chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Blood glucose normal, Dizziness, Grimacing, Syncope, Tremor
Clinical narrative: Within several minutes of HPV vaccine administration, pt was in process of sitting up when felt light-headed, then began to shake over whole body according to grandmother. Grandmother called staff to the room and pt was found laying on her side on the exam table. Her mouth was observed to be grimaced to the side and her left arm was extended forcefully to the right. Entire episode was estimated to last less than 10 seconds. Pt was immediately able to answer questions normally and was not observed to be "post-ictal." Stat blood glucose was 99. Pt was observed for another 90 minutes here in clinic without any return of symptoms. Of note, pt fainted following initial HPV vaccine administration so was laying down when this second vaccine was administered.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PPV, VARCEL
Symptoms: Rash
Clinical narrative: Rash appeared 3 days after vaccine.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Redness and swelling right deltoid on the evening that the vaccine was administered @ 10cm according to hand signs given by the vaccinee; Vaccinee presented to the health clinic on 6/26/17 with 3cm reddened area on right deltoid with a nodular area in center.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: The patient reported tingling up his arm after I gave the shot. He stated it may have all "been in his head" but he stated his arm was tingling. He felt this throughout most of his arm per patient.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Anosmia, Asthenia, Cerebral haemorrhage, Chills, Computerised tomogram
Clinical narrative: Nausea and vomiting and dizziness and fall and bleeding from brain, loss of appetite and loss of smell and headache and pain. Injury fracture of brain due to fall and chills and severe weakness and fall and fracture of brain (head).
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Decreased appetite, Dizziness, Fall, Headache, Laboratory test
Clinical narrative: Nausea and vomiting and dizziness and fall and bleeding from brain, loss of appetite and loss of smell and headache and pain. Injury fracture of brain due to fall and chills and severe weakness and fall and fracture of brain (head).
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Nausea, Pain, Skull fracture, Vomiting, X-ray
Clinical narrative: Nausea and vomiting and dizziness and fall and bleeding from brain, loss of appetite and loss of smell and headache and pain. Injury fracture of brain due to fall and chills and severe weakness and fall and fracture of brain (head).
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Abasia, Daydreaming
Clinical narrative: The day after the shots he was acting weird..Couldn't walk or give steps like he was trying and doing it before, showing disinterest in me (mommy), looking like he was daydreaming , not smiling or being happy as he is usually all the time, he just was acting disinterested in anything or anybody and these symptoms lasted for a week.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site rash, Injection site warmth
Clinical narrative: The patient got the ZOSTAVAX vaccine per protocol on Sunday June 25th, 2017. She felt her arm was warm and had the rash common with a local reaction but it was showing signs of cellulitis ( hardening under her skin) and she went to see CRNP who diagnosed her with cellulitis from the vaccine.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Arm swelling and pain, the next day had a high fever to 102 F.
Age: 66.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Left arm swelling redness and warm to touch.
Age: 63.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red swollen at injection site.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Mobility decreased, Peripheral swelling, Skin warm
Clinical narrative: Swollen, warm to touch arm evening of vaccination. Initially could not bend arm. Can now bend, swelling subsiding.
Age: 61.0
Sex: F
Vaccine: HEP, VARZOS
Symptoms: Erythema, Local swelling, Pruritus, Rash
Clinical narrative: Local swelling/redness w/itching. Rash approximately 7cm in diam. RX for steroid cream and antihistamine. No s/sx of infection or anaphylaxis.
Age: 18.0
Sex: M
Vaccine: HPV4
Symptoms: Contusion, Fall, Head injury, Loss of consciousness, Neurological examination normal
Clinical narrative: Passed out and fell off exam table hitting head on floor; contusion noted on right parietal area of skull. Vitals taken, neuro exam all normal following incident. Mother picked him up and drove him home.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Decreased appetite, Dizziness, Headache, Immediate post-injection reaction, Malaise
Clinical narrative: Pt. first received GARDASIL 9 in her right arm. She was fine and went to waiting room then realized she needed 2nd dose MENACTRA and was given MENACTRA to LA 5 minutes later. Immediately felt dizzy, threw up. V.S. were normal. Observed for 15 Min and sent home. Still sick with head-ache, nausea, poor appetite after 4 days. Physical normal.
Age: 16.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Nausea, Vomiting
Clinical narrative: Pt. first received GARDASIL 9 in her right arm. She was fine and went to waiting room then realized she needed 2nd dose MENACTRA and was given MENACTRA to LA 5 minutes later. Immediately felt dizzy, threw up. V.S. were normal. Observed for 15 Min and sent home. Still sick with head-ache, nausea, poor appetite after 4 days. Physical normal.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash
Clinical narrative: Pt reported rash developing on arm and other areas of back, felt feverish. Took BENARDRYL and symptoms have started to subside.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site rash, Pyrexia, Rash, Rash pustular
Clinical narrative: Fever 10 days after vaccines. Rash consistent of 5 "pox" lesions on chest, back, belly, leg and face.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: On day vaccine was given, vaccinated left arm (site of vaccination) became very painful that night, next day site became very itchy and later that day rash started and spread to down to my elbow. I applied hydrocortisone cream 1% and took CLARITIN but rash persisted so switched after 2 days to TOPICORT 0.25% cream BID and rash disappeared in 5 days.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Developed 5 cm x 12 cm area redness and itching of injection site requiring 6 doses BENADRYL 50 mg to control symptoms. Took 2 weeks for redness to resolve.
Age: 70.0
Sex: M
Vaccine: PNC13
Symptoms: Pruritus, Skin irritation, Swelling, Urticaria
Clinical narrative: Initial swelling on fleshy past of upper left shoulder. A breakout of hives 10-12 inches below that on forearm. Itching and irritation followed for 4/5 days. Swelling and itching reduced to 0 by Hydrocortisone cream VSP 1%.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Pruritus, Pyrexia, Rash
Clinical narrative: Diffuse rash; fever; itchiness.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Large red area below injection site. Showed up approximately 4 days after receiving immunization. Seems to be getting larger. Painful to the touch. Counseled pt. to call Primary MD.
Age: 62.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site inflammation, Injection site pain, Swelling
Clinical narrative: Patient reported getting injection site pain an inflammation around 3pm same day of vaccination. Only on left arm. Pharmacist on duty advised to take BENADRYL. Approximately 24hrs later, patient reports swelling/pain is reduced.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Mom calls office - Right thigh has red area that is warm to touch. Appt. made. Doctors note right thigh has large area of erythema with induration. Area is tender and warm to touch and seemed to be getting larger. AUGMENTIN prescribed.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Erythema 4-5cm wide on (R) upper arm where VARIVAX vaccine was given subcutaneous.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Amino acid level, Electrocardiogram ambulatory normal, Electroencephalogram abnormal, Laboratory test, Presyncope
Clinical narrative: Pt. had apparent vasovagal episode after vaccine. Observed, went home seeming ok, then had repeated episodes of syncope and near-syncope for weeks: Evaluation included neurology, mildly abnormal EEG, and cardiology including Holter monitor/sleep study.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Sleep study, Syncope
Clinical narrative: Pt. had apparent vasovagal episode after vaccine. Observed, went home seeming ok, then had repeated episodes of syncope and near-syncope for weeks: Evaluation included neurology, mildly abnormal EEG, and cardiology including Holter monitor/sleep study.
Age: 14.0
Sex: F
Vaccine: HPVX
Symptoms: Extra dose administered, No adverse event
Clinical narrative: -Reported to mom- 2 records in state. Current record and up to date. Pt has 2 files on program. Gave #4 HPV already had 3. Spoke to program nurse. No effects.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, tenderness, swelling and itching at site of injection.
Age: 44.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Had throat swelling 4 wks earlier with MMR vaccine. Did not attribute but now with MMR #2 vaccine developing hives. Was still taking ZYRTEC daily after last episode so Rxn is much less dramatic than before. (Arms only).
Age: 17.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Pt. fainted and nausea, and light-headed. < 1 min. Gave orange juice.
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Headache, Pain
Clinical narrative: Headache and body aches. Moderate reaction - a-dvised to manage symptoms w/ibuprofen, extra fluids and rest.
Age: 69.0
Sex: M
Vaccine: PNC13
Symptoms: Fatigue, Rash
Clinical narrative: Patient reports symmetrical rash on anterior aspect of neck and fatigue that started 06/15/17 Dr. recommended OTC BENADRYL Q6h and return to clinic if not improved by one day.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Blepharospasm, Limb mass, Mobility decreased, Pain, Tremor
Clinical narrative: Body aches, blurred vision, shaking, eyes twitching, lump in arm size of baseball, couldn't extend arm. 6/16/17-spoke to him and he can move his arm.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Vision blurred
Clinical narrative: Body aches, blurred vision, shaking, eyes twitching, lump in arm size of baseball, couldn't extend arm. 6/16/17-spoke to him and he can move his arm.
Age: 12.0
Sex: F
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Upper (L) D 1 cm, Lower (L) D 3.5 cm Red - slightly swollen.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pyrexia, Rash
Clinical narrative: Reports at 16:30 - 6/8/17 - injection site, warm, tender and swollen, low grade fever, fever continued the next day along with hives/rash - denies itching.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: Reports at 16:30 - 6/8/17 - injection site, warm, tender and swollen, low grade fever, fever continued the next day along with hives/rash - denies itching.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, HIBV, MMRV, PNC13
Symptoms: Erythema, Local swelling
Clinical narrative: 4x2 cm red and swollen.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site cellulitis, Local reaction, Pyrexia, Swelling
Clinical narrative: Pt rec'd MENVEO in office on 6-26-17 local RXN with swelling and LG fvr started on 6-28-17 called office was told to do cold compresses and mark area of RXN, to call back if worse, apt was made on 6-29-17-Pt started on KEFLEX for cellulitis.
Age: 18.0
Sex: F
Vaccine: MMR, MNQ, VARCEL, MNQ, VARCEL
Symptoms: Cellulitis, Erythema, Pain, Skin warm, Swelling
Clinical narrative: Red warm swollen cellulitis painful.
Age: 18.0
Sex: F
Vaccine: MMR, MNQ, VARCEL, MNQ, VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: Red warm swollen cellulitis painful.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site pruritus, Injection site rash, Injection site reaction, Pain, Rash
Clinical narrative: Pt's mother notice a red rash on DTaP site. PT C/O itching on TDaP side. Mother also noticed a small rash on varicella side with no itching. Mother gave TYLENOL 2ml for pain. Pt was seen today by provider and prescribed BENADRYL 125mg oral/chewable tablet. 1 tab every 6 hours. Mother states that she never had a reaction before.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Rash erythematous
Clinical narrative: Pt's mother notice a red rash on DTaP site. PT C/O itching on TDaP side. Mother also noticed a small rash on varicella side with no itching. Mother gave TYLENOL 2ml for pain. Pt was seen today by provider and prescribed BENADRYL 125mg oral/chewable tablet. 1 tab every 6 hours. Mother states that she never had a reaction before.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Rcv'd KINRIX in LT on 06-26-17 started with redness and swelling quarter size on 6-28-17, pt to call back if no better - appt on 6-29-17 cellulitis on LT - started on cefdinir 250 mg/5 mL BID x 10 days.
Age: 0.25
Sex: U
Vaccine: JEV1
Symptoms: Incorrect dose administered, Overdose
Clinical narrative: Almost 4 month old baby was administer .5cc IM of IXIARO/Japanese Encephalitis vaccine which is twice the dose recommended for her age group. Incorrect dose/overdose of the vaccine for 4 month old.
Age: 18.0
Sex: F
Vaccine: HPV4, MENB
Symptoms: Pain in extremity
Clinical narrative: Severe arm pain within 4 hours after vaccine was administered.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Cough, Pain in extremity, Pyrexia, Respiratory tract congestion
Clinical narrative: Chills, fever, arm pain, cough, throat burning, chest congestion.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Throat irritation
Clinical narrative: Chills, fever, arm pain, cough, throat burning, chest congestion.
Age: 1.0
Sex: F
Vaccine: MMRV, PNC13
Symptoms: Injection site rash, Pyrexia, Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: Red, flat maculopapular rash on trunk and extremities sparing the head. Mild fever. Runny nose.
Age: 1.0
Sex: F
Vaccine: MMRV, PNC13
Symptoms: Rhinorrhoea
Clinical narrative: Red, flat maculopapular rash on trunk and extremities sparing the head. Mild fever. Runny nose.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Pyrexia
Clinical narrative: Pt reports fever and chills about 24 hours after receiving the PNEUMOVAX 23 vaccine. Temperature max was 102 degrees F. 48 hours later patient reports feeling much better no chills, temperature 100 degree F.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site joint movement impairment, Injection site pain
Clinical narrative: (L) arm is sore still at site of injection, pain/tightness with (L) shoulder ROM. Is improved over past 2 months but persists.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Erythema, Induration, Pain
Clinical narrative: 5cm erythematous induration. Painful. Pt started on KEFLEX 20/5 10 ml PO BID x 10days.
Age: 67.0
Sex: M
Vaccine: PNC13, TDAP
Symptoms: Decreased appetite, Injection site erythema, Injection site induration, Injection site warmth, Peripheral swelling
Clinical narrative: Pt developed rash and swollen on his arm. His whole upper arm is red, warm and hard to touch. He was drowsy and lost appetite for a whole day.
Age: 67.0
Sex: M
Vaccine: PNC13, TDAP
Symptoms: Rash, Somnolence
Clinical narrative: Pt developed rash and swollen on his arm. His whole upper arm is red, warm and hard to touch. He was drowsy and lost appetite for a whole day.
Age: 17.0
Sex: F
Vaccine: TYP
Symptoms: Dyspnoea, Eye swelling, Urticaria, Vision blurred
Clinical narrative: 17 y.o. patient no medical problems, received TYPHIM VI injection. Within 3hrs had swollen eye, blurred vision, hives on face and neck, difficulty breathing. Received oral BENADRYL with improvement.
Age: 68.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Pt. called complaining or localized swelling and redness around both vaccine sites. (PREVNAR 13 site worse than the ZOSTAVAX).
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Crying, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: At 46 hours pt report extreme pain at injection site, making her cry. Injection site was swollen and warm. At 53 hrs post injection, patient said slightly better.
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ
Symptoms: Local swelling, Rash, Skin warm
Clinical narrative: Warm to touch, rash, swelling about 2 inches across (L) arm.
Age: 80.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site pain
Clinical narrative: Left upper arm pain since time of vaccination.
Age: 34.0
Sex: F
Vaccine: MMR, MNQ, TYP, YF
Symptoms: Erythema, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Patient experienced nausea, fatigue, slight headache. Redness/soreness on left arm that was size of a tennis ball. No fever was reported/observed.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Pain, Rhinitis allergic, Urinary incontinence
Clinical narrative: Pt given MENVEO without incident. During administration of GARDASIL vaccine, pt complained of pain and then passed out. Nurse and mom helped lay patient down. Patient with urinary incontinence and then awake again. Episode <2 minutes. No postictal state. Normal neuro exam. Pt went home after further monitoring without any additional incident.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal pain
Clinical narrative: Patient presented to clinic with R shoulder pain and eye swelling that occurred yesterday for about 10-12 hours which has now resolved (has pictures). Member received the anthrax vaccine yesterday. He had shoulder pain following the injection and yesterday pain, swelling, and redness increased. States redness and swelling have improved today. Pt describes the pain in his shoulder as a constant dull ache, 4:10 that causes numbness in 3rd-4th fingers on his right hand. Pt gets mild relief after trying to stretch and move his arm around. Also notes that yesterday he was feeling tired and had generalized aches and pains. He reports that he still feels less energetic than normal but better than yesterday. Patient treated with 800mg ibuprofen and 325mg TYLENOL.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Pain
Clinical narrative: Patient presented to clinic with R shoulder pain and eye swelling that occurred yesterday for about 10-12 hours which has now resolved (has pictures). Member received the anthrax vaccine yesterday. He had shoulder pain following the injection and yesterday pain, swelling, and redness increased. States redness and swelling have improved today. Pt describes the pain in his shoulder as a constant dull ache, 4:10 that causes numbness in 3rd-4th fingers on his right hand. Pt gets mild relief after trying to stretch and move his arm around. Also notes that yesterday he was feeling tired and had generalized aches and pains. He reports that he still feels less energetic than normal but better than yesterday. Patient treated with 800mg ibuprofen and 325mg TYLENOL.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Local injection-site cellulitis (swelling, redness, and/or soreness) developed day after vaccine administered.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Asthenia, Decreased appetite, Hypotonia, Lethargy, Pyrexia
Clinical narrative: Fever to 102.4 rectally, lethargic, decreased strength and tone, decreased appetite starting within 24 hours after administration vaccines.
Age: 19.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Headache, Hypoaesthesia, Lip swelling, Myalgia
Clinical narrative: SWOLLEN LIPS, FEVER (100.3), HEADACHE, JOINT PAIN, NUMBNESS/TINGLING IN FINGERS THAT WENT AWAY, AND MUSCLE ACHES.
Age: 19.0
Sex: F
Vaccine: HPV9
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: SWOLLEN LIPS, FEVER (100.3), HEADACHE, JOINT PAIN, NUMBNESS/TINGLING IN FINGERS THAT WENT AWAY, AND MUSCLE ACHES.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Full blood count, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: Chills, fever, malaise, L arm pain. L arm at deltoid area with some swelling and tenderness, also some redness and warmth, ROM of L UE restricted sec to pain.
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site swelling, Injection site warmth, Malaise, Pain in extremity, Pyrexia
Clinical narrative: Chills, fever, malaise, L arm pain. L arm at deltoid area with some swelling and tenderness, also some redness and warmth, ROM of L UE restricted sec to pain.
Sex: F
Vaccine: FLU4
Symptoms: Arthritis, Eczema, Hypersensitivity, Immediate post-injection reaction, Paralysis
Clinical narrative: This case was reported by a other health professional via call center representative and described the occurrence of paralysis in a adult female patient who received Influenza quadrivalent vaccine unspecified. On an unknown date, the patient received Influenza quadrivalent vaccine unspecified. On an unknown date, less than a year after receiving Influenza quadrivalent vaccine unspecified, the patient experienced paralysis (serious criteria GSK medically significant), arthritis, eczema and allergic reaction. On an unknown date, the outcome of the paralysis and arthritis were recovered/resolved and the outcome of the eczema was unchanged and the outcome of the allergic reaction was unknown. It was unknown if the reporter considered the paralysis, arthritis, eczema and allergic reaction to be related to Influenza quadrivalent vaccine unspecified. Additional details were reported as follows: The healthcare professional reported that the patient had an allergic reaction to one of GSK flu vaccines in 2013. The patient experienced arthritis, paralyzed from neck up immediately after the vaccination. These two adverse events subsided a few days later. The patient also experienced eczema which the patient still experiences over 3 years later at the time of reporting. The patient had a physician visits a few days after receiving the flu vaccine. The healthcare professional did not have any additional information as far as lot number etc. The healthcare professional has no additional information on physician visits etc. The healthcare professional was reaching out to receive ingredient lists for our flu vaccines because the patient was receiving the shingles and pneumonia vaccine and wanted to know if they had similar ingredients.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Impaired work ability, Pain in extremity, Skin warm
Clinical narrative: Red warm sore arm after injection. TYLENOL ice OOW 2 days. Seen 6/29 no return calls of concern at this time.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: Patient reported redness and swelling at first. Then she said it got very bumpy under the skin and very hot.
Age: 75.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site rash, Pyrexia
Clinical narrative: Patient has a fever of 100.4 and has had that for the last 3 days. Also has a red warm rash on left upper arm, that patient states has gotten bigger over the last couple days. She did state she applied Calamine lotion and took ADVIL which helped it to feel slightly better. Recommended she goes to her physician or an Urgent Care/After hours to be seen if could not be seen by primary care physician for a check up.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Back pain, Chills, Haematocrit normal, Haemoglobin normal, Laboratory test normal
Clinical narrative: Patient received vaccine on 6/29/17 and while leaving facility started experiencing chills and nausea. She was able to drive home but symptoms persisted and she developed dry heaves, back pain, and neck pain. Patient's mother notified the doctor on call and described symptoms but insisted her breathing pattern was not concerning at the time. Mom was advised to return to the office with patient for evaluation of symptoms. All 3 doctors in the office evaluated patient upon arrival. Her vital signs in the office were normal however despite monitoring for approximately 30 min she continued to complain of chills, nausea, and back pain. She was sent to the ER for further evaluation.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Nausea, Neck pain, Retching
Clinical narrative: Patient received vaccine on 6/29/17 and while leaving facility started experiencing chills and nausea. She was able to drive home but symptoms persisted and she developed dry heaves, back pain, and neck pain. Patient's mother notified the doctor on call and described symptoms but insisted her breathing pattern was not concerning at the time. Mom was advised to return to the office with patient for evaluation of symptoms. All 3 doctors in the office evaluated patient upon arrival. Her vital signs in the office were normal however despite monitoring for approximately 30 min she continued to complain of chills, nausea, and back pain. She was sent to the ER for further evaluation.
Age: 79.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Burning sensation, Erythema, Injection site discomfort, Injection site erythema, Injection site streaking
Clinical narrative: 79-yo female was given Tdap vaccine 0.5ml IM and pneumococcal conjugate 13 vaccine (PREVNAR 13) 0.5ml IM in the left deltoid at 1522 on 6/23/17 in clinic. Patient reported that burning and redness started around the time the vaccine was given. Patient and son called clinic on 6/29 to report that her arm was red, swollen with discomfort.  Patient was asked to come to clinic and patient came to clinic on 6/30/17. MD assessed patient and noted mild redness and swelling to upper left arm where vaccines were given. There was mild streaking and discomfort. Patient denies fevers but redness increased over last 24 hours. MD recommended ice and cool compresses, prescribed doxycycline 100mg PO twice daily x 7 days and to take acetaminophen and diphenhydramine as needed. MD could not rule out cellulitis. Patient was advised to return to MD if the symptoms do not completely resolve in 7 days.
Age: 79.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Injection site swelling, Limb discomfort, Peripheral swelling
Clinical narrative: 79-yo female was given Tdap vaccine 0.5ml IM and pneumococcal conjugate 13 vaccine (PREVNAR 13) 0.5ml IM in the left deltoid at 1522 on 6/23/17 in clinic. Patient reported that burning and redness started around the time the vaccine was given. Patient and son called clinic on 6/29 to report that her arm was red, swollen with discomfort.  Patient was asked to come to clinic and patient came to clinic on 6/30/17. MD assessed patient and noted mild redness and swelling to upper left arm where vaccines were given. There was mild streaking and discomfort. Patient denies fevers but redness increased over last 24 hours. MD recommended ice and cool compresses, prescribed doxycycline 100mg PO twice daily x 7 days and to take acetaminophen and diphenhydramine as needed. MD could not rule out cellulitis. Patient was advised to return to MD if the symptoms do not completely resolve in 7 days.
Age: 18.0
Sex: M
Vaccine: FLU4, HEP, MNQ, TDAP
Symptoms: Malaise, Pharyngeal oedema, Throat irritation
Clinical narrative: Reported not feeling well and itchy throat, NP noted moderate swelling in throat. Was given BENADRYL and EPIPEN. Pt was sent to HCC.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Contusion, Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at the site of injection. Bruise after two days. No chills, no fever noted. Mom reported giving BENADRYL. Mom called office to report adverse event. She declined visit stating that she is comfortable with home care.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Antibody test positive, Blood glucose increased, Enuresis, Extra dose administered, Glycosylated haemoglobin increased
Clinical narrative: On 05/05/2015 my son completed his Dtap series (4 vaccinations, the final one given after my sons 4th birthday). On 05/09/2016 we went in for his 5 year check up and were told he needed yet another Dtap. I explained I did not want to give him another vaccine. The physician pulled his vaccine records from website and stated he needed another one. She made a mistake and was incorrect. His vaccine records accurately reflected his completion of this series but she vaccinated him again anyway. He did not need a 5th Dtap. As a result the recommended CDC guidelines were not followed and overdose occurred. The same week of his vaccination, two days after the injection, he started wetting the bed. He hadn't wet the bed since he was 2.5 years of age. This progressed over several weeks and also began to include weight loss and extreme thirst. He was subsequently diagnosed with Type 1 diabetes in August 2016. On the day of the vaccination his urine screen for diabetes was negative, he had no history of issues regulating his blood sugar and there is no family history. His HgbA1C on 08/17/2016 was approximately 9 indicating his sugars had been elevated for several weeks-3months prior. It is reasonable to assume a temporal relationship to his vaccine overdose and the development of this autoimmune condition.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Thirst, Type 1 diabetes mellitus, Urine analysis normal, Weight decreased
Clinical narrative: On 05/05/2015 my son completed his Dtap series (4 vaccinations, the final one given after my sons 4th birthday). On 05/09/2016 we went in for his 5 year check up and were told he needed yet another Dtap. I explained I did not want to give him another vaccine. The physician pulled his vaccine records from website and stated he needed another one. She made a mistake and was incorrect. His vaccine records accurately reflected his completion of this series but she vaccinated him again anyway. He did not need a 5th Dtap. As a result the recommended CDC guidelines were not followed and overdose occurred. The same week of his vaccination, two days after the injection, he started wetting the bed. He hadn't wet the bed since he was 2.5 years of age. This progressed over several weeks and also began to include weight loss and extreme thirst. He was subsequently diagnosed with Type 1 diabetes in August 2016. On the day of the vaccination his urine screen for diabetes was negative, he had no history of issues regulating his blood sugar and there is no family history. His HgbA1C on 08/17/2016 was approximately 9 indicating his sugars had been elevated for several weeks-3months prior. It is reasonable to assume a temporal relationship to his vaccine overdose and the development of this autoimmune condition.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Febrile convulsion, Oxygen saturation, Seizure
Clinical narrative: Febrile Seizure, full body convulsions for 38 seconds.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Patient experienced large swelling in the upper arm the day after her vaccination. There were bumps in the affected area about the size of a quarter and presented with a rash. Patient felt fine otherwise stating there was no pain or itching. We counseled the patient (6/30/17) to monitor the swelling to see if it worsens since the reaction is only localized to the site of injection. We told her the symptoms of anaphylaxis (difficulty breathing and rash/hives spread throughout the body) and to call 911 if she experiences those symptoms. Lastly, we told her to call the pharmacy if there are any signs of the swelling getting better or worse.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Burning sensation, Cellulitis, Erythema, Pruritus, Urticaria
Clinical narrative: Received the ZOSTAVAX immunization injection on 06/22/2017 by pharmacist, in the left posterior upper arm. Developed a large uniformed dark red welt approx. 2-3 cm by 10 cm down to the elbow. It was both itchy and burning. Received treatment by Emergency facility. Diagnosed as cellulitis and prescribed KEFLEX 500 mg TID x 7 days. Reported to personal physician and VAERS. Administrated appeared to follow proper measure to insure sterility of needle and cleaned site properly. Had recent shower before injection. No discharge or increased redness at injection site.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Erythema multiforme, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Patient reported injection site reaction: pain, redness, swelling.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Patient reported injection site reaction: pain, redness, swelling.
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Diarrhoea, Gastroenteritis viral, Gastrointestinal viral infection, Nausea
Clinical narrative: Initial unsolicited report received from a nurse on 26-May-2017. This case involves a patient (age, gender not reported), who was vaccinated with QUADRACEL (batch number: C5222AA, expiry date, dose, dose in series and site of administration not reported) and MEASLES, MUMPS AND RUBELLA VACCINE (MMR) (batch number: M045393, expiry date, dose, dose in series and site of administration not reported) and VARIVAX (batch number: M045205, expiry date, dose, dose in series and site of administration not reported) on 25-May-2017. Patient's medical history and concomitant medications were not reported. On an unknown date, shortly after vaccination, the patient began vomiting with temperature of 99 degree F. No rash, redness or swelling. Patient's other lab data and corrective treatment was not reported. The outcome of the events were not reported. Follow up information received from a Nurse on 20 June 2017. The four-year-old female patient who was vaccinated with QUADRACEL in left lower extremity, MMR in right lower extremity and VARIVAX in left lower extremity on 22 May 2017 at 4.30 pm. Patient had no illness at the time of vaccination and pre-existing physician diagnosed allergies allergies, birth defects, and medical conditions. Patient had no other vaccinations within 4 weeks and no adverse event following prior vaccination. On 23 May 2017 at 3 pm, 22.5 hours (reported as 24 hours), patient vomited twice and had diarrhea. On the same day, at the end of the day in evening, one day following vaccination, patient felt nauseated, had stomach flu, viral GI (Gastrointestinal) bug (tummy bug). On 24 May 2017 in the night, two days following vaccination, patients had 102.7 fahrenhiet temperature. On 25 May 2017 in the morning (AM), three days following the vaccines, patient had 100.6 fahrenhiet temperature. No other lab data and corrective treatment to report. On an unknown date, patient recovered from the events. Documents held by sender: none.
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Initial unsolicited report received from a nurse on 26-May-2017. This case involves a patient (age, gender not reported), who was vaccinated with QUADRACEL (batch number: C5222AA, expiry date, dose, dose in series and site of administration not reported) and MEASLES, MUMPS AND RUBELLA VACCINE (MMR) (batch number: M045393, expiry date, dose, dose in series and site of administration not reported) and VARIVAX (batch number: M045205, expiry date, dose, dose in series and site of administration not reported) on 25-May-2017. Patient's medical history and concomitant medications were not reported. On an unknown date, shortly after vaccination, the patient began vomiting with temperature of 99 degree F. No rash, redness or swelling. Patient's other lab data and corrective treatment was not reported. The outcome of the events were not reported. Follow up information received from a Nurse on 20 June 2017. The four-year-old female patient who was vaccinated with QUADRACEL in left lower extremity, MMR in right lower extremity and VARIVAX in left lower extremity on 22 May 2017 at 4.30 pm. Patient had no illness at the time of vaccination and pre-existing physician diagnosed allergies allergies, birth defects, and medical conditions. Patient had no other vaccinations within 4 weeks and no adverse event following prior vaccination. On 23 May 2017 at 3 pm, 22.5 hours (reported as 24 hours), patient vomited twice and had diarrhea. On the same day, at the end of the day in evening, one day following vaccination, patient felt nauseated, had stomach flu, viral GI (Gastrointestinal) bug (tummy bug). On 24 May 2017 in the night, two days following vaccination, patients had 102.7 fahrenhiet temperature. On 25 May 2017 in the morning (AM), three days following the vaccines, patient had 100.6 fahrenhiet temperature. No other lab data and corrective treatment to report. On an unknown date, patient recovered from the events. Documents held by sender: none.
Age: 44.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event, X-ray
Clinical narrative: Non-stated.
Age: 4.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain, Cough, Dyspnoea, Pyrexia
Clinical narrative: Fever of 102 developed within 24 hours of vaccine accompanied by cough/SOB ->lasted 2-3 week treated with Albuterol and ZITHROMAX. Abdominal pain ->resolved within a couple days.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Pt called in the morning after receiving vaccine to inquire about effects of vaccine. She stated that upon waking she experienced extreme soreness (unable to raise arm above head), redness, swelling, and inflammation from just below shoulder down to elbow. She marked the boarders w/ a pen. Around 3:30, she stated she was a little better and the reaction had not spread any. She did not take any antihistamine as recommended.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: The evening after pt felt very tired so she went to bed. Upon waking, her arm was painful, red, and inflamed. She presented to the pharmacy for a Dr. note around 3:30pm. She still had the same symptoms, which were noticed by both pharmacist on staff. They were present from about 1/2 inch below the injection site down to just above the elbow. It has not gotten worse, but not yet better.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Asthenia, Body temperature decreased, Chills, Mental status changes, Seizure like phenomena
Clinical narrative: After returning home from morning MD appt. Pt. stated she felt weak. Ate lunch and after lunch had seizure like activity x 1 min. Wasn't able to follow commands x 45 - 60 mins. Husband brought pt. to MD office. Upon arrival at office tympanic temp - 92.8. Pt. chilling. Per Dr., "pt back to her normal mental self in office". Pt. was transported to Hospital ER via EMS for further evaluation. Office VS: 92.8 P=77 BP=140/92 O2 Sat = 97% on room air.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Abdominal pain, Haematochezia, Mucous stools, Ultrasound abdomen
Clinical narrative: Abdominal pain, mucousy bloody stool. Evaluated at Hospital for possible intussusception.
Age: 85.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth (L) arm reactionbelow injection site. No SOB, No CP. ABX prescribed: KEFLEX
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Chills, Decreased appetite, Dyspnoea, Erythema, Insomnia
Clinical narrative: Red spot, knot that grew over the course of 3 days. Fever lasting at least 3 days (still ongoing), vomiting for 2 days. Decreased hunger (has eaten very little for 2 days), decreased thirst, shortness of breath with high fever, chills, shivering, insomnia.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Nodule, Pyrexia, Thirst decreased, Vomiting
Clinical narrative: Red spot, knot that grew over the course of 3 days. Fever lasting at least 3 days (still ongoing), vomiting for 2 days. Decreased hunger (has eaten very little for 2 days), decreased thirst, shortness of breath with high fever, chills, shivering, insomnia.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: Left Deltoid redness. Treated with Ibuprofen.
Age: 58.0
Sex: F
Vaccine: MMR
Symptoms: Blister, Injection site pruritus, Rash
Clinical narrative: Started with itchiness at the injection site the evening of the vaccine and raised areas on the arm (similar to sun poisoning / rash). The next morning both arms had raised areas. Within 3 days the raised areas looked like the "blisters" had popped with small open white patches (no fluid). Within 7 days the blister like areas were gone.
Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Induration
Clinical narrative: Patient has large area of erythema measuring 6 cm in diameter with a 3cm induration in the center.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Oedema peripheral, Pain in extremity, Peripheral swelling
Clinical narrative: Dull ache in left arm, swelling, edema, pain.
Age: 18.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: No adverse effects reported. EDC 9/14/17.
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site swelling, Lethargy, Pyrexia
Clinical narrative: Lethargic, fever (101), swelling and redness at the injection site.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Patient's arm swelled and got warm.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Arthralgia, C-reactive protein normal, Complement factor C3, Complement factor C4, Complement factor normal
Clinical narrative: Pain in right arm developing days after vaccine. Arthralgias in right shoulder, collarbone, MCP joints in hands bilaterally and right groin lasting for > 1 week and causing significant limitation in mobility.
Age: 16.0
Sex: M
Vaccine: TDAP
Symptoms: Differential white blood cell count normal, Full blood count normal, Mobility decreased, Pain in extremity
Clinical narrative: Pain in right arm developing days after vaccine. Arthralgias in right shoulder, collarbone, MCP joints in hands bilaterally and right groin lasting for > 1 week and causing significant limitation in mobility.
Age: 32.0
Sex: F
Vaccine: JEV1
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Pt reported vaccine arm became erythematous, tender and swollen to her wrist beginning approximately 4 hours after the injection. Symptoms relieved with PO diphenhydramine. No systemic symptoms. No rash, itching, shortness of breath, perioral swelling or fever. Pt declined clinic appointment but came to the ED 6/22 complaining of continued erythema. She was given PO KEFLEX for possible cellulitis. Pt reported resolution of symptoms on 6/26.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Moderate to severe pain on shoulder, not in the joint, with much difficulty using arm for about 2 hours. Pain decreased with ice and Naproxen 220mg. At 6PM area tender without use of arm and mildly sore when I raise my arm. Full range of motion.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood count normal, Herpes zoster, Liver function test normal, Metabolic function test normal, Rash
Clinical narrative: DEVELOPED SHINGLES 13 YEARS LATER 6/24/2017, symptoms, rash and pain right upper quad abdomen and back, treatment famciclovir 500 mg 7 days, hydrocodone 5 mg /acetaminophen325 mg 4 x day, time course not complete.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Renal function test normal, Urine analysis normal
Clinical narrative: DEVELOPED SHINGLES 13 YEARS LATER 6/24/2017, symptoms, rash and pain right upper quad abdomen and back, treatment famciclovir 500 mg 7 days, hydrocodone 5 mg /acetaminophen325 mg 4 x day, time course not complete.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Vaccination site erythema, Vaccination site induration
Clinical narrative: Erythema and induration 4x4 cm at vaccine site.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Musculoskeletal pain
Clinical narrative: The soreness in my shoulder since second day after injection still continues today, 46 days later.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Chills, Pyrexia, Somnolence, Swelling
Clinical narrative: Fever of 102.1, swelling getting much worse 2 days later, larger than a half dollar, body chills, drowsiness.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Amnesia, Cognitive disorder, Differential white blood cell count normal, Disorientation, Dizziness
Clinical narrative: Severe headaches, dizziness, behavorial disorientation, short term memory loss, cognitive processing. Vaccination was Hepatitis B, unknown manufacturer or lot #.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Full blood count, Headache, Metabolic function test
Clinical narrative: Severe headaches, dizziness, behavorial disorientation, short term memory loss, cognitive processing. Vaccination was Hepatitis B, unknown manufacturer or lot #.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Muscle ache in injection site and down the arm, last hours sometimes and days sometimes. I take ibuprofen but does not relieve the pain.
Age: 16.0
Sex: M
Vaccine: HPV9, MENB
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Hypotonia, Malaise
Clinical narrative: At 5:37 pm - about one minute after getting HPV GARDASIL patient verbalized he was not feeling well, said he felt light headed and weak. Patient got really pale, body got limp, vomited and sweating profusely. Patient was given water. 20 minute later he left clinic on own.
Age: 16.0
Sex: M
Vaccine: HPV9, MENB
Symptoms: Pallor, Vomiting
Clinical narrative: At 5:37 pm - about one minute after getting HPV GARDASIL patient verbalized he was not feeling well, said he felt light headed and weak. Patient got really pale, body got limp, vomited and sweating profusely. Patient was given water. 20 minute later he left clinic on own.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Culture throat negative, Differential white blood cell count normal, Dizziness, Electrocardiogram normal, Epstein-Barr virus antibody negative
Clinical narrative: Felt dizzy immediately after shots. Next AM woke up dizzy and become nauseous. Presented to ER with dizziness and presyncopal symptoms. Received IV fluid boluses, RX for ondansetron, labs and EKG.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Full blood count normal, Immediate post-injection reaction, Metabolic function test normal, Mononucleosis heterophile test negative, Nausea
Clinical narrative: Felt dizzy immediately after shots. Next AM woke up dizzy and become nauseous. Presented to ER with dizziness and presyncopal symptoms. Received IV fluid boluses, RX for ondansetron, labs and EKG.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Presyncope
Clinical narrative: Felt dizzy immediately after shots. Next AM woke up dizzy and become nauseous. Presented to ER with dizziness and presyncopal symptoms. Received IV fluid boluses, RX for ondansetron, labs and EKG.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Erythema, swelling, warmth and pain around injection site-left upper extremity. Exacerbated by pressure and movement of left arm. Symptoms constant. Treatment-ice, elevate, and NSAIDs. Will avoid #2 dose.