clinical narrative: C/o sore arm that has not resolved "hurts to the bone" reported on 10/23/12 anti-inflammatory pain meds & ice ordered.
Age: 45.0
Sex: M
Vaccine: FLU3
Symptoms: Cheilitis, Hypoaesthesia oral, Lacrimation increased, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: 11-7-12 Approx 4-5 hrs after Influenza vaccination, patient developed red & runny eyes, sore throat, lower lip was red & felt numb, no swelling, no hives. Patient took an ALLER-FEX, an antihistamine but experienced no significant relief. Advised patient to contact his physician. Will f/u with patient in one day. 11-8-12 T.C. to patient. Patient reports sx have resolved & is now fine. No further f/u.
Age: 21.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Delusion, Disorientation, Memory impairment
Clinical narrative: Per patient: "Couple of hours after vaccine" became disoriented, delusional, lost track of time, did not recognize others; don't remember much until woke up next morning."
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Angina pectoris, Chest pain, Dizziness, Nausea, Vomiting
Clinical narrative: Dizziness, nausea, vomiting, angina & patient reported nausea/vomiting, dizziness, and chest pain about 15 minutes after receiving the influenza vaccination.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt states sharp pain in arm at injection site. Has diminished in severity over 2 weeks, but pain persists. Pt has not had reaction in past. Takes MOTRIN. Difficulty moving left arm.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Hypoaesthesia, Laboratory test, Muscle twitching, Pain in extremity
Clinical narrative: Flu shot 11/7 2 hrs later felt like allergic reaction in face, lips & flu symptoms - numb all over. Sore arm 11/9 PM had terrible reaction - muscle twitches, numb. Went to ER. Stayed most of night. 11/11 Another episode- muscle twitch/numb. Went to E.R.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient reported that his arm & shoulder were very sore after he received his High Dose vaccine this year. Said it is resolving but lasted more than a couple days like his previous vaccines did.
Age: 47.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Incorrect dose administered
Clinical narrative: Patient had been prescreened by volunteer. Patient had answered not to have received any vaccines in the last 4 weeks. Nurse (I) asked patient if she was ok and reason for her oxygen tank. Pt says she is ok but has COPD and not tired. I ask if she is here for the flu & Tdap vaccines as to what pt said: "Yes". Pt realized she had received flu 9/17/12. Pt was observed for 20 minutes and she was AAO x 4 and a nurse business card was provided.