chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: M
Vaccine: FLU4, HEPA, HPV4
Symptoms: Dizziness, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Pt. completed lab draw and 3 vaccinations. As pt. and family were walking out of the clinic, pt. became dizzy and fainted at the front entrance.  Pt.'s father caught pt. so that he did not hit the floor. RN's responded to CODE YELLOW call. Pt. was gently laid on the floor, RN checked HR=48, pt. diaphoretic, pale in color, eyes closed, normal respiratory breathing. RN elevated pt.'s feet. Pt. responded appropriately to all questions. Dr. spoke with pt. and parents. BP= 118/68. Pt. assisted to sitting position, then to standing position. Denied any dizziness. Pt. assisted to chair, given cup of water and frozen ice pop. After sitting in chair for a few minutes, pt. ambulated around the clinical area with RN without any sxs. Parents instructed to get a snack for pt. to help increase blood sugar. Parents verbalized understanding.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Chest tightness, difficulty breathing.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Crying, Dizziness, Dyskinesia, Feeling hot, Muscular weakness
Clinical narrative: Left arm pain, muscle weakness, dizziness, seizure-like activity with staring spell and inability to speak or move for a few minutes.  Happened again 10/15/2013 at about 9am at facility.  I was seen by NP who described it as "looking Luke a seizure" and is referring me to a  neurologist. I remember feeling hot and light-headed, then fainted, cried and my body felt like it was jerking.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Seizure like phenomena, Speech disorder, Staring, Syncope
Clinical narrative: Left arm pain, muscle weakness, dizziness, seizure-like activity with staring spell and inability to speak or move for a few minutes.  Happened again 10/15/2013 at about 9am at facility.  I was seen by NP who described it as "looking Luke a seizure" and is referring me to a  neurologist. I remember feeling hot and light-headed, then fainted, cried and my body felt like it was jerking.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Swelling
Clinical narrative: Pt states has redness and swelling approx 3.5 minches in diameter.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Aspiration joint, Back pain, Blood test, Fatigue
Clinical narrative: "That day, I bent forward at work and started having back pain and by the end of the day, I had pain in all of my joints.  I have been tired since, and feel sick like I have the flu.  I am very stiff, especially in the morning.  I can't lie down or sit still.  Pain 6-8/10, worse in AM.  I've continued to work because it doesn't make it any worse and I don't want to sit at home.  That doesn't help.  My right knee is the worst, started on 10/26: very swollen and tender, and it was even worse this weekend.  My right (2nd MCP) knuckle is bad, too.  I tried ice; I don't know if it helped.  Heat feels good.  I can't take NSAIDs.  I took Tylenol and it helped, but I don't like to take medicine.  I had started working out 6 wks ago, but I can't now.  I saw my gynecologist.  She said to wait 2 wks and if it was still bothering me to let you know.  She also said there's a rheumatologist that I could see."
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Joint swelling, Malaise, Musculoskeletal stiffness, Restlessness
Clinical narrative: "That day, I bent forward at work and started having back pain and by the end of the day, I had pain in all of my joints.  I have been tired since, and feel sick like I have the flu.  I am very stiff, especially in the morning.  I can't lie down or sit still.  Pain 6-8/10, worse in AM.  I've continued to work because it doesn't make it any worse and I don't want to sit at home.  That doesn't help.  My right knee is the worst, started on 10/26: very swollen and tender, and it was even worse this weekend.  My right (2nd MCP) knuckle is bad, too.  I tried ice; I don't know if it helped.  Heat feels good.  I can't take NSAIDs.  I took Tylenol and it helped, but I don't like to take medicine.  I had started working out 6 wks ago, but I can't now.  I saw my gynecologist.  She said to wait 2 wks and if it was still bothering me to let you know.  She also said there's a rheumatologist that I could see."
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness
Clinical narrative: "That day, I bent forward at work and started having back pain and by the end of the day, I had pain in all of my joints.  I have been tired since, and feel sick like I have the flu.  I am very stiff, especially in the morning.  I can't lie down or sit still.  Pain 6-8/10, worse in AM.  I've continued to work because it doesn't make it any worse and I don't want to sit at home.  That doesn't help.  My right knee is the worst, started on 10/26: very swollen and tender, and it was even worse this weekend.  My right (2nd MCP) knuckle is bad, too.  I tried ice; I don't know if it helped.  Heat feels good.  I can't take NSAIDs.  I took Tylenol and it helped, but I don't like to take medicine.  I had started working out 6 wks ago, but I can't now.  I saw my gynecologist.  She said to wait 2 wks and if it was still bothering me to let you know.  She also said there's a rheumatologist that I could see."
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Paraesthesia
Clinical narrative: Swelling of lips, tingling ear & side of face.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Exposure during pregnancy, Rash
Clinical narrative: Rash and possible infection.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Pain initially started in injection site on right upper arm/shoulder.  Now, sharp pains occur near injection site, upper arm and neck.  I have a hard time lifting my arm much more than waist height.  Lifting above my head causes severe pain.
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Diarrhoea, Irritability, Pyrexia, Rash
Clinical narrative: On October 10 patient developed a fever (exact numbers not recorded) which lasted for 2-3 days.  The only other symptom noted was decreased appetite and increased irritability.  By the evening of October 13 the fever was gone but a pink/red rash was developing on her cheeks, and she was more irritable.  The rash spread down her trunk, onto her belly/chest and back. She also had some spots in her mouth that were noted October 15, and diarrhea was also noted the same day. I do have pictures of the rash which I can make available if necessary.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Bruising and pain at injection site for 7 days after.
Age: 53.0
Sex: M
Vaccine: HEP, RVX, TD
Symptoms: Blood mercury, Blood test, Borrelia test, Fatigue, Full blood count
Clinical narrative: Severe fatigue within 8 hours, cold, pain in neck and head, unable to work on 10/4/13 - present.  Head sweat, lost 7 pounds in one week.  Unable to function with mind.  Quietness.
Age: 53.0
Sex: M
Vaccine: HEP, RVX, TD
Symptoms: Headache, Hyperhidrosis, Impaired work ability, Mental disorder, Nasopharyngitis
Clinical narrative: Severe fatigue within 8 hours, cold, pain in neck and head, unable to work on 10/4/13 - present.  Head sweat, lost 7 pounds in one week.  Unable to function with mind.  Quietness.
Age: 53.0
Sex: M
Vaccine: HEP, RVX, TD
Symptoms: Neck pain, Scan brain, Thyroid function test, Weight decreased
Clinical narrative: Severe fatigue within 8 hours, cold, pain in neck and head, unable to work on 10/4/13 - present.  Head sweat, lost 7 pounds in one week.  Unable to function with mind.  Quietness.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Sleep disorder
Clinical narrative: Excrutiating pain especially while sleeping.
Age: 16.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Excrutiating pain at injection site, worse at nigth when trying to sleep.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Muscle aches that have lasted for a month.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Excrutiating pain at injection site- still present- especially bad at night.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Immediate post-injection reaction, Musculoskeletal pain, Pain, X-ray limb
Clinical narrative: Immediate shoulder pain, extending down full length of arm.  Worsened despite doses of ibuprofen x 5 days.  Eventually severe pain w/raising arm above head, driving, reaching etc.  3 weeks following vaccination, visited orthopedic surgeon.  Diagnosed w/severe bursitis of the shoulder.  Given a steroid injection to treat the bursitis.  Has been 5 days since steroid injection.  Only minimal pain at this point.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site pruritus
Clinical narrative: Itch and mild tenderness at injection site.
Age: 8.0
Sex: M
Vaccine: FLUN4
Symptoms: Aphasia, Dyspnoea, Hypoaesthesia, Neurological examination, Partial seizures
Clinical narrative: Partial seizure, numbness on one side of body,  tremors, difficulty breathing, unable to talk, 5 minutes to complete recovery, another seizure the following night and again the next.
Age: 8.0
Sex: M
Vaccine: FLUN4
Symptoms: Tremor
Clinical narrative: Partial seizure, numbness on one side of body,  tremors, difficulty breathing, unable to talk, 5 minutes to complete recovery, another seizure the following night and again the next.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Guillain-Barre syndrome, Muscular weakness, Myelopathy, Paraesthesia
Clinical narrative: Myelopathy, weakness and tingling in her extremities.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia
Clinical narrative: Swelling and pain in left shoulder, site of vaccine shot, per physician check up, bursitis possibly caused by administration of injection into bursa. Prescribed increased dose prednisone.
Age: 59.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Bursitis, Injection site pain, Injection site swelling
Clinical narrative: Swelling and pain in left shoulder, site of vaccine shot, per physician check up, bursitis possibly caused by administration of injection into bursa. Prescribed increased dose prednisone.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site irritation
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 58 year old female patient with sulfonamides allergies, multiple unspecified food allergies and environmental allergies. On 28-SEP-2013 the patient was vaccinated with a single dose of ZOSTAVAX (lot # J002868, expiration date 14-JUN-2013) reconstituted with diluent (lot # J003477, expiration date 01-JAN-2015), subcutaneous in the left upper arm (dose not reported). On 03-OCT-2013 the patient developed warmth and redness at the injection site. The patient sought medical attention and came to the pharmacy on 05-OCT-2013 with a 1 inch area of redness at the injection site. No treatment was given for the events. No lab diagnostics studies were performed. Action taken with therapy was unknown. The warmth at the site had resolved without treatment. The outcome of redness at the injection site was unknown. Additional information has been requested.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 58 year old female patient with sulfonamides allergies, multiple unspecified food allergies and environmental allergies. On 28-SEP-2013 the patient was vaccinated with a single dose of ZOSTAVAX (lot # J002868, expiration date 14-JUN-2013) reconstituted with diluent (lot # J003477, expiration date 01-JAN-2015), subcutaneous in the left upper arm (dose not reported). On 03-OCT-2013 the patient developed warmth and redness at the injection site. The patient sought medical attention and came to the pharmacy on 05-OCT-2013 with a 1 inch area of redness at the injection site. No treatment was given for the events. No lab diagnostics studies were performed. Action taken with therapy was unknown. The warmth at the site had resolved without treatment. The outcome of redness at the injection site was unknown. Additional information has been requested.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local swelling, Urticaria
Clinical narrative: Red, swollen hives on arms and legs 2 hours after vaccine reaction. Photos taken.
Age: 3.0
Sex: F
Vaccine: FLUN4
Symptoms: Cough
Clinical narrative: A few days after receiving FLUMIST, she developed a cough - occurs during night time, parents have been giving albuterol as needed. Clinic appt pending.
Age: 3.0
Sex: M
Vaccine: FLUN4
Symptoms: Contraindication to vaccination, No adverse event
Clinical narrative: LAIV given to 3 year old male who was started on prednisolone by off-base physician one day prior. No adverse reaction/response per father of child.
Age: 3.0
Sex: F
Vaccine: FLUN4
Symptoms: Unevaluable event
Clinical narrative: LAIV given on same day child was seen for a febrile illness. Discussed with parents who state child improving. No concerns re: FLUMIST per parents.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Back pain, Injection site pain, Injection site swelling, Swelling
Clinical narrative: Swelling and pain in right deltoid, armpit, upper/lower back on 10/11 and 10/12. Swelling continues in 10/14 and 10/15. Ibuprofen for pain and swelling.
Age: 92.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Arm pain sometimes shooting down the arm to hand.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Arm pain at injection site sometimes shooting down arm to hand.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal discomfort, Asthenia, Cold sweat, Heart rate increased, Hyperhidrosis
Clinical narrative: Rapid heart rate, sweating/clammy, weakness, stomach upset/lasted about 15-20 minutes. Drank a glass of water.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site pain
Clinical narrative: Arm pain at injection site sometimes shooting down arm to hand.
Age: 84.0
Sex: U
Vaccine: FLU3
Symptoms: Cellulitis, Inflammation, Local swelling, Pain in extremity, Pyrexia
Clinical narrative: Arm swelled up, became inflamed and feverish, painful within several hours. Kept getting worse. Saw Dr on 10-2-13 and he said I had cellulitis. Prescribed antibiotic KEFLEX 10 days, ADVIL 3 x day, heat pad on arm. I had a very bad reaction within hours after my flu shot and want to be sure it is reported. The lady pharmacist who administered the shot was not there when I called and they said she would not be back until the following week. However, the pharmacist I talked with evidently gave her my name and phone number because she called me back almost immediately. She said she would call me back later because she needed more information for her report but she has not done so. I made a copy of the information from the Pharmacy which should be helpful to you. I filled out the form to the best of my ability. This is the first time I have had a violent reaction to a flu shot in about 30 years. I went many years without them after my children were grown. I resumed the shots when I was in my 50's because the Dr.'s office insisted I should get them because of my age. I was sick with one thing after another for 4 months after that 1st shot but never had another bad reaction until now. I'm 84 and I will not get another flu shot in the future.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Face and mouth X-ray, Pain, Temporomandibular joint syndrome, Trismus
Clinical narrative: TMJ/Lock jaw started right after shot given and has persisted since, with pain.
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Hyperhidrosis, Pallor, Peripheral coldness
Clinical narrative: Two to three minutes after vaccination, the patient felt weak, sweating, cold hands and had his eyes closed. His face turned completely white. But he remained consciousness till he went to ER 911 people took him to ER.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Erythema, Eye swelling, Skin warm
Clinical narrative: Pt's face became red and hot. Eyes became ragged and swollen. Headache. Stomach pain.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Hypersensitivity, Influenza like illness, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt reports flu-like sx, fever on date of administration. Sx-improved with ibuprofen. In additional has continued redness, warmth, firm swelling 3-4" at site of pneumococcal injection. Treated as walk-in 10/11/13 - given Zyrtec for allergic reaction.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Pt reports flu-like sx, fever on date of administration. Sx-improved with ibuprofen. In additional has continued redness, warmth, firm swelling 3-4" at site of pneumococcal injection. Treated as walk-in 10/11/13 - given Zyrtec for allergic reaction.
Age: 44.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Arm is still sore even weeks after vaccine was administered.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site reaction, Nausea, Pyrexia, Swelling
Clinical narrative: Injection site reaction, swelling, fever, nausea. Reported several weeks after admin-> In PNEUMOVAX23 arm.
Age: 51.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Wednesday night fever 101-102 degrees, emesis et dyspnea pain at injection site, no redness.
Age: 31.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Rash erythematous, Rash macular
Clinical narrative: Ever since receiving the shot, the patient's arm where the pneumonia vaccine was administered, has been sore. Last night, she noticed that her arm around the injection site was splotchy and red. There are visible red bumps. It is very sore to the touch. She also noticed redness on the bottom of her right foot. No treatment has been started. Per nurse, at her doctor's office, she is to use oral BENADRYL and apply ice to the area.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Cough, Diarrhoea, Pyrexia, Rhinorrhoea, Streptococcus test
Clinical narrative: Received vaccines 9/18/13, came to office 9/30/13 after developing fever 101 for 2-3 days, diarrhea and on 9/30 rash on trunk, clear runny nose sl. cough.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Streptococcus test negative
Clinical narrative: Received vaccines 9/18/13, came to office 9/30/13 after developing fever 101 for 2-3 days, diarrhea and on 9/30 rash on trunk, clear runny nose sl. cough.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Paraesthesia oral, Pruritus generalised, Urticaria
Clinical narrative: Received flu shot Monday 9/30/13, that night had chills, next morning 10/1/13, woke up  with hives on face (one behind ear and 2 on chin), felt itchy all over and tingling felt in lips mostly bottom lip left side. Took Benadryl tablet, kept symptoms at bay for around 6 hrs, took another Benadryl 7 PM on 10/1 and again 9 AM 10/2 and 10 PM on 10/2.
Age: 29.0
Sex: F
Vaccine: FLUN4
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: No adverse reactions noted. Patient has a follow-up OB appointment for an ultrasound. She is currently 12 weeks pregnant.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discolouration, Injection site swelling
Clinical narrative: Patient presented approximately 4 hours after receiving vaccine with swelling and discoloration at the injection site. I advised the patient that this was not uncommon. Suggested to apply ice to site. Advised follow up the next day. Patient appeared to have no other signs or symptoms.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient developed redness and swelling on right upper inner arm. PNEUMOVAX injected in right deltoid. Reports no itching, no shortness of breath, wheezing, difficulty breathing. Minimal redness/swelling warmth on (R) outer arm.
Age: 12.0
Sex: M
Vaccine: FLUN4
Symptoms: Unevaluable event
Clinical narrative: LAIV (FLUMIST) given on the same day patient treated for otitis externo, per father, child is doing well. No adverse events per father.
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Eye swelling, Nasal congestion, Oedema mouth, Pharyngeal oedema, Wheezing
Clinical narrative: Patient woke the morning after getting the FLUMIST (16hrs) with swollen eyes, nasal passages, mouth, throat localized mucous membranes, nose, mouth with slight wheezing remote history Reactive Airway Disease. Used BENADRYL.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pyrexia, Skin warm
Clinical narrative: Patient reported receiving the vaccine mid-afternoon, then waking up at midnight feeling feverish. His wife said he had chills and was hot to the touch. They did not check his temperature. He felt fine again by 7am the next morning.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Swelling
Clinical narrative: Redness, swelling, hardness within hrs after receiving flu vaccine.
Age: 12.0
Sex: F
Vaccine: FLU3, MNQ, TDAP
Symptoms: Erythema, Injection site erythema, Injection site macule, Papule
Clinical narrative: 4 cm red papule distal to injection site. One injection site with 1/2 red macule around it both on (R) arm.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia oral, Swollen tongue, Throat tightness
Clinical narrative: Patient noticed tingling around her mouth in parking lot - so she took an ALLEGRA. When arrived at home, throat started to close and tongue swelled so she took 2 BENADRYL and call ambulance.
Age: 7.0
Sex: M
Vaccine: FLUN4
Symptoms: Abdominal pain upper, Cough, Malaise, Rhinorrhoea, Vomiting
Clinical narrative: Started 10-12-13 1030-12 and into afternoon. Child's nose started running nose and cough, then he got sick and vomited, stomach hurt, had 99 degree temp. Sat afternoon around 3-4 pm called on-call nurse and reported gave BENDARYL 1 tsp Q 4-6 hours and this decreased running nose and vomiting stopped.
Age: 51.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site oedema
Clinical narrative: Localized tissue edema to left deltoid at the site of pneumococcal vaccine about 4 hours ago.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Eye pruritus, Fatigue, Hypoaesthesia oral
Clinical narrative: Received vaccine at 930am on 10/11/13. She noticed tingling in her lips at 1:30pm. She notified me (LPN) and my nursing supervisor (RN) at 220pm of this symptom and now they were numb. She was given a BENDARYL 25mg PO at 230pm. Re-evaluated at 3pm and now has a sore throat, red itchy eyes and some blurred vision. Supervisor spoke with a doctor and agreed she should be evaluated before leaving work. She was seen by Dr at 315pm. Another BENADRYL 25mg was given to her orally at 345pm. Her temp was 98.4 when she was roomed for that appt. No labs checked and she was told by the doctor to remain at work for 1 hr if she didn't have anyone at home and to take BENADRYL 25mg every 6 hrs for the next 48 hours. She did stay at the clinic (clinic employee - lab) for 1 hr and during that time, approx 330pm, she had the chills. Her temp was now 99.4. She was re-evaluated at 415pm after taking the 2nd BENDARYL and she had feeling back in her lips. She felt very chilled and tired. Her temp was checked before leaving for home and it was up to 99.8. She left for home at 430pm and another co-worker was following her to her house. She was going to go sleep and someone was going to check on her at 6pm. Told to follow up or call 911 if she had shortness of breath, throat swelling, hives or any other major reactions. She stated she understood. Incident was also reported to Employee Health to make a note in her employee file.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Oropharyngeal pain, Paraesthesia oral, Vision blurred
Clinical narrative: Received vaccine at 930am on 10/11/13. She noticed tingling in her lips at 1:30pm. She notified me (LPN) and my nursing supervisor (RN) at 220pm of this symptom and now they were numb. She was given a BENDARYL 25mg PO at 230pm. Re-evaluated at 3pm and now has a sore throat, red itchy eyes and some blurred vision. Supervisor spoke with a doctor and agreed she should be evaluated before leaving work. She was seen by Dr at 315pm. Another BENADRYL 25mg was given to her orally at 345pm. Her temp was 98.4 when she was roomed for that appt. No labs checked and she was told by the doctor to remain at work for 1 hr if she didn't have anyone at home and to take BENADRYL 25mg every 6 hrs for the next 48 hours. She did stay at the clinic (clinic employee - lab) for 1 hr and during that time, approx 330pm, she had the chills. Her temp was now 99.4. She was re-evaluated at 415pm after taking the 2nd BENDARYL and she had feeling back in her lips. She felt very chilled and tired. Her temp was checked before leaving for home and it was up to 99.8. She left for home at 430pm and another co-worker was following her to her house. She was going to go sleep and someone was going to check on her at 6pm. Told to follow up or call 911 if she had shortness of breath, throat swelling, hives or any other major reactions. She stated she understood. Incident was also reported to Employee Health to make a note in her employee file.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Fatigue, Headache, Immediate post-injection reaction, Myalgia
Clinical narrative: Was immediate redness, 1 cm papule, itch later in the day, myalgias, fatigue, headache.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Papule, Pruritus
Clinical narrative: Was immediate redness, 1 cm papule, itch later in the day, myalgias, fatigue, headache.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Local swelling, Pain
Clinical narrative: (L) hand swelling, pain, and redness within 4 hours of vaccine.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Injection site bruising, Pain in extremity, Skin discolouration
Clinical narrative: Started 10-10-13 PM and pain in arm, then 10-11-13 AM noticed arm bruising, which progressed then to different colors. Saw gyn doctor 10-14-13 who told her to check in with us - bruise measures 14cm length x 8cm width arm circumference 25.5 cm 6cm down from injection site.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Pruritus
Clinical narrative: Pt called approx 1 hr after vaccine with complaint of itching (no rash and the itch was several inches below site) - told pt to call again or see MD if anything changed. Pt came in 11AM 10/14/13 with bruised and contused area 3 to 4 inches below injection site - injection site nicely healed with no redness/swelling or heat.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Local swelling, Pruritus, Urticaria
Clinical narrative: Felt itchy evening of vaccine. Thought just dry skin, woke 10/10 with hives and hands swollen. Used Benadryl with relief. 10/11 woke with swollen hands and lips took Benadryl 10/11 and 10/12. No further problems.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Oedema, Pain, Pruritus, Skin warm
Clinical narrative: Redness approx lg egg size, edema, pain warm to touch, initial itch.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local swelling, Pain in extremity
Clinical narrative: Started on 10/11/13 with a sore arm on 10/12/13 am developed redness and swelling and heat at site. Progressed on 10/13/13 swelling started dropping down arm.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Flushing, Headache, Pyrexia
Clinical narrative: Fever, headache, flushing, earache took 1000mg acetaminophen for symptoms.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Lt deltoid area red and warm.
Age: 61.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Immediate post-injection reaction, Injection site discolouration, Injection site swelling, Pain
Clinical narrative: Seconds after administering the vaccine, the inj. site right arm got swollen and turned bluish green. Patient got a little dizziness that was gone in less than one minute. BP and breathing an all other vitals was normal. Patient recovered totally with only soreness by end of day.
Age: 67.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient received ZOSTAVAX vaccine on 9/22/13. Patient presented to pharmacy on 9/25/13 with a 3 inch red patch at injection site. I told pt he should see MD to rule out shingles. Pt saw MD and he said it was simply an injection site reaction.
Age: 74.0
Sex: F
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 45.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Oedema, Pruritus, Swelling
Clinical narrative: Swelling/edema/itching of arm from shoulder to wrist.
Age: 41.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Malaise, Oropharyngeal pain, Productive cough, Pyrexia
Clinical narrative: Body malaise, sore throat, productive cough, headache and fever of 99.2 degrees F manifested 2-3 days after vaccine was received. Medications taken as follow: Paracetamol 2 tabs every 12 hrs, ROBITUSSIN DM 5ml every 6 hrs.
Age: 55.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site warmth, Pain, Staphylococcal infection
Clinical narrative: Pt states arm sore with hard spot at injection site. Pt states arm too sore to lift above waist. Site slight warm to touch. Pt went to doctor 6 days post injection. Pt states physician suspects staph infection. Pt given prescription for antibiotic to treat.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphonia, Oropharyngeal pain, Pain
Clinical narrative: Hoarseness, sore throat, pain below ears. Symptoms relieved by Advil and Zyrtec 10 mg.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Local reaction, Malaise
Clinical narrative: Local injection site reaction. Pt. given Fluvirin and Pneumovax on 10/3/13. She said did not feel well on 10/4/13 on 10/5/13 her arm "ballooned up" at injection site. It was hot and sore to  touch. Pt. took Benadryl and was fine by next day. Reported to pharmacy on 10/8/13 arm was fine at that time.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Pt developed rash after receiving PNEUMOVAX in left deltoid and FLUZONE HD in right deltoid. Rash in left arm developed well below injection site and encircled arm. Rash on right arm also well below injection site but only 2-3" patch of redness. Pt went to urgent care 9/14/13.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eye pruritus, Feeling hot, Ocular hyperaemia, Pruritus
Clinical narrative: At 4:40 PM, employee began to feel throat tightening tight cough, both eyes became red, itchy. Itching on neck/back. States felt "hot". To ER 5:30 PM via EMS, received oral steroids, oral Benadryl and 1 nebulizer breathing treatment. Released from ER at 10 PM. F/U with primary care MD on 10/8/13.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Throat tightness
Clinical narrative: At 4:40 PM, employee began to feel throat tightening tight cough, both eyes became red, itchy. Itching on neck/back. States felt "hot". To ER 5:30 PM via EMS, received oral steroids, oral Benadryl and 1 nebulizer breathing treatment. Released from ER at 10 PM. F/U with primary care MD on 10/8/13.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site rash, Injection site warmth
Clinical narrative: Rash at injection site. Also red, inflamed and warm to the touch.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Client returned to work. Adverse reaction was reported by co-workers difficulty breathing / throat closing MD's were in the building and reported to provide care. 2 voice msg no return call per reports (co-workers).
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Confusional state, Faecal incontinence, Hyperhidrosis
Clinical narrative: The night after he got flu shot he was sweating, in a confused state and weak. The next morning he had uncontrollable bowel movements. He is still weak.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Loss of consciousness
Clinical narrative: Pt has phobia of needles. He received flu vaccination and left the office. His mother and LPN advised him to wait but he said he felt fine. Before he got out of the office, he fell (passed out) in waiting room. Pt then taken to exam room and given water, cold rag and BP checked. He left with mother when BP returned to normal and he felt better.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea
Clinical narrative: After 30 minutes. Began to have trouble swallowing. Then short of breath. I called 911. The came 5 minutes later and began treatment.
Age: 16.0
Sex: M
Vaccine: FLU3, HPV4, MNQ
Symptoms: Epistaxis, Face and mouth X-ray abnormal, Facial bones fracture, Neurological examination normal, Unresponsive to stimuli
Clinical narrative: Patient was given MCV4, flu and HPV with consent and after vaccine initially given was asked if he was feeling alright. Patient's response was "yes". Patient was sent to office waiting room to wait 15 minutes. Around 4 minutes into waiting office staff and providers were called into waiting room to find pt unresponsive on floor and bleeding from his nose. Within about 30 seconds pt became responsive. Pt's pulse was 40 which then slowly came up to 68 within 2-3 minutes. Pt sat slowly and stood up was returned to exam room to rest. Provider did neurological work up which was WNL. Pt sent to local ER to eval if nose was fractured. X-ray revealed fracture.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Gait disturbance, Walking aid user
Clinical narrative: Trouble walking and getting up. Needed walker. Symptoms were similar to paralysis. Patient was better today. Symptoms lasted 6 days. Did not go to physician.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Erythema, Flushing, Skin warm
Clinical narrative: Flush skin, red, hot skin, feeling lightheaded.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discharge, Injection site erythema, Injection site pain
Clinical narrative: Pt reports removing band aid and noted erythremic area laterally to injection site with small amt serous drainage. Elliptical area evulsion where band aid removed with soreness, erythremia, stellae burns (, c.5mm) positive presenters cluster if papulosa underneath. Bactroban.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Blood glucose normal, Chest discomfort, Chills, Computerised tomogram head normal, Electrocardiogram normal
Clinical narrative: Quaking chills developed approximately 20 min. after receiving flu vaccine at his employer's health fair. No improvement after glucose and fluids. Vital signs: systolic BP in 140's; heart rate in 110's. C/o abdominal and chest "twinges". Ambulance called - sent to Emergency Dept. Labs, EKG, CT head normal. Received IV fluids and released to home with diagnosis near syncope.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Full blood count normal, Laboratory test normal, Presyncope
Clinical narrative: Quaking chills developed approximately 20 min. after receiving flu vaccine at his employer's health fair. No improvement after glucose and fluids. Vital signs: systolic BP in 140's; heart rate in 110's. C/o abdominal and chest "twinges". Ambulance called - sent to Emergency Dept. Labs, EKG, CT head normal. Received IV fluids and released to home with diagnosis near syncope.
Age: 6.0
Sex: F
Vaccine: DTAPIPV, FLUN4, HEPA, MMRV
Symptoms: Unevaluable event
Clinical narrative: None reported.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Fibromyalgia, Muscle tightness, Pain
Clinical narrative: Pt stated 2-3 days after receiving influenza vaccination, in (L) deltoid, muscle in neck felt tight, painful, (Left side) pt stated needed physical therapy has concurrent fibromyalgia.
Age: 11.0
Sex: M
Vaccine: FLUN4, HEPA, HPV4, MNQ
Symptoms: Discomfort, Erythema, Local swelling, Tenderness
Clinical narrative: Pt.'s arm tender to touch, slight redness approx. 5" diameter, swollen shoulder/back of arm, afebrile. Applied cold compress, MOTRIN for discomfort.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Fall, Head injury, Loss of consciousness, Syncope
Clinical narrative: Patient experienced a syncopal episode following administration of vaccine. She fell from a seated position, and hit her head on the floor. She regained consciousness within 15 seconds. She was offered medical attention but refused. An on-site EMT was available to evaluate patient.
Age: 9.0
Sex: F
Vaccine: FLUN4
Symptoms: Urticaria
Clinical narrative: Hives developed after being given flu vaccine (on trunk and arms) no respiratory sx noted given BENADRYL and observed for 20 minutes; sent home with directions to continue BENADRYL q 6 hrs for 24 hrs.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site erythema, Pain
Clinical narrative: Redness/pain that evening 3" of reddness at injection site.
Age: 48.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Burning at injection site for 1 week.
Age: 28.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Localized reaction w/swelling and erythema.
Age: 50.0
Sex: M
Vaccine: FLU3
Symptoms: Cold sweat, Dizziness, Loss of consciousness, Nausea, Pallor
Clinical narrative: Patient did not want to sit after administration, while walking out of the store he became clammy, lost color, and briefly lost consciousness. His girlfriend helped him into a seat. He was given water and towels. His blood pressure was checked twice. He refused several offers of EMS. After sitting for about 20 minutes, he stated that he felt better. He was able to stand and walk and stated that he was no longer nauseous or dizzy. His girlfriend stated that she would take care of him. I called around 6:30 to check up with them and his girlfriend said that he was feeling better and had eaten. Patient did not have a PCP so no call was made.
Age: 1.04
Sex: M
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Child had hives after receiving vaccines.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt. received HD flu shot at approx. 3pm 10/9. That evening she noticed swelling/redness at site. Site was covered w/ band aid. Band aid not removed until a.m. of 10/11. Site still swollen, red that evening.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product quality issue
Clinical narrative: Rubber core found in vial used for injection. No adverse effect reported from patient.
Age: 39.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Skin discolouration, Swelling
Clinical narrative: Pt experienced immediate dizziness of most concern, pt experienced an immediate rxn of a bluish/purple bump about 1/2 cm high x 2 another pt has experienced almost exact rxn.
Age: 57.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Erythema, Inflammation, Pain, Skin warm, Tenderness
Clinical narrative: Sore, inflamed, "warm" and tender to touch, red mark about 2.5" diameter.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Swelling face
Clinical narrative: On 10/14/2013 above patient received FLUZONE injection at approx 2:00pm. Later on the evening of 10/14/2013 per patient's mother, patient developed facial swelling and myalgias. Facial swelling resolved with BENADRYL administered at home. Myalgias persisting.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLUN4, MMR, PNC13, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Swollen right thigh from knee-up. Started about 24 hours after immunizations on 10/4/13, resolved around 10/9/13. No treatment. Provider (PMD) notified.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Product quality issue
Clinical narrative: Rubber wire found in vial for injection. (Uncertainty as to whether this patient also got the affected bottles.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product quality issue
Clinical narrative: Rubber core found in vial used for injection. Patient reported no signs/symptoms unusual post vaccination.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product contamination physical
Clinical narrative: Rubber core found in vial used for injection. No adverse reaction reported from patient.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site rash, Mobility decreased, Skin discolouration
Clinical narrative: Rash around the injection site, inability to move the arm for 1 month, discoloration of the arm red/yellow. Vaccine given 9/12/13. Patient only notified us of reaction now.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient arm was red and warm in about a 2 inch spot on the left upper deltoid. Doctor gave patient advice said to get BENADRYL. Patient came to pharmacy to get BENADRYL.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Patient received AFLURIA vaccination on 10/8/13. Came to pharmacy on 10/14/13 complaining arm still sore and lost some range of motion. Plans on seeing physician w/i the week.
Age: 60.0
Sex: M
Vaccine: FLU3, PPV, VARZOS
Symptoms: Hyperhidrosis, Lymph node pain, Pyrexia, Rash
Clinical narrative: Rash, sweats, fever, sore lymph nodes. Sent to local walk in clinic for evaluation.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Injection site bruising, Injection site discolouration, Injection site pain
Clinical narrative: 25g 1" needed used - 0.5 ml given in deltoid muscle (left) - immediate swelling and darkness started around injection site - patient complained of soreness at injection site - soreness went to shoulder blade area of left shoulder - bruised area (circle) with pin and point dot at injection area. Neck stiffness and numbness in hands through 10/14/13.
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: 25g 1" needed used - 0.5 ml given in deltoid muscle (left) - immediate swelling and darkness started around injection site - patient complained of soreness at injection site - soreness went to shoulder blade area of left shoulder - bruised area (circle) with pin and point dot at injection area. Neck stiffness and numbness in hands through 10/14/13.
Age: 0.18
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Crying
Clinical narrative: Cried for couple hours the first day of vaccines.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal discomfort, Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: Red hard knot area at injection site L deltoid. Redness has not spread past injection site. Hard area quarter size. Stomach upset last 2 days.
Age: 0.38
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Crying, Rash papular, Rash pruritic
Clinical narrative: Patient received Pediarix, Prevnar13, Pedvax, Rotarix at 2 mo of age. Mother called the next day describing he developed papular rash on both legs. Couldn't bring baby. At 4 mo of age, baby received only Pediarix and develop inconsolable crying for 30-40 minutes and then a papular itchy rash B legs.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Erythema, Induration, Local swelling, Nodule, Pyrexia
Clinical narrative: 10/14/2013 Mother called the health dept. States R arm red, swollen, warm to touch with hard knot. States had low grade fever, school nurse gave student Advil and Benadryl. Arm better at this time. Also used ice pack.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ, VARCEL
Symptoms: Skin warm
Clinical narrative: 10/14/2013 Mother called the health dept. States R arm red, swollen, warm to touch with hard knot. States had low grade fever, school nurse gave student Advil and Benadryl. Arm better at this time. Also used ice pack.
Age: 0.19
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Injection site swelling
Clinical narrative: Left leg swelled very badly. Lasted for 24 hrs, 8 hrs at its worse.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blepharitis, Diplegia, Eye inflammation, Eye swelling
Clinical narrative: Eyes/eyelids swollen and inflamed. Sores on shoulders, neck, chest, face. Bee-sting like pain in back, arms and legs. Intense jolting pains in arms, hands, legs and feet. Hands weak, inflexible. Temporary paralysis arms and legs.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Eyelid oedema, Mobility decreased, Muscular weakness, Pain in extremity, Skin ulcer
Clinical narrative: Eyes/eyelids swollen and inflamed. Sores on shoulders, neck, chest, face. Bee-sting like pain in back, arms and legs. Intense jolting pains in arms, hands, legs and feet. Hands weak, inflexible. Temporary paralysis arms and legs.
Age: 23.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Joint stiffness, Joint swelling, Mobility decreased, Pain
Clinical narrative: On 9-19-2013 client developed swollen and stiff joints including the fingers, wrists, knees and ankles - Sx are very painful at time with limited movement. Cli states she was not vaccinated previously with MMR and does not recall having had Rubella disease. Per cli, her mom stopped immunization at 6 mos of age. Advised cli sx could last up to 3 weeks, to take an inflammatory med for sx and will call client in 3 weeks to asses health status. Advised cli to see MD if sx worsen or if interfere with work activities. 10-10-13 T.C. client states sx resolved within 2 weeks. No further f/u.
Age: 16.0
Sex: F
Vaccine: HPVX
Symptoms: Urticaria
Clinical narrative: 3 days after receiving 2nd dose of HPV pt started with urticaria.
Age: 17.0
Sex: M
Vaccine: TDAP
Symptoms: Convulsion, Face injury, Fall, Loss of consciousness
Clinical narrative: 1-2 minutes after administration, patient passed out and fell out of chair, face first, and had a few minor convulsions. Patient was checked out by paramedics but refused transport to hospital.
Age: 18.0
Sex: F
Vaccine: HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Approximately 15 minutes of sitting following vaccine administration, patient stood, walked several steps and fainted. Vitals were stable. No LOC.
Age: 0.52
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Crying, Poor quality sleep, Pyrexia
Clinical narrative: Poor sleep 8/5/13 night. On 8/6/13 patient had more than 3 hrs of inconsolable crying, and fever. Seen at ER 8/6/13 evening. Parents declined work up for fever, (CXR and Cath urine). Patient was seen at our office 8/7/13, no fever or fussiness, better. Injection site NL. 8/8/13 no fever, not fussy, back to normal self.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Culture positive, Herpes zoster, Rash pruritic
Clinical narrative: Three days after getting shingles vaccine, I noticed a vertical line of raised bumps (at 4" long) on my upper left buttocks. Not painful; a little itchy. On Aug 12 Dr. examined me, diagnosed it as shingles, and prescribed Acyclovir for 7 days. The rash cleared up during this time.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Blood glucose normal, Hypoaesthesia, Injection site pain, Pain, Pain in extremity
Clinical narrative: Patient was given Menactra and HPV vaccine in rt arm. Pt. complained of pain and then numbness in Rt arm, wrist and hand, able to move fingers. Arm, no color change. Pt. then had 5-10 min of intermittent shaking, pt was awake, sleepy after shaking resolved. pt was given water. Pt recovered fully in office and sent home. Pt C/O pain in rt deltoid area when raised arm overhead rest of exam was NL. Injection site was NL. Pt had not eaten since almost 5 hrs prior.  F/U phone call several hrs later - pt was fine (pt was anxious per MA but he received the injection).
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Somnolence, Tremor
Clinical narrative: Patient was given Menactra and HPV vaccine in rt arm. Pt. complained of pain and then numbness in Rt arm, wrist and hand, able to move fingers. Arm, no color change. Pt. then had 5-10 min of intermittent shaking, pt was awake, sleepy after shaking resolved. pt was given water. Pt recovered fully in office and sent home. Pt C/O pain in rt deltoid area when raised arm overhead rest of exam was NL. Injection site was NL. Pt had not eaten since almost 5 hrs prior.  F/U phone call several hrs later - pt was fine (pt was anxious per MA but he received the injection).