chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Skin warm, Vomiting
Clinical narrative: As reported by mom. " 24 hours later, whole arm above elbow swollen and red", fever. Swollen for one week. Irregular movement, tones. In 48 hours swelling began to subside. Hot to touch. Nausea, vomiting, and diarrhea. Resolved in 7 days.
Age: 42.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient had swelling, increased tenderness, increased warmth in left arm, that started at injection site and extended to under the arm and almost to elbow. Started within 24 hours after PNEUMOVAX injection.
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Bursitis, Discomfort, Injected limb mobility decreased, Neurological examination normal
Clinical narrative: 11-4-08 Vaccine given at 8PM. No discomfort at the time of injection. Worked another hour with no discomfort. 10PM notices discomfort in are. 11PM while undressing, lifts arm above head, notices the discomfort in arm. Discomfort less, fell asleep. 11-5-08 1AM awoke to arm pain from shoulder to finger tips TRAMADOL 50mg taken. 3AM fell back asleep. 7AM awoke to arm pain, showered, felt nauseated called off work, laid around. 8AM 2 ADVIL, napped, 12PM 2 ADVIL, 1:30PM doctors examination. Prescribes MEDROL DOYPAK, AVGMENTON, VICODIN, no temperature at office, site not red, no itching, tender, slightly swollen arm and hand when arm is held from the body it shakes. 11-6-08 3:00PM Neurologic examination negative findings, 11-7-08 10:00AM Orthopedic examination x-rays taken - negative findings, blood work drawn diagnosis of Bursitis - NAPROXIN 375 no stop augmegain, 1:00PM primary physician follow-up reassessment - follow-up with ertno on 11-14. 11-8-08 still discomfort - started to wear arm sling. 11-10-08 returned to work - felt better, 11-11-08 primary physician called blood work  abnormal. 11-13-08, discomfort worse, 11-14-08, 7AM orthopedic recheck reviews blood work and reassesses arm blood work counts high arm no change in external findings still discomfort. 8:00 Am sent to ER stat MRI and blood work, MRI no abcess bursa sac are inflammed blood work - better, but not normal manage pain, perhaps later therapy. 11-17-08 9AM ortho follow-up blood work drawn counts better will sent to physical therapy3 times weekly for 4 weeks. Diagnosis for physical therapy: Bursitis tendons disorder. Will use ultra sound with cortisone cream
Age: 27.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Tremor, X-ray normal
Clinical narrative: 11-4-08 Vaccine given at 8PM. No discomfort at the time of injection. Worked another hour with no discomfort. 10PM notices discomfort in are. 11PM while undressing, lifts arm above head, notices the discomfort in arm. Discomfort less, fell asleep. 11-5-08 1AM awoke to arm pain from shoulder to finger tips TRAMADOL 50mg taken. 3AM fell back asleep. 7AM awoke to arm pain, showered, felt nauseated called off work, laid around. 8AM 2 ADVIL, napped, 12PM 2 ADVIL, 1:30PM doctors examination. Prescribes MEDROL DOYPAK, AVGMENTON, VICODIN, no temperature at office, site not red, no itching, tender, slightly swollen arm and hand when arm is held from the body it shakes. 11-6-08 3:00PM Neurologic examination negative findings, 11-7-08 10:00AM Orthopedic examination x-rays taken - negative findings, blood work drawn diagnosis of Bursitis - NAPROXIN 375 no stop augmegain, 1:00PM primary physician follow-up reassessment - follow-up with ertno on 11-14. 11-8-08 still discomfort - started to wear arm sling. 11-10-08 returned to work - felt better, 11-11-08 primary physician called blood work  abnormal. 11-13-08, discomfort worse, 11-14-08, 7AM orthopedic recheck reviews blood work and reassesses arm blood work counts high arm no change in external findings still discomfort. 8:00 Am sent to ER stat MRI and blood work, MRI no abcess bursa sac are inflammed blood work - better, but not normal manage pain, perhaps later therapy. 11-17-08 9AM ortho follow-up blood work drawn counts better will sent to physical therapy3 times weekly for 4 weeks. Diagnosis for physical therapy: Bursitis tendons disorder. Will use ultra sound with cortisone cream
Age: 0.76
Sex: M
Vaccine: FLU3
Symptoms: Aspartate aminotransferase increased, Liver function test abnormal, Neutropenia, Neutrophil count decreased, Neutrophil percentage decreased
Clinical narrative: Fever 6 days after immunization (104.5) severe neutropenia diagnosed 9 days after immunization (10/27/08) mildly elevated LFT (10/27/08).
Age: 0.76
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Fever 6 days after immunization (104.5) severe neutropenia diagnosed 9 days after immunization (10/27/08) mildly elevated LFT (10/27/08).
Age: 10.0
Sex: F
Vaccine: FLU3
Symptoms: Head injury, Hypotonia, Syncope
Clinical narrative: Fainted, hit head - call to 911 - out for approx. 10 sec. Was limp - came to good color. Alert x 3, pulse 80. Sat on floor - applied ice pack to forehead - small bump. No bleeding. Paramedics came checked her out - refused to go to hospital - Mom took home.
Age: 13.0
Sex: F
Vaccine: FLU3
Symptoms: Eye swelling, Urticaria
Clinical narrative: Hives over entire body, eye swollen, no trouble breathing.
Age: 73.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Flushing, Loss of consciousness, Malaise, Nausea, Pruritus generalised
Clinical narrative: 830 Flu and shingles, 840 felt a little itchy, 1030 feeling generalized itchiness and flush took Benadryl, 11AM nauseated and throat feeling funny. 1145 felt terrible, wife states he passed out- patient says he was just too sick to speak. 1pm seen in the clinic.
Age: 73.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Throat irritation
Clinical narrative: 830 Flu and shingles, 840 felt a little itchy, 1030 feeling generalized itchiness and flush took Benadryl, 11AM nauseated and throat feeling funny. 1145 felt terrible, wife states he passed out- patient says he was just too sick to speak. 1pm seen in the clinic.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count, Pruritus, Urticaria
Clinical narrative: Hives with itching.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU3, IPV, MMR, VARCEL
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Patient had a reaction on Right thigh measuring 4 1/4cm down and 5 1/2cm wide.
Age: 5.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR
Symptoms: Pallor, Pyrexia, Vomiting
Clinical narrative: 11/4/08 Received vaccines between 11:20 and 11:40 am.  By 3 pm she had fever and was pale.  She vomited TYLENOL melt-aways about 10:30 11/5/08, and had only water.  She had kept 4 cm dose of TYLENOL down.  Fever 101 degrees, 10:30, 11/5/08.
Age: 1.1
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: MMR/Varicella/HepA # 1 given on 7/11/08. On 7/21/08, pt. developed fever and rash which lasted x 1 week. Pt not examined for this complaint
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Vomiting
Clinical narrative: Vomiting with every bottle starting on 11-15-08, within 24 hours of getting vaccine.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, and tenderness around injection site. (L) arm.
Age: 48.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Blood pressure, Chest discomfort, Electrocardiogram normal, Erythema, Full blood count
Clinical narrative: Within 30min. after injection swelling, redness, "hot" down arm. In 12hrs - Shooting pain to neck and numbness in (2) fingers. Took ibuprofen/Tylenol. Diaphoretic all day. "Presented to ER 11/5 am. At 0300 11/5 she was completely diaphoretic. Chest tight and wheezing. Albuterol tx, IV steroids, po prednisone for 3 days.
Age: 48.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Hyperhidrosis, Hypoaesthesia, Neck pain, Oedema peripheral, Oxygen saturation normal
Clinical narrative: Within 30min. after injection swelling, redness, "hot" down arm. In 12hrs - Shooting pain to neck and numbness in (2) fingers. Took ibuprofen/Tylenol. Diaphoretic all day. "Presented to ER 11/5 am. At 0300 11/5 she was completely diaphoretic. Chest tight and wheezing. Albuterol tx, IV steroids, po prednisone for 3 days.
Age: 48.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Pain, Skin warm, Wheezing
Clinical narrative: Within 30min. after injection swelling, redness, "hot" down arm. In 12hrs - Shooting pain to neck and numbness in (2) fingers. Took ibuprofen/Tylenol. Diaphoretic all day. "Presented to ER 11/5 am. At 0300 11/5 she was completely diaphoretic. Chest tight and wheezing. Albuterol tx, IV steroids, po prednisone for 3 days.
Age: 45.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site pain, Malaise
Clinical narrative: Patient complaining of general malaise. Afebrile, local tenderness left deltoid at injection site. Pale"Halo" around site( no heat or swelling).
Age: 52.0
Sex: U
Vaccine: FLU3
Symptoms: Burning sensation, Dysphonia, Wheezing
Clinical narrative: Pt vaccinated on Tuesday, she started having a burning sensation in chest, hoarse voice and wheezing on Wed night. She is an Asthma pt. She has not used her inhaler for a while. She has not contacted her Dr yet. She was at work today. (Friday 11/14/08).
Age: 72.0
Sex: M
Vaccine: FLUX
Symptoms: Back pain, Chills, Myalgia, Pyrexia
Clinical narrative: Fever chills Lower Back muscles aches
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema
Clinical narrative: Broke out in red blisters on breast 3 days after vaccine, not itchy. Following day blisters resolving. Next  day blisters gone, just red spots.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Sensation of foreign body
Clinical narrative: 3 hrs. after flu shot, felt like lump in throat. Hard time breathing, S. O. B. Coughing.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: FLULAVAL 0.5 that is given (Lt) deltoid. Noted redness swelling at site of injection and  swelling of hand 11/11/08. 11/12/08 now no swelling of hand, however noted small area of redness at injection site stated put cold compress at site with relief.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Erythema, Oedema peripheral, Pruritus, Skin warm
Clinical narrative: Right deltoid 4.5 inch annular area, warm, raised. Uniform in color, reddened. Complain of tenderness, itching and burning. Over the counter Ibuprofen and Ice.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Tenderness
Clinical narrative: Right deltoid 4.5 inch annular area, warm, raised. Uniform in color, reddened. Complain of tenderness, itching and burning. Over the counter Ibuprofen and Ice.
Age: 5.0
Sex: F
Vaccine: DTAP, FLU3, MMR
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Mother noted 11/20/08, at approx. 3:00 p.m, Rt arm of child appeared bright red with "bumpy type rash, approx. 2" width x 4" length in area below injection site. Child stated it was itchy all day at school.
Age: 49.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site erythema, Muscle spasms, Paraesthesia
Clinical narrative: S/S reported on 11/20/08 to nurse practitioner - reported that evening of 11/13/08, his arm "felt numb tingling" down (L) arm. Afebrile. Some redness noted @ injection site and he put alcohol on it and went away. Later, he said (L) leg was crampy and numb off/on several days. No loss of strength or motor movement of (L) side. Took Goody's off/on with some relief. Only slight "tingling feeling" of (L) arm on 11/21/08.
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral, Pain
Clinical narrative: Developed pain initially hours after injection, then developed erythema and swelling to medial aspect of left arm below deltoid site to just above the elbow. Patient did have duragesic patch in place, due to be changed today.
Age: 1.3
Sex: M
Vaccine: DTAP, FLU3
Symptoms: Computerised tomogram, Depressed level of consciousness, Hypotonic-hyporesponsive episode, Lethargy, Vaccination complication
Clinical narrative: Unarousable in the morning. Mom called 911. Lethargic. Taken to ED. Given IV fluids. arousable and back to normal self by 11 AM on 11/13. This was a Hyporesponsive episode likely due to DTaP.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Bronchitis, Chest discomfort, Chills, Cough, Headache
Clinical narrative: Received vaccine at school flu clinic. Within 2 hours begin coughing, felt like chest full. "Bronchitis", coughed, increased phlegm, face, cheeks and jaw felt weird. "Lump in throat". Fever, chills, tingling and non stop headaches. Went to clinic to receive shot of BENADRYL and prescription of ZANTAC/BENADRYL.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Increased upper airway secretion, Paraesthesia, Pyrexia, Sensation of foreign body
Clinical narrative: Received vaccine at school flu clinic. Within 2 hours begin coughing, felt like chest full. "Bronchitis", coughed, increased phlegm, face, cheeks and jaw felt weird. "Lump in throat". Fever, chills, tingling and non stop headaches. Went to clinic to receive shot of BENADRYL and prescription of ZANTAC/BENADRYL.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood culture, Cardiac enzymes, Chest X-ray, Chills
Clinical narrative: ER @ 10:30, 11/14 - IV, TYLENOL. Chills, fever (101.9), eye red and burning. H/A, dizziness, SOB, sensitivity to touch ("pin-prickly" feeling), mild cough, nasal congestion, weakness. H/A and weakness diminishing, but still present on 11/17/08.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dizziness, Dyspnoea, Electrocardiogram, Eye burns
Clinical narrative: ER @ 10:30, 11/14 - IV, TYLENOL. Chills, fever (101.9), eye red and burning. H/A, dizziness, SOB, sensitivity to touch ("pin-prickly" feeling), mild cough, nasal congestion, weakness. H/A and weakness diminishing, but still present on 11/17/08.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count, Headache, Hyperaesthesia, Metabolic function test, Nasal congestion
Clinical narrative: ER @ 10:30, 11/14 - IV, TYLENOL. Chills, fever (101.9), eye red and burning. H/A, dizziness, SOB, sensitivity to touch ("pin-prickly" feeling), mild cough, nasal congestion, weakness. H/A and weakness diminishing, but still present on 11/17/08.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Pyrexia, White blood cell count decreased
Clinical narrative: ER @ 10:30, 11/14 - IV, TYLENOL. Chills, fever (101.9), eye red and burning. H/A, dizziness, SOB, sensitivity to touch ("pin-prickly" feeling), mild cough, nasal congestion, weakness. H/A and weakness diminishing, but still present on 11/17/08.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Joint stiffness, Pyrexia
Clinical narrative: Employee received Tdap vaccine at approximately 1:30pm on 11-14-08.  At approximately 10am on the following day started having symptoms of joint pain/stiffness, chills with fever over 100. Symptoms lasted until the morning of 11/17/08.
Age: 11.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, HPV4, PNC
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: No adverse reaction after receiving wrong vaccines.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Eye pruritus, Ocular hyperaemia, Throat irritation
Clinical narrative: Employee came in with complaints of red itchy eyes - feel a tickle in throat - questions difficulty/itchy throat - developed these signs at 13:00 given flu shot at 09:00
Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Syncope
Clinical narrative: Client fainted after injection, BP 78/54 took pt to lie down BP increased 106/68 and she started feeling better (5-7 min)
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Arthritis reactive, Blister, Herpes zoster, Varicella zoster virus serology positive
Clinical narrative: Zoster - (L) leg dermatoma vesicles with reactive arthritis of knee.
Age: 1.9
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Full blood count, Henoch-Schonlein purpura, Rash, White blood cell count increased
Clinical narrative: Rash onset 11/6, initially attributed to AMOXICILLIN, but progressed to bruising rash diagnosed Henoch Schonlein Purpura, 11/7
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Blindness, Blood immunoglobulin M decreased, C-reactive protein increased, Computerised tomogram normal, Optic neuritis
Clinical narrative: (L) eye neuroretinitis with visual loss. Progressed gray 10/17, black 10/27/08. Slight improvement 11/24/08 after steroids.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Scan brain
Clinical narrative: (L) eye neuroretinitis with visual loss. Progressed gray 10/17, black 10/27/08. Slight improvement 11/24/08 after steroids.
Age: 38.0
Sex: M
Vaccine: FLUX
Symptoms: Asthenia, Blood pressure decreased, Blood test abnormal, Convulsion, Decreased appetite
Clinical narrative: Spontaneous onset of recurrent diarrhea, vomiting, nausea. Patient also experienced sweating, feeling faint and eventually within course of 2-3 hours. Complete dehydration which caused radical decrease in BP, impairment of other vital signs. Radical seizing and cramping of most muscles and complete incapacitation. Taken by ambulance to ER, given IV anti nausea ect. Ongoing residual recovery. Still occasional diarrhea, overall weakness, impaired appetite and digestion. Note: Food, salmonella poisoning symptoms suspect but all food sources within last 48 hrs had been shared with spouse demonstrating no adverse  reaction, definitive high WBC response to infection, viral. ER's position conclusion was also an adverse reaction to previous days. Flu vaccine.
Age: 38.0
Sex: M
Vaccine: FLUX
Symptoms: Dehydration, Diarrhoea, Dyspepsia, Hyperhidrosis, Muscle spasms
Clinical narrative: Spontaneous onset of recurrent diarrhea, vomiting, nausea. Patient also experienced sweating, feeling faint and eventually within course of 2-3 hours. Complete dehydration which caused radical decrease in BP, impairment of other vital signs. Radical seizing and cramping of most muscles and complete incapacitation. Taken by ambulance to ER, given IV anti nausea ect. Ongoing residual recovery. Still occasional diarrhea, overall weakness, impaired appetite and digestion. Note: Food, salmonella poisoning symptoms suspect but all food sources within last 48 hrs had been shared with spouse demonstrating no adverse  reaction, definitive high WBC response to infection, viral. ER's position conclusion was also an adverse reaction to previous days. Flu vaccine.
Age: 38.0
Sex: M
Vaccine: FLUX
Symptoms: Nausea, Syncope, Vaccination complication, Viral infection, Vomiting
Clinical narrative: Spontaneous onset of recurrent diarrhea, vomiting, nausea. Patient also experienced sweating, feeling faint and eventually within course of 2-3 hours. Complete dehydration which caused radical decrease in BP, impairment of other vital signs. Radical seizing and cramping of most muscles and complete incapacitation. Taken by ambulance to ER, given IV anti nausea ect. Ongoing residual recovery. Still occasional diarrhea, overall weakness, impaired appetite and digestion. Note: Food, salmonella poisoning symptoms suspect but all food sources within last 48 hrs had been shared with spouse demonstrating no adverse  reaction, definitive high WBC response to infection, viral. ER's position conclusion was also an adverse reaction to previous days. Flu vaccine.
Age: 38.0
Sex: M
Vaccine: FLUX
Symptoms: White blood cell count increased
Clinical narrative: Spontaneous onset of recurrent diarrhea, vomiting, nausea. Patient also experienced sweating, feeling faint and eventually within course of 2-3 hours. Complete dehydration which caused radical decrease in BP, impairment of other vital signs. Radical seizing and cramping of most muscles and complete incapacitation. Taken by ambulance to ER, given IV anti nausea ect. Ongoing residual recovery. Still occasional diarrhea, overall weakness, impaired appetite and digestion. Note: Food, salmonella poisoning symptoms suspect but all food sources within last 48 hrs had been shared with spouse demonstrating no adverse  reaction, definitive high WBC response to infection, viral. ER's position conclusion was also an adverse reaction to previous days. Flu vaccine.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Decreased appetite, Dyspnoea, Induration, Malaise, Oxygen saturation
Clinical narrative: Decreased appetite, general malaise that evening. Shortness of breath, pale, SA, (L) arm soreness for 2-3 days. Developed hive type rash (L) arm day 4. Arm became hand, dark purplish red color - 11/7/08 Resolved next day. All signs resolved by 6-7 days
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Pain in extremity, Pallor, Skin discolouration, Urticaria
Clinical narrative: Decreased appetite, general malaise that evening. Shortness of breath, pale, SA, (L) arm soreness for 2-3 days. Developed hive type rash (L) arm day 4. Arm became hand, dark purplish red color - 11/7/08 Resolved next day. All signs resolved by 6-7 days
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea, Lip swelling, Pharyngeal oedema, Swollen tongue
Clinical narrative: Woke up at 2:00 AM (11-13-08) with swelling under tongue and spread quickly to tongue, lower lip, both jaws and throat. Difficulty swallowing and left for ER. C/O difficulty breathing once arrived at ER.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Cellulitis, Erythema, Oedema peripheral
Clinical narrative: (L) arm - 4 1/2 x 3 1/2 cm red area and swelling. (L) arm - 5 x 5 cm red area and swelling. (R) arm - 6 x 4 1/2 cm red area and swelling.
Age: 48.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Due to right arm pain, patient was given both vaccines in left arm. Large red/hot/swollen area. Left arm 34 cm x 16 cm with hives around edge. Temps of 101 and body aches. Seen by Dr. 11-14-08.
Age: 48.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Swelling, Urticaria
Clinical narrative: Due to right arm pain, patient was given both vaccines in left arm. Large red/hot/swollen area. Left arm 34 cm x 16 cm with hives around edge. Temps of 101 and body aches. Seen by Dr. 11-14-08.
Age: 48.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Bronchitis, Pyrexia, Upper respiratory tract infection
Clinical narrative: Severe U.R.I, Bronchitis; Fever
Age: 32.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Asthenia, Chills, Headache, Paraesthesia
Clinical narrative: Received Anthrax and Typhoid in R arm @1030 am yesterday Around lunch time felt weak and start tingling with headache and shivers.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, exhaustion
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Autoimmune disorder, Encephalitis, Headache, Migraine, Pain
Clinical narrative: Headache following administration same day - progressively got worse; coupled with vision problems.  Like no other headache/migraine - crippling pain not dulled buy ibuprofen, motrin, butalbital, or hydrocodone. 12/11/08-records received for DOS 11/18-11/20/08-DC DX:Intractable headache of two weeks duration with failure of outpaitient treatment. Severe low back pain. Recent lumbar puncture. Admitted with severe headache described occipital headache with radiation over head.
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Visual impairment
Clinical narrative: Headache following administration same day - progressively got worse; coupled with vision problems.  Like no other headache/migraine - crippling pain not dulled buy ibuprofen, motrin, butalbital, or hydrocodone. 12/11/08-records received for DOS 11/18-11/20/08-DC DX:Intractable headache of two weeks duration with failure of outpaitient treatment. Severe low back pain. Recent lumbar puncture. Admitted with severe headache described occipital headache with radiation over head.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain, Sleep disorder, Swelling
Clinical narrative: Patient reports "extreme soreness" even at rest, swelling, pain with movement, & decreased range of motion which started immediately after receiving the vaccine. Sx going on now x 4 wks. She reports having throbbing pain immediately after flu shot was given.  She says she has had flu shots in the last 2 yrs and never had any adverse symptoms like this.  Pain rated 9/10 and it keeps her awake at night.  Tylenol/Ibuprofen helps only a little.  She reports that it is just as painful now 4 wks later.  I advised her to see a doctor because she has not yet been seen by a physician to evaluate this.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Eye pruritus, Fatigue, Lymphadenopathy, No reaction on previous exposure to drug, Ocular hyperaemia
Clinical narrative: About six hours after receiving a flu shot, my eyes became bloodsgot and itchy.  the glands under my chin became swollen, as did my salivary glands, and I became extremely fatigued.  i took some Benadryl, and that seemed to help, although the fatigue continued. the next morning, i still felt very fatigued, but the other symptoms had receded, but not disappeared.  I have received flu shots for the past 17 years with no adverse effects until now.
Age: 67.0
Sex: M
Vaccine: FLUX
Symptoms: Salivary gland enlargement
Clinical narrative: About six hours after receiving a flu shot, my eyes became bloodsgot and itchy.  the glands under my chin became swollen, as did my salivary glands, and I became extremely fatigued.  i took some Benadryl, and that seemed to help, although the fatigue continued. the next morning, i still felt very fatigued, but the other symptoms had receded, but not disappeared.  I have received flu shots for the past 17 years with no adverse effects until now.
Age: 4.0
Sex: M
Vaccine: DTAP, FLUN3, IPV, MMR
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Received vaccines on December 5, 2008 seen at ER on 12/7/08 due to erythema and swelling of left thigh measuring 14x12 cm. Dx cellulitis started on Augmentin. Seen for followup 12/8/08 with erythema decreasing and no mobility limitations.
Age: 1.75
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Erythema, Skin warm, Tenderness
Clinical narrative: L THIGH- ANTERIOR MEDIAL ASPECT WARM AND RED, SOME TENDERNESS. TX- BENADRYL CREAM, WARM SALINE SOAKS.  *** NO FURTHER DPT OR HIB PER MD**
Age: 9.0
Sex: M
Vaccine: HEPA, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: TDAP GIVEN AT AGE 9. ONLY VACCINE GIVEN BY ADMINISTATOR AT HEALTH DEPT ON 12/08/2008. OTHER VACCINES GIVEN ON THAT DATE GIVEN AT ANOTHER FACILITY.
Age: 41.0
Sex: F
Vaccine: HEP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Day after Hep B #1 injection developed pain, redness and swelling in R deltoid.  Swelling is now barely visible but pain and pale redness remain. Has very limited internal rotation/extension of R arm. i.e. cannot hook bra. Patient contacted me on 12/4/08 with above complaints.  Instructed to contact personal MD in the AM, apply heat.  12/9/08 pc to patient.  Saw MD on 12/5/08.  Referal to neurologist.  Was to see neurologist 12/8/08 but was to ill to see MD. Will reschedule appointment 12/9/08 Dr. notified of adverse event.
Age: 20.0
Sex: F
Vaccine: HPV4, MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: Vaccine administered in left arm and next day area was red and had a 3-4cm induration.
Age: 18.0
Sex: F
Vaccine: FLUX
Symptoms: Anorexia, Fatigue, Insomnia, Myalgia, Pain in extremity
Clinical narrative: 5pm on 12/08/2008 patient received vaccine.  By 7:30pm of same date the arm was tender and "hurt".  She had a sleepless night, waking up every hour and not being able to fall back to sleep within 20 min. By 9am on 12/09/2008 complained of muscle aches through out her body especially in the arm receiving the vaccine.  No appetite, increased thirst, muscle aches, tiredness and slight fever by 2 degrees.  Took two Tylenol and plans to rest for the day.
Age: 18.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia, Thirst
Clinical narrative: 5pm on 12/08/2008 patient received vaccine.  By 7:30pm of same date the arm was tender and "hurt".  She had a sleepless night, waking up every hour and not being able to fall back to sleep within 20 min. By 9am on 12/09/2008 complained of muscle aches through out her body especially in the arm receiving the vaccine.  No appetite, increased thirst, muscle aches, tiredness and slight fever by 2 degrees.  Took two Tylenol and plans to rest for the day.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Fatigue
Clinical narrative: Within five minutes of flu vaccine being administered, soldier complained of breathing difficulty.  50mg Diphenhydranine administered IM to left deltoid. BP 133/113 Heart Rate Reg @ 80. Resperations even @ 20. Repeated BP in five minutes 190/110. Speech clear, PERL, ambulatory, Resperations regular even, no difficulty swallowing.  Repeated BP twenty minutes later 182/100. Soldier not having any complaints or symptoms.  Soldier states being tired from benadryl. Advised soldier and commander that soldier needs to seek treatment for HTN through primary care provider on Monday.
Age: 26.0
Sex: F
Vaccine: FLUN3
Symptoms: Drug exposure during pregnancy, Wrong drug administered
Clinical narrative: patient 12wks gestation given LAIV instead of influenza injectable vaccine-no sx or tx.  2/13/09 MR received for DOS 1/12-13/2009 with D/C DX:  Intrauterine Fetal Demise at 16 weeks.  Oligohydramnios 2' to rupture of membranes. S/P medical induction of labor.  Pt pregnant at 16 wks presented to ER with c/o cramping and bleeding x several days.  Seen 2-3 days prior for same with US OK. on exam membranes noted to be ruptured tinged with blood.  FHTs unable to be obtained manually but 150's on US. Admitted for ROM and UTI. Fetal demise. W/U (-). Labor induced.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Tdap vaccine administered L deltoid 12/4/08  12/8/08 noticied indurated red area over injection site  12/9/08 red undurated hot area approx 6 cm over injection site also c/o achy headachy feeling and chills temp 98.8
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Pain
Clinical narrative: Tdap vaccine administered L deltoid 12/4/08  12/8/08 noticied indurated red area over injection site  12/9/08 red undurated hot area approx 6 cm over injection site also c/o achy headachy feeling and chills temp 98.8
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Angiotensin converting enzyme, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody positive, Arthralgia, Blood thyroid stimulating hormone
Clinical narrative: Patient began to develop symptoms of erythema nodosum beginning approx. 6 hrs after vaccination. This consisted of multiple red, tender nodules primarily over the extensor surfaces of all 4 extremeties; and painful, swollen knees. New painful red nodules erupted over the course of the next 4-6 weeks, each becoming purply then brown in color before fading completely.  After ~ 7 weeks she returned to normal with no apparent sequelae. OCP were discontinued on 10/24.  No other treatment/medication was given.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: C-reactive protein normal, Complement factor normal, Erythema, Erythema nodosum, Full blood count normal
Clinical narrative: Patient began to develop symptoms of erythema nodosum beginning approx. 6 hrs after vaccination. This consisted of multiple red, tender nodules primarily over the extensor surfaces of all 4 extremeties; and painful, swollen knees. New painful red nodules erupted over the course of the next 4-6 weeks, each becoming purply then brown in color before fading completely.  After ~ 7 weeks she returned to normal with no apparent sequelae. OCP were discontinued on 10/24.  No other treatment/medication was given.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Histone antibody negative, Joint swelling, Liver function test normal, Mycoplasma serology, Nodule
Clinical narrative: Patient began to develop symptoms of erythema nodosum beginning approx. 6 hrs after vaccination. This consisted of multiple red, tender nodules primarily over the extensor surfaces of all 4 extremeties; and painful, swollen knees. New painful red nodules erupted over the course of the next 4-6 weeks, each becoming purply then brown in color before fading completely.  After ~ 7 weeks she returned to normal with no apparent sequelae. OCP were discontinued on 10/24.  No other treatment/medication was given.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Pregnancy test negative, Red blood cell sedimentation rate normal, Streptococcal identification test, Tenderness, Urine leukocyte esterase positive
Clinical narrative: Patient began to develop symptoms of erythema nodosum beginning approx. 6 hrs after vaccination. This consisted of multiple red, tender nodules primarily over the extensor surfaces of all 4 extremeties; and painful, swollen knees. New painful red nodules erupted over the course of the next 4-6 weeks, each becoming purply then brown in color before fading completely.  After ~ 7 weeks she returned to normal with no apparent sequelae. OCP were discontinued on 10/24.  No other treatment/medication was given.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: White blood cells urine positive
Clinical narrative: Patient began to develop symptoms of erythema nodosum beginning approx. 6 hrs after vaccination. This consisted of multiple red, tender nodules primarily over the extensor surfaces of all 4 extremeties; and painful, swollen knees. New painful red nodules erupted over the course of the next 4-6 weeks, each becoming purply then brown in color before fading completely.  After ~ 7 weeks she returned to normal with no apparent sequelae. OCP were discontinued on 10/24.  No other treatment/medication was given.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Abdominal pain upper, Anorexia, Hepatitis A, Hepatitis A antibody positive, Hepatitis B surface antigen negative
Clinical narrative: Infection with Hepatitis A virus--syptoms include: fever,vomiting, loss of appetite, stomach ache, and jaundice.  1/2/09 MR received for DOS 11/30-12/01/2008 with DX: Hepatitis. Pt presented with fever, abdominal pain, diarrhea, decreased appetite and fatigue. Recent cough, cough, sore throat, facial swelling with dx of strep throat. PE (+) for  periorbital swelling, cervical lymphadenopathy-slightly tender, systolic ejection murmur, abdominal distention with slightly enlarged liver. (+) pyuria. Tx with IVF and d/c for outpt f/u.
Age: 2.0
Sex: F
Vaccine: HEPA, PNC
Symptoms: Jaundice, Liver function test abnormal, Pyrexia, Vomiting
Clinical narrative: Infection with Hepatitis A virus--syptoms include: fever,vomiting, loss of appetite, stomach ache, and jaundice.  1/2/09 MR received for DOS 11/30-12/01/2008 with DX: Hepatitis. Pt presented with fever, abdominal pain, diarrhea, decreased appetite and fatigue. Recent cough, cough, sore throat, facial swelling with dx of strep throat. PE (+) for  periorbital swelling, cervical lymphadenopathy-slightly tender, systolic ejection murmur, abdominal distention with slightly enlarged liver. (+) pyuria. Tx with IVF and d/c for outpt f/u.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pain, Pruritus, Rash generalised, Urticaria
Clinical narrative: PT WOKE UP THE DAY AFTER THE SHOTS WERE GIVEN WITH A RASH HEAD TO TOE. SOME SPOTS LOOKED LIKE SM DOTS, OTHER AREAS LOOKED LIKE HIVES. EXTREMELY ITCHY. ALSO C/O FEELING ACHY. PARENTS GAVE BENADRYL AND MOTRIN WHICH DID NOT RELIEVE SX. ATARAX 10MG EVERY SIX HOURS CALLED IN FOR PT. THEY HAD TO GIVE IT EVERY SIX HOURS FOR RELIEF. PT EVEN WOKE UP THAT NIGHT AND GAVE ATARAX AT ABOUT MIDNIGHT. THE NEXT MORNING WOKE UP WITH NO RASH AND NO SYMPTOMS.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Pt was taken by Dad after an onset of hives covering his whole body, neck, and face, No breathing difficulties No new exposures, had scrambled eggs at 10am, then motrin after thatPt was given IM Benadryl and Solumedrol, IV fluids and sent home on benadryl elixer and Pediaped.Pt w/ hx of eczema, sees allergis and dermatologist
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Disturbance in attention, Hypoaesthesia, Paraesthesia, Tremor
Clinical narrative: 12-5-08  1530  Patient and her mother in office for meningococcal vaccine.  No contraindications noted and vaccine given IM in left deltoid.  Client stated she was "very nervous" and "hates getting shots" before vaccine administered.   No complaints after vaccine injected.  Client and her mother waited in waiting room for 10 minutes after shot administered.  1650  Mother of child telephones office reporting that patient came home from work and arms were shaking and had numbness/tingling bilaterally down both arms.  States she felt like she just "could not think."  Symptoms started about 1 hour after vaccine administered.  Mother of child inquiring if child's symptoms were common with meningococcal vaccine.  Nurse instructed mother of child that symptoms stated were not listed among common symptoms.  Encouraged mother of child to contact primary care physician or Emergency Room if symptoms worsened, or did not subside.  12-9-08  1200  Telephone call to mother of child.  States that patient's symptoms subsided later on the evening of 12-5-08.  States her "color came back and she ate supper well."  No other complaints since that time.  Mother of child states that she "thinks the ladies that patient works with got her too excited."  Nurse encouraged mother of child to contact office if any other or new concerns.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Oedema, Rash maculo-papular, Urine analysis normal
Clinical narrative: PEr mother, about 4 hours after injectiopn, he developed a fine maculo-papular rash in feet and legs, later extending to torso and extremities. Minimal edema of ankles, and in area covered by socks rash was confluent. Pt was examined the next day, rash present, worse in LE, less in upper body. Blanches to pressure. Rest of exam wnl.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: C-reactive protein increased, Haematocrit decreased, Haemoglobin decreased, Neutrophil count normal, Neutrophil percentage increased
Clinical narrative: Per her husband Dr. she developed polymyalgia rheumatica with a sed rate of 100, 2 months ago.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Per her husband Dr. she developed polymyalgia rheumatica with a sed rate of 100, 2 months ago.
Age: 15.0
Sex: M
Vaccine: MNQ, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Mom called 11-21 stated he had 2 hot red swollen circles over immunization sites with welts and itching.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMR, PNC, VARCEL
Symptoms: Gait disturbance, Laboratory test normal, Somnolence, Tremor
Clinical narrative: 12/09/2008 Mother of child presents with sibling of patient. Reports that approximately 24 hours after patient's immunizations on 03/37/2008, she was "drowsy all day.  Woke up the next morning on 03/29/2008 hands were shakey, demonstrated an unsteady gait"  Child taken to ER.  Child kept for three days, given IV therapy, several tests were run on child per mom, which all had negative results.  States ER physician concluded since all test results negative, S&S must have been reactions to immunizations.  Mom states she will get recommendations from PMD for future immunizations.  12/10/2008 MR received for DOS 3/31-4/02/2008 with D/C DX: Acute onset of weakness.  Possible injestion of medication vs post-viral cerebellitis. Pt presented with onset of generalized weakness, difficulty walking and feeding self. Concern child may have accidently injested family member's meds but pill count did not show any missing. PE (+) for hypotonia. Improved with IVF. To be f/u as outpt.
Age: 17.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Immunisation reaction, Pruritus, Swelling
Clinical narrative: REACCTION TO MCV, SWOLLEN,ITCHY
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: 11/12 1350 resident received influenza vaccine on 11/11 to R deltoidthis shift, area where injection given pink, hard and warm  11/12 2015 resident c/o R arm pain upon inspection found a 9 cm x 6cm red raised area that is warm to touch on R upper armresident received influenza vaccine to R deltoid on R  Benadryl 25mh 1 cap q 6 hours x 4 dosesplace influenza VAC on chart as allergy
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Skin warm
Clinical narrative: 11/12 1350 resident received influenza vaccine on 11/11 to R deltoidthis shift, area where injection given pink, hard and warm  11/12 2015 resident c/o R arm pain upon inspection found a 9 cm x 6cm red raised area that is warm to touch on R upper armresident received influenza vaccine to R deltoid on R  Benadryl 25mh 1 cap q 6 hours x 4 dosesplace influenza VAC on chart as allergy
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, RV5
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: 1st ROTAVIRUS GIVEN AFTER 12 WKS OF AGE.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Oedema peripheral
Clinical narrative: Upper arm swollen; Elbow red and inflamed after receiving Pneumovax, Lot#0813X, Merck & Co.
Age: 13.0
Sex: F
Vaccine: FLU3, MNQ, TDAP, VARCEL
Symptoms: Fall, Syncope
Clinical narrative: Client received four vaccines. I asked if she was okay she said yes after standing up for about five minutes. I was explaining every thing to her brother she suddenly fell to floor. Immediately went to check her she responded immediately laughing stated that she was hungry. After a brief assessment of her there were no apparent injuries noted. Parent stated client faints everytime that she gets vaccinated. Client was advised to go get something to eat. Also, responsible party was advised to notify nurses prior to having client vaccinated.
Age: 36.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Myalgia, Pyrexia, Rash
Clinical narrative: fever, muscle pain,jointpain,skin rash
Age: 30.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Employee received Tdap the afternoon of 12/8/2008 by 19:00 that evening he reports that the injection site was painful , swollen and hard.  He did nothing until the next day when he reported to Employee health.  He was given 2 ibruprofen and  ice to applt to  the site. He was afebrile and vitals signs stable.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Dyspnoea, Immediate post-injection reaction, Lip swelling, Loss of consciousness, Pallor
Clinical narrative: After RN administered TdaP (Tetanus, diphtheria, acellular pertussis vaccine), Menactra (meningococcal vaccine), and Fluzone (influenza vaccine), the patient collapsed and RN immediately moved the client to a supine position.  RN applied a cold cloth.  The patient was pale but color returned after 1 minute lying down.  The patient improved slightly, but then after two minutes he experienced a second unconscious episode and was unresponsive for 30 seconds.  RN assessed the patient the client opened his eyes, began mumbling, and was able to respond to verbal commands.  RN elevated his legs while other RN took his blood pressure (100/60), pulse steady and strong.  Continued to monitor the client.  After approximately 5 minutes, the patient's speech became unintelligible.  His tongue and lips appeared swollen. Requested assistance. RN assessed the client and determined that he had difficulty breathing and some itching.  RN immediately administered 0.3 ml Epinephrine IM per Standing Orders.  Requested that 911 be called.  RN noted a marked improvement in the client following epinephrine injection including more alertness.  Paramedics arrived and placed an IV.  They gave IV Benadryl and transported the patient to Medical Center.   When he left our facility, the client was conscious, showed no signs of respiratory distress, and was responsive to questions. 1/8/09-records received for DOS 12/9-12/10/08-DC DX: Anaphylactoid reaction most likely to Menactra vaccine. 15 minutes after receiving vaccine C/O tightness in throat and seemed to pass out. facial edema.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Pruritus, Swollen tongue, Syncope, Unresponsive to stimuli
Clinical narrative: After RN administered TdaP (Tetanus, diphtheria, acellular pertussis vaccine), Menactra (meningococcal vaccine), and Fluzone (influenza vaccine), the patient collapsed and RN immediately moved the client to a supine position.  RN applied a cold cloth.  The patient was pale but color returned after 1 minute lying down.  The patient improved slightly, but then after two minutes he experienced a second unconscious episode and was unresponsive for 30 seconds.  RN assessed the patient the client opened his eyes, began mumbling, and was able to respond to verbal commands.  RN elevated his legs while other RN took his blood pressure (100/60), pulse steady and strong.  Continued to monitor the client.  After approximately 5 minutes, the patient's speech became unintelligible.  His tongue and lips appeared swollen. Requested assistance. RN assessed the client and determined that he had difficulty breathing and some itching.  RN immediately administered 0.3 ml Epinephrine IM per Standing Orders.  Requested that 911 be called.  RN noted a marked improvement in the client following epinephrine injection including more alertness.  Paramedics arrived and placed an IV.  They gave IV Benadryl and transported the patient to Medical Center.   When he left our facility, the client was conscious, showed no signs of respiratory distress, and was responsive to questions. 1/8/09-records received for DOS 12/9-12/10/08-DC DX: Anaphylactoid reaction most likely to Menactra vaccine. 15 minutes after receiving vaccine C/O tightness in throat and seemed to pass out. facial edema.
Age: 48.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain
Clinical narrative: Pain similar to being "frogged" at the injection site. Constant ache that is always there.  Intensifies when lift arm up or pressing on the site.  Also hurts when lying on the arm.  Only subsides with medication NAPROXEN 500 mg twice a day.  This pain is very similar today as it was on the afternoon of the injection.