chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: IPV, TD
Symptoms: Hypokinesia, Injection site pain, Sleep disorder
Clinical narrative: From initial information received on 15Feb05 from a RN regarding an adverse event occurring, it was reported that a 53 year old female pt received a dose of Ipol, lot number X1189, administered SC in the left arm and a dose of Tetanus and Diphtheria toxoids, lot number Td107, administered IM in the left arm on 03Feb05. The lot number provided for the Ipol product does no match that of a known manf product. Three days later, on 06Feb05, the pt developed pain and soreness in her left arm upon movement. The pt also c/o arm pain at night during sleep. Per the reporter, the pain and soreness still persist and the pt has not recovered from these events.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Injection site erythema, Injection site oedema, Injection site reaction
Clinical narrative: From initial information received on 23Feb05 from a health care professional regarding an adverse event occurring, it was reported that a four year old female pt received a fourth dose of Ipol vaccine, lot number X1240, administered IM in the right thigh, a fifth dose of Daptacel vaccine, lot number C2103AA, administered IM in the left thigh and a second dose of Tubersol 5 TU vaccine, lot number C1954AA, admin in the right forearm on 15Feb05. Two days later, on 17Feb05, the pt's father reported that the pt developed a quarter to half dollar size red swollen area on the right leg where IPOL was given, and was seen by a physician on 17Feb05. In addition, she was started on Keflex for cellulitis secondary to immunization. The following day, on 18Feb05, pt's father reported again that the pt's injection site area became larger with streaks. The pt was seen in the ER and treated with Benadryl. Reportedly, her recovery status was unk. From additional information received on 01Apr05 from a RN, it was reported that the physician's office made three attempts to contact the pt's parents following the event, but a return call was never received. Per the reporter, the pt's parents have since called the office with other issues and there has never been mention of the incident again. As per a physician, the pt is considered to have recovered from these events. No further information is anticipated, this case is considered closed.
Age: 0.72
Sex: M
Vaccine: HEP, IPV
Symptoms: Injection site oedema, Irritability, Urticaria
Clinical narrative: From initial information received on 23Mar05 from a health care professional regarding an adverse event occurring, it was reported that an eight month old male pt received his first dose of Ipol, lot number X1040 and a third dose of Hep B vaccine, lot number AHBZA0588AA, on 19Mar05. The routes and sites of administration were not reported. Two days later, on 21Mar05, the pt developed irritability, swelling of his hands and feet and generalized urticaria. He was seen in an ER and was treated with Benadryl. On 22Mar05, the pt was referred to an allergist and was treated with steroids. At the time of this report, the pt's symptoms were improving, but he had not yet recovered from these events.
Age: 44.0
Sex: M
Vaccine: IPV
Symptoms: Fatigue
Clinical narrative: From initial information received on 28Mar05 from a health care professional regarding an adverse event, it was reported that a 44 year old male pt received a dose of IPOL, lot number W07042, administered IM in the left deltoid on 11Mar05. One day later, on 12Mar05, the pt developed fatigue. He had previously received a dose of Twinrix, lot number AHABA015AA, admin IM in the left deltoid on 03Mar05. He has not recovered from this event. The pt had another adverse event following subsequent vaccination. The information for this event is captured in case 200500663.
Age: 44.0
Sex: M
Vaccine: TYP
Symptoms: Fatigue, Herpes zoster, Pain
Clinical narrative: From initial information received on 29Mar05 from a health care professional regarding an adverse event occurring, it was reported that a 44 yr old male pt received a dose of Typhim Vi, lot number X0521-2 administered in the right deltoid on 24Mar05. The route of admin was not reported. One day later, on 25Mar05, the pt developed shingles in the area of L1 and L2 as well as on his left groin and left buttock. The shingles were described as being very painful. The pt was treated with Valtrex, oral Benadryl, aspirin and hydrocortisone cream. At the time of this report, the pt had not recovered from these events. The pt had previously received a dose of Twinrix, lot number AHABA015AA, administered IM in the left deltoid on 03Mar05. He received a dose of Ipol, lot W0704-2, admin IM in the left deltoid on 11Mar05 and c/o fatigue the following day. The pt also had a dose of Diphtheria and tetanus toxoids, lot number TD109, admin in the left deltoid on 15Mar05. The pt's previous adverse event of fatigue is captured in case 200500637. Follow-up information received on September 2, 2005. The patient received Diphtheria and Tetanus Toxoids intramuscularly in the left deltoid. The patient developed rash consistent with Herpes Zoster. Hew was seen on March 28, 2005 and treated with Valtrex. He recovered fully on April 4, 2005.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Cellulitis, Rash
Clinical narrative: From initial information received on 19May05 from a RN regarding an adverse event occurring, it was reported that a 5 yr old male pt received his fourth dose of Ipol, lot number Y0265, admin IM in the right thigh, as well as a dose of Daptacel, lot number C2184AA, administered IM in the left thigh on 09May05. An unspecified amount of time later, the pt developed a rash on his right leg. He was treated with oral Duricef. The pt was seen in the emergency room on 14May05 with possible cellulitis. The Duricef was discontinued and the pt was started on oral Bactrim. At the time of this report, the pt had not recovered from these events. The reporter of this case is the same as for case 200500970.
Age: 0.18
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site reaction, Urticaria
Clinical narrative: From initial information received from a health care professional on 01Jul05 regarding an adverse event occurring, it was reported that a two month old female pt received her first dose of ActHib vaccine, lot number UE677AA (lot Y0694), admin in her right thigh, her first dose of Daptacel vaccine, lot number C2207AA, admin in the left thigh, her first dose of Ipol vaccine, lot number Y0241, admin in the left thigh and her first dose of Prevnar vaccine, lot number A67188AA admin on 21Apr05. Reportedly within 48 hrs the pt developed hives on both legs around each injection site. The pt did not experience any fever or fussiness. It was not reported if the pt received treatment. It was reported that the pt did recover from this event.
Age: 0.18
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Crying, Opisthotonus, Screaming
Clinical narrative: From initial information received on 23Jun05 from the pt's parent regarding an adverse event occurring, it was reported that a two month old male pt received his first dose of Daptacel, lot number C21DBAA; a dose of Ipol, lot number X1240; a dose a Comvax, lot number 0807P; and a dose of Prevnar, lot number A67184F, admin on 04Jan05. The routes and sites of admin were not reported. Three to four hours later, the pt developed persistent crying and arching of the back. Reportedly, he did have a temp prior to vaccination. The pt's recovery status was reported as not recovered. This pt was diagnosed with sensory problems following subsequent immunization with Daptacel on 23Feb05. This information has been captured in case 200501213. Follow up - From initial information received on 23/Jun/2005 from the patient's parent regarding an adverse event occurring, it was reported that a two-month-old male patient received his first dose of DAPTACEL, lot number C21DBAA (not a valid lot number); a dose of IPOL, lot number X1240; a dose a COMVAX, lot number 0807P; and a dose of PREVNAR, manufacturer Ederle), lot number A67184F, administered on 04/Jan/2005. The modes and site of administration were not reported. Three to four hours later, the patient developed persistent crying and itching of the back. Reportedly, he did have a temperature prior to vaccination. The patient's recovery status was reported as not recovered. This patient was diagnosed with memory problems following subsequent immunization with DAPTACEL on 23/Feb/2005. This information has been captured in case 2005-01213. On 19/Aug/2005, Pediatricians office called and confirmed the patient's mother never reported the events to the office. Correct lot number for DAPTACEL received on 04/Jan/2004 was C021033AA. The office will request additional information. Follow-up information received on 01/Sep/2005 confirmed no illness or use of other medications at the time of vaccination. There was no history of fever and no fever was noted on 04/Jun/2005. No adverse events were reported to the pediatrician's office post vaccination. The "memory problems" are not noted in the physician's chart. The patient is no longer cared for by the physician's office and the last note for this patient was on 21/Feb/2005. No further information is expected.
Age: 19.0
Sex: F
Vaccine: MNQ, TD
Symptoms: Urticaria
Clinical narrative: Hives within 5 hours. No respiratory distress. Prescribed Benadryl.
Age: 1.01
Sex: F
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Pruritus, Pyrexia, Rash morbilliform
Clinical narrative: Sunday - high temp 104.6. Went to doctor 3 times since vaccines were given. Measly like rash, itchy.
Age: 24.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Fatigue, Injection site reaction, Pyrexia
Clinical narrative: Patient states 2 days fever with fatigue (no objective data). Received Td 8/19/05 - seen in ER 8/21/05. ER report states localized reaction to Td right deltoid. 2.5" diameter erythema.
Age: 48.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Discomfort, Pain, Swelling
Clinical narrative: On 8/17/05 patient presented to the ER with complaints of L arm swelling and L arm pain following his smallpox vaccination that occurred at approximately 3pm that day. Patient reported to ER MD that approximately 1-2 hours after his vaccination he started developing some discomfort and approximately 8 hours later he noted significant discomfort and slight swelling of the L hand. Exam noted no changes in the smallpox vaccination site. Swelling noted to the dorsal aspect of the hand, significant enough to cause wedding band to be quite tight, this was removed with some soap. Circulation, motion and sensation were completely intact. The axilla was without nodes. Given Toradol 60mg IM and started on Ibuprofen. Quarters x 24 hours and to follow up at the TMC the following day.
Age: 48.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Injection site oedema, Injection site pain
Clinical narrative: On 8/17/05 patient presented to the ER with complaints of L arm swelling and L arm pain following his smallpox vaccination that occurred at approximately 3pm that day. Patient reported to ER MD that approximately 1-2 hours after his vaccination he started developing some discomfort and approximately 8 hours later he noted significant discomfort and slight swelling of the L hand. Exam noted no changes in the smallpox vaccination site. Swelling noted to the dorsal aspect of the hand, significant enough to cause wedding band to be quite tight, this was removed with some soap. Circulation, motion and sensation were completely intact. The axilla was without nodes. Given Toradol 60mg IM and started on Ibuprofen. Quarters x 24 hours and to follow up at the TMC the following day.
Age: 20.0
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Headache, Malaise, Pyrexia
Clinical narrative: Vaccine was given at 12 noon on 8/24/05.  At 8/25/05 at 4 a.m. client awoke in the night feeling feverish, temp was 100.1.  Morning of 8/25, client complains of headache, fatigue, malaise.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: Patient developed  generalized achiness, fever to 103, malaise.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm injection site swollen, red, and warm to touch.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Eczema, Erythema, Gianotti-Crosti syndrome, Rash, Swelling
Clinical narrative: Patient had the shots on 7/13/05.  On or around July 27, we began to notice bumps appearing on his right knee.  They then began to spread to the other knee.  The next week they were on the back of both knees.  The bumps (or rash) were red and somewhat swollen.  The next week the rash had spread to his arms.  We took him to his pediatrician  on 8/15/05.  She thought it might be eczema and prescribed a hydrocortisone cream.  After a week of treating the areas 2-3 times a day with the cream, the bumps/rash were still there.  I called his doctor again to tell her that they were getting better, but still there.  She then told me that he probably had GIANOTTI CROSTI.  After doing research on the Internet on this infection, I learned that it can occur as a result from MMR vaccines, which he had received approximately 2 weeks before the first symptoms.  I want this information passed on to other parents who might be in the same situation.  This has been a difficult time for us because we did not know if something very serious was happening to him.  This reaction should be added to the informational guides that are handed out to patients/parents before (or after) receiving the vaccines.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: Started day after immunizations, redness, swelling, warm to touch, itchy.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Swelling, Urticaria
Clinical narrative: Pain, swelling, approx 3 hours after receiving vaccine worsening later in day. This AM arm more swollen and painful developing hives about noon.
Age: 34.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Abdominal pain upper, Cellulitis, Pain, Swelling
Clinical narrative: Immunized on 8/15/05, presented to clinic on 8/23/05 with c/o left arm pain following Smallpox Vaccination. She was dx. with arm pain secondary to small pox vaccination. Received orders for Zithromax and Tylenol with Codeine. The evening of the 23rd she presented to the ER with increased c/o L arm pain with new onset stomach pain. She was diagnosed with small pox side effects and obstipation possibly due to the Tylenol with Codeine. She received a fleets enema while at ER and was recommended to use Ibuprofen or Aleve for her arm pain and to follow up the next day. Followed up on 8/24/05 with continued severe local reaction with swelling and pain to the L arm. Ordered quarters for 24 hours and Vicodin for the pain. Received notice on 8/25/05 that she was admitted to the hospital for Cellulitis of the L arm. Report noted that she was doing well and that she should be discharged back to her unit on 8/26/05.  1/9/06 Review of d/c summary confirms diagnosis of cellulitis.
Age: 34.0
Sex: F
Vaccine: ANTH, SMALL, SMALL
Symptoms: Abdominal pain, Constipation, Injection site reaction
Clinical narrative: Immunized on 8/15/05, presented to clinic on 8/23/05 with c/o left arm pain following Smallpox Vaccination. She was dx. with arm pain secondary to small pox vaccination. Received orders for Zithromax and Tylenol with Codeine. The evening of the 23rd she presented to the ER with increased c/o L arm pain with new onset stomach pain. She was diagnosed with small pox side effects and obstipation possibly due to the Tylenol with Codeine. She received a fleets enema while at ER and was recommended to use Ibuprofen or Aleve for her arm pain and to follow up the next day. Followed up on 8/24/05 with continued severe local reaction with swelling and pain to the L arm. Ordered quarters for 24 hours and Vicodin for the pain. Received notice on 8/25/05 that she was admitted to the hospital for Cellulitis of the L arm. Report noted that she was doing well and that she should be discharged back to her unit on 8/26/05.  1/9/06 Review of d/c summary confirms diagnosis of cellulitis.
Age: 15.0
Sex: F
Vaccine: TD
Symptoms: Rash maculo-papular, Urticaria
Clinical narrative: MACULOPAULAR RASH, HIVES DEVELOPED WITHIN 6 HOURS OF Td BOOSTER.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Joint stiffness, Metrorrhagia, Pain
Clinical narrative: 7-10 days after the MMR shot, my joints expecially my hips started to hurt, stiff. My right hip still hurts from time to time. I had some spotting starting a week after the shot. I spotted for 3 weeks until my cycle started.
Age: 1.27
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Abdominal pain, Crying, Dehydration, Diarrhoea, Gastroenteritis
Clinical narrative: 10 days following vaccine (7/30/05) developed cramping abdominal pain, pulling legs up to abdomen. some loose bowel movement. No vomiting. Admitted for IVF, bowel rest. Resumed PO about 16 hours after admit. Discharged to home 8/1/05. Parents request VAERS completed. Felt to be mild gastroenteritis. 1/13/06 - Review of 17-page d/c summary. Final diagnosis was viral gastroenteritis and dehydration. Fever,  mild decrease in urinary output, increased fussiness, inconsolable crying, and generalized rash on body were noted.
Age: 1.27
Sex: M
Vaccine: HBHEPB, MMR, PNC
Symptoms: Irritability, Pyrexia, Rash
Clinical narrative: 10 days following vaccine (7/30/05) developed cramping abdominal pain, pulling legs up to abdomen. some loose bowel movement. No vomiting. Admitted for IVF, bowel rest. Resumed PO about 16 hours after admit. Discharged to home 8/1/05. Parents request VAERS completed. Felt to be mild gastroenteritis. 1/13/06 - Review of 17-page d/c summary. Final diagnosis was viral gastroenteritis and dehydration. Fever,  mild decrease in urinary output, increased fussiness, inconsolable crying, and generalized rash on body were noted.
Age: 1.8
Sex: M
Vaccine: HIBV, PNC
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: 5"x3" rectangular red, warm to touch reaction on left upper thigh. Treated with Benadryl, ice pack applied. Follow up appointment Monday 8/29/05.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash
Clinical narrative: Rash and redness on left arm.
Age: 1.98
Sex: M
Vaccine: DTAP
Symptoms: Nasal congestion, Pyrexia, Urticaria
Clinical narrative: Vaccine given on 7/27/05. On 7/29/05, patient developed hives all over face, low grade fever and nasal congestion. Patient seen 8/1/05. Patient was afebrile except for fading hives.
Age: 0.31
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Erythema, Rash macular
Clinical narrative: Red blotches to face and head within 5 minutes post vaccination.  Redness resolved after 15 minutes.
Age: 0.78
Sex: M
Vaccine: DTPHIB, IPV, PNC
Symptoms: Pyrexia
Clinical narrative: Baby just had the first set of shots at 9 months of age, the next 48-72 hours he started with a fever, temperature was 103 degrees.  Symptoms persisted for 1 week.
Age: 1.16
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Feeling hot
Clinical narrative: Left outer thigh with induration, red and warm area 3x3cm in size, ice?Motrin.  Augmentin 400mg, 4cc by mouth, 4 times a day for 10 days.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Oedema, Pain, Pyrexia
Clinical narrative: Patient having local reaction to tetanus diptheria vaccination.  Edema and erythema to upper arm.  Rash to face and arm.  Fever and pain - severe to right arm.
Age: 14.0
Sex: M
Vaccine: MNQ
Symptoms: Diabetes mellitus
Clinical narrative: Within 1 month of vaccine administration patient developed diabetes mellitus.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Received Menactra 08/23/2005, left deltoid began to swell that evening - skin in office 08/24/2005, left deltoid swollen, red and painful - 11cmx14cm induration - prescription Benadryl, Advil and ice pack - 08/26/2005 less painful, swelling down but persists.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Nausea, Photophobia, Pyrexia, Vomiting
Clinical narrative: Within 24 hours of receiving Menactra, patient developed temperature of 100.5, headache, nausea/vomiting and photophobia.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Headache, Lymphadenopathy, Neck pain
Clinical narrative: Neck pain, headaches, swollen lymph nodes, fatigue for 7 days post vaccine, started within 24 hours of vaccine.
Age: 21.0
Sex: F
Vaccine: ANTH
Symptoms: Amnesia, Headache, Injection site pain, Nausea
Clinical narrative: Fatigue, Malaise > 60 days - thinks this has been occurring since receipt of the anthrax vaccine; never sought medical evaluation; thought it was related to work schedule.  Extreme pain of site and affected arm during injection and for 24 hours following vaccine receipt.  Headache, general - not sure when they started; pain from forehead to teeth; not relieved with Naprosyn, triggered/aggravated by bright lights; sometimes accompanied by nausea.  Memory loss, short term started after she received anthrax vaccine, but does not recall any details.
Age: 1.48
Sex: F
Vaccine: DTAP, HIBV, IPV, MMR, VARCEL
Symptoms: Drug ineffective, Infection
Clinical narrative: Positive diagnosis of chicken pox after receiving the vaccine.
Age: 59.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site pain, Pyrexia
Clinical narrative: Vaccine site tender since injection, redness on right arm noted on 08/24/2005.  Temperature 99 degree, blood pressure 54/69.  Ice applied on 08/24/2005.
Age: 59.0
Sex: F
Vaccine: HEP, TD
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Red, raised lump with tenderness at site of injection slightly itchy.  Denies shortness of breath or hives.  Advised to apply ice to site use Tylenol or advil for discomfort; come in for ice pack if she chooses.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Dizziness
Clinical narrative: Chills, dizziness
Age: 0.59
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Rash erythematous
Clinical narrative: Patient received a 3rd site of vaccine.  DTAP, Hep B, HIB, intramuscularly.  I noted baby had stiffness and some cough with fever this AM.  Mother said she woke up with it.  Mother returned with complaint of red rash in baby's tummy and back.  (red raised), temperature  96.8.
Age: 42.0
Sex: F
Vaccine: PPV, TD
Symptoms: Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Localized reaction with slight redness and warm to touch. Pt c/o soreness of arm and underarm. Pt reported reaction and RTC on 8/11/05 at 8:45AM. Pt advised to return to clinic if symptoms worsen.
Age: 38.0
Sex: F
Vaccine: TD
Symptoms: Pyrexia
Clinical narrative: Pt rec'd Td #3 approx 11AM. Clinic rec'd call from valley med center (ER) approx 4pm. Pt there with fever.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pruritus
Clinical narrative: PC from Pt's mother 8/22/05. Mother reports child's rt arm is swollen from upper arm to elbow today gradually gotten worse over weekend. Used ice x's. Advised cont cold compress and call PMD for advise. Also reported itching/redness. No fever reported.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Pruritus
Clinical narrative: Swollen red, warm L arm at site of DTaP vaccine 10x4 cm size and itchy. No fever, no SOB, no wheezing.
Age: 28.0
Sex: M
Vaccine: PPV, TD
Symptoms: Fatigue, Myalgia, Pyrexia
Clinical narrative: Fever (100.6), severe fatigue, myalgias.
Age: 0.79
Sex: M
Vaccine: HEP, IPV
Symptoms: Gianotti-Crosti syndrome, Injection site erythema, Rash macular
Clinical narrative: Pt received HBV ## and IPV #2 on 8/16/05. Rash started late afternoon 8/17/05. Erythematous macular rash over exposed body parts (arms, legs, face) body and diaper area spared. Appears to be Gianotti-Crosti syndrome.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR, VARCEL
Symptoms: Blister, Injection site erythema
Clinical narrative: Had Varivax 7/27/2005 developed redness with the for of vesicles on erythematous ground which lasted until 8/10/05
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV, MMR, VARCEL
Symptoms: Diarrhoea, Gastroenteritis, Pyrexia, Vomiting
Clinical narrative: Fever 104 x 2 days, vomiting x 2 days, diarrhea x 5 days. Also began day care day after shots given. Went to ER 7 days after shots, diagnosed with gastroenteritis. Told was not dehydrated. Told to use Motrin and place child on cl leg. Unsure if any reaction to shots.
Age: 16.0
Sex: M
Vaccine: MEN, TD
Symptoms: Headache, Neck pain, Pyrexia
Clinical narrative: Mother states after injection pt had a headache, neck ache, and previous low grade temp. 8/17/05 mother states neck "still sore" but is improving.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass
Clinical narrative: 24hr 1 inch erythema, induration, calor
Age: 53.0
Sex: F
Vaccine: TTOX
Symptoms: Injection site erythema, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Had stiffness in back and legs immediately soreness in arm at the site of the vaccine, one month later soreness was reported to the above number. Several calls since last fall, plum-sized area pinkish above the vaccine.
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Dyspnoea, Feeling hot, Injection site erythema, Injection site oedema, Wheezing
Clinical narrative: Child immunized Tues 8/16/05. Mother states child c/o discomfort left deltoid. Child immunized Tues 8/16/05. Mother states arm was red, hot to touch and some swelling. States she gave child Tylenol. Mother denies child had any wheezing, rash or difficulty breathing. Child returned to us on Thurs 8/18/05 for PPD reading. Left deltoid had erythema 60mmx40mm and moderate swelling 30mm x 20mm. Arm hot to touch. Child active, no difficulty using arm, no s/s, difficulty breathing, to place cool compress to arm. Advised to monitor for wheezing difficulty breathing. Seek immediate med attention if these s/s present. Mother states child better Thurs than Wed.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Pruritus
Clinical narrative: Pain at injection site since administered (greater then control at arm which received IPV, MMR). Redness, itch, surround site starting 3d after given prescribed ice, Benadryl oral.
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Pruritus, Swelling
Clinical narrative: Left arm redness, heat, swelling. Redness completely around arm L and 5 1/2 inches in length. Itching noted. Tx Atarax and Lipocream Rx copies attached.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site oedema
Clinical narrative: 8/17/05 Dtap/ IPV given right arm. Call from parent, swollen right arm, hot to touch, discussed instruction, for Tylenol and ice. Checked on Friday, better, gone by Saturday via mother.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: At site of Dtap child developed a 8cmx5cm area that was swollen and red.
Age: 16.0
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Blister, Viral infection
Clinical narrative: Pt received varicella vaccine on 8/1/05. Returned on 8/3/05 for PPD reading and CXR and INH initiated on 8/10/05. Returned 8/13/05 for scheduled physical with diagnoses of well child. Returned to clinic 8/22/05 covered in blisters- diagnosis varicella. Plan-use Benadryl, Quarantine until last one scabbed, clean nads, reported to CD.
Age: 1.28
Sex: F
Vaccine: DTAP
Symptoms: Injection site mass
Clinical narrative: 35mmx25mm induration at injection site 24 hrs within given cool compress, Benadryl, Tylenol
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Pain, spreading redness, warmth and induration of left upper arm started morning after the vaccines and became progressively worse. Treated with abx.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Erythema
Clinical narrative: 24 hours 7 cm erythema, induration, calor.
Age: 1.0
Sex: M
Vaccine: HIBV, IPV, PNC, VARCEL
Symptoms: Dermatitis atopic, Swelling
Clinical narrative: Mother noticed left calf of leg swelling on 08/22/2005.  On fever.  Patient has atopic Dermatitis.
Age: 67.0
Sex: F
Vaccine: TD
Symptoms: Chills, Erythema, Pain, Swelling
Clinical narrative: Redness and swelling right upper arm achy all over- felt like having chills.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling
Clinical narrative: Right deltoid, redness and swelling within 30 minutes of immunization.  Benadryl 6.25mg given orally.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Convulsion
Clinical narrative: Seizure-like activity within 24 hours after immunizations - 4 witnessed episodes.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Oedema peripheral, Pruritus, Tenderness
Clinical narrative: Got 2 shots in right arm.  Next day, right upper arm became swollen, red, tender, second day, swelling worse.  Also, complained of itching.  Treated with Benadryl/Atarax, cold compress.
Age: 76.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: Body rash, nausea, diarrhea, headache, extreme fatigue, malaise, cough, sore throat, joint pain, low grade temperature, red sclera.
Age: 76.0
Sex: F
Vaccine: MMR
Symptoms: Malaise, Nausea, Pharyngolaryngeal pain, Pyrexia, Rash
Clinical narrative: Body rash, nausea, diarrhea, headache, extreme fatigue, malaise, cough, sore throat, joint pain, low grade temperature, red sclera.
Age: 1.31
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Erythema, Feeling hot
Clinical narrative: Leg red and warm to touch indurated.
Age: 6.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site induration, Injection site swelling, Tenderness
Clinical narrative: First 24 hours post vaccine ran fever of 102 degrees.  2nd day post vaccination, arm swollen at site and continued to clavicle and distally to just above elbow, firm, warm, tender.  No axillary or neck region lymphoadenopathy.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot
Clinical narrative: left upper arm with Erythema, heat, lateral aspect from shoulder to elbow.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site reaction
Clinical narrative: Left arm 3" erythema at DTaP site
Age: 13.0
Sex: F
Vaccine: HEPA, TD
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site reaction, Injection site warmth
Clinical narrative: Left deltoid, 3" redness, 2" swelling, feels hot at sit of Td vaccination
Age: 11.0
Sex: M
Vaccine: HEPA, TD, VARCEL, HEPA, VARCEL
Symptoms: Erythema, Feeling hot, Injection site induration, Tenderness
Clinical narrative: Right upper arm with 1x1 patch of erythema and induration, warm and tender to palpation.
Age: 11.0
Sex: M
Vaccine: HEPA, TD, VARCEL, HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm with 1x1 patch of erythema and induration, warm and tender to palpation.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Injection site induration
Clinical narrative: Left arm deltoid 7cm with erythema, firmness
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Hypersensitivity, Oedema
Clinical narrative: Lt deltoid. 3 diameter area of redness, warmth and edema.
Age: 26.0
Sex: M
Vaccine: HEP
Symptoms: Blindness, Dizziness, Headache, Nausea
Clinical narrative: 1 1/2 hours after receiveing vaccine client lost vision in his left eye and was dizzy for 2 hours. After that he was sick to his stomach, felt like vomiting and had a severe headach which lasted 5 or6 hours until he went to bed.
Age: 17.0
Sex: F
Vaccine: MEN
Symptoms: Dizziness, Pharyngeal oedema
Clinical narrative: Client complained of lightheadedness/dizziness after injection, approximately 2-3 minutes duration.  Cool cloth applied to forehead.  About 2-3 minutes later, client complained of throat swelling.  Client was placed on back and vital signs taken while 911 was called.
Age: 1.01
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash, Skin discolouration, Skin nodule
Clinical narrative: MOTHER NOTICED RED KNOT - 8-20-05.  KNOT TURNED PURPLE - 8-22-05.  LOW GRADE FEVER - 8-18 & 19.  SPOTS - 8-20-05.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Myalgia, Pyrexia
Clinical narrative: Fever, myalgias, erythema at the site of the injection.
Age: 39.0
Sex: M
Vaccine: SMALL, TDAP, VARCEL
Symptoms: Herpes zoster, Infection transmission via personal contact
Clinical narrative: Patient was given the smallpox and Varicella vaccinations on 18 Aug 05. On 21 Aug 05 his daughter developed a rash on her back. On 24 Aug 05 she was seen by her primary care provider and felt to have Herpes Zoster. She was then seen on 25 Aug by Infectious Disease who felt her rash was consistent with Zoster. Testing was done including testing of the lesions.
Age: 1.13
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Rash
Clinical narrative: Small fine red bumps noted throughout body day after immunizations where given.`
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Parent called the day following vaccine administration, area was slightly tender, silver dollar sized area of redness and swelling in left arm.  Advised to apply cool compresses and give Motrin.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Parent called 8/25/05 stating child had slightly tender, silver dollar sized area of reddness and swelling in lft deltoid area.  Advised to apply cool compresses and give Motrin.
Age: 4.0
Sex: M
Vaccine: DTAP, HBHEPB, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: LEFT DELTOID WITH REDNESS AND SWELLING AT INJECTION SITE (ENTIRE DELTOID MUSCLE).
Age: 0.13
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Upper left arm at site of DTaP red, swollen, warm.  Area 13x10 cm.  Vaccine given at about 0945 on 08/25/05. Complained of her arm hurting that day and also during the middle of the night.  Report called from Dr.'s office at about 1445 on 08/26/05.
Age: 1.24
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Condition aggravated, Vomiting
Clinical narrative: Parent phoned clinic 45 min after vaccines administered stated child vomited on the way home. Child had episode of emesis day before too according to mother. No other signs or symptoms reported at that time.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: local reaction fo left upper arm sit of injection, 9cm x 6cm area of mild erythema and swelling
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Fatigue, Headache, Injection site swelling, Lymphadenopathy
Clinical narrative: Patient had 103 degrees fever, vomiting, swollen neck gland, tired.  Mom observed jerky movements while sleeping.  Severe headache, redness, swelling at injection site, fussy.  Given Tylenol to help sleep.  Taken to doctor at 2PM and strep test was negative and diagnosed it as viral, but Mom disagrees.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pyrexia, Viral infection, Vomiting
Clinical narrative: Patient had 103 degrees fever, vomiting, swollen neck gland, tired.  Mom observed jerky movements while sleeping.  Severe headache, redness, swelling at injection site, fussy.  Given Tylenol to help sleep.  Taken to doctor at 2PM and strep test was negative and diagnosed it as viral, but Mom disagrees.
Age: 0.18
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Urticaria
Clinical narrative: Urticaria throughout body.
Age: 1.74
Sex: M
Vaccine: PNC
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Watch for local swelling around injection site and or fever.
Age: 29.0
Sex: M
Vaccine: SMALL, TYP
Symptoms: Skin ulcer
Clinical narrative: General vaccination.  Given depo-medrol at day 3, lesions progressed.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Coma, Staring, Tonic clonic movements
Clinical narrative: Phone call from mother 8/25/2005 2:00pm states 24 hours post vaccine administered daughter started with 20 minutes of starring followed by about 5-7 minutes of tonic-clonic movements unresponsive for a few hours and taken to hospital
Age: 0.75
Sex: M
Vaccine: HBHEPB
Symptoms: Injection site induration, Injection site warmth
Clinical narrative: right leg hard bump and warm to touch for four days, taking ibuprofen
Age: 0.75
Sex: F
Vaccine: HBHEPB
Symptoms: Injection site induration
Clinical narrative: right thigh hard bump, 2.5 cm induration taking ibuprofen and ice pack for four days
Age: 15.0
Sex: M
Vaccine: DT, HEP, IPV, MMR, VARCEL
Symptoms: Feeling hot, Syncope
Clinical narrative: Patient received 5 vaccines then felt warm according to him and fainted, got patient to sofa took vital signs 100/60, 62, 20, regained consciousness within 30 seconds. Vital signs retaken 15 minutes later 94/50, 60, 20.  Stayed in clinic 20 more minutes.  Left after oriented with mother
Age: 1.0
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: Child started with vomiting, rash on day after receiving MMR #1. Temp and rash on trunk of body, slight temp.  CBC drawn, Tylenol, Benadryl, Rash almost gone after 3 days, all gone acting fine after fourth day
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient received the vaccine on August 24 at approximately 4 PM.  On the evening of August 26 patient developed facial and upper body hives and itching.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chest pain, Electrocardiogram abnormal, Laboratory test abnormal
Clinical narrative: 20 year old male began experiencing chest pain about 1500 16 July 2005 while playing horseshoes. The pain decreased, pt went to sleep about 10:30 pm, then about 3am woke up with sharp pain in the center of his chest behind his chest bone. No improvement of worsening with position changes. He then went to ER, where he was treated with Morphine. In the ER bloodwork was done, finding elevated troponin. He was also found to have diffuse ST changes on his EKG, with normal sinus rhythm. After observation for 24 hours, he was discharged with no anticoagulants, indomethicin 1 tab (25 mg) by mouth three times daily, and referral to cardiology for follow-up. He reports no chest pain Monday or Tuesday, maintained bedrest for those two days, with return to work Wed on profile for no lifting for 30 days.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Hypoaesthesia, Influenza like illness, Injection site erythema
Clinical narrative: Received AVA #1, #2, and #3 in country. Received #4. She reports that since her 1st AVA immunization she has experienced joint pain throughout her body, most notable when she doesn't exercise.  Positive for morning stiffness, treats self with Aleve or Advil, and working out helps. She also notes memory impairment; requiring 3-4 tries to remember what she is looking for.  18 Oct 2002  Received AVA #1, and then, as she was walking out of the clinic she felt numbness and tingling with "lots of burning" at the injection site on her R arm on the lateral arm. Within a couple of hours she felt tingling cold feeling travel down her R arm and leg to her fingertips and toes. This symptom lasted 2-3 days. She was able to walk, but with a numb feeling. The injection site remained painful, swelling to a red welt the size of a tennis ball, with that lasting about 1 week. The first night after the immunization she kept waking up with muscles contracting. Did not see MD, wrote up symptoms on AOR on deployment  refused MD at that time. The knot on her R arm lasted months and then resolved. She had a headache, bad feeling "flu-like" all over for about 5 days. Fever on the second day, but did not miss work, and did not go to sick call. 1 Nov 2002  Received AVA #2 and Influenza immunization together. Reaction same as AVA#1 bu this time on her L side, the side with the immunization. 15 Nov 2002  Recorded AVA #3, felt no discomfort with injection, and no symptoms following. She questions actually receiving immunization because she didn't feel anything. 10 Sep 2003  Received AVA #4, developed bump and swelling, low fever, lethargy, nausea, burning down arm and tingling sensation. No muscle contractions this time. Notes that she has received typhoid, meningococcal vaccines without any problems.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site pain, Injection site swelling, Lethargy, Malaise, Memory impairment
Clinical narrative: Received AVA #1, #2, and #3 in country. Received #4. She reports that since her 1st AVA immunization she has experienced joint pain throughout her body, most notable when she doesn't exercise.  Positive for morning stiffness, treats self with Aleve or Advil, and working out helps. She also notes memory impairment; requiring 3-4 tries to remember what she is looking for.  18 Oct 2002  Received AVA #1, and then, as she was walking out of the clinic she felt numbness and tingling with "lots of burning" at the injection site on her R arm on the lateral arm. Within a couple of hours she felt tingling cold feeling travel down her R arm and leg to her fingertips and toes. This symptom lasted 2-3 days. She was able to walk, but with a numb feeling. The injection site remained painful, swelling to a red welt the size of a tennis ball, with that lasting about 1 week. The first night after the immunization she kept waking up with muscles contracting. Did not see MD, wrote up symptoms on AOR on deployment  refused MD at that time. The knot on her R arm lasted months and then resolved. She had a headache, bad feeling "flu-like" all over for about 5 days. Fever on the second day, but did not miss work, and did not go to sick call. 1 Nov 2002  Received AVA #2 and Influenza immunization together. Reaction same as AVA#1 bu this time on her L side, the side with the immunization. 15 Nov 2002  Recorded AVA #3, felt no discomfort with injection, and no symptoms following. She questions actually receiving immunization because she didn't feel anything. 10 Sep 2003  Received AVA #4, developed bump and swelling, low fever, lethargy, nausea, burning down arm and tingling sensation. No muscle contractions this time. Notes that she has received typhoid, meningococcal vaccines without any problems.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Muscle contractions involuntary, Musculoskeletal stiffness, Nausea, Paraesthesia, Peripheral coldness
Clinical narrative: Received AVA #1, #2, and #3 in country. Received #4. She reports that since her 1st AVA immunization she has experienced joint pain throughout her body, most notable when she doesn't exercise.  Positive for morning stiffness, treats self with Aleve or Advil, and working out helps. She also notes memory impairment; requiring 3-4 tries to remember what she is looking for.  18 Oct 2002  Received AVA #1, and then, as she was walking out of the clinic she felt numbness and tingling with "lots of burning" at the injection site on her R arm on the lateral arm. Within a couple of hours she felt tingling cold feeling travel down her R arm and leg to her fingertips and toes. This symptom lasted 2-3 days. She was able to walk, but with a numb feeling. The injection site remained painful, swelling to a red welt the size of a tennis ball, with that lasting about 1 week. The first night after the immunization she kept waking up with muscles contracting. Did not see MD, wrote up symptoms on AOR on deployment  refused MD at that time. The knot on her R arm lasted months and then resolved. She had a headache, bad feeling "flu-like" all over for about 5 days. Fever on the second day, but did not miss work, and did not go to sick call. 1 Nov 2002  Received AVA #2 and Influenza immunization together. Reaction same as AVA#1 bu this time on her L side, the side with the immunization. 15 Nov 2002  Recorded AVA #3, felt no discomfort with injection, and no symptoms following. She questions actually receiving immunization because she didn't feel anything. 10 Sep 2003  Received AVA #4, developed bump and swelling, low fever, lethargy, nausea, burning down arm and tingling sensation. No muscle contractions this time. Notes that she has received typhoid, meningococcal vaccines without any problems.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Pyrexia, Thermal burn
Clinical narrative: Received AVA #1, #2, and #3 in country. Received #4. She reports that since her 1st AVA immunization she has experienced joint pain throughout her body, most notable when she doesn't exercise.  Positive for morning stiffness, treats self with Aleve or Advil, and working out helps. She also notes memory impairment; requiring 3-4 tries to remember what she is looking for.  18 Oct 2002  Received AVA #1, and then, as she was walking out of the clinic she felt numbness and tingling with "lots of burning" at the injection site on her R arm on the lateral arm. Within a couple of hours she felt tingling cold feeling travel down her R arm and leg to her fingertips and toes. This symptom lasted 2-3 days. She was able to walk, but with a numb feeling. The injection site remained painful, swelling to a red welt the size of a tennis ball, with that lasting about 1 week. The first night after the immunization she kept waking up with muscles contracting. Did not see MD, wrote up symptoms on AOR on deployment  refused MD at that time. The knot on her R arm lasted months and then resolved. She had a headache, bad feeling "flu-like" all over for about 5 days. Fever on the second day, but did not miss work, and did not go to sick call. 1 Nov 2002  Received AVA #2 and Influenza immunization together. Reaction same as AVA#1 bu this time on her L side, the side with the immunization. 15 Nov 2002  Recorded AVA #3, felt no discomfort with injection, and no symptoms following. She questions actually receiving immunization because she didn't feel anything. 10 Sep 2003  Received AVA #4, developed bump and swelling, low fever, lethargy, nausea, burning down arm and tingling sensation. No muscle contractions this time. Notes that she has received typhoid, meningococcal vaccines without any problems.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Dyspnoea, Feeling hot, Headache, Injection site hypersensitivity, Injection site mass
Clinical narrative: Erythema of arm starting a few hours after immunization.  Given cool packs and Benadryl.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site oedema, Injection site rash, Nasal congestion, Nausea, Pruritus
Clinical narrative: Erythema of arm starting a few hours after immunization.  Given cool packs and Benadryl.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Skin nodule
Clinical narrative: Erythema of arm starting a few hours after immunization.  Given cool packs and Benadryl.
Age: 65.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema
Clinical narrative: Erythema of arm starting a few hours after immunization.  Given cool packs and Benadryl.
Age: 11.0
Sex: M
Vaccine: HEPA, TD, VARCEL, HEPA, VARCEL
Symptoms: Erythema, Feeling hot, Injection site induration, Tenderness
Clinical narrative: Information has been received from a health professional concerning an 11 year old male, with no medical history and no allergies, who on 4/20/05 was vaccinated with a SC dose in the right arm of varicella virus vaccine live (lot # 648307/0582P). Concomitant vaccine administered on the same day included an IM dose in the right arm of hepatitis A vaccine (inactive) (lot # 648456/0889P). It was reported that the patient's mother called the physician's office on 5/2/05 reporting that the site was swollen, red to touch, and the area was the size of her fist. The physician saw the patient on the same day and determined that the right upper outer arm had a 1x1 inch patch of erythema and induration, that was warm and tender to palpitation. The patient was ordered to use ice or heat as needed and oral analgesia as needed. There were no laboratory or diagnostic tests performed. It was noted that the parents did not call the office back but this patient was seen on 8/17/05 and had no complaints regarding his arm. No product quality complaint was involved. The reporter felt that the patient's experiences were other important medical events (OMIC). Additional information is not expected.