chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Oedema peripheral, Vomiting
Clinical narrative: Pneumonia Vaccine given around 11:00am, 09/25/09. Pt reports nausea and vomiting, diarrhea, temp. 103 beginning around 6:00pm on the same day. Small amount of redness at site (Left arm). Symptoms progressively worsened, and admitted to Hospital on 9/27/09, which by this time Left arm was red, swollen and diagnosed with Cellulitis. Dismissed from hospital on 9/30/09. 10/5/09 DC summary and hospital records received from dates, 9/28/09 to 9/30/09. DC DX: Cellulitis of LUE. Systemic inflammatory response syndrome. Intravascular depletion with hypovolemic hyponatremia. Marked bandemia. Acute normocytic anemia probably r/t sepsis. Hypoalbuminemia, hypokalemia secondary to diarrhea. Presenting symptoms: Arriving to ER with high fever, systemic inflammatory response syndrome with severe diarrhea, dehydration, hypokalemia. 2 days prior received pneumovax in LUE with subsequent nausea/vomiting, pain, induration, erythema of entire left deltoid spreading to bicep region site of injection. Recieved steriod tx in ER with relief. After 24-36 hours localized symptoms returned. TX: IV Abx, after 24 hours bandemia resolved overall pt improvement.
Age: 52.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Oedema peripheral, Pallor, Pyrexia
Clinical narrative: Patient experienced a fever, chills, paleness, a swollen and red arm that achieved the size of a baseball.  She did not seek medical attention and did not verify her temperature.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Herpes zoster, Laboratory test abnormal, Rash
Clinical narrative: PT GIVE ZOSTAVAX ON 9/8/09, VISITED DR WITH RASH ON 9/11/09, CONFIRMED SHINGLES ON 9/14/09.
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Eye irritation, Fatigue, Nasopharyngitis, Neuralgia, Oropharyngeal pain
Clinical narrative: Patient stated that within a few hours of receiving the vaccine she developed "mild cold like symptoms".  She stated she did not ever have a fever but did have a sore throat, congestion, tiredness and "burning in both eyes - the burning was from the inside out and lasted several days". The patient stated that the cold symptoms "got worse" after about 2 weeks.  The patient stated that about the same time that the cold symptoms got worse she began to develop "nerve pain when biting down".  She stated this symptom only lasted for about 3 days.  She described the pain as "when I would bite down I felt a sharp shooting pain clear up into my left eye". The patient stated she has had shingles x 2 in the past which she describes were along the nerves across the top of the left side of the top of her head.  The patient is unclear if the vaccine perhaps caused some nerve irritation or perhaps she was "predisposed" to nerve irritation because of her history.  The patient stated all of her symptoms including the nerve pain have resolved completely without residual but she is wondering if she should ever get the Flumist vaccine again.
Age: 49.0
Sex: F
Vaccine: FLUN3
Symptoms: Pain, Respiratory tract congestion
Clinical narrative: Patient stated that within a few hours of receiving the vaccine she developed "mild cold like symptoms".  She stated she did not ever have a fever but did have a sore throat, congestion, tiredness and "burning in both eyes - the burning was from the inside out and lasted several days". The patient stated that the cold symptoms "got worse" after about 2 weeks.  The patient stated that about the same time that the cold symptoms got worse she began to develop "nerve pain when biting down".  She stated this symptom only lasted for about 3 days.  She described the pain as "when I would bite down I felt a sharp shooting pain clear up into my left eye". The patient stated she has had shingles x 2 in the past which she describes were along the nerves across the top of the left side of the top of her head.  The patient is unclear if the vaccine perhaps caused some nerve irritation or perhaps she was "predisposed" to nerve irritation because of her history.  The patient stated all of her symptoms including the nerve pain have resolved completely without residual but she is wondering if she should ever get the Flumist vaccine again.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV, TDAP, VARZOS
Symptoms: Blood test, Chest X-ray, Dyspnoea, Electrocardiogram
Clinical narrative: Pt left clinic 15 min. after administration of vaccine. Pt returned to clinic 5 min later with complaints of shortness of breath. Pt placed on oxygen and given Benadryl 50mg/ml per protocol. Then was transported via ambulance to hospital. Pt was given more Benadryl upon arrival. Was also given Prednisone while in ER. Pt was sent home with Prednisone pack x 1wk.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient received influenza vaccine IM in left arm on 09/30/09.  Parent noted redness on left upper arm on 10/02/09.  Seen in office 10/02/09 with large area of redness and tenderness involving 90% of anterior upper left arm.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain upper, Chills, Headache, Malaise, Pain
Clinical narrative: I received the flu shot at 4 p.m. on wednesday, sept. 30.  I was ill at 3 a.m. with a severe stomach ache.  By afternoon on the 1st of oct., it then turned into full body aches, 100 degree fever, headache, and chills. At 6 a.m. on Oct. 2 the fever broke, and I was left with a headache, and body aches
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: I received the flu shot at 4 p.m. on wednesday, sept. 30.  I was ill at 3 a.m. with a severe stomach ache.  By afternoon on the 1st of oct., it then turned into full body aches, 100 degree fever, headache, and chills. At 6 a.m. on Oct. 2 the fever broke, and I was left with a headache, and body aches
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Bacterial culture, Erythema, Injection site discharge
Clinical narrative: Approximately 4 days after adminstration of the vaccine, the patient developed an area of erythema measuring 5cm. Clear fluid was observed draining from the site close to the adminstration site. There was no focal abcess formation. The patient, an employee of this hospital, was seen by our emergency department staff. The fluid was drained, antibiotic ointment applied and covered with a dry dressing.  No further treatment is anticipated.
Age: 70.0
Sex: U
Vaccine: FLU3
Symptoms: Chest discomfort, Choking sensation, Dizziness, Dyspnoea, Extrasystoles
Clinical narrative: difficulty breathing, tightness in chest, rapid and skipped heart beats, paleness, excessive urination,feeling of choking,dizziness
Age: 70.0
Sex: U
Vaccine: FLU3
Symptoms: Heart rate increased, Pallor, Pollakiuria
Clinical narrative: difficulty breathing, tightness in chest, rapid and skipped heart beats, paleness, excessive urination,feeling of choking,dizziness
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: No reaction on previous exposure to drug, Pruritus, Rash
Clinical narrative: Patient developed itching and rash on vaccination arm within 5 minutes of the shot. He has no known allergies.No previous reactions to vaccinations. The rash and itching intensified over the next 30 minutes. Benadryl was given (50mg) orally at 35  minutes post shot. Paramedics were called and arrived 5 minutes after giving benadryl. Patient's was stable, BP was high but patient refused to be taken to hospital.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure normal, Dizziness, Electrocardiogram normal, Fall, Feeling abnormal
Clinical narrative: Inactivated Influenza Vaccine 0.5ml administered to patient intramuscularly into left arm using 1" needle. Initially patient appeared fine. His 2 siblings also received their flu vaccines and his sister was seen by physician. About 5 minutes later, the family was leaving the exam room and standing in the hallway when patient appeared dazed and fell to the floor, unresponsive for 5-10 seconds. He initially had 1 twitching movement of his head after falling to the floor but no seizure activity. Regained consciousness in 5-10sec. Responsive and oriented. Appeared pale and felt dizzy. Recovered after ~ 10minutes of rest, intake of water, and candy. Sibling also developed lightheadedness, pallor after seeing patient lose consciousness. Sibling did not lose consciousness, recovered with rest, intake of water.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate decreased, Loss of consciousness, Muscle twitching, Pallor, Unresponsive to stimuli
Clinical narrative: Inactivated Influenza Vaccine 0.5ml administered to patient intramuscularly into left arm using 1" needle. Initially patient appeared fine. His 2 siblings also received their flu vaccines and his sister was seen by physician. About 5 minutes later, the family was leaving the exam room and standing in the hallway when patient appeared dazed and fell to the floor, unresponsive for 5-10 seconds. He initially had 1 twitching movement of his head after falling to the floor but no seizure activity. Regained consciousness in 5-10sec. Responsive and oriented. Appeared pale and felt dizzy. Recovered after ~ 10minutes of rest, intake of water, and candy. Sibling also developed lightheadedness, pallor after seeing patient lose consciousness. Sibling did not lose consciousness, recovered with rest, intake of water.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Chest pain, Cough, Pruritus, Urticaria
Clinical narrative: Pt developed itching in hands and feet approx 36 hrs after flu vaccine adminitration. These progressed to hives and pt also had a dry cough/chest pain10/16/2009 received hospital records for 10/2-10/3/2009. Patient reporting sx 4 days post vaccine of itching, rash, welts, swelling in fingers and arthralgias. Tx: IV Solu Medrol, IV Benadryl and IV Famotidine. DC DX urticaria.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Influenza, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Flu symptoms: fever, aches, congestion, runny nose, sore throat, symptoms persisted for 7 days. Vaccine caused what it was meant to prevent.
Age: 27.0
Sex: F
Vaccine: FLUX
Symptoms: Upper respiratory tract congestion
Clinical narrative: Flu symptoms: fever, aches, congestion, runny nose, sore throat, symptoms persisted for 7 days. Vaccine caused what it was meant to prevent.
Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan abnormal, Uterine dilation and curettage
Clinical narrative: This case was reported by a consumer (also the subject) and described the occurrence of miscarriage in a 29-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). A physician or other health care professional has not verified this report. The subject's medical history included Bactrim allergy of rash or hives. The subject had not previously received influenza vaccine. She had not experienced adverse events following previous vaccinations. Concurrent medications included Prenatal vitamins. On 25 August 2009 at 10:00 the subject received 1st dose of FLULAVAL (0.5 ml, unknown route) when she was 8 weeks pregnant. On 25 September 2009, 31 days after vaccination with FLULAVAL, the subject experienced miscarriage. The subject went for a routine check up on 25 September 2009 and no heart beat could be found. Ultrasound determined that the subject had miscarried twins at approximately 8 weeks. This case was assessed as medically serious by GSK. The subject was treated with dilatation and curettage as a same day surgical procedure at the hospital.
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Acute respiratory distress syndrome, Back pain, Dysaesthesia, Dyspnoea, Facial paresis
Clinical narrative: Positive vomiting, nausea, back pain, evanescent dysesthesias, positive blurry vision, shortness of breath and facial weakness - Tx. Plasmapheresis - 9/30, 10/1.10/20/09-records received for dates of service 9/27/28/09C/O numbness in face, arms, back and belly, vomiting, headache, blurry vision and shortness of breath along with decreased taste, diaphoresis. 9/28/09 worsening numbness, continued nausea and vomiting, left flank pain, severe fatigue. Consultation, continues with facial weakness and respiratory distress, and desaturation to 78%,intubated with abnormal arterial blood gas pH of 7.11, and respiratory failure, hyponatremia and hyperkalemia, multiple electrolyte abnormalities, new onset of bruising. 10/29/2009 Consult records and Lab and Dx studies from Inpatient stay 9/27/2009-10/16/2009. Patient with c/o's facial numbness, tingling in extremities, Neuro exam noted dec DTR's, dec sensation pinprick, temperature. EMG anormal with Dx of GBS. Tx: intubated for resp distress, IVF, IV ABX, C-section done.  12/09/09 DC summary for DOS 09/27/09  10/16/09. Final DX:  GBS.  Pt c/o generalized weakness, back pain, L flank pain, chest pain, SOB, changes in taste and sensation, diaphoresis, headaches, insomnia, facial weakness. On examination: Pt lethargic, worsening of weakness, lost bladder function. On 09/29/09, Pt tachypneic, SOB, anxiety, low oxygen saturation. Emergent intubation initiated. Pt transferred to ICU. Pt developed metabolic acidosis with hyponatremia and hyperkalemia.  On the same date, Pt underwent an emergent C section due to decelerating fetal heart beat and delivered a viable baby. Tx: plasmapheresis. Pt's respiratory status and weakness improved.  Pt discharged to a rehab center.          ICD-9 codes: 648.91, 518.81, 357.0, 358.0, 507, 446.6, 276.7, 276.1, 276.2, 788.30, 648.41, 670.22, 300.4, 296.90, 306.9, 659.71, 647.91, v270, v025.1, 356.9
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Nausea, Plasmapheresis, Vision blurred, Vomiting
Clinical narrative: Positive vomiting, nausea, back pain, evanescent dysesthesias, positive blurry vision, shortness of breath and facial weakness - Tx. Plasmapheresis - 9/30, 10/1.10/20/09-records received for dates of service 9/27/28/09C/O numbness in face, arms, back and belly, vomiting, headache, blurry vision and shortness of breath along with decreased taste, diaphoresis. 9/28/09 worsening numbness, continued nausea and vomiting, left flank pain, severe fatigue. Consultation, continues with facial weakness and respiratory distress, and desaturation to 78%,intubated with abnormal arterial blood gas pH of 7.11, and respiratory failure, hyponatremia and hyperkalemia, multiple electrolyte abnormalities, new onset of bruising. 10/29/2009 Consult records and Lab and Dx studies from Inpatient stay 9/27/2009-10/16/2009. Patient with c/o's facial numbness, tingling in extremities, Neuro exam noted dec DTR's, dec sensation pinprick, temperature. EMG anormal with Dx of GBS. Tx: intubated for resp distress, IVF, IV ABX, C-section done.  12/09/09 DC summary for DOS 09/27/09  10/16/09. Final DX:  GBS.  Pt c/o generalized weakness, back pain, L flank pain, chest pain, SOB, changes in taste and sensation, diaphoresis, headaches, insomnia, facial weakness. On examination: Pt lethargic, worsening of weakness, lost bladder function. On 09/29/09, Pt tachypneic, SOB, anxiety, low oxygen saturation. Emergent intubation initiated. Pt transferred to ICU. Pt developed metabolic acidosis with hyponatremia and hyperkalemia.  On the same date, Pt underwent an emergent C section due to decelerating fetal heart beat and delivered a viable baby. Tx: plasmapheresis. Pt's respiratory status and weakness improved.  Pt discharged to a rehab center.          ICD-9 codes: 648.91, 518.81, 357.0, 358.0, 507, 446.6, 276.7, 276.1, 276.2, 788.30, 648.41, 670.22, 300.4, 296.90, 306.9, 659.71, 647.91, v270, v025.1, 356.9
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Drug exposure during pregnancy, Electromyogram abnormal, Guillain-Barre syndrome, Life support, Lumbar puncture abnormal
Clinical narrative: Positive vomiting, nausea, back pain, evanescent dysesthesias, positive blurry vision, shortness of breath and facial weakness - Tx. Plasmapheresis - 9/30, 10/1.10/20/09-records received for dates of service 9/27/28/09C/O numbness in face, arms, back and belly, vomiting, headache, blurry vision and shortness of breath along with decreased taste, diaphoresis. 9/28/09 worsening numbness, continued nausea and vomiting, left flank pain, severe fatigue. Consultation, continues with facial weakness and respiratory distress, and desaturation to 78%,intubated with abnormal arterial blood gas pH of 7.11, and respiratory failure, hyponatremia and hyperkalemia, multiple electrolyte abnormalities, new onset of bruising. 10/29/2009 Consult records and Lab and Dx studies from Inpatient stay 9/27/2009-10/16/2009. Patient with c/o's facial numbness, tingling in extremities, Neuro exam noted dec DTR's, dec sensation pinprick, temperature. EMG anormal with Dx of GBS. Tx: intubated for resp distress, IVF, IV ABX, C-section done.  12/09/09 DC summary for DOS 09/27/09  10/16/09. Final DX:  GBS.  Pt c/o generalized weakness, back pain, L flank pain, chest pain, SOB, changes in taste and sensation, diaphoresis, headaches, insomnia, facial weakness. On examination: Pt lethargic, worsening of weakness, lost bladder function. On 09/29/09, Pt tachypneic, SOB, anxiety, low oxygen saturation. Emergent intubation initiated. Pt transferred to ICU. Pt developed metabolic acidosis with hyponatremia and hyperkalemia.  On the same date, Pt underwent an emergent C section due to decelerating fetal heart beat and delivered a viable baby. Tx: plasmapheresis. Pt's respiratory status and weakness improved.  Pt discharged to a rehab center.          ICD-9 codes: 648.91, 518.81, 357.0, 358.0, 507, 446.6, 276.7, 276.1, 276.2, 788.30, 648.41, 670.22, 300.4, 296.90, 306.9, 659.71, 647.91, v270, v025.1, 356.9
Age: 33.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Premature labour
Clinical narrative: Positive vomiting, nausea, back pain, evanescent dysesthesias, positive blurry vision, shortness of breath and facial weakness - Tx. Plasmapheresis - 9/30, 10/1.10/20/09-records received for dates of service 9/27/28/09C/O numbness in face, arms, back and belly, vomiting, headache, blurry vision and shortness of breath along with decreased taste, diaphoresis. 9/28/09 worsening numbness, continued nausea and vomiting, left flank pain, severe fatigue. Consultation, continues with facial weakness and respiratory distress, and desaturation to 78%,intubated with abnormal arterial blood gas pH of 7.11, and respiratory failure, hyponatremia and hyperkalemia, multiple electrolyte abnormalities, new onset of bruising. 10/29/2009 Consult records and Lab and Dx studies from Inpatient stay 9/27/2009-10/16/2009. Patient with c/o's facial numbness, tingling in extremities, Neuro exam noted dec DTR's, dec sensation pinprick, temperature. EMG anormal with Dx of GBS. Tx: intubated for resp distress, IVF, IV ABX, C-section done.  12/09/09 DC summary for DOS 09/27/09  10/16/09. Final DX:  GBS.  Pt c/o generalized weakness, back pain, L flank pain, chest pain, SOB, changes in taste and sensation, diaphoresis, headaches, insomnia, facial weakness. On examination: Pt lethargic, worsening of weakness, lost bladder function. On 09/29/09, Pt tachypneic, SOB, anxiety, low oxygen saturation. Emergent intubation initiated. Pt transferred to ICU. Pt developed metabolic acidosis with hyponatremia and hyperkalemia.  On the same date, Pt underwent an emergent C section due to decelerating fetal heart beat and delivered a viable baby. Tx: plasmapheresis. Pt's respiratory status and weakness improved.  Pt discharged to a rehab center.          ICD-9 codes: 648.91, 518.81, 357.0, 358.0, 507, 446.6, 276.7, 276.1, 276.2, 788.30, 648.41, 670.22, 300.4, 296.90, 306.9, 659.71, 647.91, v270, v025.1, 356.9
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Ataxia, CSF protein increased, Facial palsy, Lumbar puncture, Muscular weakness
Clinical narrative: Neck pain, leg weakness, (R) arm pain, ataxic gait, worsening over 2 days. -> Bell's palsy.  11/17/09 ED, hospital records, hospital and rehab discharge summaries received service dates 9/24/09 to 10/26/09. Assessment: Guillain-Barre Syndrome Patient with URI symptoms onset 1 week ago, seen by PCP for otitis, followed by malaise, cough, nausea, vomiting. Lower extremity ataxia and numbness, right upper arm pain. Ataxic gait, right sided facial droop and ptosis. Weak patellar reflexes bilaterally. Pain with downward gaze. Headache. Generalized back pain over spine on palpation. Unable to walk. IVIG administration. Discharged - to continue outpatient OT/PT.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Neck pain, Nerve conduction studies abnormal, Pain in extremity
Clinical narrative: Neck pain, leg weakness, (R) arm pain, ataxic gait, worsening over 2 days. -> Bell's palsy.  11/17/09 ED, hospital records, hospital and rehab discharge summaries received service dates 9/24/09 to 10/26/09. Assessment: Guillain-Barre Syndrome Patient with URI symptoms onset 1 week ago, seen by PCP for otitis, followed by malaise, cough, nausea, vomiting. Lower extremity ataxia and numbness, right upper arm pain. Ataxic gait, right sided facial droop and ptosis. Weak patellar reflexes bilaterally. Pain with downward gaze. Headache. Generalized back pain over spine on palpation. Unable to walk. IVIG administration. Discharged - to continue outpatient OT/PT.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash macular, Skin burning sensation, Streptococcal infection
Clinical narrative: Late PM after receiving injection around 11:45 AM of the same day, hands itching/red/burning/rash-macular. Woke at 4 AM with burning/itching-No meds to tx-Returned to clinic at 8 AM given ZYRTEC 10 mg, TRIAMCINOLOE 0.1% cream to use BID.
Age: 13.0
Sex: F
Vaccine: HEPA
Symptoms: Feeling hot, Oedema peripheral, Tenderness, Upper respiratory tract infection, Vein disorder
Clinical narrative: Entire arm had swelling to R arm, R tender to touch, and veins were bulging on arm, and it was hot to touch and when pt bumps her arm, she experiences tenderness and swelling to entire R arm, no color change. Swollen more on Rt arm and upper half Rt forearm. No fever, no headaches, had URI x5 d, took TYLENOL only Loratadine given that day.
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose increased, Heart rate irregular, Nausea, Pallor
Clinical narrative: Approximately one hour after administering a flu vaccine. Child began to feel nauseated and became very pale. Two nurses on the scene noted that child's heart rate was irregular. Child had been to PE after receiving flu vaccine.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Sensation of heaviness
Clinical narrative: Patient has extreme tenderness and redness in the form of an arm band around the injection site. Also complained of "heavy or numb" arm. Recomm ice, BEDRYL and monitoring
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Asthenia, Blood creatine phosphokinase, C-reactive protein, Full blood count, Gait disturbance
Clinical narrative: Positive leg pains, feels weak and unable to walk straight.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Metabolic function test, Pain in extremity
Clinical narrative: Positive leg pains, feels weak and unable to walk straight.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Inflammation, Local reaction
Clinical narrative: Office visit 9/25/09 - localized, inflammatory 10 x 20 cm area of redness.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Swelling, rash about 5" below injection site.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Noticed slight pain, redness + swelling that same evening Dx cellulitis Rx for KEFLEX.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site haemorrhage, Injection site pain, Musculoskeletal pain, Musculoskeletal stiffness, Skin discolouration
Clinical narrative: Patients letter states: day after injection given, injection site very sore. 4 days after injection, shoulder and upper arm became painful and stiff. 6 days later there was discoloration of area around left elbow including lower and upper forearm. Went to Dr. on Sept. 16 and believes the injection caused a hemorrhage that still pains him as of Sept. 24.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site cellulitis
Clinical narrative: His L shoulder area @ the site of TDAP injection 2-5 cm x 5 cm round Cellulitis IM ROCEPHIN 10mg and PO AUGMENTIN 500 PO BID x 4 warm compress to area
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenopia, Eye haemorrhage, Eye pruritus, Glaucoma, Immunisation reaction
Clinical narrative: 9/25/09 16:35 within 30 minutes left outer eye felt heavy and was itching. Spoke to person who stated this was one of the reactions to AFLURIA vaccine. I spoke to Dr. who stated, no concern. Color will go from red->blue->red last 3 weeks. It is a glaucoma hemorrhage. One hour later started with right and left deltoid pain 0-10 "5 lasted 2 days." PCM Dr. have not seen provider or received treatment for symptoms only verbal advice. "No longer have R/L deltoid pain but concerned about L red eye. Spot under iris in white area (sclera). Patient notified to follow up with provider for care. Patient agreed and understood.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Ocular hyperaemia, Pain in extremity, Scleral discolouration
Clinical narrative: 9/25/09 16:35 within 30 minutes left outer eye felt heavy and was itching. Spoke to person who stated this was one of the reactions to AFLURIA vaccine. I spoke to Dr. who stated, no concern. Color will go from red->blue->red last 3 weeks. It is a glaucoma hemorrhage. One hour later started with right and left deltoid pain 0-10 "5 lasted 2 days." PCM Dr. have not seen provider or received treatment for symptoms only verbal advice. "No longer have R/L deltoid pain but concerned about L red eye. Spot under iris in white area (sclera). Patient notified to follow up with provider for care. Patient agreed and understood.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Musculoskeletal pain, Ocular hyperaemia
Clinical narrative: Pt c/o R lower back pain radiating on R buttock 10 min after pt received the pt received the influenza vaccine. Pt also c/o both eyes red  when she got home. No pain, no itching.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Erythema, Musculoskeletal stiffness, Oedema peripheral
Clinical narrative: Pt c/o swollen both hands and feet when she woke up this morning. Burning sensation, fingers stiff with pain, redness noted.
Age: 55.0
Sex: F
Vaccine: FLUN3
Symptoms: Chest discomfort, Chills, Eye pruritus, Sinus headache
Clinical narrative: Pt stated after receiving FLUMIST, started to c/o sinus pain, chills, itchy eyes + stated "feels something in my chest, cannot explain what it is". Pt still has this symptoms at this time.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Pain, Paraesthesia
Clinical narrative: Post injection employee c/o pain and tingling. Upon evaluation site was warm and swollen. Site iced for a few minutes. Employee was offered ouside tx and declined. Employee was informed if symptoms persist or worsen to let manager or medical staff know.
Age: 49.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Swelling of site injection for FLUVIRIN and PNEUMOVAX injection. Site warm to touch and fever over 102 degrees. Patient took TYLENOL, BENADRYL and cold compress to area.
Age: 96.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Erythema, Oedema mouth, Urticaria
Clinical narrative: Hives, Redness on hands, swelling of mouth. Anxiety.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Convulsion, Emergency care, Laboratory test abnormal
Clinical narrative: Fever 101 degrees (ax) on 10/1/09 while at day care in the afternoon with sl. lethargy; called office at 3:45 PM to report fever, recommended treatment with TYLENOL/fluids supportive treatment with appt if pt acting ill with decreased fever. At 4:40 parent called to report pt had seizure/paramedics transporting to local ER.  10/02/09 Seen in office and follow up to ER visit for febrile seizure.  IMP:  s/p Febrile Seizure, Rhinitis/Fever, s/p MMR and VARIVAX.  10/5/09 D.V. IMP:  URI;  h/o febrile seizure.  10/6/09 D.V. IMP:  Cough, Recurrent fever, Rhinitis, Fussiness.
Age: 1.0
Sex: M
Vaccine: FLU3, MMR, VARCEL
Symptoms: Lethargy, Mean cell haemoglobin decreased, Pyrexia
Clinical narrative: Fever 101 degrees (ax) on 10/1/09 while at day care in the afternoon with sl. lethargy; called office at 3:45 PM to report fever, recommended treatment with TYLENOL/fluids supportive treatment with appt if pt acting ill with decreased fever. At 4:40 parent called to report pt had seizure/paramedics transporting to local ER.  10/02/09 Seen in office and follow up to ER visit for febrile seizure.  IMP:  s/p Febrile Seizure, Rhinitis/Fever, s/p MMR and VARIVAX.  10/5/09 D.V. IMP:  URI;  h/o febrile seizure.  10/6/09 D.V. IMP:  Cough, Recurrent fever, Rhinitis, Fussiness.
Age: 62.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site induration
Clinical narrative: Patient was injected 2nd time due to not being able to provide 1st injection when needle removed patient developed hardening of skin about dime size, Checked on patient 10/02/09 and hardening was gone.
Age: 2.0
Sex: F
Vaccine: FLUN3
Symptoms: Rash papular
Clinical narrative: Pt had onset of rash symptoms after receiving vaccine. Appeared as light pink tiny dots, then filled in more completely as red, slightly raised. Initially on trunk, arms and legs. Did present on face (day#2). Administered BENADRYL otc x3. Cleared slowly as of 9/27/09. No fever. No itching noted. Rash was noted 5-10 min after, increased by p.m.  More significant next day.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Headache, Local reaction, Muscular weakness
Clinical narrative: Temp > 103 24 hours post vaccine chills, leg pains and weakness; skin painful, mild HA. Ruled local reaction. Rx TYLENOL. Sms persisted 24 hrs.
Age: 19.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pain of skin
Clinical narrative: Temp > 103 24 hours post vaccine chills, leg pains and weakness; skin painful, mild HA. Ruled local reaction. Rx TYLENOL. Sms persisted 24 hrs.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haematoma, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Large knot on upper arm, red, swollen, bruised, tender to the touch x 2 weeks. Syringe was made wit Latex.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Latex allergy
Clinical narrative: Large knot on upper arm, red, swollen, bruised, tender to the touch x 2 weeks. Syringe was made wit Latex.
Age: 11.0
Sex: M
Vaccine: FLU3, MNQ, TDAP
Symptoms: Rash erythematous, Rash maculo-papular
Clinical narrative: Pt developed pink macules/papules on chest - improved without interventions.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: Pt developed rash on back, neck, midsection and lots of itching. Took BENADRYL and went to the doctor.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Patient called pharmacy and said her arm was red and swollen around where she got her shot. She also said her arm hurt.
Age: 4.9
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Swelling
Clinical narrative: L deltoid site swollen with 8cm erythema, warm to touch, non tender on 3rd day of Imm. swelling resolving on 4th day.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Rash generalised
Clinical narrative: Got vaccine on Friday 9/25/09 (got one last yr 11/17/08) and on Tuesday 9/29/09 developed rash on arm - Spreading to entire body. Called MD - MD said not vaccine related.
Age: 10.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: 4 x 3 cm induration reddened area over site of injection. R arm SQ.
Age: 4.0
Sex: U
Vaccine: DTAP
Symptoms: Full blood count, Injection site swelling
Clinical narrative: Swelling of the right arm noted by mom the next day but no fever. Patient given DIPHENHYDRAMINE x ROCEPHIN by injection and 10 day course of KEFLEX and 5 day of HYDROXYZINE. Labs: CBC done in office.
Age: 46.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: 9-24-09 L arm swollen and red with fever. BENADRYL 150 by mouth given. Applied ice pack to arm. 09-26-09 arm swelling is gone.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injected limb mobility decreased, Oedema peripheral
Clinical narrative: Pt arm was red and swollen, she was also unable to move arm, it was improving 72 hours after injection.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Cough, Flushing, Tinnitus
Clinical narrative: Patient c/o ringing in her ears, + flushing, chest pressure a coughing treated with Epi @ clinic site taken via ambulance to hospital with Decadron & Pred. Sent home with Medical PAC, Pepsid & Benadryl.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Anxiety, Erythema, Flushing
Clinical narrative: Pt felt very flush and had redness in her face; was in store over an hour and indicated anxiety w/shots. Left with daughter feeling better.
Age: 22.0
Sex: F
Vaccine: MU
Symptoms: Mumps antibody test negative
Clinical narrative: Information has been received from a 22 year old female medical student who in 1988 was vaccinated with a first dose of MUMPSVAX (lot number not provided) and on an unspecified date was vaccinated with a second dose of MUMPSVAX (lot number not provided). Concomitant therapy included separate vaccinations with MMR vaccine. Subsequently the patient has lost her immunity (negative MUMPS TITER). The patient's outcome was not reported. Additional information has been requested.
Age: 1.03
Sex: F
Vaccine: MEA, MU, RUB
Symptoms: Antibody test negative, Mumps antibody test negative
Clinical narrative: Information has been received from a pharmacist concerning a patient who had an unspecified date was vaccinated with a dose of  MEASLES virus vaccine live (Enders-Edmonston), MUMPS  vaccine live (Jeryl Lynn), RUBELLA virus vaccine live (Wistar RA 27/3). The pharmacist reported that the patient had blood work for MEASLES, MUMPS and RUBELLA immunity done (date unspecified) and the results indicated there was no immunity for MUMPS (results not reported for MEASLES and RUBELLA). No other adverse symptoms were reported. It is unknown if the patient sought medical attention. A product quality complaint was not involved. Additional information was received from a health care professional regarding the 36 year old female with a history of previous immunizations (DIPTHERIA TOXOID, PERTUSSIS vaccine (unspecified), TETANUS TOXOID and TRIVALENT POLIOVIRUS vaccine live oral who on 26-Sep-1972, was vaccinated with the first 0.5 ml dose of MUMPS virus vaccine live (Jeryl Lynn) (route not reported) (manufacturer unknown). Concomitant suspect vaccines include a first 2 drop dose of MEASLES virus vaccine live (Enders-Edmonston) (manufacturer unknown) and a first 0.5 ml dose of RUBELLA virus vaccine live (Wistar RA 27/3) (manufacturer unknown). On 15-Aug-2008, the patient had tilters drawn for MEASLES, MUMPS and RUBELLA. It was reported that the titer for the MUMPS titer was 0.86 (negative is 0.89 or less, equivocal is 0.9 to 1.09 to 1.09 and positive is 1.10 or greater) and a MEASLES titer of greater than 9.0 (positive is 1.10 or greater), RUBELLA titer was not reported. On 22-Aug-2008, the results were discussed with the patient and the patient was vaccinated with a dose of MEASLES virus vaccine live (Enders-Edmonston), MUMPS virus vaccine LIVE (Jeryl Lynn), RUBELLA virus vaccine live (Wistar RA 27/3) (dose, route and lot number not reported). Additional information is not expected.
Sex: F
Vaccine: MU
Symptoms: Rash generalised
Clinical narrative: Information has been received from a consumer concerning her daughter with no pertinent medical history and no known drug allergies or reactions who on 04-May-2009, was vaccinated with a 0.5 ml dose of MUMPS virus vaccine live (Jeryl Lynn). There was no concomitant medications. On 11-May-2009 the patient experienced rash all over her face and body. No lab diagnostics studies were performed. At the time of reporting, the adverse events persisted. The patient contacted the physician. No further information is available.
Sex: F
Vaccine: MU
Symptoms: Rash, Swelling face
Clinical narrative: Information has been received from a nurse concerning her granddaughter who in May 2005 ("4 years ago") was vaccinated with her initial dose of MUMPS virus vaccine live (Jeryl Lynn). After receiving the vaccine, the patient's face became swollen and she experienced a rash. Subsequently, the patient recovered. The patient sought medical attention via contacting with physician. The nurse noted that it was reported at the time. No further information is available.
Sex: F
Vaccine: MU
Symptoms: Pyrexia
Clinical narrative: Information has been received from a consumer concerning her female daughter with no known drug allergies who on an unspecified date was vaccinated with MUMPS virus vaccine live (Jeryl Lynn). Subsequently, on an unspecified date, the patient developed high fever. At the time of the report, the patient's status was unknown. It was reported that the patient also developed high fever every time she was vaccinated with MEASLES virus vaccine live (Enders-Edmonston) (MSD) (WAES number 0906USA05610) and RUBELLA virus vaccine live (Wistar RA 27/3) (MSD) approximately 30 to 40 days apart. No further information is available.
Age: 28.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site vesicles
Clinical narrative: My husband and I received a vaccine of Td and Tdap on 10/1/2009, he has a reaction to vaccine Td and Tdap,reaction appeared on the skin (not under the skin)pockets of large fluid bubbles around the site,(with pain) is this common?
Age: 35.0
Sex: F
Vaccine: FLUN3
Symptoms: Eyelid oedema, Pruritus, Swelling face
Clinical narrative: Facial swelling (particularly eyelids), facial itchiness.  Treated with liquid benadryl immediately and every 6 hrs after.
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Blood product transfusion, Guillain-Barre syndrome, Laboratory test abnormal, Muscular weakness
Clinical narrative: Developed bilateral lower and upper extremity weakness as well as paresthesias two days after vaccine administration. Later, she developed neuropathic pain in her upper back. Patient is currentely hospitalized and her laboratory tests are consistent with a diagnosis of Guillain Barre Syndrome - AIDP. She started receiving IVIg as a treatment on 10/02/2009. At her day 2/5 of her therapy, symptoms still persist.  10/8/09 Hospital records received service dates 9/29/09 - 10/21/2009. Assessment: Paresthesias suspect GBS. Urinary tract infection. Patient fell while walking her dog. Sudden onset of tingling and numbness feet bilateral the next day which resolved. Developed numbness feet bilateral, low back pain relieved by chiropractic treatment. Numbness continued in lower extremities, upper back pain, unable to sleep, increased sensitivity and pain bilateral temple, head, neck regions. Unsteady on feet due to weakness. Decreased sensation and weakness lower extremities, weakness in thumbs. 12/3/2009 D/C Summ and additional records rec'd.  Date of D/C 10/21/2009 with D/C DX:  AIDP. 2' DX: UTI.  Hematuria. Complication:  Neuropathic Pain.   D/C for Inpt rehab
Age: 56.0
Sex: F
Vaccine: FLUX
Symptoms: Neuralgia, Paraesthesia
Clinical narrative: Developed bilateral lower and upper extremity weakness as well as paresthesias two days after vaccine administration. Later, she developed neuropathic pain in her upper back. Patient is currentely hospitalized and her laboratory tests are consistent with a diagnosis of Guillain Barre Syndrome - AIDP. She started receiving IVIg as a treatment on 10/02/2009. At her day 2/5 of her therapy, symptoms still persist.  10/8/09 Hospital records received service dates 9/29/09 - 10/21/2009. Assessment: Paresthesias suspect GBS. Urinary tract infection. Patient fell while walking her dog. Sudden onset of tingling and numbness feet bilateral the next day which resolved. Developed numbness feet bilateral, low back pain relieved by chiropractic treatment. Numbness continued in lower extremities, upper back pain, unable to sleep, increased sensitivity and pain bilateral temple, head, neck regions. Unsteady on feet due to weakness. Decreased sensation and weakness lower extremities, weakness in thumbs. 12/3/2009 D/C Summ and additional records rec'd.  Date of D/C 10/21/2009 with D/C DX:  AIDP. 2' DX: UTI.  Hematuria. Complication:  Neuropathic Pain.   D/C for Inpt rehab
Age: 53.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Chills, Dizziness, Dysphonia, Dyspnoea, Heart rate increased
Clinical narrative: uncontrollable shivering, rapid pulse followed by high fever, nuasea, dizziness, difficulty breathing and horsenees.
Age: 53.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Nausea, Pyrexia
Clinical narrative: uncontrollable shivering, rapid pulse followed by high fever, nuasea, dizziness, difficulty breathing and horsenees.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Asthma, Chills, Cough, Diplopia, Dyspnoea
Clinical narrative: shortness of breath, airway obstruction (blood/mucous), several asthma attacks, coughing, vomiting, bloody mucous/vomit, extremely high fever, body chills, aches, headache, vertigo, bladder urgency/incontinence, throat rawness, eye pain & pressure, double vision, poor muscle control
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Eye pain, Haematemesis, Headache, Hypotonia, Micturition urgency
Clinical narrative: shortness of breath, airway obstruction (blood/mucous), several asthma attacks, coughing, vomiting, bloody mucous/vomit, extremely high fever, body chills, aches, headache, vertigo, bladder urgency/incontinence, throat rawness, eye pain & pressure, double vision, poor muscle control
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Obstructive airways disorder, Oropharyngeal pain, Pain, Pyrexia, Urinary incontinence
Clinical narrative: shortness of breath, airway obstruction (blood/mucous), several asthma attacks, coughing, vomiting, bloody mucous/vomit, extremely high fever, body chills, aches, headache, vertigo, bladder urgency/incontinence, throat rawness, eye pain & pressure, double vision, poor muscle control
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Vertigo, Vomiting
Clinical narrative: shortness of breath, airway obstruction (blood/mucous), several asthma attacks, coughing, vomiting, bloody mucous/vomit, extremely high fever, body chills, aches, headache, vertigo, bladder urgency/incontinence, throat rawness, eye pain & pressure, double vision, poor muscle control
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Paraesthesia, Sensory loss, Skin discolouration
Clinical narrative: Per Employee: Seen by neurologist with hospital admission. Apparently lost feeling in right hand and tingling in the palm of right hand and discoloration of fingers. Vaccine was administered into Left deltoid. Spent week in hospital per employee. Follow-up: The employee went to ER @ hospital the eve of 9/3/09 and was transferred and admitted from 9/4/09-9/9/09.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Blood glucose increased, Blood pressure decreased, Burning sensation, Dizziness
Clinical narrative: First felt with whole body with burning sensation,severe urge to urinate.Went to bathroom ,lost control with bowel&bladder.While urinating hands $ whole scalp was itching.Then noticed with mottled skin on bilateral thighs & face & eyes were very red.Felt very weak.Somehow came out of bathroom,Could not even walk,called for help.Felt like passout,Short of breath.As per viewers ,I became very pale white grayish in color.I felt like I am dying .BP 90/50.Blood glucose 102,Oxygenation was 60-70%.Given O2 & taken me to ER.During this time I was cant even talk/stand.ER did all labs,EKG, By 6 PM On & Off becoming pale & body is cold.by 7.30 pm got Benadryl 25mg IV.Then slept for 15 mts,woke up ,felt very good.Then given me Inj Solumedrol 125 mg IV.By 830 got discharged.walked to parking lot.Discharged with Prednisone 60 mg x3 days & Benadryl 25 mg TID x 3 days.I was very weak for a week.Now I feel Okay.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Electrocardiogram, Erythema, Faecal incontinence, Feeling cold
Clinical narrative: First felt with whole body with burning sensation,severe urge to urinate.Went to bathroom ,lost control with bowel&bladder.While urinating hands $ whole scalp was itching.Then noticed with mottled skin on bilateral thighs & face & eyes were very red.Felt very weak.Somehow came out of bathroom,Could not even walk,called for help.Felt like passout,Short of breath.As per viewers ,I became very pale white grayish in color.I felt like I am dying .BP 90/50.Blood glucose 102,Oxygenation was 60-70%.Given O2 & taken me to ER.During this time I was cant even talk/stand.ER did all labs,EKG, By 6 PM On & Off becoming pale & body is cold.by 7.30 pm got Benadryl 25mg IV.Then slept for 15 mts,woke up ,felt very good.Then given me Inj Solumedrol 125 mg IV.By 830 got discharged.walked to parking lot.Discharged with Prednisone 60 mg x3 days & Benadryl 25 mg TID x 3 days.I was very weak for a week.Now I feel Okay.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Livedo reticularis, Micturition urgency, Ocular hyperaemia, Oxygen saturation decreased, Pallor
Clinical narrative: First felt with whole body with burning sensation,severe urge to urinate.Went to bathroom ,lost control with bowel&bladder.While urinating hands $ whole scalp was itching.Then noticed with mottled skin on bilateral thighs & face & eyes were very red.Felt very weak.Somehow came out of bathroom,Could not even walk,called for help.Felt like passout,Short of breath.As per viewers ,I became very pale white grayish in color.I felt like I am dying .BP 90/50.Blood glucose 102,Oxygenation was 60-70%.Given O2 & taken me to ER.During this time I was cant even talk/stand.ER did all labs,EKG, By 6 PM On & Off becoming pale & body is cold.by 7.30 pm got Benadryl 25mg IV.Then slept for 15 mts,woke up ,felt very good.Then given me Inj Solumedrol 125 mg IV.By 830 got discharged.walked to parking lot.Discharged with Prednisone 60 mg x3 days & Benadryl 25 mg TID x 3 days.I was very weak for a week.Now I feel Okay.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urinary incontinence
Clinical narrative: First felt with whole body with burning sensation,severe urge to urinate.Went to bathroom ,lost control with bowel&bladder.While urinating hands $ whole scalp was itching.Then noticed with mottled skin on bilateral thighs & face & eyes were very red.Felt very weak.Somehow came out of bathroom,Could not even walk,called for help.Felt like passout,Short of breath.As per viewers ,I became very pale white grayish in color.I felt like I am dying .BP 90/50.Blood glucose 102,Oxygenation was 60-70%.Given O2 & taken me to ER.During this time I was cant even talk/stand.ER did all labs,EKG, By 6 PM On & Off becoming pale & body is cold.by 7.30 pm got Benadryl 25mg IV.Then slept for 15 mts,woke up ,felt very good.Then given me Inj Solumedrol 125 mg IV.By 830 got discharged.walked to parking lot.Discharged with Prednisone 60 mg x3 days & Benadryl 25 mg TID x 3 days.I was very weak for a week.Now I feel Okay.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Arm began to ache in shoulder and I was unable to lift my arm above my waist.  I took two Advil about 10:00 PM, awakened the second time about 5:00 AM  (Oct 2) and the entire shoulder bone ached and was still unable to move my arm above the waist.  I talked with our medical nurse and she advised me to go to the emergency room.  He advised taking Advil (up to 800 mg) and the pain should subside in a day or two.   It has improved greatly in the last 24 hours.