chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Febrile convulsion, White blood cell count increased
Clinical narrative: 3-4 hours after vaccine, had 30 second atypical febrile seizure. Stopped after meds; no sequelae.
Age: 0.7
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC, DTAPHEPBIP, HIBV, PNC
Symptoms: Febrile convulsion
Clinical narrative: 3-4 hours after vaccine, had 30 second atypical febrile seizure. Stopped after meds; no sequelae.
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Information has been received from a registered nurse concerning a 55 year old white female home maker with no allergies and no past medical history who on 2/6/04 at 17:00 was vaccinated SC in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647178/1200N). Illness at the time of vaccination included left upper lobe resolving pneumonia. It was noted that a chest x-ray showed a left upper lobe abscess, which was being treated with antibiotics for two weeks. There were no adverse events following prior vaccinations. On approximately 2/6/04 (reported as 2/2/04) at 18:00, the patient developed increasing erythema, warmth, tenderness and pain on the right arm flexor area (site of vaccination). Pain, erythema and edema at the injection site were also noted. The patient went to the emergency room and was treated with warm compresses and oral levofloxacin. The patient was then hospitalized for two days and received IV cefazolin sodium in the hospital. Subsequently, the patient recovered. A product quality complaint was not involved. The reporter also mentioned a second patient who had an experience post vaccination with pneumococcal 23v polysaccharide (lot # 647178/1200N). The reporter stated that 26 vials of pneumococcal 23v polysaccharide (lot # 647178/1200N) remained at their facility and they would like replacement vials. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards  and was released. Additional information is not expected.
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Abscess, Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Information has been received from a registered nurse concerning a 55 year old white female home maker with no allergies and no past medical history who on 2/6/04 at 17:00 was vaccinated SC in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647178/1200N). Illness at the time of vaccination included left upper lobe resolving pneumonia. It was noted that a chest x-ray showed a left upper lobe abscess, which was being treated with antibiotics for two weeks. There were no adverse events following prior vaccinations. On approximately 2/6/04 (reported as 2/2/04) at 18:00, the patient developed increasing erythema, warmth, tenderness and pain on the right arm flexor area (site of vaccination). Pain, erythema and edema at the injection site were also noted. The patient went to the emergency room and was treated with warm compresses and oral levofloxacin. The patient was then hospitalized for two days and received IV cefazolin sodium in the hospital. Subsequently, the patient recovered. A product quality complaint was not involved. The reporter also mentioned a second patient who had an experience post vaccination with pneumococcal 23v polysaccharide (lot # 647178/1200N). The reporter stated that 26 vials of pneumococcal 23v polysaccharide (lot # 647178/1200N) remained at their facility and they would like replacement vials. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards  and was released. Additional information is not expected.
Age: 55.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Tenderness
Clinical narrative: Information has been received from a registered nurse concerning a 55 year old white female home maker with no allergies and no past medical history who on 2/6/04 at 17:00 was vaccinated SC in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647178/1200N). Illness at the time of vaccination included left upper lobe resolving pneumonia. It was noted that a chest x-ray showed a left upper lobe abscess, which was being treated with antibiotics for two weeks. There were no adverse events following prior vaccinations. On approximately 2/6/04 (reported as 2/2/04) at 18:00, the patient developed increasing erythema, warmth, tenderness and pain on the right arm flexor area (site of vaccination). Pain, erythema and edema at the injection site were also noted. The patient went to the emergency room and was treated with warm compresses and oral levofloxacin. The patient was then hospitalized for two days and received IV cefazolin sodium in the hospital. Subsequently, the patient recovered. A product quality complaint was not involved. The reporter also mentioned a second patient who had an experience post vaccination with pneumococcal 23v polysaccharide (lot # 647178/1200N). The reporter stated that 26 vials of pneumococcal 23v polysaccharide (lot # 647178/1200N) remained at their facility and they would like replacement vials. The records of testing prior to release of this lot have been checked and found to be satisfactory. The lot complies with the standards  and was released. Additional information is not expected.
Age: 1.53
Sex: F
Vaccine: DTAP, PNC
Symptoms: Autism, Bacterial infection, Constipation, Crying, Diarrhoea
Clinical narrative: This case was reported by a consumer and described the occurrence of autism in a 18 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. A physician or other health care professional has not verified the report. The patient's past medical history included allergy to eggs, allergy to soy, allergy to Mirtazapine, and milk allergy. On 11/16/00, the patient received the fourth dose of Infanrix (lot DTPA972A2) in the left leg. On the same day, the patient received an injection of 7 valent conjugate Pneumococcal vaccine. On the same day of administration of Infanrix, 11/16/00, the patient experienced swelling, crying, and a high fever. The crying and high fever resolved on 11/19/00. On an unspecified date in November 2000, the patient developed autistic behavior. On unspecified dates, the patient also developed constipation, diarrhea, yeast overgrowth of the gastrointestinal tract, and multiple food allergies. The patient was examined at a physician's office and treated with nystatin. The patient was diagnosed with autism in August 2001. The immunization series with Infanrix was discontinued. As of 3/24/04, the autism, constipation, diarrhea, yeast overgrowth of the gastrointestinal tract, and food allergies were unresolved. It was noted that the gastrointestinal symptoms had not been diagnosed yet. Autism was assessed as medically serious (OMIC). Information from Annual Follow-up report states diarrhea, constipation and autism persist.
Age: 1.53
Sex: F
Vaccine: DTAP, PNC
Symptoms: Gastrointestinal disorder, Hypersensitivity, Pyrexia, Swelling
Clinical narrative: This case was reported by a consumer and described the occurrence of autism in a 18 month old female patient who received diphtheria and tetanus toxoids and acellular pertussis vaccine absorbed. A physician or other health care professional has not verified the report. The patient's past medical history included allergy to eggs, allergy to soy, allergy to Mirtazapine, and milk allergy. On 11/16/00, the patient received the fourth dose of Infanrix (lot DTPA972A2) in the left leg. On the same day, the patient received an injection of 7 valent conjugate Pneumococcal vaccine. On the same day of administration of Infanrix, 11/16/00, the patient experienced swelling, crying, and a high fever. The crying and high fever resolved on 11/19/00. On an unspecified date in November 2000, the patient developed autistic behavior. On unspecified dates, the patient also developed constipation, diarrhea, yeast overgrowth of the gastrointestinal tract, and multiple food allergies. The patient was examined at a physician's office and treated with nystatin. The patient was diagnosed with autism in August 2001. The immunization series with Infanrix was discontinued. As of 3/24/04, the autism, constipation, diarrhea, yeast overgrowth of the gastrointestinal tract, and food allergies were unresolved. It was noted that the gastrointestinal symptoms had not been diagnosed yet. Autism was assessed as medically serious (OMIC). Information from Annual Follow-up report states diarrhea, constipation and autism persist.
Age: 0.7
Sex: F
Vaccine: PNC
Symptoms: Bacterial infection, Bronchitis, Sepsis
Clinical narrative: This case was considered medically important (OMIC). Information regarding Prevnar was received from an investigator regarding an 8 month old female participant in a study who developed pneumococcal bacteremia and bronchitis. The patient received her third dose on an unspecified date. Relevant medical history was not provided. Indication for Prevnar was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose. Concomitant medications were not reported. On 11/20/00, a female patient developed bronchitis. She was diagnosed with pneumococcal bacteremia after a blood culture performed on 11/20/00 revealed Streptococcus pneumoniae, serotype 19A. The assessment of the investigator and medical monitor for pneumococcal bacteraemia and drug ineffective and bronchitis were unknown. No additional information was available at the time of this report. Follow UP: Relatedness Assessment; both the investigator and medical monitor considered bronchitis penumococcal and pneumoccal bacteraemia (expected per package insert) "not related" to the study product.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Information has been received from a registered nurse concerning a 70 year old female who on 3/10/04 was vaccinated SC in the left arm with a dose of pneumococcal 23v polysaccharide vaccine (lot # 647655/0869N). The RN reported that on 3/11/04, 24 hours after being vaccinated, the patient developed redness, swelling, and tenderness of the left arm. Ice was recommended as treatment. However, by the same evening, the patient developed more swelling that went around the circumference of her left arm. That same night, the patient presented to the ER and was treated with IV antibiotics. The patient was not hospitalized, but would need to continue outpatient antibiotic treatment at the hospital for seven days. At the time of this report, the patient's redness, swelling and tenderness of her left arm persisted. The RN noted the dose given was the first from the vial and he would like lot 647655/0869N checked. Upon internal review, redness, swelling and tenderness of the left arm were determined to be other important medical events (OMIC). Additional information has been requested. Follow up information was received from the RN who reported that on 3/11/04, the patient went to the ER. The patient was seen in triage at 22:10 and complained of redness and swelling. At that time, her pain was 8 out of 10. The patient was sent to an outpatient area where, at 22:35, she received 2 grams of cefazolin Na IV. The RN indicated that the patient's temperature was normal at 97.5 and her respirations were 20. A complete blood count was normal with no white count issues. There were no x-rays or electrocardiograms done. The patient was instructed to elevate the injured area and return to the ER every eight hours for 24 hours to receive 2 grams of cefazolin as an outpatient. The patient was discharged from the ER at 23:32 reporting her pain as 0 out of 10. The RN reported that the patient received a total of three doses of cefazolin and had no other problems. The RN noted that it sounded as if the patient was recovered. Follow up information was received from the RN who reported that the patient developed a small reddened area at the injection site at 12 hours. The entire upper left arm was red and swollen at 24-26 hours. The patient went to the ER with severe pain. She was started on cefazolin Na. The pain was gone after the first dose of cefazolin Na. The patinet completed the cefazolin Na therapy. Subsequently, the patient recovered. The records of testing prior to release of this lot have been checked by quality assurance and was found to be satisfactory. The lot complies with the standards and was released. No further information is available.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Cycloplegia, Eye irritation, Eye pain, Injury, Keratitis
Clinical narrative: Information has been received from a health professional concerning a 24 year old female patient who on 2/16/04 at approximately 09:30 or 10:00 AM was inadvertently splashed her eye with MMR (lot # 645621/0271N). The patient's eye was flushed and topical anesthetic and artificial tears were applied. No additional information was provided. In follow up information from a physician, it was reported that the contents of the MMR shot somehow emptied, splashing the patient directly in the right eye when she had drawn it up in a syringe. The reporter stated that the needle didn't break or anything like that. The patient developed extreme pain, burning and decreased visual acuity. She was treated for cycloplegia with e-mycinang and corneal keratitis with pain medications. According to the reporter everything was well. The patient recovered on 2/20/04. Upon internal review, cycloplegia and corneal keratitis were considered to be other important medical events (OMIC). Additional information is not expected.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Medication error, Visual acuity reduced
Clinical narrative: Information has been received from a health professional concerning a 24 year old female patient who on 2/16/04 at approximately 09:30 or 10:00 AM was inadvertently splashed her eye with MMR (lot # 645621/0271N). The patient's eye was flushed and topical anesthetic and artificial tears were applied. No additional information was provided. In follow up information from a physician, it was reported that the contents of the MMR shot somehow emptied, splashing the patient directly in the right eye when she had drawn it up in a syringe. The reporter stated that the needle didn't break or anything like that. The patient developed extreme pain, burning and decreased visual acuity. She was treated for cycloplegia with e-mycinang and corneal keratitis with pain medications. According to the reporter everything was well. The patient recovered on 2/20/04. Upon internal review, cycloplegia and corneal keratitis were considered to be other important medical events (OMIC). Additional information is not expected.
Sex: U
Vaccine: DTAP, HEP
Symptoms: Infantile spasms
Clinical narrative: Information has been received from a consumer concerning her child who was vaccinated with a dose of hepatitis B virus vaccine. Concomitant therapy included a dose of diphtheria toxoid (+) pertussis acellular vaccine (+) tetanus toxoid. Subsequently, the patient experienced infantile spasms. It was unknown if medical attention was sought. No product quality complaint was involved. Upon internal review, infantile spasms was considered an other important medical event (OMIC). Additional information has been requested. 06/09/2005:  Recovery status unknown.
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Anaphylactic reaction, Chest discomfort, Cough, Pruritus, Rash
Clinical narrative: Maybe 30 minutes after vaccine, patient complained of a itchy throat. Then itchy inside his chest. He then coughed and said his lungs felt tight. He had developed a rash beginning hives on his chest as well. He was given epinephrine and 50mg prednisone in ER. Medical records state anaphylaxis. msv
Age: 12.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Maybe 30 minutes after vaccine, patient complained of a itchy throat. Then itchy inside his chest. He then coughed and said his lungs felt tight. He had developed a rash beginning hives on his chest as well. He was given epinephrine and 50mg prednisone in ER. Medical records state anaphylaxis. msv
Age: 0.62
Sex: M
Vaccine: DTAP, PNC
Symptoms: Condition aggravated, Convulsion, Drug level decreased, Laboratory test abnormal, Leukocytosis
Clinical narrative: Fever, seizures, hospital admission. Phenobarb level low. Discharge summary states otitis media, viral infection. msv
Age: 0.62
Sex: M
Vaccine: DTAP, PNC
Symptoms: Otitis media, Pyrexia, Viral infection
Clinical narrative: Fever, seizures, hospital admission. Phenobarb level low. Discharge summary states otitis media, viral infection. msv
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Angioneurotic oedema, Laboratory test abnormal, Otitis media, Rash maculo-papular
Clinical narrative: Immunizations 3/17/04 at 2:15pm. Awoke with maculopapular rash, angioneurotic edema of hands, feet, ears, lips the next morning. Resolved within 4 hrs after Benadryl. No new foods, soaps, etc to account for reaction.   Nurse follow up on 07/21/04 states: "ears red, ears swollen, irritable
Age: 41.0
Sex: M
Vaccine: UNK
Symptoms: Injection site rash
Clinical narrative: Pt developed a rash at injection site.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Dermatitis acneiform, Rash
Clinical narrative: Acneiform eruption on flurics bilaterally anterior shoulders bilaterally ant artermedial biceps bilaterally.
Age: 36.0
Sex: U
Vaccine: ANTH
Symptoms: Hypoaesthesia, Injection site mass, Rash
Clinical narrative: Woke up morning after Anthrax vaccine and my left arm and under arm area were numb and a rash had formed along lymph node area. Shot received in left arm. Also a golf ball size lump.
Age: 4.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Hypersensitivity, Injection site reaction, Pruritus, Urticaria
Clinical narrative: DTap given 2/23/04 awoke 2/24/04 with reddened itchy upper right arm. 13 x 10 cm hive noted with definite redness and halo effect to it. Itchy. No nodes pulp. The pt's reaction turned out to be an allergic reaction. Pt visited an allergist who determined that it was a reaction to the DTaP vaccine.
Age: 19.0
Sex: M
Vaccine: MMR, TD
Symptoms: Dizziness, Headache, Pyrexia, Vomiting
Clinical narrative: Given MMR and Td on 2/11/04 that evening developed severe headache and temp to 103.7. Had dizziness and vomiting.
Age: 9.0
Sex: F
Vaccine: MMR
Symptoms: Infection
Clinical narrative: Child diagnosed with chicken pox 2/24/04.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site reaction, Tenderness
Clinical narrative: Local reaction, 3 x3 erythema, 1x1 induration, light tenderness, treatment NSAIDS.
Age: 1.17
Sex: F
Vaccine: MMR
Symptoms: Anorexia, Lethargy, Pyrexia, Rash
Clinical narrative: 12/23- fever, 12/24 Temp 103 degrees, 12/25 Rash on face, belly, back, legs, not eating, lethargic lasted on 12/26 12/27- Totally ok- Rash gone, acting normal- Prescribed Motrin- Tepid bath- didn't consult doctor.
Age: 0.2
Sex: F
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Decreased appetite, Insomnia, Irritability, Weight decreased
Clinical narrative: Extreme irritability 7 X 4-5 d, decrease feeds, decrease weight, decrease sleep. Inconsolable. No fever.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema
Clinical narrative: Redness and swelling on left thigh. Ice applied- helped relieved swelling.
Age: 45.0
Sex: F
Vaccine: TD
Symptoms: Cellulitis, Feeling hot, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: 4 inch x 3 inch red, swollen, warm & tender area around injection site (cellulitis).
Age: 4.5
Sex: F
Vaccine: DTAP, IPV
Symptoms: Erythema, Oedema
Clinical narrative: Left arm red and swollen opn no limitation of movement DTAP- IM, LD, IPV- SC, LA given 3-11-04 in Left arm. Treatment Keflex 250/5 1 tsp orally three times a day for 7 days.
Age: 49.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Infection, Pruritus, Skin ulcer
Clinical narrative: 3/22/04 child noted with lesion (white pustule 5 mm diameter) infect with no drainage 1-2 mm below left eyebrows. Client noted signs/symptoms began 3/19/04 with itchiness & redness.
Age: 49.0
Sex: M
Vaccine: SMALL, SMALL
Symptoms: Erythema, Pruritus, Skin ulcer
Clinical narrative: 3/22/04 child noted with lesion (white pustule 5 mm diameter) infect with no drainage 1-2 mm below left eyebrows. Client noted signs/symptoms began 3/19/04 with itchiness & redness.
Age: 0.25
Sex: F
Vaccine: DTAP, HEP, HIBV, IPV, PNC
Symptoms: Injection site mass, Oedema peripheral, Pyrexia
Clinical narrative: Pt came to clinic and was seen for swollen legs, knots on both thighs where shots were given, fever 101 degrees, mom stated. Mom was giving Tylenol for pain. Doctor told mom to continue Tylenol every 4 hours, Motrin every 6 hours, warm compresses to legs.
Age: 12.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Erythema, Feeling hot
Clinical narrative: Redness to left upper arm. 50 x 55 mm warm to touch. Stated on 3/2/04 approx. 2 hours after injection. Instructed to give Motirn 200 mgT orally three times daily & apply ice pack to site three times daily.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Erythema, swelling, warmth, around site of injection 24 hours after injection. No fever, no pain.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Erythema, Feeling hot, Injection site mass, Injection site reaction, Oedema
Clinical narrative: "Softball" size- 10 cm x 11 cm- on right thigh at site of DTaP- Pruitic rash with erythema and swelling and warmth. No fever, no respiratory symptoms- local reaction only. Began Zyrtec on 3/11/04 and outlined erythema in office. Told to call if erythema spreads and to recheck on 3/15/04.
Age: 4.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Rash pruritic
Clinical narrative: "Softball" size- 10 cm x 11 cm- on right thigh at site of DTaP- Pruitic rash with erythema and swelling and warmth. No fever, no respiratory symptoms- local reaction only. Began Zyrtec on 3/11/04 and outlined erythema in office. Told to call if erythema spreads and to recheck on 3/15/04.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site oedema, Skin reaction
Clinical narrative: Both DTaP #5, IPV #4 were given in the left thigh. No fever or breathing problems. At shot site the thigh was swollen, warm and erythematous. Site of reaction 11 x 7 1/2 cm. Child returns to clinic on Monday with complete resolvement of local skin reaction.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, White blood cell disorder
Clinical narrative: Local reactions left deltoid WBC 17,800 1/28/04. Fever 101-103, WBC 13,000 1/30/04. CXR 1-29-04 normal. WBC 19,100 1/29/04. All Jan 04.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Eye swelling, Hypersensitivity, Swelling face
Clinical narrative: Bilat Periorbital and facial swelling. However, airway patent. Lungs clear A&P Bilat.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: Drug ineffective, Erythema, Infection, Pruritus, Rash vesicular
Clinical narrative: Patient developed clear vesicular rash with red band on trunk, extremities and scalp- some were crusted on exam. Positive for itch. Consistent with varicella.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus, Rash erythematous, Skin ulcer
Clinical narrative: 12-8-03 Sent home from school. Rash- discrete red dry lesions, itching on ABD and arms. No further eruptions, temp. or malaise.
Age: 4.0
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC
Symptoms: Erythema, Injury, Pain, Swelling
Clinical narrative: Right arm- hurt and child resistant to move. Redness and swelling noted. C/O pain over deltoid area. Applied ice and gave Tylenol 3/1/04. Dr.  "muscle injury" Aleve rx + rest.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Rash
Clinical narrative: 2 days after receiving DTAP and IPV in the left thigh, Pt began to serotest the anterior thigh. Mom noticed a large red rash on anterior left thigh and brought him in.
Age: 1.25
Sex: M
Vaccine: DTAP, VARCEL
Symptoms: Diarrhoea, Pyrexia, Rhinorrhoea
Clinical narrative: Pt given varicella and DTAP on 3/22/04. That evening fever 101F. Parents alternated Tylenol and Motrin every 2 hrs. 3/23 at 3:15 temp was 106F rectal. Mom gave Motrin then sought attention. At clinic on 3/23 temp was 103.8F. Pt had rhinorrhea but no meningeal signs. No other signs of illness. Continued Motrin and Tylenol every 2 hrs (alternatiing. On 3/24/04 at recheck temp was 97.7, playful, had diarrhea that am--no physical signs of illness.
Age: 0.3
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming, Swelling
Clinical narrative: 1. Crying episode for 5 hours. 2. moderate-mild swelling, left thigh and right foot
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Red and swollen at side of DTAP( Daptacel) given LD/IM yesterday. Given tylenol and using cold compresses-- itchy at sight on day two.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site vesicles, Pruritus, Swelling
Clinical narrative: Blister at injection site 0.2cm. Erythema and swelling medial and lateral asjuct. Right forearm and arm.  Right arm pruritis
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Pt received DTAP injection left deltoid region. Swelling and redness developed on same day 12x13 cm but not crossing jnt line. No fever, area tender but arm fully mobile.
Age: 1.7
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: Low grade fever 12/17/2003 gone 12/18/203, rash started 12/18/2003 in AM on trunk and thighs, small papules
Age: 40.0
Sex: F
Vaccine: TYP
Symptoms: Headache
Clinical narrative: After taking one dose of oral Typhoid within a few hours she complained of a severe headache. She took something for the headache, but it offered no relief. Instructed to stop taking it had symptom cleared. had taken the oral in 1999.
Age: 2.7
Sex: F
Vaccine: HBHEPB, HEP, HIBV, MMR, VARCEL
Symptoms: Diabetes mellitus, Viral infection
Clinical narrative: Measles- Brought in and diagnosed- No treatment. Type I diabetes during measles onset.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Developed rash, lymph node left auricle area 2 weeks after given MMR. Rash started 3/16/04.  Follow up on 04/21/04: "Reaction fully resolved by 03/29/04."
Age: 1.25
Sex: M
Vaccine: DTAP, HEP, HIBV, PNC
Symptoms: Rash macular
Clinical narrative: Rash noted the following morning. ~2mm lesions- macular? very slightly raised. Trunk. Couple on palms.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Flushing, Headache, Hyperhidrosis, Injection site pain, Lacrimation increased
Clinical narrative: At moment of injection felt pain and heaviness in upper arm where given. Eyes watered. Had sharp pain in temporal area of head with headache remaining severe. Face flushed, sweating on forehead within 2-3 minutes. Left leg also tingling. Sent to ER. Motrin given for headache and released. AT ER 1hr 5 min.
Age: 58.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia, Sensation of heaviness
Clinical narrative: At moment of injection felt pain and heaviness in upper arm where given. Eyes watered. Had sharp pain in temporal area of head with headache remaining severe. Face flushed, sweating on forehead within 2-3 minutes. Left leg also tingling. Sent to ER. Motrin given for headache and released. AT ER 1hr 5 min.
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 10.5 X 4.25 area left upper arm. Hard, red, hot and slightly painful . No fever
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Vomiting after every set of shots . So far received HepB, DTAP, Hib, IPV, Prevnar, MMR and Varivax.
Age: 2.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever + rash first noticed 3-20-04. Treatment with Aveeno, Benedryl
Age: 69.0
Sex: F
Vaccine: TTOX
Symptoms: Erythema
Clinical narrative: Positive erythema from elbow to shoulder
Age: 9.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Patient was exposed to a sibling that had chickenpox ~10 days earlier. Patient has ~20 red bumps that blistered : later scabbed.
Age: 42.0
Sex: F
Vaccine: TYP
Symptoms: Hallucination, Sensory disturbance
Clinical narrative: Report hallucinogenic-type side effects while taking oral typhoid vaccine. Reports "road bubbling up" "words coming off the computer screen", increased sensitivity to touch. Reports all symptoms completely resolved within 48hrs of completing course of oral vaccine.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Chills, Fatigue, Nausea, Neck pain
Clinical narrative: Pain in left arm, shoulders and neck for 2 days. Night sweats, chills, fatigue and nausea for 2 days. Joint pain for 2 days.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Night sweats, Pain, Shoulder pain
Clinical narrative: Pain in left arm, shoulders and neck for 2 days. Night sweats, chills, fatigue and nausea for 2 days. Joint pain for 2 days.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Pain, Swelling
Clinical narrative: 3/16/04 received vaccine that evening swelling with pain, deltoid swollen and red with pain
Age: 4.9
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Oedema, Pain
Clinical narrative: Right arm (deltoid) swelling with pain-mid arm. 2 inches of swelling.
Sex: F
Vaccine: OPV
Symptoms: Brain neoplasm
Clinical narrative: This case was considered medically important (OMIC). Information regarding poliovirus vaccine live oral trivalent solution was received from an attorney regarding a female patient who developed a brain tumor. The patient received a dose of polio vaccine on an unspecified date in the 1960's. Relevant medical history was not provided. Indication for Orimune vaccine was immunization. Product was administered on an unspecified date in the 1960's. Dose regimen was not provided. Concomitant medications were not reported. It is alleged that the patient suffers from a brain tumor, as a result of exposure to Simian virus 40 contained within the polio vaccine. No additional information was available at the time of this report.
Age: 1.0
Sex: M
Vaccine: HIBV, MMR, VARCEL
Symptoms: Erythema, Eye oedema, Face oedema, Urticaria, Vomiting
Clinical narrative: 12-month-old boy son. He received his MMR#1, Varicella, and HIB #3 vaccines on March 10, 2004 in the pediatric clinic. Within 20 minutes of receiving the immunizations, he reportedly developed facial swelling especially around the eyes, reddened skin, and hives over his entire body. His parents returned with him and he was taken into the treatment room. He was given Benadyl by mouth but vomited that. The Benadryl was repeated intramuscularly.  Mom reports that HE was getting over a cold on the day of his vaccinations. However, he was afebrile and asymptomatic. She does not believe that he exhibited any difficulty breathing during his reaction to the vaccinations. He did not require oxygen. Mom's major concern was the swelling around his eyes. He was subsequently discharged home to his parents after about 30 minutes. There has not been a repeat of the reaction. Mom reports that his twin brother did not have any reaction to his vaccinations.
Age: 33.0
Sex: M
Vaccine: ANTH
Symptoms: Headache, Migraine, Vaccine positive rechallenge
Clinical narrative: Upon my 3rd Anthrax immunization, I began suffering from chronic migraine headaches and increased in severity through my 5th booster.  Upon my return, I sought help from my clinic in 2000.  I underwent treatment from a neurologist to include extensive testing.  Since that time I have been taking Propranolol to control the headaches even though I do not suffer from high blood pressure.  I have been reevaluated each year but up until now must remain on Propranolol or my migraines return to a debilitating level.  Nurse follow up on 07/29/04 states: "Review of medical records confirms diagnosis of chronic tension headaches (HA). Patient indicated migraine headaches on his VAERS form, but this is not the opinion of the medical evaluators."
Age: 73.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site abscess, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt. called this RN on 03/24/04 and stated that he had redness, tenderness and swelling at injection site immediately after receiving his flu vaccine.  He states that he continued with these symptoms and has had intermittent "fluid leaking" from this site ever since.  Denies ever having any fever.  This RN instructed pt. to call his family doctor.  He was seen by his family doctor on 03/25/04 and this RN received a telephone call from the doctor's office.  She stated that pt. was seen for a red raised area of approximately 2x3cm on left deltoid.  Area was abcessed.  Area was drained and cultures were sent to the lab.  Pt. was given RX for Augmentin 875mg BID for ten days.
Age: 48.0
Sex: F
Vaccine: ANTH
Symptoms: Chest pain, Dyspnoea, Erythema, Heart rate increased, Laboratory test abnormal
Clinical narrative: This is a 48-year-old. She had been in her usual health until 01/13/2004. On 01/12/04 she received her 5th anthrax vaccination. Within 24 hours she noticed that her left arm (vaccination arm) was red, swollen and painful. She presented for evaluation and was told that this was to be expected. As the day progressed her swelling increased to include the area from her shoulder to her elbow.   During the night of 01/14/04, she was awakened with chest pain (5-6/10), severe shortness of breath and the sensation that her heart was racing. She called and decided that since patient would be there in a few hours to evaluate the smallpox takes of her shipmates that they would stay with her and not take her to the Emergency Department. She was seen on 03/15/04 with complaints of chest pain and large local reaction. She reportedly evaluated her and completed a VAERs Was not seen in ED or any other medical facility for her complaints.  The VHC was notified of the client's problems and asked if she could be seen for evaluation of adverse event to anthrax.
Age: 48.0
Sex: F
Vaccine: ANTH
Symptoms: Oedema peripheral, Pain, Swelling
Clinical narrative: This is a 48-year-old. She had been in her usual health until 01/13/2004. On 01/12/04 she received her 5th anthrax vaccination. Within 24 hours she noticed that her left arm (vaccination arm) was red, swollen and painful. She presented for evaluation and was told that this was to be expected. As the day progressed her swelling increased to include the area from her shoulder to her elbow.   During the night of 01/14/04, she was awakened with chest pain (5-6/10), severe shortness of breath and the sensation that her heart was racing. She called and decided that since patient would be there in a few hours to evaluate the smallpox takes of her shipmates that they would stay with her and not take her to the Emergency Department. She was seen on 03/15/04 with complaints of chest pain and large local reaction. She reportedly evaluated her and completed a VAERs Was not seen in ED or any other medical facility for her complaints.  The VHC was notified of the client's problems and asked if she could be seen for evaluation of adverse event to anthrax.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Hypersensitivity, Oedema peripheral, Rash
Clinical narrative: initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital. The Vaccine Healthcare Center was contacted for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Arthritis, Cough, Nasal congestion, Pyrexia, Rash maculo-papular
Clinical narrative: initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital. The Vaccine Healthcare Center was contacted for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Anorexia, Arthritis, Cough, Gastrointestinal disorder, Gastrooesophageal reflux disease
Clinical narrative: initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital. The Vaccine Healthcare Center was contacted for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Hypotonia, Injection site erythema, Injection site induration, Injection site warmth, Laboratory test abnormal
Clinical narrative: initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital. The Vaccine Healthcare Center was contacted for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Malaise, Nasal congestion, Oedema peripheral, Pain, Pyrexia
Clinical narrative: initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital. The Vaccine Healthcare Center was contacted for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP, ANTH, SMALL, TYP
Symptoms: Rash maculo-papular
Clinical narrative: initially. He states that the rash was not painful, itchy or burning in nature. He denies use of new boots, soaps, however he states he was wearing new socks at the time of his arrival. He states that he has a history of having "very sensitive" skin. He reportedly was taken directly to the hospital. The Vaccine Healthcare Center was contacted for assistance in evaluation and management of the vaccination site and rash/swelling of bilateral ankles.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, MMR, VARCEL
Symptoms: Dermatitis bullous, Drug ineffective, Infection
Clinical narrative: Varicella-like rash with unroofed vesicles at different stages of healing, spreading over trunk and upper extremities (total of 10 - 15 vesicles).
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash
Clinical narrative: FACIAL RASH WHICH STARTED AFTRE THE FIRST ANTHRAX SHOT jUN 13, 2003.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Abscess, Dry skin, Erythema, Injection site inflammation, Skin striae
Clinical narrative: FACIAL RASH WHICH STARTED AFTRE THE FIRST ANTHRAX SHOT jUN 13, 2003.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Swelling
Clinical narrative: FACIAL RASH WHICH STARTED AFTRE THE FIRST ANTHRAX SHOT jUN 13, 2003.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Blood pressure increased, Dry skin, Eczema, Erythema, Periorbital oedema
Clinical narrative: FACIAL RASH WHICH STARTED AFTRE THE FIRST ANTHRAX SHOT jUN 13, 2003.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash, Skin exfoliation, Skin striae, Swelling
Clinical narrative: FACIAL RASH WHICH STARTED AFTRE THE FIRST ANTHRAX SHOT jUN 13, 2003.
Age: 9.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Oedema peripheral
Clinical narrative: Two days after the vaccines were given, patient's  left arm became red and swollen from shoulder to elbow.  She did not have fever and was not complaining of discomfort.  Mother took her to the doctor who put her on Keflex. The swelling is subsiding.
Age: 1.26
Sex: M
Vaccine: DTP, HIBV, IPV, MMR, VARCEL
Symptoms: Eczema, Face oedema, Laboratory test abnormal, Nausea, Periorbital oedema
Clinical narrative: Periorbital, lip, facial edema, transient urticaria in child with chronic eczema. Medical records states nausea. msv
Age: 1.26
Sex: M
Vaccine: DTP, HIBV, IPV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Periorbital, lip, facial edema, transient urticaria in child with chronic eczema. Medical records states nausea. msv
Age: 43.0
Sex: F
Vaccine: LYME
Symptoms: Amnesia, Arthralgia, Insomnia
Clinical narrative: Constant joint pain, insomnia, memory loss.
Age: 42.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Abdominal distension, Amnesia, Arthralgia, Confusional state, Dyspnoea
Clinical narrative: Affected thyroid, swollen lymph nodes, muscle burn and weakness, hormonal imbalance, bloating, lethargy, mental confusion and memory loss, shortness of breath, exhaustion, stiff spine and joint pain.
Age: 42.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Fatigue, Hormone level abnormal, Lethargy, Lymphadenopathy, Muscular weakness
Clinical narrative: Affected thyroid, swollen lymph nodes, muscle burn and weakness, hormonal imbalance, bloating, lethargy, mental confusion and memory loss, shortness of breath, exhaustion, stiff spine and joint pain.
Age: 42.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Myalgia, Thyroid disorder
Clinical narrative: Affected thyroid, swollen lymph nodes, muscle burn and weakness, hormonal imbalance, bloating, lethargy, mental confusion and memory loss, shortness of breath, exhaustion, stiff spine and joint pain.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Headache, Influenza like illness, Injection site oedema, Injection site rash, Injection site reaction
Clinical narrative: Local rash/swelling with injection site assoc with flu-like symptoms-headache, body aches, upper respiratory signs (anthrax injection site only)- occurred with initial injection 1-16-03 & reoccurred 11-16-04 & twice thereafter- lasted 3-7 days each episode- spontaneous onset & resolution and gradually decreasing in severity.
Age: 33.0
Sex: M
Vaccine: ANTH, FLU3
Symptoms: Pain
Clinical narrative: Local rash/swelling with injection site assoc with flu-like symptoms-headache, body aches, upper respiratory signs (anthrax injection site only)- occurred with initial injection 1-16-03 & reoccurred 11-16-04 & twice thereafter- lasted 3-7 days each episode- spontaneous onset & resolution and gradually decreasing in severity.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Hypoaesthesia
Clinical narrative: Received vaccine in right arm during skin allergy test. Reaction began with second test at 1:10000 ratio of vaccine. Reaction included numbness in right rear of tongue approx 10 mins after administration of test. 13 mins after next test of 1:000 ratio the numbness spread to entire right side of tongue and part of upper right throat. Symptoms continued to persist during 1:100 ratio test, finally tests stopped and numbing subsided.
Age: 25.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Fatigue, Infection, Injection site oedema, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Excessive swelling from injection site, around front of arm to lymph node in arm pit. Excessive body fatigue. Sore throat lasting three days, mild fever 800 mg Motrin, 1000 mg Tylenol, Benadryl. Suspect infection (vs vigorous take).
Age: 30.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pain, Injection site reaction, Muscle spasms, Palpitations
Clinical narrative: Patient with persistent increased pain at injection site with palpable spasm of deltoid ipsilateral trapezius and ipsibilateral latissimus. No erythema or signs of infection. Large local reaction. Motrin/ Benadryl.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Infection
Clinical narrative: Clinical zoster 3 1/2 weeks after Varivax.
Age: 2.0
Sex: F
Vaccine: DTAP, HEP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site oedema
Clinical narrative: Increasing erythema, edema, skin warmth around area of inoculation- left upper lat. thigh area noted day after shots were given.
Age: 22.0
Sex: M
Vaccine: ANTH, MEN, SMALL, TD
Symptoms: Headache, Rash macular
Clinical narrative: Client went to emergency department because of sever headache for 2 days- 10 days after receiving several vaccination- one being vaccinia. Robust take to vaccinia site & small macular rash to chest- Treatment & pain meds- L.P. Discharged.
Age: 4.17
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Feeling hot, Injection site erythema, Injection site induration
Clinical narrative: Erythema, warmth, induration at vaccine administration site right upper arm.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, VARCEL
Symptoms: Abasia, Feeling hot, Gait disturbance, Oedema, Pain
Clinical narrative: Next morning- was limping- complained of pain- by evening he could barely walk. Swelling was 3 times the normal size of the right thigh and the knee was also swollen- not red- slightly warm to the touch. No fever. Some vomited. Still has swelling not quite as big.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, VARCEL
Symptoms: Vomiting
Clinical narrative: Next morning- was limping- complained of pain- by evening he could barely walk. Swelling was 3 times the normal size of the right thigh and the knee was also swollen- not red- slightly warm to the touch. No fever. Some vomited. Still has swelling not quite as big.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Oedema, Skin nodule
Clinical narrative: Swollen, indurated left anterior thigh. No redness or heat.
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Oedema, Screaming, Tenderness
Clinical narrative: Cried, inconsolably for 12 hours after vaccine administration. Both thighs swollen, tender to touch. Right greater than left. ? Fever (not checked) Tylenol infant drops for 2 doses. Crying subsided within 12 hours, leg swelling diminished after 24 hours.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Crying, Screaming
Clinical narrative: 3:50 pm mother called to say pt has been screaming since immunization was given this am. Afebrile. No reported redness or swelling at injection site. These findings were reported to RN.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Urticaria
Clinical narrative: Patient complains of soreness at injection site "welt" developed next day. Measured site 3-25-04. Two areas from injection site to midline. One (top) measures at 8 cm length, 1 1/2 cm wide. Second (bottom) measures at 10 cm length 2 1/2 cm wide.
Age: 1.58
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Mother called about 11:30 am on 3/23/04 and child had recently developed hives. She called the doctor but hadn't heard back from them. Mother gave Benadryl through the night and child has no symptoms now. Mother never did talk to private medical doctor.
Age: 23.0
Sex: F
Vaccine: TD
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 2.0
Sex: M
Vaccine: DTAP, HEP, OPV, VARCEL
Symptoms: Dermatitis
Clinical narrative: Severe dermatitis (genitalia only spared) given Prediapred, Hydroxyzine.
Age: 4.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Skin nodule
Clinical narrative: N bem violarrous patch surrounding saw IM nodule.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Pt mother notice that arm was swollen, red & warm to the touch. Pt. seen by pediatrician, advised to use cool compress, Ibuprofen & continue to observe.
Age: 4.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Urticaria
Clinical narrative: Right deltoid-5 minutes after shot-arm red/ swollen/ hives/ itchy- ree 90x120 cm Tx: Benadryl 1.5tsp ice pack