chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Pruritus, Rash erythematous
Clinical narrative: This spontaneous report as received from a female consumer of unknown age refers to herself. On an unknown date, the patient was vaccinated with a dose of ZOSTAVAX (dose, route, lot number not reported). Other suspect therapies included influenza vaccine (manufacturer unknown) (dose, route, lot number not reported) (reported by the patient as given concomitantly). On an unknown date, the patient developed "little" red bumps in a "tiny, small area" and felt "itchy". The outcome of the adverse events was unknown. It was not reported whether the patient sought medical attention. Additional information is not expected.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: This spontaneous report as received from an unknown reporter refers to a patient of unknown age. On an unknown date the patient was vaccinated with a dose of incorrect storage of GARDASIL (lot # J003727, Expiration date 07-NOV-2015) (dose and route unspecified). Additional information is not expected.
Sex: U
Vaccine: HPV4
Symptoms: Incorrect storage of drug
Clinical narrative: This spontaneous report as received from an unknown reporter refers to a patient of unknown age and gender. On an unknown date the patient was vaccinated with a dose of incorrect storage GARDASIL (lot # J003727, Expiration date 07-NOV-2015) (dose and route unspecified). This is one of several reports from the same source (linked MARRS#: 1310USA014881, 1310USA014883, 1310USA014888, 1310USA014891, 1311USA000056, 1311USA000071, 1310USA015417, 1310USA014897, 1311USA000012, 1310USA014858, 1310USA014870, 1311USA000289, 1311USA000282, 1310USA014874, 1310USA014861, 1310USA014866, 1310USA014868, 1310USA015422, 1310USA015165, 1310USA000069, 1310USA015424, 1311USA000058, 1311USA000042, 1311USA000013, 1310USA015170, 1311USA000014, 1310USA015153, 1310USA105090, 1311USA000067, 1311USA000064, 1311USA000020, 1311USA000021, 1311USA000040, 1310USA015096, 1311USA000022, 1311USA000053, 1310USA015101, 1310USA104850, 1311USA000075, 1310USA104895). Additional information is not expected.
Age: 38.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injection site cellulitis, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: This spontaneous report as received from a  healthcare worker refers to a 38 year old female patient with no drug reactions or allergies. On 29-OCT-2013, the patient was vaccinated with a dose of PNEUMOVAX23 (lot # J004196, expiration date 06-DEC-2014), 0.5 ml, subcutaneously. On 29-OCT-2013, after she received PNEUMOVAX23 she experienced sharp pain, redness and  cellulitis at injection site, fever and chills. The patient was seen by the physician and treated with KEFLEX (500 mg, three times a day, for 10 days). The outcome of adverse events was unknown. Additional information has been requested.
Age: 2.0
Sex: U
Vaccine: HEP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This spontaneous report as received from a healthcare worker refers to a 2 year old patient with unknown gender. On 23-OCT-2013 the patient was vaccinated with the fourth dose of RECOMBIVAX HB (dose, route, lot # and expiration date unknown). The patient received an extra dose (4th dose, dates of the primary series of RECOMBIVAX HB were unspecified) of RECOMBIVAX HB on 23-OCT-2013, due to product confusion. The reporter reported that the plunger of the prefilled RECOMBIVAX HB pediatric and the FLUZONE Quadrivalent 0.25 (unit not provided) were both yellow and almost the same color of yellow, which caused the product confusion. No adverse event was reported, product confusion was sent to the PQC team. Additional information has been requested.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Day 1 (11/5/13) - Site of injection red, swollen, and tender plus fever 101.1. Day 2 (11/6/13) - Headache/chills. Day 3 (11/7/13) - Still not feeling good but fever resolved.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Pyrexia
Clinical narrative: Day 1 (11/5/13) - Site of injection red, swollen, and tender plus fever 101.1. Day 2 (11/6/13) - Headache/chills. Day 3 (11/7/13) - Still not feeling good but fever resolved.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Dyspnoea, Erythema, Local swelling, Myalgia
Clinical narrative: Arm pain, redness, swelling. Shortness of breath, generalized weakness, myalgia. Tachycardia and kidney pain. All began within hours of vaccines.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain in extremity, Renal pain, Tachycardia
Clinical narrative: Arm pain, redness, swelling. Shortness of breath, generalized weakness, myalgia. Tachycardia and kidney pain. All began within hours of vaccines.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is red warm and swollen. Patient was advised to ice area and take analgesics if needed.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Pyrexia, Tremor
Clinical narrative: 4 hrs after vaccination, pt reported fever of 101 degrees, chills, diarrhea, severe headache, and tremors/shaking. The following morning she still had a headache and diarrhea. Everything resolved approx. 16-18 hours after vaccine. She had Fluzone HD last year and reports no adverse events.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Influenza like illness, Injection site pain, Local swelling
Clinical narrative: Arm swelling, soreness, flu-like symptoms (nausea, headache, light-headedness), pain at injection site.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain
Clinical narrative: Arm swelling, soreness, flu-like symptoms (nausea, headache, light-headedness), pain at injection site.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, itching and swelling around the injection site.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: Patient reported to pharmacy on 11/7/13 with a raised red rash on both arms and legs. Patient was treated with ZYRTEC 10 mg tablets one daily after being evaluated by his primary care physician.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Severe swelling (5 inches diameter) around injection site. Getting bigger over last two days. Patient going to walk in clinic 11/9/13.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site nodule, Rash vesicular
Clinical narrative: Pt's arm had a large knot at injection site. Top half of warm had a "shingles-like" rash. Pt states she had a "nerve headache". This lasted for about 3 days.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Rash, Skin warm
Clinical narrative: Warm, spreading rash on (R) arm, starting the day following administration. Pt c/o increasing pain and tenderness in area.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Redness swelling, soreness, hives, 4 inches round area at site of injection treated with Topicort spray Atarax and Claritin.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site joint pain
Clinical narrative: Within 2 weeks of vaccination noted R shoulder joint pain that has progressively worsened to this day.
Age: 27.0
Sex: M
Vaccine: FLUX
Symptoms: Blister
Clinical narrative: Recieved flu shot, then blister appeared.
Age: 9.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Blood culture, Body temperature increased, Cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Tmax 105, vomiting, cellulitis (right upper thigh tenderness, erythema over site of vaccine injection).
Age: 9.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Ultrasound scan abnormal, Vomiting, White blood cell count increased
Clinical narrative: Tmax 105, vomiting, cellulitis (right upper thigh tenderness, erythema over site of vaccine injection).
Age: 16.0
Sex: F
Vaccine: FLUN4
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Patient was given Flumist in clinic. She has had Flumist in the past without any adverse reaction. Shortly after leaving clinic, she became light-headed and fainted, with her brother and mother catching her so she did not fall. Patient denies loss of consciousness, but mother states patient briefly lost consciousness.  Brought back to clinic with assistance of mother and brother. BP initially 94/64, pulse 57 and regular. Patient oriented to time, place and person. Denied shortness of breath, swelling of mouth, or airway. O2 sat 100%. No rash or itching. She stated she did not eat breakfast except some chocolate, and mother states that she was highly anxious about receiving vaccine. Within 5 mn patient of returning to clinic, patient was feeling much better. Given crackers to eat. O2 sat remained at 100%. BP 107/74, pulse 73 and regular. Denied any lightheadedness, no shortness of breath or throat swelling, and no rash or itching developing. Left walking independently, without difficulty and denies dizziness.  Phone call to mother 11/10/13 in the morning reports that patient had no further adverse effects after leaving clinic, felt fine since leaving clinic.
Age: 45.0
Sex: F
Vaccine: FLUX
Symptoms: Drug administered at inappropriate site, Injected limb mobility decreased, Injection site pain
Clinical narrative: When NP administered it, the vaccination hurt.  She gave it too high on the deltoid muscle and I felt it hit my bone.  Since then, my shoulder has continued to have pain and loss of range of motion.  It aches constantly and I am in pain.  I am losing more and more function.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PATIENT HAS NOTICABLE REDNESS AND SWELLING ABOUT 4-6 INCHES BELOW INJECTION SITE, NO REPORT OF PAIN OR DISCOMFORT. PT INSTRUCTED TO ICE AREA, WATCH FOR AND REPORT ANY CHANGES.  SPOKE WITH PT AGAIN 11/8/13, SYMPTOMS HAVE SLIGHTLY IMPROVED BUT REDNESS AND SWELLING STILL PRESENT.
Age: 3.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Eczema, Pruritus, Rash, Skin exfoliation
Clinical narrative: Rash on inside fold of elbow left arm. Sucks left thumb so arm bent at night unlike the right. Rash 2 in. diameter, peeled / blistered 3 days later - eczema like. Rash 3 in. patches symmetrical upper buttock area.  Child has no history of psoriasis or rashes of this type but has a history of rash with vaccination.
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Myalgia, Nausea, Pyrexia
Clinical narrative: Very slight nausea at around noon.  Fever of 103 at around 3:00-4:00 along with severe chills and muscle aches. Lasted for about 2-3 days.  This was the flu vaccine.
Age: 44.0
Sex: F
Vaccine: DTAP
Symptoms: Musculoskeletal stiffness, Neck pain, Swelling face
Clinical narrative: Neck pain stiffness couldn't move face swelled.
Age: 51.0
Sex: M
Vaccine: FLUX
Symptoms: Headache, Pain, Spinal disorder
Clinical narrative: Entire spinal com Lumpish aching and severe headaches from cervical one to skull
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Red, warm, aching, burning, and swollen at injection site.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Areflexia, Asthenia, CSF protein increased, Demyelinating polyneuropathy, Electromyogram abnormal
Clinical narrative: Progressive symmetric weakness and areflexia with lumbar puncture and EMG confirming Guillain Barre.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome
Clinical narrative: Progressive symmetric weakness and areflexia with lumbar puncture and EMG confirming Guillain Barre.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Limb discomfort, Pain in extremity, Quality of life decreased, Sleep disorder
Clinical narrative: Patient complains that her arm is still very painful and numb a month after the shout (11/10/2013). She states that it is affecting her quality of life and that she cannot sleep on that arm and it is always bothering her.
Age: 0.16
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC13, RV5
Symptoms: Culture positive, Incisional drainage, Injection site abscess, Staphylococcus test positive
Clinical narrative: Patient had right upper thigh abscess (11cm by 5cm) in area where vaccines were administered.  Incision and drainage needed in operating room by general surgeon. Fourteen days total of antibiotics given. Hospitalized for 4 days. Wound care for over 1.5 weeks.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Computerised tomogram normal, Disorientation, Electroencephalogram normal, Loss of consciousness, Muscle twitching
Clinical narrative: My daughter had an episode while we on vacation where she lost consciousness and was disoriented for a period afterward.  She experienced some twitching before she lost consciousness.  She was brought to the ER, had an EEG, a Cat Scan and all results were normal.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Seizure like phenomena, Vaccination complication
Clinical narrative: My daughter had an episode while we on vacation where she lost consciousness and was disoriented for a period afterward.  She experienced some twitching before she lost consciousness.  She was brought to the ER, had an EEG, a Cat Scan and all results were normal.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Musculoskeletal pain, Pain in extremity
Clinical narrative: Pneumonia vaccine caused extreme pain in shoulder blade on the same side as the injection. Pain radiates down arm, in armpit, and seems to have pinched a nerve that goes into neck muscles. Unable to relieve pain with ibuprofen, heat and cold applied with no relief and it has been four days now.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site bruising, Mobility decreased
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 70 year old female patient with medical history of one knee replacement. ON 01-NOV-2013 the patient was vaccinated with a dose of ZOSTAVAX (lot # J006155, expiration date 30-AUG-2014, 0.65 ml, subcutaneously) on arm. The patient's relevant concomitant medication and past drug history were unknown. In November 2013, the patient got a tiny bruise at the injection site. On 02-NOV-2013 the patient experienced soreness in her shoulder joint and in the knee that she did not have the replacement. The soreness was so bad that she could hardly move her knee or shoulder. It was unknown if there was relevant lab data. As of 03-NOV-2013, it was unknown if she would receive ZOSTAVAX again and she had not recovered from the events. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Incorrect storage of drug
Clinical narrative: This spontaneous report as received from a healthcare provider refers to a patient of unknown age. ON an unknown date the patient was vaccinated with a dose of ZOSTAVAX (lot # J000445, expiration date 11-APR-2014, dose, route indication not reported) which was stored improperly. Additional information is not expected.
Age: 1.0
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: This spontaneous report as received from a nurse practitioner refers to a 12 month old patient of unknown gender. In July 2013, when the patient was 12 months of age, the patient was vaccinated with both dose of VARIVAX (Merck) (lot#, expiration date and dose not reported), subcutaneously, and M-M-R II (lot#, expiration date, dose and route not reported. Subsequently, this patient was administered another dose of both VARIVAX (Merck) (lot#, expiration date and dose not reported) subcutaneously and M-M-R II (lot#, expiration date dose and route not reported) on 23-OCT-2013, when the patient was 15 months of age. No adverse effect was reported. Additional information has been requested.
Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Hypoaesthesia
Clinical narrative: This spontaneous report as received from a registered nurse via a company representative refers to a 20 year old female patient. On 13-JUN-2013 the patient was vaccinated with the first dose of GARDASIL (dose and route not reported) (Lot# H017758 and Expiration Date 11/28/2014 58) for prevention of HPV. On 13-AUG-2013 the patient was vaccinated with the second dose of GARDASIL (dose and route not reported) (lot# reported as H01755 and expirations date: 21-MAR-2015). This patient had had 2 out of the 3 doses of GARDASIL and with each dose experienced numbness in her arm. The numbness occurred in greater severity with the second dose. In 2013, the patient was recovered. The patient had sought medical attention by contacting the office. Lot number H10755 is an invalid lot number for GARDASIL. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: This spontaneous report was received from a registered pharmacist concerning patients of unknown age and gender. On an unknown date, the patients were vaccinated with a dose of ZOSTAVAX (lot number, expiry date and dose unspecified), subcutaneously. No concomitant therapy was reported. The pharmacist noticed an increased incidence of injection site redness and swelling after the administration of ZOSTAVAX (date unspecified). At the time of the report, the pharmacist was unable to provide the exact number of identities of patients involved. The patients sought medical attention (notified pharmacist). It was unspecified if any treatment was given or if any lab tests were performed. On an unknown date, patients were recovered from injection site redness and swelling. The relatedness for injection site redness and swelling was unknown for ZOSTAVAX. Additional information has been requested.
Sex: U
Vaccine: PPV
Symptoms: Incorrect storage of drug, No adverse event
Clinical narrative: This spontaneous report as received from a pharmacist refers to 3 patients of unknown age. On 28-OCT-2013 the 3 patients were vaccinated with a dose of PNEUMOVAX23 (lot# J005067 exp date 17-JAN-2015) separately (dose and route unknown) that was exposed to 68F for 60 hours, an excursion that was found to be unsupported by in-house stability data. No adverse symptoms reported. Additional information has been requested.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Cellulitis red, hot arm.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling abnormal, Presyncope, Syncope
Clinical narrative: Patient fainted shortly after receiving flu shot. Mom reported feeling weird after receiving flu shot. Paramedics  came and assessed. Patient went to ER for observation. Patient reported diagnosis of vasovagal response and patient recovered completely.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Pt developed a red/swollen rash on the shingle shot injection site (Left arm)- around 3-inch length.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Acne, Pain, Pain in extremity, Skin burning sensation, Skin reaction
Clinical narrative: Arm pain 12 hours after injection, serious skin reaction, acne-like lesions, burning, painful especially on left side. Not resolved yet.
Age: 39.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity
Clinical narrative: Vaccine 8/31/13. 9/26/13 birth of second child. 2 days after vaccine worsening soreness in (L) arm. Sharp pain and numbness at hand and weakness.
Age: 67.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Local swelling, Pain in extremity, Pruritus
Clinical narrative: Patient reported that the day after receiving the Zostavax injection he had a "very swollen arm that hurt and itched" which he reported lasted for 1 1/2 weeks. Patient reported this after symptoms had already resolved and did not report receiving any treatment. Reported symptoms in the arm Zostavax was given (left arm).
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Mobility decreased, Neuralgia, Pain
Clinical narrative: 11/7/13 - had FLUZONE high dose at 1pm. Came back in PM c/o soreness, nerve pain and difficulty raising arm. States has history of nerve pain in left arm. Instructed by MD to put ice on site.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Feeling hot, Pain in extremity
Clinical narrative: Patient has described arm soreness for 10 + days. Warm sensation, no loss of feeling or movement. No swelling. Patient currently using MOTRIN 600 mg q6H prn.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site streaking, Injection site swelling
Clinical narrative: 2 days after injection, patient noticed raised red line from injection site towards elbow. Patient went to see urgent care, diagnosed with cellulitis and given KEFLEX. Patient doing well after 2 days on antibiotics.
Age: 77.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Influenza like illness
Clinical narrative: This non-medically confirmed spontaneous report (initial receipt 27-Sep-2013) concerns a 77-year-old female patient, with a history of asthma. The patient had no allergies. Concomitant medications included fluticasone/salmeterol and montelukast. On an unreported date the patient received an unspecified influenza vaccine (batch not reported). On 16-Sep-2013, the patient received co-suspect ZOSTAVAX (batch not reported). On 17-Sep-2013, the patient experienced flu-like symptoms. On 29-Oct-2013 the patient reported that they were still experiencing the flu-like symptoms in addition to weakness, rhinitis, coughing, fever and loss of appetite. The patient was treated with unspecified over-the-counter decongestants. No lab diagnostics studies were performed. Outcome was reported as not recovered. Follow-up (29-Oct-2013): Case upgraded to serious, addition of new events.
Age: 77.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Asthenia, Cough, Decreased appetite, Influenza like illness, Pyrexia
Clinical narrative: This non-medically confirmed spontaneous report (initial receipt 27-Sep-2013) concerns a 77-year-old female patient, with a history of asthma. The patient had no allergies. Concomitant medications included fluticasone/salmeterol and montelukast. On an unreported date the patient received an unspecified influenza vaccine (batch not reported). On 16-Sep-2013, the patient received co-suspect ZOSTAVAX (batch not reported). On 17-Sep-2013, the patient experienced flu-like symptoms. On 29-Oct-2013 the patient reported that they were still experiencing the flu-like symptoms in addition to weakness, rhinitis, coughing, fever and loss of appetite. The patient was treated with unspecified over-the-counter decongestants. No lab diagnostics studies were performed. Outcome was reported as not recovered. Follow-up (29-Oct-2013): Case upgraded to serious, addition of new events.
Age: 77.0
Sex: F
Vaccine: VARZOS, FLUX, VARZOS
Symptoms: Rhinitis
Clinical narrative: This non-medically confirmed spontaneous report (initial receipt 27-Sep-2013) concerns a 77-year-old female patient, with a history of asthma. The patient had no allergies. Concomitant medications included fluticasone/salmeterol and montelukast. On an unreported date the patient received an unspecified influenza vaccine (batch not reported). On 16-Sep-2013, the patient received co-suspect ZOSTAVAX (batch not reported). On 17-Sep-2013, the patient experienced flu-like symptoms. On 29-Oct-2013 the patient reported that they were still experiencing the flu-like symptoms in addition to weakness, rhinitis, coughing, fever and loss of appetite. The patient was treated with unspecified over-the-counter decongestants. No lab diagnostics studies were performed. Outcome was reported as not recovered. Follow-up (29-Oct-2013): Case upgraded to serious, addition of new events.
Age: 83.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cellulitis, Computerised tomogram abnormal, Culture, Diagnostic aspiration, Local swelling
Clinical narrative: Case number PHEH2013US022871 is an initial spontaneous report received from a consumer on 29 Oct 2013: This report refers to an 83-year-old female patient. Her medical history was not reported. Her concomitant medication included simvastatin 40mg, hydrochlorothiazide, and levothyroxine and metoprolol tartrate. She was vaccinated with FLUVIRIN (batch number: 1308201) intramuscularly on 18 Oct 2013. By 9:00 am the next day (19 Oct 2013) after the vaccine was administered, her right arm began to swell and was painful. By 22 Oct 2013, the swelling and pain became very severe. She called her physician to advise him of these adverse events and the physician instructed her to immediately go to the emergency room (ER). The ER doctors took her vital signs, performed a CT scan of her right arm, and then performed an aspiration of the fluid in her right arm, guided by a second CT scan. The purpose of aspiration was to culture the fluid and to send it to a lab to determine organism/bacteria type. The results of the culture would not be known until 24 Oct 2013. In the interim, she was admitted on 22 Oct 2013 at approximately 9:00 pm and began a regimen of AZACTAM, an antibiotic, intravenously at the rate of 1gram every 8 hours through 24 Oct 2013, by the infectious disease doctor. On 24 Oct 2013 morning, the results of the culture mentioned above were received by the hospital and the diagnosis was cellulitis. She was discharged by the infectious disease doctor on 24 Oct 2013 at 1:00 pm and was prescribed an oral antibiotic AVELOX (400 mg) to be taken at the rate of one tablet per day for 5 days. The discharge orders indicated that she was to follow-up with her primary physician within one week after discharge. Outcome of the events was reported as condition improving. The reporter assessed these events as serious (life threatening, requiring hospitalization, leading to disability, and medically significant). No further information about causality was reported.
Age: 83.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity
Clinical narrative: Case number PHEH2013US022871 is an initial spontaneous report received from a consumer on 29 Oct 2013: This report refers to an 83-year-old female patient. Her medical history was not reported. Her concomitant medication included simvastatin 40mg, hydrochlorothiazide, and levothyroxine and metoprolol tartrate. She was vaccinated with FLUVIRIN (batch number: 1308201) intramuscularly on 18 Oct 2013. By 9:00 am the next day (19 Oct 2013) after the vaccine was administered, her right arm began to swell and was painful. By 22 Oct 2013, the swelling and pain became very severe. She called her physician to advise him of these adverse events and the physician instructed her to immediately go to the emergency room (ER). The ER doctors took her vital signs, performed a CT scan of her right arm, and then performed an aspiration of the fluid in her right arm, guided by a second CT scan. The purpose of aspiration was to culture the fluid and to send it to a lab to determine organism/bacteria type. The results of the culture would not be known until 24 Oct 2013. In the interim, she was admitted on 22 Oct 2013 at approximately 9:00 pm and began a regimen of AZACTAM, an antibiotic, intravenously at the rate of 1gram every 8 hours through 24 Oct 2013, by the infectious disease doctor. On 24 Oct 2013 morning, the results of the culture mentioned above were received by the hospital and the diagnosis was cellulitis. She was discharged by the infectious disease doctor on 24 Oct 2013 at 1:00 pm and was prescribed an oral antibiotic AVELOX (400 mg) to be taken at the rate of one tablet per day for 5 days. The discharge orders indicated that she was to follow-up with her primary physician within one week after discharge. Outcome of the events was reported as condition improving. The reporter assessed these events as serious (life threatening, requiring hospitalization, leading to disability, and medically significant). No further information about causality was reported.
Age: 83.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cellulitis, Computerised tomogram abnormal, Culture positive, Incisional drainage, Local swelling
Clinical narrative: Case number PHEH2013US022871 is an initial spontaneous report received from a consumer on 29 Oct 2013: This report refers to an 83-year-old female patient. Her medical history was not reported. Her concomitant medication included simvastatin 40mg, hydrochlorothiazide, and levothyroxine and metoprolol tartrate. She was vaccinated with FLUVIRIN (batch number: 1308201) intramuscularly on 18 Oct 2013. By 9:00 am the next day (19 Oct 2013) after the vaccine was administered, her right arm began to swell and was painful. By 22 Oct 2013, the swelling and pain became very severe. She called her physician to advise him of these adverse events and the physician instructed her to immediately go to the emergency room (ER). The ER doctors took her vital signs, performed a CT scan of her right arm, and then performed an aspiration of the fluid in her right arm, guided by a second CT scan. The purpose of aspiration was to culture the fluid and to send it to a lab to determine organism/bacteria type. The results of the culture would not be known until 24 Oct 2013. In the interim, she was admitted on 22 Oct 2013 at approximately 9:00 pm and began a regimen of AZACTAM, an antibiotic, intravenously at the rate of 1gram every 8 hours through 24 Oct 2013, by the infectious disease doctor. On 24 Oct 2013 morning, the results of the culture mentioned above were received by the hospital and the diagnosis was cellulitis. She was discharged by the infectious disease doctor on 24 Oct 2013 at 1:00 pm and was prescribed an oral antibiotic AVELOX (400 mg) to be taken at the rate of one tablet per day for 5 days. The discharge orders indicated that she was to follow-up with her primary physician within one week after discharge. Outcome of the events was reported as condition improving. The reporter assessed these events as serious (life threatening, requiring hospitalization, leading to disability, and medically significant). No further information about causality was reported.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Decreased appetite, Eye swelling, Insomnia, Lethargy, Occult blood
Clinical narrative: Difficulty sleeping-Pt keeps on waking up at night, decreased appetite, lethargic, vomiting started last night, swollen eyes, facial rash.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Poor quality sleep, Rash, Vomiting, X-ray
Clinical narrative: Difficulty sleeping-Pt keeps on waking up at night, decreased appetite, lethargic, vomiting started last night, swollen eyes, facial rash.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Face oedema, Urticaria, Vomiting
Clinical narrative: Hives, facial edema and vomiting.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: L facial swelling.
Age: 1.26
Sex: M
Vaccine: DTAP, FLUX, HIBV, MMR
Symptoms: Cough, Decreased appetite, Fatigue, Irritability, Poor quality sleep
Clinical narrative: Low fever, fussy.  11/9/2013 - very fussy, higher fever, not eating, sleeping poorly, exhausted, cough, rash on chest and back.  11/10/2013 - lower fever, slightly less fussy, better sleeping but exhausted, rash worse.  11/11/2013 - rash spread to head, slept better, still coughing, no fever.
Age: 1.26
Sex: M
Vaccine: DTAP, FLUX, HIBV, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Low fever, fussy.  11/9/2013 - very fussy, higher fever, not eating, sleeping poorly, exhausted, cough, rash on chest and back.  11/10/2013 - lower fever, slightly less fussy, better sleeping but exhausted, rash worse.  11/11/2013 - rash spread to head, slept better, still coughing, no fever.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Chills, Dizziness, Fatigue, Feeling cold
Clinical narrative: 1. Extreme/Sharp pain in middle of deltoid.  Unable to move arm much a week later.  Pain spread from area where vaccine was given towards middle of back.  This has been persistent since shot, with intensity changing throughout the day.  2. Fatigue.  All the time.  3. Chills, muscle spams, pain throughout entire back, and feeling of fever (though temperature at 98.3), feeling cold throughout the body and unable to get warm, and lightheaded.  Symptoms on and off.  Got all at the same time on 11/9/2013 and almost went to the hospital.  Have only tried to increase vitamin intake (hoping to just get the flu and be done with it!) and drinking lots of fluids, plus staying in bed as much as possible.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling hot, Mobility decreased, Muscle spasms, Pain in extremity, Vaccination site pain
Clinical narrative: 1. Extreme/Sharp pain in middle of deltoid.  Unable to move arm much a week later.  Pain spread from area where vaccine was given towards middle of back.  This has been persistent since shot, with intensity changing throughout the day.  2. Fatigue.  All the time.  3. Chills, muscle spams, pain throughout entire back, and feeling of fever (though temperature at 98.3), feeling cold throughout the body and unable to get warm, and lightheaded.  Symptoms on and off.  Got all at the same time on 11/9/2013 and almost went to the hospital.  Have only tried to increase vitamin intake (hoping to just get the flu and be done with it!) and drinking lots of fluids, plus staying in bed as much as possible.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Genital herpes
Clinical narrative: I have a history of genital herpes, no breakout for about a year. Three days after my vaccination, I developed a breakout.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Chills, Decreased appetite, Eye swelling, Fatigue
Clinical narrative: Fatigue, body aches, high fever, rash on feet and legs, swelling around eyes, severe headache, loss of appetite, weakness, chills.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Pain, Pyrexia, Rash
Clinical narrative: Fatigue, body aches, high fever, rash on feet and legs, swelling around eyes, severe headache, loss of appetite, weakness, chills.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Pain in extremity, X-ray limb
Clinical narrative: Shoulder arm pain and decreased range of motion.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Bacterial test negative, CSF protein increased, CSF virus no organisms observed, CSF white blood cell count increased, Headache
Clinical narrative: HEADACHE, Ascending numbness/weakness R side from foot up to R side of head ED visit, work up for "stroke"; discharge to home 0100 10/31/2013. Return visit to ED 10/31/2013 with altered mental status, headache, R side numbness/ weakness progression to non-verbal in ED. LP PMN's >200' Tot Protein 135. No bacterial growth, negative for HSV 1,2. "no clear infectious organism identified".
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Hemiparesis, Hypoaesthesia, Mental status changes, Unresponsive to stimuli
Clinical narrative: HEADACHE, Ascending numbness/weakness R side from foot up to R side of head ED visit, work up for "stroke"; discharge to home 0100 10/31/2013. Return visit to ED 10/31/2013 with altered mental status, headache, R side numbness/ weakness progression to non-verbal in ED. LP PMN's >200' Tot Protein 135. No bacterial growth, negative for HSV 1,2. "no clear infectious organism identified".
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Aphasia, Bacterial test negative, CSF lymphocyte count increased, CSF polymorphonuclear cell count increased, CSF protein increased
Clinical narrative: HEADACHE, Ascending numbness/weakness R side from foot up to R side of head ED visit, work up for "stroke"; discharge to home 0100 10/31/2013. Return visit to ED 10/31/2013 with altered mental status, headache, R side numbness/ weakness progression to non-verbal in ED. LP PMN's >200' Tot Protein 135. No bacterial growth, negative for HSV 1,2. "no clear infectious organism identified".
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: CSF white blood cell count increased, Headache, Herpes simplex serology negative, Hypoaesthesia, Mental status changes
Clinical narrative: HEADACHE, Ascending numbness/weakness R side from foot up to R side of head ED visit, work up for "stroke"; discharge to home 0100 10/31/2013. Return visit to ED 10/31/2013 with altered mental status, headache, R side numbness/ weakness progression to non-verbal in ED. LP PMN's >200' Tot Protein 135. No bacterial growth, negative for HSV 1,2. "no clear infectious organism identified".
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Neck pain
Clinical narrative: HEADACHE, Ascending numbness/weakness R side from foot up to R side of head ED visit, work up for "stroke"; discharge to home 0100 10/31/2013. Return visit to ED 10/31/2013 with altered mental status, headache, R side numbness/ weakness progression to non-verbal in ED. LP PMN's >200' Tot Protein 135. No bacterial growth, negative for HSV 1,2. "no clear infectious organism identified".
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Bacterial test negative, CSF protein increased, CSF virus no organisms observed, CSF white blood cell count increased, Headache
Clinical narrative: Emerg Dept visit 10/30/13 headache; ascending numbness (R) side from foot upward to shoulder - work up for stroke symptoms - Discharge 10/31/13 return to ED with headache, altered mental status, (R) side numbness, nonverbal after time in ED. Lumbar puncture for CSF. WBC 229 - Tot protein 135 - no bacterial growth - inpatient 5 days. Discharge to home - headache/frontal - neck continues. F/U with NP on 11/15/13.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Hemiparesis, Hypoaesthesia, Mental status changes, Unresponsive to stimuli
Clinical narrative: Emerg Dept visit 10/30/13 headache; ascending numbness (R) side from foot upward to shoulder - work up for stroke symptoms - Discharge 10/31/13 return to ED with headache, altered mental status, (R) side numbness, nonverbal after time in ED. Lumbar puncture for CSF. WBC 229 - Tot protein 135 - no bacterial growth - inpatient 5 days. Discharge to home - headache/frontal - neck continues. F/U with NP on 11/15/13.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Aphasia, Bacterial test negative, CSF lymphocyte count increased, CSF polymorphonuclear cell count increased, CSF protein increased
Clinical narrative: Emerg Dept visit 10/30/13 headache; ascending numbness (R) side from foot upward to shoulder - work up for stroke symptoms - Discharge 10/31/13 return to ED with headache, altered mental status, (R) side numbness, nonverbal after time in ED. Lumbar puncture for CSF. WBC 229 - Tot protein 135 - no bacterial growth - inpatient 5 days. Discharge to home - headache/frontal - neck continues. F/U with NP on 11/15/13.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: CSF white blood cell count increased, Headache, Herpes simplex serology negative, Hypoaesthesia, Mental status changes
Clinical narrative: Emerg Dept visit 10/30/13 headache; ascending numbness (R) side from foot upward to shoulder - work up for stroke symptoms - Discharge 10/31/13 return to ED with headache, altered mental status, (R) side numbness, nonverbal after time in ED. Lumbar puncture for CSF. WBC 229 - Tot protein 135 - no bacterial growth - inpatient 5 days. Discharge to home - headache/frontal - neck continues. F/U with NP on 11/15/13.
Age: 36.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Neck pain
Clinical narrative: Emerg Dept visit 10/30/13 headache; ascending numbness (R) side from foot upward to shoulder - work up for stroke symptoms - Discharge 10/31/13 return to ED with headache, altered mental status, (R) side numbness, nonverbal after time in ED. Lumbar puncture for CSF. WBC 229 - Tot protein 135 - no bacterial growth - inpatient 5 days. Discharge to home - headache/frontal - neck continues. F/U with NP on 11/15/13.
Age: 14.0
Sex: F
Vaccine: FLU3, HPV4
Symptoms: Head injury, Syncope
Clinical narrative: After getting down from exam table, fainted and hit head on floor.
Age: 82.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, body aches, headache, nausea, vomiting.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Urticaria
Clinical narrative: Pt complained of feeling dizzy and having hives on neck and chest. The hives then spread to all over her body and she started having a headache.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Peripheral coldness, Skin discolouration
Clinical narrative: At 1700 hours client reported to school nurse a slight tingling and purplish color to her right palm.  Client had received her flu vaccination (0.5cc GSK) in her right deltoid muscle at 1621 hours.  I assisted with the assessment of the client's condition.  Client reported no respiratory distress.  Her lungs were clear to auscultation.  Client's skin was pink, warm, and dry, with the exception of her right palm.  Her right palm was cool to the touch and slightly purple in color.  Client could move all the fingers without problems or discomfort.  Her range of motion was normal.  Client denied any other complaints or symptoms.  Her vital signs were taken at 1702 hours:  Blood pressure-128/78, Pulse-90, Repsirations-20.  Client reported she had history of injury last month to her right shoulder, possible dislocation, and a head concussion.  However, client states she felt well before getting her flu shot.  RN monitored the client for another 15 minutes.  Vital signs repeated at 1717 hours: Blood pressure-100/60, Pulse-80, Respirations-16.  The purple color to the client's palm was improving and the tingling feeling slightly less per the client.  She was released at 1720 hours.  Follow up phone call the next day (11/8/13 @ 1115 hours) revealed no problems per the client's mother.
Age: 36.0
Sex: M
Vaccine: FLU3
Symptoms: Mobility decreased, Musculoskeletal pain, Pain
Clinical narrative: The next day I had severe acute pain in shoulder when making certain movements.  Difficulty raising arm.  Difficulty pickup up items from certain position.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Patient ran a high fever the day after recieving vaccine.  He had the fever on 11/7 through 11/10 and seemed to break as of earlier today he treated the fever with Tylenol.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Hypotonia, Syncope
Clinical narrative: C/o hoarseness. Initially no SOB.  As was listening to lungs, became syncopal/limp.  BP 160/90- pulse 76.  Biox 100% on RA.  EpiPen given.  O2 mask @ 4lpm.  Taken to ER.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Reports whole arm feeling numb like ice shotting all the way down her arm for 10-15 minutes after immunization.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma, Chest discomfort, Condition aggravated, Dyspnoea, Wheezing
Clinical narrative: Six hours after flu shot, had bad asthma attack, wheezing, difficulty breathing, chest tightness. Used Ventolin inhaler, 3 puffs which helped. Repeated a half hour later. Eventually the attack passed. Had a flu shot, same location, in 2012. No reaction. However, the flu shot in 2011, same location, resulted in a similar bad asthma attack, again about six hours after the shot. I did not connect the shot/asthma at the time. Coincidence, I thought, as I had been getting flu vaccines for many years.
Age: 0.35
Sex: M
Vaccine: 6VAX-F, HIBV, PNC13, RV5
Symptoms: Rash, Rash erythematous
Clinical narrative: ERYTHEMATOUS RASH ON SCALP AND UPPER TRUNK. PT ALSO STARTED ON A NEW FORMULA (SOY) AND THE RASH APPEARED 2 HOURS LATER.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at injection site.  Seen by Nurse Practitioner and placed on Bactrim on 11/11/13.  Will rtc for follow up appt on 11/12/13.
Age: 1.38
Sex: M
Vaccine: FLU4
Symptoms: Irritability, Urticaria
Clinical narrative: FUSSINESS, AND HIVES ON FACE, LEGS, AND ARMS.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Diarrhoea, Frequent bowel movements, Injection site erythema, Nausea, Pain in extremity
Clinical narrative: Pt reported nausea and several soft bowel movements the night of vaccination.  Woke up next day with arm pain, redness at injection site.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea, Erythema, Eye pruritus, Induration, Lacrimation increased
Clinical narrative: Pt received the intraderma flu vaccine on 11/8/13.  She started experiencing watery itchy eyes, nasal drainage, extreme sore throat, diarrhea, generalized body aches, and swelling with induration about the size of 4 inches in diameter.  Upon examining associate's arm, redness and warmth was noted to be approx. 4 inches in diameter with sensitivity to touch.  She still reports aching, itchy, watery eyes, sore throat, nasal drainage, and diarrhea.  I provided education of an adverse reaction versus an allergic reaction and encouraged her to meet with her physician with this concern in anticipation for next year's flu season.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain, Rhinorrhoea, Skin warm, Swelling
Clinical narrative: Pt received the intraderma flu vaccine on 11/8/13.  She started experiencing watery itchy eyes, nasal drainage, extreme sore throat, diarrhea, generalized body aches, and swelling with induration about the size of 4 inches in diameter.  Upon examining associate's arm, redness and warmth was noted to be approx. 4 inches in diameter with sensitivity to touch.  She still reports aching, itchy, watery eyes, sore throat, nasal drainage, and diarrhea.  I provided education of an adverse reaction versus an allergic reaction and encouraged her to meet with her physician with this concern in anticipation for next year's flu season.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: Pt received the intraderma flu vaccine on 11/8/13.  She started experiencing watery itchy eyes, nasal drainage, extreme sore throat, diarrhea, generalized body aches, and swelling with induration about the size of 4 inches in diameter.  Upon examining associate's arm, redness and warmth was noted to be approx. 4 inches in diameter with sensitivity to touch.  She still reports aching, itchy, watery eyes, sore throat, nasal drainage, and diarrhea.  I provided education of an adverse reaction versus an allergic reaction and encouraged her to meet with her physician with this concern in anticipation for next year's flu season.
Age: 0.64
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC13
Symptoms: Incorrect dose administered
Clinical narrative: None.
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Abnormal behaviour, Aggression, Anger, Communication disorder, Irritability
Clinical narrative: Major behavioral change. Screaming, irritability, major tantrums, not able to communicate, extreme anger, violence.
Age: 2.0
Sex: F
Vaccine: FLUX
Symptoms: Screaming
Clinical narrative: Major behavioral change. Screaming, irritability, major tantrums, not able to communicate, extreme anger, violence.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Headache, Hot flush, Nausea, Vision blurred
Clinical narrative: HEADACHES, DIZZINESS, NAUSEA, BLURRED VISION, LIGHTHEADEDNESS, HOT FLASH TYPE SYMPTOM. ALSO I AM BREASTFEEDING MOTHER AND MY 3 MONTH OLD GOT SICK 2 DAYS AFTER I RECIEVED THE FLUMIST.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Dyspnoea, Increased viscosity of nasal secretion, Vomiting projectile
Clinical narrative: Intense projectile vomiting, thick mucous, one time, some difficulty breathing w/ thick mucous, soothed by grandmother.
Age: 0.34
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5, DTAPIPVHIB, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Intense projectile vomiting, thick mucous, one time, some difficulty breathing w/ thick mucous, soothed by grandmother.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Vaccination site swelling, Vaccination site warmth
Clinical narrative: The patient describes that for 3 days following the vaccination they had red swelling and heat in the spot that they were vaccinated. After the swelling and heat went away, they had bruising at the site for 3 additional days.