chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HIBV, MMR, PNC13, VARCEL
Symptoms: Headache, Lumbar puncture abnormal, Lymphocyte percentage decreased, Neutrophil percentage increased, Red blood cells CSF positive
Clinical narrative: Patient had acute onset of headache that progressed over the next 2 days and was described as frontal, throbbing, and continuous.  He had a tactile temperature associated with the headache, but no vomiting or diarrhea. Patient went to ER on 04/15/2011 and then another ER on 4/16/2011, transferred to inpatient pediatrics floor 04/16/2011.  Still hospitalized as of 4/18/2011 for workup and treatment, patient appears clinically better at times, but at others has possible meningitic findings.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HIBV, MMR, PNC13, VARCEL
Symptoms: Skin warm, White blood cell count increased
Clinical narrative: Patient had acute onset of headache that progressed over the next 2 days and was described as frontal, throbbing, and continuous.  He had a tactile temperature associated with the headache, but no vomiting or diarrhea. Patient went to ER on 04/15/2011 and then another ER on 4/16/2011, transferred to inpatient pediatrics floor 04/16/2011.  Still hospitalized as of 4/18/2011 for workup and treatment, patient appears clinically better at times, but at others has possible meningitic findings.
Age: 26.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, JEV1, ANTH, JEV1, SMALL
Symptoms: Dizziness, Injection site erythema, Injection site inflammation, Injection site papule, Swelling
Clinical narrative: Developed redness, inflammation and lightheadedness around smallpox site. As overall swelling decreased, multiple small papules emerged around area in approx 4x4inch space.
Age: 26.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, JEV1, ANTH, JEV1, SMALL
Symptoms: Dizziness, Injection site erythema, Injection site papule, Vaccination site inflammation, Vaccination site swelling
Clinical narrative: Developed redness, inflammation and lightheadedness around smallpox site. As overall swelling decreased, multiple small papules emerged around area in approx 4x4inch space.
Age: 26.0
Sex: M
Vaccine: ANTH, JEV1, SMALL, JEV1, ANTH, JEV1, SMALL
Symptoms: Dizziness, Injection site erythema, Injection site inflammation, Rash papular
Clinical narrative: Developed redness, inflammation and lightheadedness around smallpox site. As overall swelling decreased, multiple small papules emerged around area in approx 4x4inch space.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling abnormal, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient reports: Received vaccine on Friday (4/15). On Saturday had pain and redness at site.  On Sunday the injection site was "red, hot, and hard" in an area about the size of her palm. Lymph nodes in her neck were swollen and she felt "really awful".  She went to the ED on Sunday were she was treated with IV fluids and Vancomycin, given a course of oral antibiotics to continue and discharged to home.  She called Employee Health to report this on Monday morning and was feeling better.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Lymphadenopathy
Clinical narrative: Patient reports: Received vaccine on Friday (4/15). On Saturday had pain and redness at site.  On Sunday the injection site was "red, hot, and hard" in an area about the size of her palm. Lymph nodes in her neck were swollen and she felt "really awful".  She went to the ED on Sunday were she was treated with IV fluids and Vancomycin, given a course of oral antibiotics to continue and discharged to home.  She called Employee Health to report this on Monday morning and was feeling better.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC, VARCEL, DTAPIPV, MMR, PNC, VARCEL
Symptoms: Injection site cellulitis, Injection site erythema
Clinical narrative: Erythema, cellulitis bilateral biceps  Rx Bactrim suspension and hydrocortisone ointment
Age: 4.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Severe swelling and redness of (L) upper arm at site of injection of "PREVNAR 13" vaccine for 48 hrs, since vaccine was administered on 4-13-11.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Pain on site of injection.
Sex: F
Vaccine: VARZOS
Symptoms: Anxiety, Chest discomfort, Flushing, Hyperhidrosis, Hypersensitivity
Clinical narrative: ZOSTAVAX given SubQ at 1000. Pt returned 1/2 hour later with tingling mouth, chest heaviness, anxiety, diaphoresis, vomiting. Face flushed. 911 called -> to ER -> allergic reaction.
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia oral, Vomiting
Clinical narrative: ZOSTAVAX given SubQ at 1000. Pt returned 1/2 hour later with tingling mouth, chest heaviness, anxiety, diaphoresis, vomiting. Face flushed. 911 called -> to ER -> allergic reaction.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: Redness, warmth at site, itching. BENADRYL, ice to site, Hydrocortisone cream.
Age: 1.42
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site induration, Injection site nodule, Pyrexia
Clinical narrative: Fever, (L) thigh - lower inj site 2ml pink area; (L) upper site firm node under skin.
Age: 0.12
Sex: F
Vaccine: DTAPHEPBIP, HEP, PNC13, RV5
Symptoms: Wrong drug administered
Clinical narrative: Doctor ordered PEDIARIX, HIB, PREVNAR, & oral Rotavirus. However, Hepatitis B was given instead of the HIB.
Age: 0.12
Sex: M
Vaccine: DTAPHEPBIP, HEP, PNC13, RV5
Symptoms: Wrong drug administered
Clinical narrative: Doctor ordered PEDIARIX, HIB, PREVNAR, & oral Rotavirus. However, Hepatitis B was given instead of the HIB vaccine.
Age: 48.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site erythema, Injection site nodule, Injection site oedema, Injection site warmth, Pain
Clinical narrative: (R) upper arm - erythema, edema, warm, nodule at injection site. With throbbing on palmar aspect of (R) hand. Tx'd with KEFLEX and Ibuprofen for inflammation.
Age: 48.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Pain in extremity
Clinical narrative: (R) upper arm - erythema, edema, warm, nodule at injection site. With throbbing on palmar aspect of (R) hand. Tx'd with KEFLEX and Ibuprofen for inflammation.
Age: 1.28
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Flushing, Pruritus, Rash erythematous, Rash generalised, Rash macular
Clinical narrative: Pt was seen on 3/31/11 at 3:15 pm - child woke up with rash. Rash started on abd - has spread to the arms, back, cheek, legs and neck. Sx of rash - itching - redness - appearance - erythematous macular rash with small white wheals in the center over most of the body excluding face (although cheeks are flushed). No rash noted on the palms or plantar surfaces of the hands and feet.
Age: 1.28
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Urticaria
Clinical narrative: Pt was seen on 3/31/11 at 3:15 pm - child woke up with rash. Rash started on abd - has spread to the arms, back, cheek, legs and neck. Sx of rash - itching - redness - appearance - erythematous macular rash with small white wheals in the center over most of the body excluding face (although cheeks are flushed). No rash noted on the palms or plantar surfaces of the hands and feet.
Age: 9.0
Sex: F
Vaccine: MNQ, PPV, TDAP
Symptoms: Blood immunoglobulin A decreased, Body temperature increased, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Temp 103. 5 max persisted into 4th day with 10 cm area of erythema edema & pain (R) thigh at PNEUMOVAX inj site. 2 cm erythema at meningococcal site.
Age: 1.01
Sex: F
Vaccine: HEPA, MMR, PNC13
Symptoms: Convulsion, Status epilepticus
Clinical narrative: Patient received MMR on 4/4/11. Had seizure activity on 4/10/11 and presented to ER in status epilepticus. No fever. No previous hx of seizure.
Age: 1.52
Sex: M
Vaccine: FLU3
Symptoms: Decreased appetite, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Pt. had 18 mo WCC 3/28/11 - given FLUVAX #2. Developed high fever to 104.8 with decreased appetite, emesis x 1, diarrhea x 5 on 3/29/11. Fever lasted through 4/1/11. No sequelae - doing well now.
Age: 0.37
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Fever to 105 degrees rectally.
Age: 44.0
Sex: M
Vaccine: HEP, HEPA, TYP
Symptoms: Dizziness, Headache, Malaise, Pain in extremity
Clinical narrative: Pt here for more vaccination reports after had Hep B & Inactivated Typhoid vaccine in left arm. Arm started to feel sore felt lightheaded/sick then HA. Symptoms went away later in day.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Painful, red, warm, itching, 5cm diameter swelling. BENADRYL topical & oral, ice, ADVIL.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Nausea
Clinical narrative: 4-10-11 I had nausea for (6 to 7) days feeling fine now.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Information has been received from a Doctor of pharmacy concerning a 71 year old female patient with glaucoma and allergy to antibiotics and other unspecified medications who on 16-AUG-2010, was vaccinated with a dose of PNEUMOVAX 23, 0.5 ml, IM, in the left arm (lot number 663888/0627Y Exp. 10-NOV-2010). On 18-AUG-2010 two days later, the pharmacist stated she drove the patient to the local emergency room due to redness an swelling inside the inner left arm, away from the injection site. The pharmacist reported possible PNEUMOVAX 23 vaccine allergy. There were no laboratories performed. The pharmacist reported, the patient was not hospitalized but was treated with loratadine and unspecified antibiotic and released. The patient recovered within one week time. The events were considered other important medical events because the patient went to the emergency room. Additional information has been requested.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Chills, Decreased appetite, Erythema, Fatigue, Feeling hot
Clinical narrative: Pt had localized soreness and edema at injection site 1 day after receiving shot. Pt reported splotchy redness and warmth to face and left arm (injection site). Pt also reports fever of 100.3F for 3-4 hours with fatigue, body aches, chills, nausea and decreased appetite X 1 day. Pt c/o seeing spots after getting out of bed 3 days after shot.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth, Localised oedema
Clinical narrative: Pt had localized soreness and edema at injection site 1 day after receiving shot. Pt reported splotchy redness and warmth to face and left arm (injection site). Pt also reports fever of 100.3F for 3-4 hours with fatigue, body aches, chills, nausea and decreased appetite X 1 day. Pt c/o seeing spots after getting out of bed 3 days after shot.
Age: 23.0
Sex: F
Vaccine: ANTH
Symptoms: Nausea, Pain, Pyrexia, Rash macular, Visual impairment
Clinical narrative: Pt had localized soreness and edema at injection site 1 day after receiving shot. Pt reported splotchy redness and warmth to face and left arm (injection site). Pt also reports fever of 100.3F for 3-4 hours with fatigue, body aches, chills, nausea and decreased appetite X 1 day. Pt c/o seeing spots after getting out of bed 3 days after shot.
Age: 25.0
Sex: M
Vaccine: ANTH, FLUN3
Symptoms: Back injury, Chest pain, Electroencephalogram abnormal, Epilepsy, Grand mal convulsion
Clinical narrative: On 1/3/2009, post vaccine day 29, he suffered a new onset grand mal seizure.  He deployed abroad 3 days prior.  He was airlifted finally to home.  The seizure was felt to be caused by Mefloquine prescribed 12/9/2008.  He developed severe headaches, chest pain and suffered injuries to his back.
Age: 25.0
Sex: M
Vaccine: ANTH, FLUN3
Symptoms: Headache
Clinical narrative: On 1/3/2009, post vaccine day 29, he suffered a new onset grand mal seizure.  He deployed abroad 3 days prior.  He was airlifted finally to home.  The seizure was felt to be caused by Mefloquine prescribed 12/9/2008.  He developed severe headaches, chest pain and suffered injuries to his back.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Delayed fontanelle closure, Encephalitis, Mumps antibody test negative
Clinical narrative: Information has been received from a healthcare worker concerning a currently 39 years old female with no pertinent medical history and no drug reactions/allergies who in approximately 1973 (when she was 12 months old), was vaccinated with one quarter of a dose of MMR II (HSA, lot # not reported). In April 1973 (38 years ago), the patient experienced swollen fontanels and encephalitis and was hospitalized. Length of hospitalization and treatment was not available at this time. It was unknown if additional MMR II was administered. On 29-MAR-2011, a titer was negative for mumps. The outcome of swollen fontanels, encephalitis and negative titer for mumps was unknown at the time of this report. The patient sought unspecified medical attention for negative titer for mumps. Swollen fontanels and encephalitis were considered to be immediately life-threatening. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Injected limb mobility decreased
Clinical narrative: Information has been received from a physician concerning 5 cousins who on an unspecified date were vaccinated IM with a dose of MMR II respectively. Subsequently in all patients' arm that vaccine was given, the arm locked up. The arm released after 2 day to 4 weeks in all patients. As of 12-APR-2011, the patient had recovered. It was unspecified if the patients sought medical attention. Arm locking up was considered to be disabling by the reporter. This is one of several reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available.
Sex: F
Vaccine: MMR
Symptoms: Injected limb mobility decreased
Clinical narrative: Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated IM with a dose of MMR II. Subsequently in the patient's arm that vaccine was given, the arm locked up. The arm released after 2 day to 4 weeks. As of 12-APR-2011, the patient had recovered. It was unspecified if the patient sought medical attention. Arm locking up was considered to be disabling by the reporter. This is one of several reports received from the same source. Additional information has been requested.
Sex: F
Vaccine: MMR
Symptoms: Injected limb mobility decreased
Clinical narrative: Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated IM with a dose of, the patient had recovered. MMR II. Subsequently in the patient's arm that vaccine was given, the arm locked up. The arm released after 2 day to 4 weeks. As of 12-APR-2011, the patient had recovered. It was unspecified if the patient sought medical attention. Arm locking up was considered to be disabling by the reporter. This is one of several reports received from the same source. Additional information has been requested.
Sex: U
Vaccine: MMR
Symptoms: Injected limb mobility decreased
Clinical narrative: Information has been received from a physician concerning a patient who on an unspecified date was vaccinated IM with a dose of MMR II. Subsequently in the patient's arm that vaccine was given, the arm locked up. The patient received the dose of "MMR II" as a split dose with one half being administered in each arm. The arm released after 2 day to 4 weeks. As of 12-APR-2011, the patient had recovered. It was unspecified if the patient sought medical attention. Arm locking up was considered to be disabling by the reporter. This is one of several reports received from the same source. This case was that resolved the fastest among these series of cases. Additional information has been requested.
Age: 0.82
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC13
Symptoms: Death
Clinical narrative: None stated.
Age: 0.19
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Urticaria, Vomiting
Clinical narrative: Hives to arms/hands bilat. preceded by vomiting.
Age: 2.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Convulsion, Hypothermia, Intensive care, Laboratory test, Sepsis syndrome
Clinical narrative: Patient was seen for well visit 3/30/11 - normal exam. On day 4/2/11 presented to the office with vomiting diagnosed with tonsillitis. That afternoon developed shock, hypothermia, sepsis like syndrome, sz. Transported to ICU - admitted 4/2/11.
Age: 2.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Shock, Tonsillitis, Vomiting
Clinical narrative: Patient was seen for well visit 3/30/11 - normal exam. On day 4/2/11 presented to the office with vomiting diagnosed with tonsillitis. That afternoon developed shock, hypothermia, sepsis like syndrome, sz. Transported to ICU - admitted 4/2/11.
Age: 1.25
Sex: U
Vaccine: DTAP, HEPA
Symptoms: Injection site pain, Weight bearing difficulty
Clinical narrative: Child presented pain on (R) leg, unable to bear wt. on affected extremity since imm. adm. 3/18/2011.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Nuclear magnetic resonance imaging abnormal
Clinical narrative: Stroked < 8 hrs. after flu shot.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, RV5
Symptoms: Alanine aminotransferase, Blood bilirubin, Chest X-ray normal, Cyanosis, Dyspnoea
Clinical narrative: Approx 6 hours after vaccines at well visit: was taking a nap when 12 yo brother heard him grunting, found him with spit up on face, struggling to breathe, blue. Brought him to his mother who saw him limp, blue but still breathing, called 911. By the time paramedics came he was normal. Hx of pyloric stenosis s/p repair, GERD, overfeeding.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, RV5
Symptoms: Electroencephalogram normal, Full blood count, Grunting, Hypotonia, Infantile spitting up
Clinical narrative: Approx 6 hours after vaccines at well visit: was taking a nap when 12 yo brother heard him grunting, found him with spit up on face, struggling to breathe, blue. Brought him to his mother who saw him limp, blue but still breathing, called 911. By the time paramedics came he was normal. Hx of pyloric stenosis s/p repair, GERD, overfeeding.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, RV5
Symptoms: Laboratory test
Clinical narrative: Approx 6 hours after vaccines at well visit: was taking a nap when 12 yo brother heard him grunting, found him with spit up on face, struggling to breathe, blue. Brought him to his mother who saw him limp, blue but still breathing, called 911. By the time paramedics came he was normal. Hx of pyloric stenosis s/p repair, GERD, overfeeding.
Age: 0.54
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Barium enema, Diarrhoea, Gastrointestinal surgery, Intestinal obstruction, Intestinal perforation
Clinical narrative: Given 3rd ROTATEQ on 3/14/11, seen in E.R. 4/1/11 for diarrhea & bilious emesis. Recheck 4/2 in our office with continued vomiting/diarrhea and admitted. Dx intussusception 4/3, not able to reduce so transferred to PCU for surgery 4/4. 4/10 surgery for obstruction, perforated bowel.
Age: 0.54
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Intussusception, Vomiting
Clinical narrative: Given 3rd ROTATEQ on 3/14/11, seen in E.R. 4/1/11 for diarrhea & bilious emesis. Recheck 4/2 in our office with continued vomiting/diarrhea and admitted. Dx intussusception 4/3, not able to reduce so transferred to PCU for surgery 4/4. 4/10 surgery for obstruction, perforated bowel.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient developed "painful bumps" on unilateral scalp.  She then proceeded to develop shingles rash on face and in mouth.  Her primary care physician diagnosed the rash as shingles.  Patient believes shingles reactions caused by the "shingles shot".
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Abdominal pain upper, Dysuria, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: 1. Fever 101. 2. C/O warmth when urinating & painful urination. 3. Left upper arm warm to touch, red on deltoid arm with swelling to same area, soreness. 4. "Stomach" aches. 5. Frequent urination.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site swelling, Injection site warmth, Pyrexia, Urine analysis normal
Clinical narrative: 1. Fever 101. 2. C/O warmth when urinating & painful urination. 3. Left upper arm warm to touch, red on deltoid arm with swelling to same area, soreness. 4. "Stomach" aches. 5. Frequent urination.
Age: 0.2
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Dyskinesia, Screaming, Vomiting
Clinical narrative: Mom reports that the afternoon of vaccination infant had what was similar to a startle reflex but not and experienced some vomiting (not of the projectile fashion). Infant had this similar reflex 3 times since vaccination with the last occurrence including a shriek.
Age: 11.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: That afternoon after vaccination, (the next day) child reports a swollen and red area on arm that is about 3 inches in diameter located in the back of the left arm where the varicella vaccine would have been given. So far, ice pack has been used, will see physician if there's a larger concern.
Age: 1.23
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PPV
Symptoms: Cough, Oropharyngeal pain, Rash, Respiratory tract congestion
Clinical narrative: Rash, cough, congestion, sore throat, sx started Monday 4-11-11.
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Cellulitis, Fat necrosis, Hypersensitivity, Injection site erythema, Injection site warmth
Clinical narrative: Pt developed red warm area in left arm approx 7 x 7cm around vaccine site. Cellulitis vs fat necrosis vs allergic reaction.
Age: 51.0
Sex: M
Vaccine: HEPAB, IPV, TYP, YF
Symptoms: Arthralgia, Cough, Oedema peripheral
Clinical narrative: On 4/7/11 pt. returned for #2 TWINRIX vaccine. After receiving inj. pt. reported that on 3/3/11 after receiving Polio, #1 TWINRIX, TYPHIM VI & Yellow Fever vaccines his (R) knee became edematous & which painful. Cough lasted 3-4 days. He denies fever, rash or joint warmness.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Induration, Nodule, Skin warm, Tenderness
Clinical narrative: On 3/30/11, pt's parent called office with report of "huge, knot bump" following vaccine administration. CRNP assessed pt on 3/31. Pt found to have 6-7 cm red, warm, indurated nodule with tenderness. Pt given clindamycin 150 QID.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling, warmth, soreness on much of upper arm.
Age: 51.0
Sex: F
Vaccine: HEPA, IPV, TDAP, TYP, YF
Symptoms: Arthralgia, Joint swelling
Clinical narrative: Pt. c/o bilateral knee swelling & pain beginning 10d after receiving several vaccines.
Age: 40.0
Sex: F
Vaccine: FLU3, MMR, TDAP
Symptoms: Fatigue, Injection site induration, Pain in extremity, Sensation of heaviness, Skin warm
Clinical narrative: Ache all over right arm hot very tired. Had to take pain medicine Rt arm hurt a lot. Felt very heavy & weighed down. Rt arm was also very hard where the shot was given.
Age: 2.0
Sex: F
Vaccine: PNC13, VARCEL
Symptoms: Injection site discomfort, Injection site reaction, Muscle spasms
Clinical narrative: Muscle spasm at injection site causing discomfort that developed > 12 hrs after injection.
Age: 1.77
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMRV, PNC13
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: 4.5" of erythema to (L) deltoid extending to elbow, increased heat & edema. Symptom began on day after injection. Mother began warm compress & Ibuprofen with no relief. Brought to office on day 2 of symptoms. DECADRON 1.5cc given to (R) thigh IM. ZITHROMAX 100mg/5ml 1 tsp. q day & Childrens ZYRTEC 1mg/ml 1/2 tsp q day prescribed.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Blood pressure decreased, Cough, Pruritus
Clinical narrative: Pt received 5 vaccines (DTaP, Polio, MMR, Varicella & Hep A). During the 15 min wait after vaccines pt vomited about 10 minutes after receiving vaccines. Dr. was notified. The following symptoms began to occur as pt was being monitored. (Itching, cough, decreased BP). Pt was administered Jr EPI-PEN, ZYRTEC & BENADRYL. AMR was called & pt was taken to hospital.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Injection site erythema, Injection site urticaria, Urticaria
Clinical narrative: Approximately 24 hours after patient received the MMR, Varicella & Hep A vaccines she developed welts and reddened areas on her thighs, arms & buttock.
Age: 21.0
Sex: U
Vaccine: HPV4, TDAP
Symptoms: Pain in extremity
Clinical narrative: Pt c/o pain to right arm evening after vaccine. Pain to entire arm the following day continuing for 1/1 wk.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Local reaction
Clinical narrative: Patient had a local reaction to DTAP #5 to right deltoid, received vaccine 4-11-11 with reaction forming 4-12-11, redness measured 17 x 17 cm with induration of 14 x 12 cm, warm & itching.
Age: 26.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hyperaesthesia, Rash macular
Clinical narrative: Rec'd vaccine 3/14/11 approximately 12:00pm - Sx noted approximately 24 hours later noted irreg. red, flat patches around area spread for approximately 24 hours after 1st appearance - gone at approximately 96 hours of inj. Touch sensitive - no itching (L) arm only.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 8cm x 7cm erythematous, warm area at site of injection - also firm - tender to touch - Ibuprofen, cold compresses and antibiotic given.
Age: 0.41
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV1
Symptoms: Body temperature increased, Injection site erythema, Injection site induration
Clinical narrative: PEDIARIX, PREVENAR and HIBERIX, ROTARIX vaccines were given within 15 hours patient developed a temp of 102F and red hard quarter size area on left leg. Patient recovered.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Mobility decreased, Nuclear magnetic resonance imaging, Pain
Clinical narrative: Patient seen 3/29/11 and was given GARDASIL in (R) arm. Parent called on 4/6/11 with worsening pain and difficulty raising arm due to pain. Seen in our office 4/6/11. MRI was ordered and consult with orthopedics.
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Death, Influenza like illness, Meningitis meningococcal, Neisseria test positive, Oropharyngeal pain
Clinical narrative: Initial report was received on 08 April 2011 from a consumer and the following electronic lay press article. A 23 year-old male patient (also reported as 21 year-old) with no reported past medical history had received possibly in 2007 MENOMUNE A/C/Y/W-135 (lot number, route, site and date of administration not reported) and "on Friday" (01 April 2011) developed a sore throat, was achy and had flu-like symptoms that lasted through the weekend. He was evaluated by his physician on Tuesday and it was thought "it was just a regular virus". Later on Tuesday, the patient complained of being in the "worse pain of his life", he appeared swollen and had "bruise-like blotches" on his body. The patient was taken to the hospital and then transferred to another hospital. He was diagnosed with N-Meningitis serogroup unknown. Relevant diagnostic tests/laboratory data was reported as positive. Treatments were not reported. No further information was available at the time of the report. The patient's outcome was fatal. The cause of death was reported as bacterial meningitis on 06 April 2011 (also reported as 05 April 2011). Documents held by sender: none.
Age: 23.0
Sex: M
Vaccine: MNQ
Symptoms: Pain, Rash macular, Swelling
Clinical narrative: Initial report was received on 08 April 2011 from a consumer and the following electronic lay press article. A 23 year-old male patient (also reported as 21 year-old) with no reported past medical history had received possibly in 2007 MENOMUNE A/C/Y/W-135 (lot number, route, site and date of administration not reported) and "on Friday" (01 April 2011) developed a sore throat, was achy and had flu-like symptoms that lasted through the weekend. He was evaluated by his physician on Tuesday and it was thought "it was just a regular virus". Later on Tuesday, the patient complained of being in the "worse pain of his life", he appeared swollen and had "bruise-like blotches" on his body. The patient was taken to the hospital and then transferred to another hospital. He was diagnosed with N-Meningitis serogroup unknown. Relevant diagnostic tests/laboratory data was reported as positive. Treatments were not reported. No further information was available at the time of the report. The patient's outcome was fatal. The cause of death was reported as bacterial meningitis on 06 April 2011 (also reported as 05 April 2011). Documents held by sender: none.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Erythema
Age: 14.0
Sex: M
Vaccine: HPV4
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: itchy red raised rash on abdomen
Age: 0.52
Sex: F
Vaccine: DTAP, HEP, HIBV, PPV, RVX
Symptoms: Diarrhoea, Diet refusal, Pyrexia, Vomiting
Clinical narrative: Developed a fever of 103 at 3:30 PM on the day of the vaccination. Fever of 102 and higher continued, despite treatment with acetaminophen and ibuprofen, for 3 days. Beginning around 7PM on the day of vaccination she also began vomiting and refusing to eat. On the second day after vaccination, she developed diarrhea. Vomiting, diarrhea, and low-grade fever (100.6 or lower) continued until the 5th day after vaccination (4/18/2011).
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: redness, swelling, warm at site, itching; about 4 inch diameter
Age: 0.53
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Electroencephalogram normal, Nuclear magnetic resonance imaging normal, Tremor
Clinical narrative: Brief episodes of arm tremors and head shaking noticed by mom after vaccines given. Admitted to hospital 3/30/11.
Age: 60.0
Sex: F
Vaccine: DT
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swelling, local tenderness in the left deltoid, not extending below the elbow.
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Incisional drainage, Injection site discharge, Injection site induration, Injection site pustule, Injection site swelling
Clinical narrative: Right upper arm swelling with a 1X1cm pustule with a 4cm induration all around.  10mL of pus drained with local swelling, then she was injected with 1% lidocaine, incision of 3cm vertical X 1cm lateral, inner loculations broken extending 4-5 cm radially, 10-20mL of fluid drained, packed with iodoform gauze.  Instructed pt to return to clinic in 2 days to remove packing and check wound.  Pt started on cephaxelin 500mg PO Q6H X 7 days; Bactrim DS 2 tab PO BID X 10 days
Age: 76.0
Sex: F
Vaccine: TDAP
Symptoms: Local swelling
Clinical narrative: Right upper arm swelling with a 1X1cm pustule with a 4cm induration all around.  10mL of pus drained with local swelling, then she was injected with 1% lidocaine, incision of 3cm vertical X 1cm lateral, inner loculations broken extending 4-5 cm radially, 10-20mL of fluid drained, packed with iodoform gauze.  Instructed pt to return to clinic in 2 days to remove packing and check wound.  Pt started on cephaxelin 500mg PO Q6H X 7 days; Bactrim DS 2 tab PO BID X 10 days
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Epistaxis, Fatigue, Headache, Hyperaesthesia, Laboratory test
Clinical narrative: Headaches and body aches then nose bleeds. Fatigue and emesis last few days. Full body rash for past week and skin hurts to touch. Saw Dr. 4/19/2011.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Mononucleosis heterophile test, Pain, Pain of skin, Pregnancy test, Rash generalised
Clinical narrative: Headaches and body aches then nose bleeds. Fatigue and emesis last few days. Full body rash for past week and skin hurts to touch. Saw Dr. 4/19/2011.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Urine analysis, Vomiting
Clinical narrative: Headaches and body aches then nose bleeds. Fatigue and emesis last few days. Full body rash for past week and skin hurts to touch. Saw Dr. 4/19/2011.
Age: 1.26
Sex: M
Vaccine: FLU3, MMR
Symptoms: Electroencephalogram abnormal, Febrile convulsion, Intensive care, Laboratory test normal, Nuclear magnetic resonance imaging normal
Clinical narrative: MULTIPLE ATYPICAL FEBRILE SEIZURES. AMBULANCE CALL, ER VISIT AT HOSPITAL, TRANSFER TO ANOTHER HOSPITAL. 2 NIGHTS IN THE ICU, 1 NIGHT PEDIATRIC FLOOR STAY. ANOTHER FEBRILE SEIZURE OCCURRED 11/23/2010. ER VISIT.
Age: 56.0
Sex: M
Vaccine: HEPAB, MNQ, YF
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Came in today for second set of immunizations.  States that following last immunizations he ran a fever the next day between 101 and 102 degrees.  He used Aleve and his fever broke later in the day.  Since then he has been having muscle pain in his shoulders and having difficulty lifting his arms.  He is also complaining of pain in his knees.  He is still taking Aleve on a daily basis.
Age: 0.19
Sex: M
Vaccine: RVX
Symptoms: Diarrhoea, Vomiting
Clinical narrative: Vomiting (lasted 1 day) & diarrhea (lasted 3 days)
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Barium enema, Diarrhoea, Haematochezia, Hypophagia, Intussusception
Clinical narrative: Developed intussusception. Seen for anal fissure 4-7-11, well child exam with vaccines 4-8-11. Seen for blood in stools, diarrhea, vomiting. Was not eating well 4-9-11. To ER and admitted for same 4-10-11.
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Laboratory test, Vomiting
Clinical narrative: Developed intussusception. Seen for anal fissure 4-7-11, well child exam with vaccines 4-8-11. Seen for blood in stools, diarrhea, vomiting. Was not eating well 4-9-11. To ER and admitted for same 4-10-11.
Age: 19.0
Sex: M
Vaccine: HPV4
Symptoms: Dyspnoea, Immunoglobulin therapy, Mobility decreased
Clinical narrative: Guillain-Barre ?, was hospitalized in hospital. Received IVIG, steroids. Work-up did not confirm.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Swelling/warmth at injection site. 6cm x 6cm induration.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Local reaction, Oedema peripheral
Clinical narrative: Local reaction, swelling (L) arm. Mild local warmth. Seen by covering MD. Rx with BENEDRYL 50mg PO BID, Prednisone 10mg PO qd x 3d then 1/2 tab x 3d. Cold compresses. Ibuprofen 600mg Bid.
Age: 1.43
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: Gave a 3rd Flu vaccine. Vaccine assessment sheet only had 1st dose given. #2 dose given 2-22-11.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Body temperature increased, Chills, Full blood count, Injection site pain, Myalgia
Clinical narrative: Pt had muscle soreness, site of injection pain, temp ranging from 100.1 to 101.8, rigors, chills.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: Pt had muscle soreness, site of injection pain, temp ranging from 100.1 to 101.8, rigors, chills.
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Minor received VARIVAX #2 (L) upr. arm on 4/17/11. Noticed this AM 4/19/11 that she had swelling, redness, heat to (L) upr. arm. No pruritus or pain. No SOB.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC, VARCEL
Symptoms: Injection site pain, Injection site reaction, Muscle tightness, Myalgia
Clinical narrative: Myalgias (severe) in both quadriceps, causing child to further tighten muscles and sustain pain.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling abnormal, Pruritus, Rash, Urticaria
Clinical narrative: Pt. refers began feeling funny at 1 pm. By 2 pm she started itching all over arms, trunk & neck. She presented hives & rash on the above areas including groin. Didn't c/o SOB or throat closing. She was given BENADRYL 25 mg IM & Rx for ZYRTEC10 mg & BENADRYL 25 mg PO.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Injection site erythema, Injection site rash, Injection site vesicles
Clinical narrative: Red, blister-like rash at injection site. Denies pain and itching.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling
Clinical narrative: Erythema, swelling; onset sometime between 4/5 - 4/15.
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pt. reports getting a sore arm the next day after getting Flu vaccine, & reports that arm is still currently sore (deltoid muscle area), 7 months after vaccination at injection site. No numbness, redness or swelling reported.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: 4/6/11 - Tdap given. 4/11/11 - to our office with complaints - swollen arm at site plus swollen glands (L) neck. 4/15/11 - symptoms were gone.
Age: 33.0
Sex: M
Vaccine: FLU3
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: 2/5/11: Patient reported complaints of red, itchy rash shortly after receiving the flu shot. He used BENADRYL with no improvement. 2/7/11: Rash improved (per patient) with OTC Aveeno bath, BENADRYL, and hydrocortisone cream. Still itches at night. Treatment: Diphenhydramine UD, Hydrocortisone UD, Oatmeal UD.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Abdominal pain upper, Cough, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: The patient reported that she felt tired the day following the vaccination (4/2/11). She took a nap in the afternoon and when she awoke, she had pain in both of her legs. She went back to sleep and when she woke up (around 9:30pm), she continued to have leg pain and also felt "out of it", and had fever symptoms. She went to the ED at hospital at 11pm. She had a temp of 102 degrees and also complaints of stomach ache, cough, and shortness of breath. She reported that she was discharged on Sunday (4/3/11) from the ED, stayed home from work on Monday (4/4/11) and returned to work on Tuesday, April 5th. She related that the doctor at the hospital was "not sure if it was related to the rabies shot".
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: The patient reported that she felt tired the day following the vaccination (4/2/11). She took a nap in the afternoon and when she awoke, she had pain in both of her legs. She went back to sleep and when she woke up (around 9:30pm), she continued to have leg pain and also felt "out of it", and had fever symptoms. She went to the ED at hospital at 11pm. She had a temp of 102 degrees and also complaints of stomach ache, cough, and shortness of breath. She reported that she was discharged on Sunday (4/3/11) from the ED, stayed home from work on Monday (4/4/11) and returned to work on Tuesday, April 5th. She related that the doctor at the hospital was "not sure if it was related to the rabies shot".
Age: 0.51
Sex: M
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Expired drug administered, No adverse event
Clinical narrative: On 4/18/11 FNP ordered Rotavirus vaccine. MA administered by oral route. Vaccine had expired 4/13/11. Lot # 1470Y. Manufacturer Merck, ROTATEQ. No adverse reactions reported or observed. Pt to be recalled 1-2 weeks to administer repeat vaccine.
Age: 0.54
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Pyrexia
Clinical narrative: 1 - constant high pitched cry since vaccine administered on Frid. 4/15/11. 2 - Fever 102 degrees F same day of vacc.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Expanding redness/warmth at injection site 24 hours after injection.
Age: 20.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Erythema, Injection site erythema, Pruritus
Clinical narrative: Hep B & Tdap given 4/13/11 with one vaccine in each arm. On 4/14/11, patient experienced redness & itching in both arms. She walked into clinic on 4/19/11 because redness had increased. Presented with erythema in both upper extremities from mid deltoid to 1" below elbow. Treated with prednisone 40mg x 2 days, 30mg x 2 days & 20mg po x 2 days.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
Clinical narrative: Injection site reaction, itching at injection site only, redness at injection site only, patient had a welt at injection site. All symptoms resolved within 1 hour of injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Child became pale, clammy, diaphoretic, BP decreased, c/o dizziness, slightly nausea. VS taken, applied cool cloths, provided H2O.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pallor
Clinical narrative: Child became pale, clammy, diaphoretic, BP decreased, c/o dizziness, slightly nausea. VS taken, applied cool cloths, provided H2O.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR, PNC13, VARCEL
Symptoms: Pyrexia
Clinical narrative: High fever.
Age: 24.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site streaking
Clinical narrative: Pt reported pain in arm with bright red streaks from the vaccine administration site extending down 1-2 inches. She took ibuprofen.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: Indurated, erythematous mass - 2cm in diameter at injection site 2 days later.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Paralysis
Clinical narrative: GBS - paralyzed x 3 days. Hospitalized x 6 weeks.
Age: 29.0
Sex: F
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMR, MNQ, TDAP
Symptoms: Flushing, Swelling face, Urticaria
Clinical narrative: DIFFULTY BREATHING, RASH ON FACE, FEELING CONGESTED, IN THE CHEST, DYSPNEA, WHEEZING.
Age: 29.0
Sex: F
Vaccine: FLU3, HEPAB, MMR, MNQ, TDAP, FLU3, HEPAB, MMR, MNQ, TDAP
Symptoms: Dyspnoea, Rash, Respiratory tract congestion, Wheezing
Clinical narrative: DIFFULTY BREATHING, RASH ON FACE, FEELING CONGESTED, IN THE CHEST, DYSPNEA, WHEEZING.
Age: 64.0
Sex: F
Vaccine: TTOX
Symptoms: Antinuclear antibody negative, Arthralgia, Back pain, Blood creatine phosphokinase normal, Full blood count normal
Clinical narrative: Low back pain followed by diffuse arthralgias and muscle weakness
Age: 64.0
Sex: F
Vaccine: TTOX
Symptoms: Laboratory test normal, Muscular weakness, Red blood cell sedimentation rate normal
Clinical narrative: Low back pain followed by diffuse arthralgias and muscle weakness
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy to vaccine, Arthralgia, Burning sensation, Cough, Ear pain
Clinical narrative: Thursday, Feb 17/11 - Flu vaccine administered in the afternoon, approximately 1430 or 1500 hrs by RN. Associate reports feeling pain from injection site to her elbow initially following. Thursday, Feb 17/11-Associate developed s/s hives and lip swelling after supper that evening. Associate reports she did not eat anything different than she has eaten before and the only new event was receiving the flu vaccine that afternoon. Friday, Feb 18/11- Associate reports continued hives, with lip and hand swelling. Associate states she took BENADRYL 25 mg orally at 1330hrs. Associate into Hospital-Occupational Health Services to see work comp provider, given KENALOG 40 mg IM at 1525hrs for continued lip swelling and hives. Friday, Feb 18/11-Associate reports she developed increased swelling to lips and hands at 1730 hrs and took BENADRYL 2 tabs. She also report feeling like she had a tight airway and a cough and took her Albuterol Inhaler. She described her palms of hands feeling like "they were on fire" and had painful wrists. Saturday, Feb 19/11-Associate states she woke up at 0000 hrs, feeling like she was on fire, had blotch-like hives to arms, eyes, ears, face, neck under breasts, stomach, low back and also to pubic area and knees. She continued taking BENADRYL 2 tabs every 4 hours on Saturday. She reported feeling an ear ache with swollen ear canals, however, later in the evening felt like the symptoms were starting to resolve. Sunday, Feb 20/11-Associate reports she continued BENADRYL 2 tabs every 6 hours. She states her hands started to decrease in swelling, but continued to itch. Thursday, Feb 24/11-Associate reports single, occasional hive eruption with itchy palms, is able to wear her wedding ring again and overall feels much improved. She states she notices that skin redness remains for 10 minutes after scratching itchy areas. Work Comp provider reviewed case and determined probable allergic reaction to influenza vaccine. Seen in office for follow up visit 4/15/11. All symptoms resolved.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, External ear disorder, Injection site pain, Lip swelling, Oedema peripheral
Clinical narrative: Thursday, Feb 17/11 - Flu vaccine administered in the afternoon, approximately 1430 or 1500 hrs by RN. Associate reports feeling pain from injection site to her elbow initially following. Thursday, Feb 17/11-Associate developed s/s hives and lip swelling after supper that evening. Associate reports she did not eat anything different than she has eaten before and the only new event was receiving the flu vaccine that afternoon. Friday, Feb 18/11- Associate reports continued hives, with lip and hand swelling. Associate states she took BENADRYL 25 mg orally at 1330hrs. Associate into Hospital-Occupational Health Services to see work comp provider, given KENALOG 40 mg IM at 1525hrs for continued lip swelling and hives. Friday, Feb 18/11-Associate reports she developed increased swelling to lips and hands at 1730 hrs and took BENADRYL 2 tabs. She also report feeling like she had a tight airway and a cough and took her Albuterol Inhaler. She described her palms of hands feeling like "they were on fire" and had painful wrists. Saturday, Feb 19/11-Associate states she woke up at 0000 hrs, feeling like she was on fire, had blotch-like hives to arms, eyes, ears, face, neck under breasts, stomach, low back and also to pubic area and knees. She continued taking BENADRYL 2 tabs every 4 hours on Saturday. She reported feeling an ear ache with swollen ear canals, however, later in the evening felt like the symptoms were starting to resolve. Sunday, Feb 20/11-Associate reports she continued BENADRYL 2 tabs every 6 hours. She states her hands started to decrease in swelling, but continued to itch. Thursday, Feb 24/11-Associate reports single, occasional hive eruption with itchy palms, is able to wear her wedding ring again and overall feels much improved. She states she notices that skin redness remains for 10 minutes after scratching itchy areas. Work Comp provider reviewed case and determined probable allergic reaction to influenza vaccine. Seen in office for follow up visit 4/15/11. All symptoms resolved.