chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea
Clinical narrative: Chill & hard to breath -> pt doesn't have BENADRYL at home (so, asked him to use his breathing medications for COPD & call 911).
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Paraesthesia, Rash
Clinical narrative: Pt received AFLURIA on 9/24/11 (Sat). Came into pharmacy Mon 9/26/11 stating that his arm was tingling & he was developing a rash & was going to ER.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Pain, Pyrexia, Tenderness
Clinical narrative: Erythema, pain, fever, tenderness, fever (99.4 < 100) x 48 hours.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Feeling hot, Generalised erythema, Oedema peripheral, Pruritus
Clinical narrative: One hour after flu vaccine was given the sign and symptoms listed started escalating in intensity: generalized body redness, feeling warmth, temp 99.5 oral, itchy around mouth, swelling left arm.
Age: 0.77
Sex: F
Vaccine: FLU3
Symptoms: Influenza virus test negative, Pyrexia, Urine analysis normal
Clinical narrative: Received Flu vaccine 9/26/11 3:25pm, went to ER 9/27/11 approx 3:51 am. Per mother fever since 10pm 9/26/11 ranged from 104 - 105.7 F responded to TYLENOL, no other symptoms. T 101.7F rectal in ER treated with MOTRIN, fever resolved. Normal physical exam.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dry mouth, Heart rate increased, Lethargy, Pain
Clinical narrative: Rapid HR, aches, dry mouth, lethargy, chills x 3 days.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Chills, Erythema, Headache
Clinical narrative: Swollen arm, red, hot, burning sensation, a few small red spots all on cheek and face; very achy joint in replaced knees and hip, chills, headache.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Oedema peripheral, Rash, Rash erythematous, Skin warm
Clinical narrative: Swollen arm, red, hot, burning sensation, a few small red spots all on cheek and face; very achy joint in replaced knees and hip, chills, headache.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Lethargy
Clinical narrative: Lethargy x 4 days, slight dizziness upper left arm red and swollen for 4 days then resumed to normal.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Sensation of heaviness
Clinical narrative: Patient said the arm swollen, pain & heaviness, he put ice the morning & get smaller size. Counseled to take gm MOTRIN & BENADRYL.
Sex: M
Vaccine: FLU3
Symptoms: Anxiety, Choking, Cough, Paraesthesia
Clinical narrative: Impending doom, tingling throughout body, coughing, choking, pulse 102.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Injection site reaction, Urticaria
Clinical narrative: Urticarial rash at site of injection same day occurrence, topical tx. 5cm x 3cm.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Condition aggravated, Haematochezia, Vaccine positive rechallenge
Clinical narrative: Infant with history of allergic proctocolitis but had increase blood in stool after 2 month shots. Infant was free of blood for 2 months and then immediately after 6 month shots had blood in stool. Infant otherwise well.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Convulsion, Joint stiffness, Lethargy, Pyrexia, Somnolence
Clinical narrative: Mother states pt. in bed with her, awoke her from sleep saying "mama". She awoke to find child "convulsing", picked him up. He asked to be put down and continued convulsing for approximately 60 seconds. Afterwards reports patients mouth "locked up", was holding mouth open "funny". Also reports onset of fever at approximately 11PM 9-27-11 with one episode of vomiting. Sleepy, thirsty & lethargic afterwards. Treated with TYLENOL after reporting to RN on 9-28-11.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Thirst, Vomiting
Clinical narrative: Mother states pt. in bed with her, awoke her from sleep saying "mama". She awoke to find child "convulsing", picked him up. He asked to be put down and continued convulsing for approximately 60 seconds. Afterwards reports patients mouth "locked up", was holding mouth open "funny". Also reports onset of fever at approximately 11PM 9-27-11 with one episode of vomiting. Sleepy, thirsty & lethargic afterwards. Treated with TYLENOL after reporting to RN on 9-28-11.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Haematochezia
Clinical narrative: Infant with h/o allergic proctocolitis & was doing well but after 2 months old shots had increase blood in stool.
Age: 65.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm, Tenderness
Clinical narrative: 24 hours after vaccine developed cellulitis in the arm of administration (L) arm (swelling, redness, warm, tender).
Age: 65.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site cellulitis
Clinical narrative: 24 hours after vaccine developed cellulitis in the arm of administration (L) arm (swelling, redness, warm, tender).
Age: 1.14
Sex: F
Vaccine: FLU3, HEPA, MMR, PNC13
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Blood test, Computerised tomogram, Convulsion
Clinical narrative: My daughter had a grand mal seizure 29 days after receiving her first GARDASIL vaccine. I was told by our provider to report the seizure.
Age: 14.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Grand mal convulsion
Clinical narrative: My daughter had a grand mal seizure 29 days after receiving her first GARDASIL vaccine. I was told by our provider to report the seizure.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Erythema, Palpitations, Rash, Rash macular
Clinical narrative: My temperature started to rise rapidly. I could feel my heart racing and noticed that my skin appeared to be breaking out in a heat rash; looked like a severe sunburn that came on suddenly on my face neck and arms. My stomach and back had red splotchy areas.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased
Clinical narrative: Myalgias, headache, weakness, achiness, dark urine, anorexia, urgency, frequency, fever of 103 degrees Fahrenheit, sharp left upper quadrant pain, arthralgias, diaphoresis, labile blood pressures and heart rates
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Blood lactate dehydrogenase increased, Cardiomyopathy, Catheterisation cardiac abnormal, Chromaturia, Decreased appetite
Clinical narrative: Myalgias, headache, weakness, achiness, dark urine, anorexia, urgency, frequency, fever of 103 degrees Fahrenheit, sharp left upper quadrant pain, arthralgias, diaphoresis, labile blood pressures and heart rates
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Free prostate-specific antigen, Headache, Heart rate abnormal
Clinical narrative: Myalgias, headache, weakness, achiness, dark urine, anorexia, urgency, frequency, fever of 103 degrees Fahrenheit, sharp left upper quadrant pain, arthralgias, diaphoresis, labile blood pressures and heart rates
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Hyperhidrosis, Labile blood pressure, Micturition urgency, Myalgia, Nitrite urine present
Clinical narrative: Myalgias, headache, weakness, achiness, dark urine, anorexia, urgency, frequency, fever of 103 degrees Fahrenheit, sharp left upper quadrant pain, arthralgias, diaphoresis, labile blood pressures and heart rates
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pollakiuria, Prostatic specific antigen increased, Pyrexia, Troponin increased
Clinical narrative: Myalgias, headache, weakness, achiness, dark urine, anorexia, urgency, frequency, fever of 103 degrees Fahrenheit, sharp left upper quadrant pain, arthralgias, diaphoresis, labile blood pressures and heart rates
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Urine analysis abnormal, White blood cell count increased, White blood cells urine positive
Clinical narrative: Myalgias, headache, weakness, achiness, dark urine, anorexia, urgency, frequency, fever of 103 degrees Fahrenheit, sharp left upper quadrant pain, arthralgias, diaphoresis, labile blood pressures and heart rates
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left arm hot, red, swollen from deltoid to elbow all the way around.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Diarrhoea, Epistaxis, Vomiting
Clinical narrative: Vomiting & diarrhea started at 12:30 am 9/22/11. Also a nose bleed. Missed 1 day of work.
Age: 1.02
Sex: F
Vaccine: FLU3, HEPA, PNC13
Symptoms: Urticaria
Clinical narrative: Developed urticaria approximately 24 hours after receiving vaccines PCV-13, Hep A and Flu.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood culture negative, CSF culture negative, CSF white blood cell count negative, Convulsion, Electroencephalogram
Clinical narrative: Began having fever up to 101.4 and seizures that required admission and anticonvulsant therapy. MRI normal. EEG results pending.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Enterovirus test negative, Haematocrit normal, Haemoglobin normal, Nuclear magnetic resonance imaging normal, Platelet count normal
Clinical narrative: Began having fever up to 101.4 and seizures that required admission and anticonvulsant therapy. MRI normal. EEG results pending.
Age: 0.35
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia, Red blood cells CSF positive, White blood cell count normal
Clinical narrative: Began having fever up to 101.4 and seizures that required admission and anticonvulsant therapy. MRI normal. EEG results pending.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site swelling, Local swelling
Clinical narrative: The patient's entire upper arm and the (L) side of chest was swollen after receiving the vaccine.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Anaphylactic reaction, Injection site induration, Injection site swelling, Musculoskeletal chest pain, Oedema peripheral
Clinical narrative: The patient's entire upper arm and the (L) side of chest was swollen after receiving the vaccine.
Age: 35.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pain, Swelling
Clinical narrative: The patient's entire upper arm and the (L) side of chest was swollen after receiving the vaccine.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Diarrhoea, Fatigue, Headache, Ocular hyperaemia
Clinical narrative: Sore throat, fatigue, headache, vomiting, diarrhea, weakness, paleness  symptoms very extreme -- almost went to ER.  Symptoms subsided by 11:00 PM -- eyes very red the next day.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pallor
Clinical narrative: Sore throat, fatigue, headache, vomiting, diarrhea, weakness, paleness  symptoms very extreme -- almost went to ER.  Symptoms subsided by 11:00 PM -- eyes very red the next day.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Headache, Oropharyngeal pain, Pain, Photophobia
Clinical narrative: Sore throat progressing to paroxysmal coughing to blinding headache with photophobia, fever and body aches.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Sore throat progressing to paroxysmal coughing to blinding headache with photophobia, fever and body aches.
Age: 14.0
Sex: M
Vaccine: TDAP
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: high fever up to 102, swelling left axillae
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Patient states arm went numb for a hour.  Arm throbbed with pain.
Age: 45.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: SORENESS AT INJECTION SITE WITH SHARP PAIN DOWN ARM TO THUMB
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Fatigue, Feeling hot, Headache, Hypersomnia
Clinical narrative: Sxs began as localized swelling, increased warmth of Lt. deltoid, aching pain of Lt.upper arm, the Lt. shoulder/neck pain, stiffness, mild headache, nausea, mild dizziness/lightheadedness, then extreme fatigue, lethargy, persistent nausea, myalgias, slept over 12 hrs. last evening until this morning, feel very tired, as if I had not slept or cannot fully awaken, nor feel refreshed after sleeping, no other GI sxs, no fever, but feel warm.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site warmth, Lethargy, Local swelling, Musculoskeletal pain
Clinical narrative: Sxs began as localized swelling, increased warmth of Lt. deltoid, aching pain of Lt.upper arm, the Lt. shoulder/neck pain, stiffness, mild headache, nausea, mild dizziness/lightheadedness, then extreme fatigue, lethargy, persistent nausea, myalgias, slept over 12 hrs. last evening until this morning, feel very tired, as if I had not slept or cannot fully awaken, nor feel refreshed after sleeping, no other GI sxs, no fever, but feel warm.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Nausea, Neck pain
Clinical narrative: Sxs began as localized swelling, increased warmth of Lt. deltoid, aching pain of Lt.upper arm, the Lt. shoulder/neck pain, stiffness, mild headache, nausea, mild dizziness/lightheadedness, then extreme fatigue, lethargy, persistent nausea, myalgias, slept over 12 hrs. last evening until this morning, feel very tired, as if I had not slept or cannot fully awaken, nor feel refreshed after sleeping, no other GI sxs, no fever, but feel warm.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Allergy test, Bacterial infection, Bronchial disorder, Bronchitis chronic, CSF test normal
Clinical narrative: Mono, - Chronic Respiratory Problems - She has been tested for allergies been seen by Cardiologist - Been treated the last two years by a Pulomonologist has had three pic lines with four hours of meds each day over the last year and three months - not responding to meds has chronic endobronchitis and has severe airway disease - keeps growing strange bacteria.  Was completely health competition dancer until this all started now receiving IVIG Infusions - Doctors are discussing her case all over the world thick sputum like CFS but tested negative - could provide all medical history very extensive.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Chronic respiratory disease, Immunoglobulin therapy, Infectious mononucleosis, Laboratory test, Sputum abnormal
Clinical narrative: Mono, - Chronic Respiratory Problems - She has been tested for allergies been seen by Cardiologist - Been treated the last two years by a Pulomonologist has had three pic lines with four hours of meds each day over the last year and three months - not responding to meds has chronic endobronchitis and has severe airway disease - keeps growing strange bacteria.  Was completely health competition dancer until this all started now receiving IVIG Infusions - Doctors are discussing her case all over the world thick sputum like CFS but tested negative - could provide all medical history very extensive.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Sputum test
Clinical narrative: Mono, - Chronic Respiratory Problems - She has been tested for allergies been seen by Cardiologist - Been treated the last two years by a Pulomonologist has had three pic lines with four hours of meds each day over the last year and three months - not responding to meds has chronic endobronchitis and has severe airway disease - keeps growing strange bacteria.  Was completely health competition dancer until this all started now receiving IVIG Infusions - Doctors are discussing her case all over the world thick sputum like CFS but tested negative - could provide all medical history very extensive.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Injection site rash, Pruritus, Rash, Rash pruritic
Clinical narrative: Noticed itchy, bumpy rash on face, and red patches and itchiness on hands.  Next morning (9/28/2011), rash had developed fully on entire face, including forehead and nose; rash around site of injection.  Took Benadryl overnight, but next day (9/29/2011), rash still there.
Age: 25.0
Sex: F
Vaccine: DTAP
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity
Clinical narrative: SEVERE LEFT ARM PAIN RADIATING  DOWN TO LEFT FOREARM OCCASIONAL NUMBNESS THIS IS STILL PERSISTING AS OF 9/28/11
Age: 10.0
Sex: M
Vaccine: HEPA, HPV4, IPV, MMR, VARCEL
Symptoms: Condition aggravated, Convulsion
Clinical narrative: RN spoke to grandmother, said child had multiple seizures with no temp on pm of immunizations. Had seizures again the next day, she took child to ER and was referred to pediatric neurologist. ER doctor told grandmother that seizures were probably not caused by immunizations.
Age: 64.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Laboratory test abnormal, Pyrexia
Clinical narrative: Information has been received from an office manager concerning a 64 year old female patient with allergic reaction to erythromycin and no pertinent medical history who on 12-SEP-2011 was vaccinated IM with a dose of PNEUMOVAX 23 (lot number: 668009/1174Z, expiration date: 10-MAR-2012) into the right deltoid region, 0.5 ml. Secondary suspect vaccine included a dose of ADACEL into the right deltoid region. Concomitant therapy included CLIMARA and probiotics formula (unspecified). On 13-SEP-2011, the patient was seen by the physician. At that time, the patient presented with redness and swelling from her right shoulder to her elbow. On unspecified date, unspecified lab work was performed on the patient and it was determined that the patient's white blood cell count was elevated and that the patient had a fever of 101F. The physician recommended that the patient go to emergency room. Patient drove herself to the emergency room and was admitted to the hospital until 15-SEP-2011. The patient was diagnosed with cellulitis and sepsis. At this time on 20-SEP-2011, the patient was still recovering. Additional information has been requested.
Age: 64.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Sepsis, White blood cell count increased
Clinical narrative: Information has been received from an office manager concerning a 64 year old female patient with allergic reaction to erythromycin and no pertinent medical history who on 12-SEP-2011 was vaccinated IM with a dose of PNEUMOVAX 23 (lot number: 668009/1174Z, expiration date: 10-MAR-2012) into the right deltoid region, 0.5 ml. Secondary suspect vaccine included a dose of ADACEL into the right deltoid region. Concomitant therapy included CLIMARA and probiotics formula (unspecified). On 13-SEP-2011, the patient was seen by the physician. At that time, the patient presented with redness and swelling from her right shoulder to her elbow. On unspecified date, unspecified lab work was performed on the patient and it was determined that the patient's white blood cell count was elevated and that the patient had a fever of 101F. The physician recommended that the patient go to emergency room. Patient drove herself to the emergency room and was admitted to the hospital until 15-SEP-2011. The patient was diagnosed with cellulitis and sepsis. At this time on 20-SEP-2011, the patient was still recovering. Additional information has been requested.
Age: 1.02
Sex: M
Vaccine: PNC
Symptoms: Ear infection, Ear operation, Infection, Wheezing
Clinical narrative: This is a spontaneous report from contactable Pediatrician. A 2-year-old male patient received the fourth dose of PREVNAR on the 10Sep2007. Past vaccines included the first dose of PREVNAR on the 30Oct2006, the second dose on 09Jan2007 and the third dose on 13Mar2007. There were no relevant medical history and concomitant medications. The patient experienced wheezing since an unknown date in 2009. The patient also experienced recurrent ear infections (date unknown). Therapeutic measures taken an a result of the events includes two surgeries for the recurrent ear infections and unspecified bronchodilators for the wheezing. At the time of report, the clinical outcome of the reported events was unknown. Based on the information provided in the case, this individual report would not seem to modify the benefit/risk profile of PREVNAR.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Brain injury, Cerebral infarction, Laboratory test, Toxic encephalopathy
Clinical narrative: Information has been received from a consumer concerning her husband, a 69 year old male with no pertinent medical history or drug allergies who on 13-AUG-2011 was vaccinated with 0.65ml of ZOSTAVAX (Merck) (lot# unknown) subcutaneously. There was no concomitant medication in a pharmacy. A patient's wife said that on 13-AUG-2011 her husband experienced a reaction that was unexplainable after receiving ZOSTAVAX (Merck). The patient's wife said he experienced brain damage and was put into the hospital for roughly three weeks. The patient's wife said her husband experienced 30 infarctions to brain. The patient had seen various specialist and physicians about the reaction. One of the specialists the patient's wife said her husband had was toxic encephalopathy. The patient's wife said it was not a stroke. The patient's wife said it was not a natural reaction. The patient took annual check-ups and tests for various specialists and healthcare professionals. The patient was treated with certain unspecified viral medication. At the time of reporting the patient was recovering from the event. Additional information has been requested.
Age: 18.0
Sex: F
Vaccine: HPV4
Symptoms: Colposcopy abnormal, Human papilloma virus test positive, Papilloma viral infection, Smear cervix abnormal
Clinical narrative: Information has been received from a physician concerning an 18 year old female patient who on an unknown date was vaccinated intramuscularly with the third 0.5ml dose of GARDASIL (lot # not reported). The physician reported that the patient who received the entire series of GARDASIL was HPV positive after completing the three dose series. It was unspecified if the patient sought medical attention. At the time of reporting, the patient's status was unknown. Follow up information has been received from the physician concerning the female patient with no illness at time of vaccination and no pre-existing allergies, birth defects and medical conditions who on 06-APR-2007 was vaccinated intramuscularly with a 0.5ml dose of GARDASIL (lot # 656049/0187U, expiration: 29-SEP-2009) and on 22-MAY-2007 was vaccinated intramuscularly with another 0.5ml dose (lot # 657621/0387U, expiration: 02-FEB-2010) and on an unknown date was vaccinated intramuscularly with another 0.5ml dose (lot # not reported). On 21-JUN-2011, 4 years after vaccine Pap smear showed positive for HPV, high risk (16/18/31/33/35) and low risk (6/11/42/43/44). Colposcopy showed positive for HPV. At the time of reporting, the patient's status was unknown. Pap smear positive for HPV, high risk (16/18/31/33/35) and low risk (6/11/42/43/44) was considered to be an other important medical event by the reporter. Additional information has been requested.
Age: 87.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Induration, Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: I received a call from this patient's daughter in the evening sometime, maybe around 6 or 7; stated that her mother had received a pneumonia vaccine from us and it was all red and swollen. I asked if it was just at the injection site and she said, not completely, because it had become swollen down below the injection site toward the elbow. The patient had no other side effects other than the pain, redness and swelling thereof. I advised the patient to use cold compresses, diphenhydramine, and ibuprofen, if tolerable, and if not then acetaminophen. The patient arrived the next morning before we opened to show me the adverse event, it was very warm, hard, and lots of edema towards the elbow, the skin had even started to blister slightly. I advised that she go be seen by a doctor. She went to the doctor and received an oral antibiotic, cephalexin. I have since been in contact with her today, Sunday 09/25/2011, and she stated that when she came to the pharmacy, it was worse then than before. Today, she said that it is no longer painful, however it is still edematous and red. In right arm is where this occurred.
Age: 87.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Skin warm
Clinical narrative: I received a call from this patient's daughter in the evening sometime, maybe around 6 or 7; stated that her mother had received a pneumonia vaccine from us and it was all red and swollen. I asked if it was just at the injection site and she said, not completely, because it had become swollen down below the injection site toward the elbow. The patient had no other side effects other than the pain, redness and swelling thereof. I advised the patient to use cold compresses, diphenhydramine, and ibuprofen, if tolerable, and if not then acetaminophen. The patient arrived the next morning before we opened to show me the adverse event, it was very warm, hard, and lots of edema towards the elbow, the skin had even started to blister slightly. I advised that she go be seen by a doctor. She went to the doctor and received an oral antibiotic, cephalexin. I have since been in contact with her today, Sunday 09/25/2011, and she stated that when she came to the pharmacy, it was worse then than before. Today, she said that it is no longer painful, however it is still edematous and red. In right arm is where this occurred.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Red swollen left arm.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Conjunctivitis infective, Nasal congestion, Pulmonary congestion
Clinical narrative: 1) Severe chest congestion. 2) Severe nasal congestion. 3) Conjunctivitis (pink eye) full onset 8 hrs.
Age: 1.15
Sex: F
Vaccine: HEPA
Symptoms: Rash generalised, Rash maculo-papular
Clinical narrative: At 9/26/11 office visit, mom reports woke with rash the day following immunization. Dr. described as fine maculopapular rash all over body. BENADRYL recommended. (Mom denied any SOB, wheezing or swelling of face or lips).
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Dermatitis allergic, Erythema, Malaise, Pruritus
Clinical narrative: Patient complained the following day she got the shot saying her arm is itching and red. I counseled her to apply BENADRYL/ZnO cream but she didn't feel well the 2nd day. Visited her PCP who diagnosed her with cellulitis and allergic skin reaction followed vaccine. Treated with CIPRO 500 mg tab for 1 week and fluconazole 150 for 1 day.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema
Clinical narrative: Erythema about 12-24 hours after administration no action taken.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Henoch-Schonlein purpura
Clinical narrative: Henoch-Schonlein purpura.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Activities of daily living impaired, Insomnia, Joint stiffness, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Stiffness in muscles, joint, severe pain. Cannot raise arms, have difficulty sleeping and dressing.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, X-ray limb normal
Clinical narrative: Stiffness in muscles, joint, severe pain. Cannot raise arms, have difficulty sleeping and dressing.
Age: 69.0
Sex: F
Vaccine: FLUX
Symptoms: Cough, Salivary hypersecretion, Throat tightness
Clinical narrative: Coughing, throat tightening up, salivate more than normal for me.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Convulsion, Electroencephalogram normal, Eye movement disorder, Full blood count normal, Hypertonia
Clinical narrative: Pt appeared to have a seizure: arms and legs stiffened, hands tensed, and eyes darted back and forth. Lasted 15 sec. Recurred 3 times over subsequent 15 hrs.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Lumbar puncture normal, Musculoskeletal stiffness
Clinical narrative: Pt appeared to have a seizure: arms and legs stiffened, hands tensed, and eyes darted back and forth. Lasted 15 sec. Recurred 3 times over subsequent 15 hrs.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus, Skin lesion
Clinical narrative: Lesion on hands, elbows, knees and feet. Pt states the area itches. Denies any discharge from the site.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Rash pruritic
Clinical narrative: Three inch triangular shaped red rash that is itchy and a little swollen area at the site of injection.  On the day of vaccination it was a little sore.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Ear congestion, Hypoacusis, Tinnitus
Clinical narrative: Hearing faded in both ears. Like ears stuffed up and ringing in both. Next day seen by doctor and said they showed no infection. Today feels better but still has ringing but volume coming back. Irritated by noise.
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Pain, Pruritus, Pyrexia, Urticaria
Clinical narrative: Pt reported that after Tdap injection on 8/1/2011 she had mild chills/fever and body ache that same evening and a few days later broke out in welts & hives with itching. Sx have lasted over 2 weeks. Reported today 8/23/2011.
Age: 0.76
Sex: M
Vaccine: FLU3, HEP
Symptoms: Convulsion, Ear infection
Clinical narrative: Pt had seizure & ER found pt with ear infection that evening.
Age: 30.0
Sex: F
Vaccine: MU
Symptoms: Expired drug administered, Product commingling
Clinical narrative: Information has been received from a registered nurse concerning a 30 year old female patient with no pertinent medical history and no drug allergies who on 20-APR-2011, was vaccinated with a dose of MUMPSVAX (route not reported) (lot number 659616/0188X, Exp. January 2010) expirated. There was a mix of medication in a carton of MMR II. 10x10 carton of MMR II contained one vial of MUMPSVAX. The MUMPSVAX vial had a teal color, the MMR II was very similar, almost exactly the same. The nurse reported that the patient who received the vaccine had not been checked on status and to made her aware of this issue. The patient did not seek medical attention. There was no treatment for the event and no laboratories were performed. At the time of the report the outcome of the patient was unknown. Product quality complaint was involved. Additional information has been requested.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site infection, Injection site swelling
Clinical narrative: Patient went to another pharmacy on 9-22-11 complaining of chills, redness at site of injection and swelling. Pt. went to primary care physician on 9-23-11 and got a script for some antibiotic because the physician said the site of injection was infected.
Age: 25.0
Sex: F
Vaccine: MU
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Information has been received from a registered nurse concerning a 25 year old female employee who on 03-MAR-2008, was vaccinated with a dose of MUMPSVAX subcutaneously in the right arm (lot number 659616/1982U, Exp: 07-DEC-2009) in error. The nurse stated that the employee should have received the rubeola vaccine. No adverse event reported. The patient did not seek medical attention. Additional information has been requested.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Oedema peripheral, Pyrexia, Tenderness
Clinical narrative: Patient came in with 1/2 inch red stripe around the inside of her deltoid on the injection arm. She also complained of swelling under her armpit with tenderness to touch. She did have a fever as well.
Age: 10.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Erythema, Pain, Pruritus, Rash
Clinical narrative: 9/22/11 Received Influenza vaccine in (R) arm, some soreness that day, yesterday, after school mom noted red, raised bumps. Rx with BENADRYL. Today, red area is larger on upper arm with some itching, intermittently afebrile.
Age: 47.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Nausea, Pyrexia, Tremor
Clinical narrative: Fever 103 degrees F about 7-8 hours after flu shot. Patient had shakes, nausea, headache. Patient went to the ER and was released after being given something for fever and Potassium tablets.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Dysphonia, Dyspnoea, Heart rate increased
Clinical narrative: Fever 101.8, difficulty breathing, hoarseness, wheezing, fast heartbeat, dizziness, weakness, pare.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Skin exfoliation, Wheezing
Clinical narrative: Fever 101.8, difficulty breathing, hoarseness, wheezing, fast heartbeat, dizziness, weakness, pare.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test normal, Cardiac enzymes, Cardioversion, Dizziness, Electrocardiogram normal
Clinical narrative: Pt returned to flu shot clinic just 45 minutes after receiving vaccination with c/o feeling dizzy & feeling heart beat fast. Employee taken to ED for eval. Pt's pulse - 226. Employee reports normal blood work & 3 EKG's, but did receive cardioversion in ED. Not admitted. Employee returned to work next day.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Liver function test, Renal function test
Clinical narrative: Pt returned to flu shot clinic just 45 minutes after receiving vaccination with c/o feeling dizzy & feeling heart beat fast. Employee taken to ED for eval. Pt's pulse - 226. Employee reports normal blood work & 3 EKG's, but did receive cardioversion in ED. Not admitted. Employee returned to work next day.
Age: 86.0
Sex: F
Vaccine: FLUX
Symptoms: Joint stiffness, Musculoskeletal stiffness
Clinical narrative: Stiffness in knees & hands following morn.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pain in extremity
Clinical narrative: Severe pain in arm, spreading to elbow, went to ER - Dr dx cellulitis, got antibiotic.
Age: 1.26
Sex: F
Vaccine: DTAPIPVHIB, FLUX, HPV4, VARCEL
Symptoms: Erythema, Irritability
Clinical narrative: Patient was given a GARDASIL subq (L) outer arm and 3 hr later had 2mm of mild erythema. 8 hrs later - no erythema, only a little increased irritability.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site oedema, Lip swelling, Rash
Clinical narrative: Swollen lips, skin rash, edema at injection site.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given FLUZONE 0.5ml instead of 0.25ml. 8 hrs later - father called & no fever, redness or acting abnormally.
Age: 61.0
Sex: M
Vaccine: FLUX, PPV
Symptoms: Axillary pain, Erythema, Injection site erythema, Injection site pain
Clinical narrative: Flu shot given in left shoulder. Next day extreme pain in my armpit and redness on bicep area. Pain & redness subsided over the next 24-48 hours.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal distension, Asthenia, Chills, Diarrhoea, Myalgia
Clinical narrative: Chills - severe, vomiting, dirr, abdom. swelling, weakness, runny nose, muscle aches.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: Chills - severe, vomiting, dirr, abdom. swelling, weakness, runny nose, muscle aches.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Chest discomfort, Chest pain, Chills, Cough
Clinical narrative: Five hours after receiving .5 FLUZONE 2011-2012 I experienced a reaction of chest pain - tightness - at sternum, cough, chills, low back ache. Reaction came on suddenly and lasted about 3 hours and then disappeared as quickly as it came. I did not have difficulty breathing. I did not seek medical treatment. I am not on any medications nor do I have any medical problems. Flu shot was administered at Pharmacy. I have had at least 10 prior flu shots and never had prior reaction other than sore injection site.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. returned to pharmacy on 9/29/11 with sign of red swollen area about 3 inches in diameter at injection site. Taking ibuprofen and feeling better.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Myalgia, Pyrexia, Rash
Clinical narrative: Myalgia, fever, skin rash.
Age: 41.0
Sex: M
Vaccine: FLUX
Symptoms: Syringe issue
Clinical narrative: The patient presented for a flu shot, the flu shot was drawn up and when injected IM the vaccine drained out the back of the syringe instead of going into the muscle. The flu shot needed to be repeated due to the leakage. The syringe is also supposed to be retractable and when activated shot off the needle instead of retracting.
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Lge, hot, red area at injection site of KINRIX.
Age: 14.0
Sex: M
Vaccine: FLUN3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Condition aggravated, Fall, Head injury, Headache, Joint injury
Clinical narrative: Syncope. Woke up (9/14/11) got out of bed turned off alarm felt himself fall to floor. Found himself on floor, eye blurry, had banged (L) forehead and shoulder. Then went out of room, mom saw him, he said he had fallen, after sitting for a while felt better, went to school but had a headache and mild nausea during the day. No vomiting. On 9/13/11 pt received FLUMIST, HPV, varicella, Tdap and MCV. Happened approx 18 hours after injection.
Age: 14.0
Sex: M
Vaccine: FLUN3, HPV4, MNQ, TDAP, VARCEL
Symptoms: Nausea, Vision blurred
Clinical narrative: Syncope. Woke up (9/14/11) got out of bed turned off alarm felt himself fall to floor. Found himself on floor, eye blurry, had banged (L) forehead and shoulder. Then went out of room, mom saw him, he said he had fallen, after sitting for a while felt better, went to school but had a headache and mild nausea during the day. No vomiting. On 9/13/11 pt received FLUMIST, HPV, varicella, Tdap and MCV. Happened approx 18 hours after injection.
Sex: M
Vaccine: PPV
Symptoms: Decreased appetite, Feeling cold, Hypersomnia, Malaise, Weight decreased
Clinical narrative: Felt sick couldn't eat lost weight slept most of day for 7 days. Went back to family doctor got a counter reaction vaccine to get it out of my system 9/7/11 still feel sick something not right. 9th day still sick. I borrowed 50.00 for gas went to ER and to family doc.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Zoster injection - rash presentation; itch, redness; localized to injection site area (back of upper arm); approx 5 inches x 3 inches in size; rash slightly above site of injection.
Age: 11.0
Sex: F
Vaccine: FLUN3, MNQ, TDAP
Symptoms: Full blood count normal, Injection site erythema, Urine analysis normal, Vaccination site pain, Vaccination site swelling
Clinical narrative: Parent of pt. reports 1 inch x 2 inch raised, red, swollen, tender area at site of vaccine.
Age: 6.0
Sex: F
Vaccine: FLUN3
Symptoms: Cough, Wheezing
Clinical narrative: Cough and wheeze started the day after FLUMIST this yr. Similar sxs last yr after FLUMIST. (Pt not seen for that complaint last yr).
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Mother of pt stated redness, heat on (R) arm site of IZ, first noticed on afternoon of 9/13/11. At upper arm erythematous, hot to touch, not painful as reported by pt.
Age: 84.0
Sex: U
Vaccine: FLU3
Symptoms: Hypersensitivity, Oropharyngeal pain, Wheezing
Clinical narrative: Swollen throat, wheezing, ER treatment.
Age: 12.0
Sex: M
Vaccine: FLUN3, HPV4
Symptoms: Convulsion, Dizziness, Fatigue
Clinical narrative: At 9:30am patient had a seizure lasting 5-10 seconds. Provider examined the patient after the reaction, patient was dizzy and tired.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Pain in extremity, Paraesthesia
Clinical narrative: Sore, red area 3-4" at injection site. Leg pain, both legs, worse knees to toes with tingling sensation - woke up during night 3-5 am - took TYLENOL, walked around - pain subsided 1-2 hrs. No pain in pm of 9/22/11.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Blood immunoglobulin E, Blood lead, Full blood count, Pruritus, Radioallergosorbent test
Clinical narrative: MMR immunization given on 5/13/11. Rash developed around 6/5/11 described as hives all over body that come & go, itchy, did have some strawberries but never had rxn to them before. See attached office visit notes.
Age: 1.02
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash generalised, Urticaria
Clinical narrative: MMR immunization given on 5/13/11. Rash developed around 6/5/11 described as hives all over body that come & go, itchy, did have some strawberries but never had rxn to them before. See attached office visit notes.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Throat tightness, Unevaluable event
Clinical narrative: From review of form employee had difficulty within minutes of receiving flu vaccine on 9/16/11 at 15:20. She went to Emergency Dept. An IV was started she was given BENADRYL 12.5 mg IV & within 10 minutes her feeling that her throat was closing improved. Her vitals signs remained stable. She had no hives or trouble breathing. Diagnosis: Anaphylaxis as reported on ED note. Mild case fully resolved with only BENADRYL 12. 5 mg IV.
Age: 1.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Herpes zoster, Viral test positive
Clinical narrative: Patient presented with Herpes zoster (R) trunk. Symptoms resolved with only symptomatic treatment. No complications. His father later presented with a very mild case of chicken pox. He also recovered. No complications.
Age: 17.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Injection site discolouration, Injection site pain, Injection site reaction, Tenderness
Clinical narrative: On 9/28/11 client complaining of pain, discolored area and dimpling at injection site. States had been tender since getting injections. No redness or swelling noted. Tender to palpation only.
Age: 13.0
Sex: F
Vaccine: TDAP
Symptoms: Fall, Syncope
Clinical narrative: Patient was sitting in a folding chair and received a Tdap vaccine. Patient fainted and fell forward on table and was lowered to the floor by nursing staff.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Dyspnoea, Pyrexia, Salivary hypersecretion
Clinical narrative: Shortness of breath, a lot of saliva, 101.6 fever, crying
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Bronchitis, Cough, Middle ear effusion, Oropharyngeal pain
Clinical narrative: Upper Respiratory Infection, Bronchitis, temp of 100.6, severe cough and congestion, sore throat and fluid behind both ear drums.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Respiratory tract congestion, Upper respiratory tract infection
Clinical narrative: Upper Respiratory Infection, Bronchitis, temp of 100.6, severe cough and congestion, sore throat and fluid behind both ear drums.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Antibody test, Borrelia test negative, Diplopia, Dysphagia, Electromyogram normal
Clinical narrative: Transferred to 2nd Hospital, from 1st hospital on 9/2/2011 with 3 day history of double vision, facial weakness, and paresthesias in right hand and both feet.  She was admittedand continued to have progression of symptoms with difficulty walking and dysphagia nd continuation of initial symptoms.  She did not develop resiratory problems. At both hospitals studies were negative, but at 2nd she was treated with plasmapheresis and her symptoms improved. She was discharged 9/10/2011.  She received PT here and at this time she has made remarkable progress.  PT expects to discontinue therepy next week.  She is able to run on a treadmill and lift weights, though her strength might not be completely back tobaseline.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Facial paresis, Gait disturbance, Nuclear magnetic resonance imaging normal, Paraesthesia, Plasmapheresis
Clinical narrative: Transferred to 2nd Hospital, from 1st hospital on 9/2/2011 with 3 day history of double vision, facial weakness, and paresthesias in right hand and both feet.  She was admittedand continued to have progression of symptoms with difficulty walking and dysphagia nd continuation of initial symptoms.  She did not develop resiratory problems. At both hospitals studies were negative, but at 2nd she was treated with plasmapheresis and her symptoms improved. She was discharged 9/10/2011.  She received PT here and at this time she has made remarkable progress.  PT expects to discontinue therepy next week.  She is able to run on a treadmill and lift weights, though her strength might not be completely back tobaseline.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Rash macular
Clinical narrative: Redness and itching at injection site, about 2"x4" in size, talked to nurse told to use Cortisone Cream 3x day, I used Triamcinilon,  on 9/19 and 9/20 I switched to Polysporin because it wasn't itching by was very red, blotchy and maybe a little warm - may have had a blister.  9/22 area started fading, switched back to triamcinilon, stopped cream on 9/27/2011 mostly faded on 9/29/2011
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Muscular weakness, Nausea, Pain, Vomiting
Clinical narrative: body aches, nausea, vomiting, muscle weakness, fatigue and today is day 10
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Eye pruritus, Hyperaemia, Myalgia, Ocular hyperaemia
Clinical narrative: fever/chills, myalgia, vitreous hyperemia, tongue swelling, red & itchy eyes
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Swollen tongue
Clinical narrative: fever/chills, myalgia, vitreous hyperemia, tongue swelling, red & itchy eyes
Age: 3.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: spreading warmth, redness, tenderness and induration of right thigh at injection site consistent with cellulitis
Age: 33.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Muscle aches strong enough that I took a long hot shower and painkillers. Fever. Immediate full body shivering when I got out of bed. Very tired. Recovered within 16 hours.
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Chest discomfort, Chills, Eye discharge, Feeling hot
Clinical narrative: Tightness in chest, nauseas, vomiting (6 times), hot, severe weakness, severe chills, eye mucus. Lastest until 09/21/2011 5:00 am
Age: 39.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Vomiting
Clinical narrative: Tightness in chest, nauseas, vomiting (6 times), hot, severe weakness, severe chills, eye mucus. Lastest until 09/21/2011 5:00 am
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia
Clinical narrative: Muscle and joint aches lasting 24 hrs, fever beginning 6 PM and lasting 12 hrs (100.7 degrees max), chills beginning 7 PM and lasting 3 hrs. Treatment was 1 ibuprofen and bed.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pruritus, Skin discolouration, Swelling
Clinical narrative: 20 cm x 20 cm red, swollen not indurated was itchy. Treated with prednisone, cool compress onset 4 hours after injection itching - 7 hours full blown reaction swelling red itching - 9/29/11 1:18 pt better, swelling decreased still discolored.