chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Insomnia, Muscular weakness
Clinical narrative: Severe pain in the left shoulder unable to have any range of motion or strength in the left arm.  Stream pain unable to sleep. On the third day is slight improvement.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site rash, Nausea, Pain in extremity
Clinical narrative: Initial symptoms (Thursday evening): nausea, headache; tired Next day (Friday): arm ache getting worse though out the day; very tired Friday night: severe arm pain; very sharp sciatic pain at 4am Saturday morning: severe arm pain; rash around arm shot site ( three places - size of a nickel); felt exhausted Saturday evening; pain in arm is lessening; rash is growing (3" by 1"); sciatic pain Sunday afternoon: sharp sciatic pain  Monday morning; rash is fading; severe sciatic pain; 7 episodes in 1 hr; 2 more episodes in late morning
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Sciatica
Clinical narrative: Initial symptoms (Thursday evening): nausea, headache; tired Next day (Friday): arm ache getting worse though out the day; very tired Friday night: severe arm pain; very sharp sciatic pain at 4am Saturday morning: severe arm pain; rash around arm shot site ( three places - size of a nickel); felt exhausted Saturday evening; pain in arm is lessening; rash is growing (3" by 1"); sciatic pain Sunday afternoon: sharp sciatic pain  Monday morning; rash is fading; severe sciatic pain; 7 episodes in 1 hr; 2 more episodes in late morning
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Chills, Lymph gland infection, Lymphadenopathy, Mononucleosis heterophile test, Periorbital swelling
Clinical narrative: Swollen face, especially swelling around eyes, swollen glands, infection in gland, fever and chills.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia, Streptococcus test negative, Swelling face
Clinical narrative: Swollen face, especially swelling around eyes, swollen glands, infection in gland, fever and chills.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PATIENT HAS A RAISED RED SPOT AT THE SITE OF INJECTION THAT IS 3 INCHES BY 2 INCHES IN SIZE. THIS WAS MEASURED 2 DAYS AFTER THE VACCINE WAS GIVEN. PATIENT WAS TOLD TO TAKE 50 MG OF BENADRYL EVERY 4-6 HOURS AND MEASURE THE SIZE OF THE SPOT AT HOME. IF THE SPOT HAS GROWN, THE PATIENT WAS INSTRUCTED TO GO TO THE HOSPITAL.
Age: 1.0
Sex: M
Vaccine: HEPA, HEPA, MMRV, PNC13
Symptoms: Decreased appetite, Dermatitis diaper, Hand-foot-and-mouth disease, Pyrexia, Rash generalised
Clinical narrative: My son had a fever of 103. It was controlled with fever reducer. He had rash all over his body but more profound in the diaper area. He would not eat or drink for almost a week (only breast fed and had a few bites here and there, which is not like him at all ). The symptoms and fever lasted from 6/17/2019 to 6/23/2019.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Erythema, Rash
Clinical narrative: Patient reports a rash and redness to her chest, entire back, and abdomen. The rash and redness stopped at waistline and did not extended to her upper extremities bilaterally. Per patient the rash and redness subsided on Sunday 30 Jun 2019. Patient also voices she is experiencing dizziness and lightheadedness.
Sex: U
Vaccine: VARZOS
Symptoms: Adverse event
Clinical narrative: adverse event; This case was reported by a pharmacist via call center representative and described the occurrence of adverse event in a unspecified number of adult patients who received Herpes zoster (Shingrix) for prophylaxis.  On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced adverse event. On an unknown date, the outcome of the adverse event was unknown.   It was unknown if the reporter considered the adverse event to be related to Shingrix.  Additional details were provided as follows: The age at the vaccination was not applicable for this report. The age group was not reported but it was selected as adult as per the vaccine indication.  The patient reportedly spoke with other women who received Shingrix and patients who received the second dose closer to the two month mark rather than six months experienced a higher rate of symptoms. The reporter did not have information for the other patients mentioned. The reporter consented to follow up.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash
Clinical narrative: Rash; This case was reported by a pharmacist via call center representative and described the occurrence of injection site rash in a 70-year-old female patient who received Herpes zoster (Shingrix) (batch number Z4359, expiry date 19th September 2021) for prophylaxis.   On 18th June 2019, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. In June 2019, less than a week after receiving Shingrix, the patient experienced injection site rash. On an unknown date, the outcome of the injection site rash was unknown.   It was unknown if the reporter considered the injection site rash to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix in the left arm. The patient was experiencing a rash about size of 3 inches by 6 inches between the injection site and the elbow. The reporter briefly mentioned, he had seen rash with other patients whom he had vaccinated Shingrix in the past, refer case US2019AMR117476.  No further details were provided.
Age: 69.0
Sex: M
Vaccine: UNK, VARZOS
Symptoms: Injection site swelling, Urticaria
Clinical narrative: swelling at injection site; hive-like rash on chest/ hive-like rash on shoulder; This case was reported by a pharmacist via call center representative and described the occurrence of injection site swelling in a 69-year-old male patient who received Herpes zoster (Shingrix) (batch number 2Y9R4, expiry date 28th June 2021) for prophylaxis.   Co-suspect products included ciprofloxacin unknown for an unknown indication.   Previously administered products included Shingrix (1st dose received on 21st December 2018, without any adverse event).   On 20th June 2019, the patient received the 2nd dose of Shingrix and ciprofloxacin at an unknown dose and frequency. On 21st June 2019, 1 days after receiving Shingrix and ciprofloxacin and 1 day after starting Shingrix and ciprofloxacin, the patient experienced injection site swelling and rash urticaria-like. The action taken with ciprofloxacin was unknown. On an unknown date, the outcome of the injection site swelling and rash urticaria-like were unknown.   The reporter considered the injection site swelling and rash urticaria-like to be related to Shingrix. It was unknown if the reporter considered the injection site swelling and rash urticaria-like to be related to ciprofloxacin.  Additional details were provided as follows: The batch number of Shingrix was reported as 8Y9R4, which was corrected to 2Y9R4 as per sales data sheet.  The next day of vaccination, the patient experienced swelling at the injection site.   The patient also reported hive-like rash on the shoulder and on the chest. The reporter stated that, the patient never had a reaction to Ciprofloxicin before and he suspected these reactions were associated with the Shingrix. In Argus core additional event was given as injection site rash' which was deleted, since anatomical location was not reported in the case. Adverse events were coded as per narrative. The reporter consented to follow up.
Sex: M
Vaccine: MENB
Symptoms: Confusional state, Disorientation, Hypoaesthesia, Injected limb mobility decreased, Injection site pain
Clinical narrative: raised area at injection site; body aches; head cold symptoms; numbness in face and fingers; tingling in face and fingers; General confusion; Disoriented; injection site painful; inability to lift/move right arm; This case was reported by a consumer via call center representative and described the occurrence of injection site swelling in a adult male patient who received Men B NVS (Bexsero) for prophylaxis.   On 20th June 2019 09:30, the patient received the 1st dose of Bexsero (intramuscular) .5 ml. In June 2019, 22 hrs after receiving Bexsero, the patient experienced injection site pain and injected limb mobility decreased. On 20th June 2019, the patient experienced injection site swelling, general body pain, head cold, numbness facial, tingling of extremity, confusion and disorientation. On an unknown date, the outcome of the injection site swelling, general body pain, injection site pain and injected limb mobility decreased were not recovered/not resolved and the outcome of the head cold, numbness facial, tingling of extremity, confusion and disorientation were recovered/resolved.   The reporter considered the injection site swelling, general body pain, head cold, numbness facial, tingling of extremity, confusion, disorientation, injection site pain and injected limb mobility decreased to be related to Bexsero.  Additional details were provided as follows: The age at vaccination was not reported Yesterday from the date of reporting at 09:30 AM, the patient received Bexsero vaccine in his right upper arm  On the same day around 4:30 PM, 7 hours after a dose of Bexsero, the patient developed a raised area the size of half an egg injection site swelling, body aches, developed symptoms of a head cold and numbness and tingling in his face and fingers.  The patient reported that he became generally confused and disoriented at the same time. In June 2019, all of the symptoms resolved except his injection site remains an issue with the raised area, was painful and could hardly lift or move his right arm. The reporter did not consent to follow-up. The case was not associated with PQC. The patient declined any demographics, declines to provide physician information and permission to contact his physician.  The patient declined a copy of the Bexsero Package Insert (PI) and did not want to be contacted by our Safety Department.  There was discrepancy in the outcome of the event, in the structured field outcome was reported as (Recovering/ resolving) and the outcome reported in the narrative it was reported as recovered/resolved.
Sex: M
Vaccine: MENB
Symptoms: Injection site swelling, Nasopharyngitis, Pain, Paraesthesia
Clinical narrative: raised area at injection site; body aches; head cold symptoms; numbness in face and fingers; tingling in face and fingers; General confusion; Disoriented; injection site painful; inability to lift/move right arm; This case was reported by a consumer via call center representative and described the occurrence of injection site swelling in a adult male patient who received Men B NVS (Bexsero) for prophylaxis.   On 20th June 2019 09:30, the patient received the 1st dose of Bexsero (intramuscular) .5 ml. In June 2019, 22 hrs after receiving Bexsero, the patient experienced injection site pain and injected limb mobility decreased. On 20th June 2019, the patient experienced injection site swelling, general body pain, head cold, numbness facial, tingling of extremity, confusion and disorientation. On an unknown date, the outcome of the injection site swelling, general body pain, injection site pain and injected limb mobility decreased were not recovered/not resolved and the outcome of the head cold, numbness facial, tingling of extremity, confusion and disorientation were recovered/resolved.   The reporter considered the injection site swelling, general body pain, head cold, numbness facial, tingling of extremity, confusion, disorientation, injection site pain and injected limb mobility decreased to be related to Bexsero.  Additional details were provided as follows: The age at vaccination was not reported Yesterday from the date of reporting at 09:30 AM, the patient received Bexsero vaccine in his right upper arm  On the same day around 4:30 PM, 7 hours after a dose of Bexsero, the patient developed a raised area the size of half an egg injection site swelling, body aches, developed symptoms of a head cold and numbness and tingling in his face and fingers.  The patient reported that he became generally confused and disoriented at the same time. In June 2019, all of the symptoms resolved except his injection site remains an issue with the raised area, was painful and could hardly lift or move his right arm. The reporter did not consent to follow-up. The case was not associated with PQC. The patient declined any demographics, declines to provide physician information and permission to contact his physician.  The patient declined a copy of the Bexsero Package Insert (PI) and did not want to be contacted by our Safety Department.  There was discrepancy in the outcome of the event, in the structured field outcome was reported as (Recovering/ resolving) and the outcome reported in the narrative it was reported as recovered/resolved.
Sex: U
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: given a shot of expired Daptacel; Initial information received on 26-Jun-2019 regarding an unsolicited valid non-serious case received from a nurse.  This case involves patient of an unknown demographics who received expired vaccine DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (batch number, expiry date, route and site of administration were unknown).  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   It was a case of actual medication error due to expired vaccine used. Caller stated that she has given a shot of expired Daptacel.   It was unknown whether the patient had any adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  Information on the batch number was requested.  Documents held by sender: none.
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: the office inadvertently administered Quadracel to an 8 year old in her left deltoid; Initial information received on 26-Jun-2019 regarding an unsolicited valid non-serious case received from a nurse.  This case involves an 8 years old female patient who received vaccine DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] and reported that the office inadvertently administered Quadracel to an 8 year old in her left deltoid.  The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided.  On 20-Jun-2019, the patient received a dose of suspect 0.5 ml DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE lot C5500LA and expiry date: 16 Aug-2020 via unknown route in the left deltoid.  It was a case of actual medication error due to inappropriate age at vaccine administration.  It was unknown if the patient had any adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  List of documents held by sender: none.
Sex: M
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: patient was given an expired Adacel; Initial information received on 26-Jun-2019 regarding an unsolicited valid non-serious case received from Other health care professional (pharmacist intern).   This case involves a 42 years old male patient who received vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL].  The patients past medical history and family history were not provided.  The patients did not receive any concomitant medication.  On 26-Jun-2019, the patient received a 0.5ml dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot U5563AA, expiry date 28-Feb-2019 via intramuscular route in the left deltoid.  It was an actual medication error due to expired vaccine used.  It was reported that patient was given an expired Adacel.  It was unknown whether patient experienced any adverse reaction after the injection.   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive and Module VI of the Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  List of documents held by sender: none.
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: administered a Pentacel to a patient that had never had one and was beyond the age limit; Initial information received on 26-Jun-2019 regarding an unsolicited valid non-serious case received from a physician.  This case involves a patient (age and gender unknown) who received vaccine DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL].  The patients past medical history, concomitant medication and family history were not provided.   On an unknown date, the patient received a dose of suspect DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE lot number, expiry date not reported via unknown route in unknown administration site.  It was an actual medication error due inappropriate age at vaccine administration.  It was reported that the doctor had questions regarding administering a Pentacel to a patient that had never had one and was beyond the age limit.  It was unknown whether patient experienced any adverse reaction after the injection.   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  Information on batch number was requested for this case.  List of documents held by sender: none.
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: did not get Adacel at 9 years old and in January 2019 she was given a dose of TD at 14 years old; Initial information received on 25-Jun-2019 regarding an unsolicited valid non-serious case received from a physician.  This case involves a 14 years old female patient who she received vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] and reported that the patient did not get Adacel at 9 years old and in January 2019 she was given a dose of td at 14 years old.  The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided.  In January 2019, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot number not reported via unknown route in unknown administration site.  It was a case of actual medication error due to inappropriate schedule of vaccine administered.  It was unknown if the patient had any adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  Information on the batch number was requested.  List of documents held by sender: none.
Age: 18.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Injection site erythema, Injection site nodule, Pain in extremity
Clinical narrative: 6-13-19 Client reports "large knot" on Right deltoid that has decreased in size but noticed redness of RD this AM - 6-19-19. Oblong area of redness of RD of about 2cm x 3.5cm. No swelling noted by Nurse. Client reports pain in right arm gong down outside of arm. 6-21-19 Called & spoke with client. Stated arm is much better. Just very small area of redness & very small knot
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Swelling
Clinical narrative: Red and swollen - patient was given diphenhydramine 15 minutes after immunization was  given.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Swelling, redness at site of injection,  mild myalgias and low grade  temperature elevation
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin abnormal, Drug eruption, Photosensitivity reaction, Rash
Clinical narrative: Not a serious or dangerous event, but my patient developed a photoallergic drug eruption / rash (biopsy proven) 1 week following her second Shingrix shot. Wanted to report this to help our colleagues and patients.
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal pain upper, Chills, Headache, Malaise
Clinical narrative: After my second Shingrix shot I got very ill, worse than the first time. I had shivering, upset stomach, body aches, throwing up, terrible headache starting about 6 hours after the shot. The next day still had terrible shivering, upset stomach, stomach cramps and headache worsened. Day 3 I have body aches and a terrible headache with lessened stomach issues.
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Vomiting
Clinical narrative: After my second Shingrix shot I got very ill, worse than the first time. I had shivering, upset stomach, body aches, throwing up, terrible headache starting about 6 hours after the shot. The next day still had terrible shivering, upset stomach, stomach cramps and headache worsened. Day 3 I have body aches and a terrible headache with lessened stomach issues.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Rash pustular
Clinical narrative: Individual pox-like sores randomly appeared with extreme itching and pain after zostrix injection (second one).
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal distension, Diarrhoea, Fatigue, Nausea
Clinical narrative: Loose stool (2/3/times a day in the morning hours), bloating in the abdomen, 'quizzyness', fatigue which started in the same day of the 1st dose of 4 capsules; seemed to feel better after the 3rd dose.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Injection site erythema, Injection site joint pain, Injection site pruritus
Clinical narrative: Received zoster vaccine on 2/6/19 and on 2/12/19 reports that she developed swelling and redness with itchiness, joint pain and N/V to the injection site and extremity in general. She did see a PCP and reported the reaction to them and was advised to no receive the second injection. To my knowledge she did not receive any treatments for the reaction. Symptoms: Symptoms: 1. SkinRash, 2. Rash, 3. UrticariaPruritus, 4. NauseaVomiting, 5. RASH, joint pain
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Nausea, Peripheral swelling, Pruritus, Rash
Clinical narrative: Received zoster vaccine on 2/6/19 and on 2/12/19 reports that she developed swelling and redness with itchiness, joint pain and N/V to the injection site and extremity in general. She did see a PCP and reported the reaction to them and was advised to no receive the second injection. To my knowledge she did not receive any treatments for the reaction. Symptoms: Symptoms: 1. SkinRash, 2. Rash, 3. UrticariaPruritus, 4. NauseaVomiting, 5. RASH, joint pain
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria, Vomiting
Clinical narrative: Received zoster vaccine on 2/6/19 and on 2/12/19 reports that she developed swelling and redness with itchiness, joint pain and N/V to the injection site and extremity in general. She did see a PCP and reported the reaction to them and was advised to no receive the second injection. To my knowledge she did not receive any treatments for the reaction. Symptoms: Symptoms: 1. SkinRash, 2. Rash, 3. UrticariaPruritus, 4. NauseaVomiting, 5. RASH, joint pain
Age: 10.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Unevaluable event
Clinical narrative: None but patient was given Menactra at age 10yrs 11mos. instead of Age 11 yrs. Menactra wasn't due until July 13, 2019.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Fatigue, Pain in extremity, Vomiting
Clinical narrative: Patient returned to office. Vomiting, chills, fatigue, and arm pain. Zofran & Benadryl given.
Age: 18.0
Sex: U
Vaccine: MMR, VARZOS
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was given Shingrix in error.  Then given correct vaccine MMR  No side effects Reportely
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Presyncope
Clinical narrative: Patient had vasovagal response after receiving HPV-9 and MCV4 in the left deltoid. Patient was assisted by both this RN and MD to ground, no injuries noted. VS checked and WNL. Patient A&O x3.  Was observed for 15 minutes in clinic.  No episodes of emesis, urination or BM. Denied HA, NV, dizziness, visual changes, or other complaints. Ambulating independently with steady gait upon discharge.
Age: 67.0
Sex: M
Vaccine: PNC13, VARZOS
Symptoms: Chills, Injection site pain, Injection site swelling, Lethargy, Myalgia
Clinical narrative: pain and swelling at injection site has moderated but still present, chills and shivering for about 24 hours after accompanied by muscle ache and general lethargy for about 48 hours.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: PATIENT HAS A RED SPOT THAT IS SLIGHTLY RAISED AND IS 2 INCHES BY 2.5 INCHES IN SIZE. THIS WAS MEASURED 2 DAYS AFTER THE VACCINE WAS ADMINISTERED. HE WAS INSTRUCTED TO TAKE 50 MG OF BENADRYL EVERY 4-6 HOURS AND TO CONTINUE MEASURING THE SPOT AT HOME. IF IT HAS GROWN, THE PATIENT IS INSTRUCTED TO GO TO THE HOSPITAL.
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Nausea
Clinical narrative: 08:25 vaccine given, 2 min. after pt c/o dizziness and nausea but never lost conscious. Lying pt down with legs up, V/s taken BP 106/67 P69 lying at 08:47,  BP 114/76 sitting P 70 at 08:50. Pt stated feeling better with lying down. 09:00 Pt stated feeling better, no more dizzy or nausea.
Age: 5.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Infection, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Spoke with mother. Vaccine given 6-27-19. Arm was sore initially but child had increased complaints at bedtime on 6-29-19. Left Upper arm was red and swollen, but child able to sleep after ibuprofen. It was still increasing on Sunday, so she was seen at urgent care and begun on Clindamycin(seen at Urgent Care). Child is much better today and swelling and redness have decreased. I gave mother the info about lot number and manufacturer as above.Sister got same vaccine from same lot on Thursday 6-27-19 as well and is fine. It seemed to respond dramatically to the clindamycin, so that is consistent with secondary infection rather than vaccine reaction. Mother will call back if any questions or if she has any difficulty tolerating antibiotic.
Age: 5.0
Sex: F
Vaccine: HEPA, HEPA
Symptoms: Bacterial infection, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Spoke with mother. Vaccine given 6-27-19. Arm was sore initially but child had increased complaints at bedtime on 6-29-19. Left Upper arm was red and swollen, but child able to sleep after ibuprofen. It was still increasing on Sunday, so she was seen at urgent care and begun on Clindamycin(seen at Urgent Care). Child is much better today and swelling and redness have decreased. I gave mother the info about lot number and manufacturer as above.Sister got same vaccine from same lot on Thursday 6-27-19 as well and is fine. It seemed to respond dramatically to the clindamycin, so that is consistent with secondary infection rather than vaccine reaction. Mother will call back if any questions or if she has any difficulty tolerating antibiotic.
Age: 48.0
Sex: M
Vaccine: PNC13
Symptoms: Abnormal dreams, Body temperature increased, Chills, Hyperhidrosis, Injected limb mobility decreased
Clinical narrative: The injection area became very sore and swollen , patient couldn't lift their arm Experienced, nausea, temperature fluctuations up to 102 F. , sweats, chills and crazy dreams.
Age: 48.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain, Injection site swelling, Nausea
Clinical narrative: The injection area became very sore and swollen , patient couldn't lift their arm Experienced, nausea, temperature fluctuations up to 102 F. , sweats, chills and crazy dreams.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Pallor, Syncope
Clinical narrative: Patient was here to receive several vaccine boosters --  Tdap, MCV4 and HPV (#1)  Patient had not eaten any breakfast before coming to appointment.  Patient was nervous and we used the Pain Ease numbing spray to numb her arm for the first 2 vaccines (Tdap and MCV4) given in the Left arm,  Patient did fine with first 2 vaccines.  Right arm was prepped and  HPV was administered, patient started to faint within about 5 seconds after the administration.  Patient was sitting upright on the exam table and with the mothers help was lowered to a flat position.  Provider was immediately called back into the exam room.  Patient came out of spell within 60 seconds and was given Apple juice and Graham crackers.  Her color came back within a few minutes and she stated she felt better.  The provider evaluated her condition to be stable.   The nurse (myself) remained with the patient for an additional 10-15 min after her spell to ensure her stability before she left the Peds dept.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Abnormal sensation in eye, Eye irritation, Eye pain, Fatigue, Feeling abnormal
Clinical narrative: About 1 o?clock in the afternoon it started with pain across the shoulders  and up into the neck,  and then a fever of around 99° .  By 3 pm I became lethargic and my eyes were burning behind the eyelids and I started to get a headache. By 7 pm the backs of my legs felt like they were bruised my skin had started to become hypersensitive, I had a full on headache .  the right side of my head started to hurt my right eye started to hurt ,both eyes were very very hot and my brain felt like it was on fire, my temperature went up to 101°. By 9 pm I could barely function  , I felt like I?d just been put through the ringer ,every muscle in my body hurt I had a headache my eyes were  just burning up . my muscles were sore  at this point even the hair on my head hurt, I was extremely hot , but felt like I was freezing.  I went to bed to try and sleep it off, I was extremely tired.  At 9 am on 06/28/19  I still had a headache and slight fever my skin felt hypersensitive , my hair still hurt my brain felt warm it didn?t feel like it was on fire anymore it just felt  warm. My eyeballs were still burning at that point probably about 9 pm that night the headache finally went away the fever broke ,and I was feeling better my skin was still hypersensitive though and the backs in my eyes were still burning and my hair still hurts , still had muscle pain in shoulders, arms and back of legs.  6/29/2019  mostly just some muscle Pain in lower neck  some hypersensitive areas on skin. 06/30/19  a bit tired but mostly back to normal
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Feeling hot, Headache, Lethargy, Musculoskeletal pain
Clinical narrative: About 1 o?clock in the afternoon it started with pain across the shoulders  and up into the neck,  and then a fever of around 99° .  By 3 pm I became lethargic and my eyes were burning behind the eyelids and I started to get a headache. By 7 pm the backs of my legs felt like they were bruised my skin had started to become hypersensitive, I had a full on headache .  the right side of my head started to hurt my right eye started to hurt ,both eyes were very very hot and my brain felt like it was on fire, my temperature went up to 101°. By 9 pm I could barely function  , I felt like I?d just been put through the ringer ,every muscle in my body hurt I had a headache my eyes were  just burning up . my muscles were sore  at this point even the hair on my head hurt, I was extremely hot , but felt like I was freezing.  I went to bed to try and sleep it off, I was extremely tired.  At 9 am on 06/28/19  I still had a headache and slight fever my skin felt hypersensitive , my hair still hurt my brain felt warm it didn?t feel like it was on fire anymore it just felt  warm. My eyeballs were still burning at that point probably about 9 pm that night the headache finally went away the fever broke ,and I was feeling better my skin was still hypersensitive though and the backs in my eyes were still burning and my hair still hurts , still had muscle pain in shoulders, arms and back of legs.  6/29/2019  mostly just some muscle Pain in lower neck  some hypersensitive areas on skin. 06/30/19  a bit tired but mostly back to normal
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Neck pain, Pain, Pyrexia, Sensitive skin
Clinical narrative: About 1 o?clock in the afternoon it started with pain across the shoulders  and up into the neck,  and then a fever of around 99° .  By 3 pm I became lethargic and my eyes were burning behind the eyelids and I started to get a headache. By 7 pm the backs of my legs felt like they were bruised my skin had started to become hypersensitive, I had a full on headache .  the right side of my head started to hurt my right eye started to hurt ,both eyes were very very hot and my brain felt like it was on fire, my temperature went up to 101°. By 9 pm I could barely function  , I felt like I?d just been put through the ringer ,every muscle in my body hurt I had a headache my eyes were  just burning up . my muscles were sore  at this point even the hair on my head hurt, I was extremely hot , but felt like I was freezing.  I went to bed to try and sleep it off, I was extremely tired.  At 9 am on 06/28/19  I still had a headache and slight fever my skin felt hypersensitive , my hair still hurt my brain felt warm it didn?t feel like it was on fire anymore it just felt  warm. My eyeballs were still burning at that point probably about 9 pm that night the headache finally went away the fever broke ,and I was feeling better my skin was still hypersensitive though and the backs in my eyes were still burning and my hair still hurts , still had muscle pain in shoulders, arms and back of legs.  6/29/2019  mostly just some muscle Pain in lower neck  some hypersensitive areas on skin. 06/30/19  a bit tired but mostly back to normal
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: C-reactive protein, Cellulitis, Chest X-ray, Fatigue, Full blood count
Clinical narrative: Within 24 hours of recieving the PPSV23 vaccine pt developed pain and redness at the site of injection, fever, body aches and fatigue. She monitored redness by marking with a pen, treated fever with tylenol/motrin. Was seen in office 2 days after vaccination and sent to the hospital for evaluation and management of vaccine reaction. She was treated with IV Abx for cellulitis and hospitalized for 3 days. She is now on an oral course of abx for 10 days. She still has decreased ROM of affected arm.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Glomerular filtration rate, Injected limb mobility decreased, Injection site erythema, Injection site pain, Laboratory test
Clinical narrative: Within 24 hours of recieving the PPSV23 vaccine pt developed pain and redness at the site of injection, fever, body aches and fatigue. She monitored redness by marking with a pen, treated fever with tylenol/motrin. Was seen in office 2 days after vaccination and sent to the hospital for evaluation and management of vaccine reaction. She was treated with IV Abx for cellulitis and hospitalized for 3 days. She is now on an oral course of abx for 10 days. She still has decreased ROM of affected arm.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Liver function test, Nuclear magnetic resonance imaging, Occult blood, Pain, Pyrexia
Clinical narrative: Within 24 hours of recieving the PPSV23 vaccine pt developed pain and redness at the site of injection, fever, body aches and fatigue. She monitored redness by marking with a pen, treated fever with tylenol/motrin. Was seen in office 2 days after vaccination and sent to the hospital for evaluation and management of vaccine reaction. She was treated with IV Abx for cellulitis and hospitalized for 3 days. She is now on an oral course of abx for 10 days. She still has decreased ROM of affected arm.
Age: 21.0
Sex: F
Vaccine: PPV
Symptoms: Urine analysis, X-ray limb
Clinical narrative: Within 24 hours of recieving the PPSV23 vaccine pt developed pain and redness at the site of injection, fever, body aches and fatigue. She monitored redness by marking with a pen, treated fever with tylenol/motrin. Was seen in office 2 days after vaccination and sent to the hospital for evaluation and management of vaccine reaction. She was treated with IV Abx for cellulitis and hospitalized for 3 days. She is now on an oral course of abx for 10 days. She still has decreased ROM of affected arm.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Altered state of consciousness, Chills, Dizziness, Fatigue, Injection site erythema
Clinical narrative: Body aches starting 6/20/19 after getting her vaccines- received trumenba, menactra Tylenol helped intiially Then again developed chills, body aches all night- didn't sleep well This AM (6/21/19) got light headed and felt pale when she got up to go to the bathroom  Felt like she was going to pass out Drank some water and that helped  Still has body aches and feels tired but no more lightheadedness No chest pain, palpitations, headache, cough  No fever Some redness around vaccine site on left arm (where trumenba was placed) Baseline po intake
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Pain, Pallor, Poor quality sleep
Clinical narrative: Body aches starting 6/20/19 after getting her vaccines- received trumenba, menactra Tylenol helped intiially Then again developed chills, body aches all night- didn't sleep well This AM (6/21/19) got light headed and felt pale when she got up to go to the bathroom  Felt like she was going to pass out Drank some water and that helped  Still has body aches and feels tired but no more lightheadedness No chest pain, palpitations, headache, cough  No fever Some redness around vaccine site on left arm (where trumenba was placed) Baseline po intake
Age: 59.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Arthralgia, Back pain, Bursa disorder, Chest pain, Contusion
Clinical narrative: By the end of the day, the Bursa popped out of left posterior knee with swelling, joint clicking and severe pain. Conditions persists. The following evening I began to have excruciating pain in my upper back, shoulders, down my arms into my wrists and down to my fingertips. The pain was icy-hot and burning as well as throbbing. I take (Aleve) to help with the pain and purchased wrist braces which did not help. The pain is severe in my arms and my hands remain constantly numb. It has, also moved into my face, mouth, sinuses, eyes, and into my chest causing heavy breathing and chest pain similar to the arm pain.  I cannot properly perform my work duties, as my fingers are numb, preventing me from using the keyboard in my normal manner.  I tire easily and have great difficulty trying to find a position that I can sleep in comfortably. I wake approximately every two hours with my hands and  shoulders numb and painful. I also have difficulty with simple dexterity. Events such as holding a glass of water require concentration, because I cannot gauge how it feels.  I have had many cuts, bruises, scrapes, pinches and broken fingernails to my hands and arms because I cannot feel them. The numbness in my eyes causes vision problems. I drive one hour each way to and from work. The other problems are with heat and cold on my tongue and mouth, because they are numb and I cannot feel them either. When the hot/cold is exceptionally extreme in my hands and arms, my whole body gets the chills even when the temperatures are 80-100 degrees ( I live where the temperatures are typically in this range most of the day). This problem consumes my thoughts throughout the day due to it's annoying persistence. I cannot do any of the craft projects that would typically fill my off-time with because the senses I use to enjoy them are numbed. My greatest concern is that this will not go away. When I checked on the Clinic and hospital websites, it stated that the adverse reactions can last 1 to 2 years, or may be permanent.
Age: 59.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Discomfort, Dyspnoea, Fatigue, Fine motor skill dysfunction, Hypoaesthesia
Clinical narrative: By the end of the day, the Bursa popped out of left posterior knee with swelling, joint clicking and severe pain. Conditions persists. The following evening I began to have excruciating pain in my upper back, shoulders, down my arms into my wrists and down to my fingertips. The pain was icy-hot and burning as well as throbbing. I take (Aleve) to help with the pain and purchased wrist braces which did not help. The pain is severe in my arms and my hands remain constantly numb. It has, also moved into my face, mouth, sinuses, eyes, and into my chest causing heavy breathing and chest pain similar to the arm pain.  I cannot properly perform my work duties, as my fingers are numb, preventing me from using the keyboard in my normal manner.  I tire easily and have great difficulty trying to find a position that I can sleep in comfortably. I wake approximately every two hours with my hands and  shoulders numb and painful. I also have difficulty with simple dexterity. Events such as holding a glass of water require concentration, because I cannot gauge how it feels.  I have had many cuts, bruises, scrapes, pinches and broken fingernails to my hands and arms because I cannot feel them. The numbness in my eyes causes vision problems. I drive one hour each way to and from work. The other problems are with heat and cold on my tongue and mouth, because they are numb and I cannot feel them either. When the hot/cold is exceptionally extreme in my hands and arms, my whole body gets the chills even when the temperatures are 80-100 degrees ( I live where the temperatures are typically in this range most of the day). This problem consumes my thoughts throughout the day due to it's annoying persistence. I cannot do any of the craft projects that would typically fill my off-time with because the senses I use to enjoy them are numbed. My greatest concern is that this will not go away. When I checked on the Clinic and hospital websites, it stated that the adverse reactions can last 1 to 2 years, or may be permanent.
Age: 59.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Hypoaesthesia eye, Hypoaesthesia oral, Impaired work ability, Insomnia, Joint noise
Clinical narrative: By the end of the day, the Bursa popped out of left posterior knee with swelling, joint clicking and severe pain. Conditions persists. The following evening I began to have excruciating pain in my upper back, shoulders, down my arms into my wrists and down to my fingertips. The pain was icy-hot and burning as well as throbbing. I take (Aleve) to help with the pain and purchased wrist braces which did not help. The pain is severe in my arms and my hands remain constantly numb. It has, also moved into my face, mouth, sinuses, eyes, and into my chest causing heavy breathing and chest pain similar to the arm pain.  I cannot properly perform my work duties, as my fingers are numb, preventing me from using the keyboard in my normal manner.  I tire easily and have great difficulty trying to find a position that I can sleep in comfortably. I wake approximately every two hours with my hands and  shoulders numb and painful. I also have difficulty with simple dexterity. Events such as holding a glass of water require concentration, because I cannot gauge how it feels.  I have had many cuts, bruises, scrapes, pinches and broken fingernails to my hands and arms because I cannot feel them. The numbness in my eyes causes vision problems. I drive one hour each way to and from work. The other problems are with heat and cold on my tongue and mouth, because they are numb and I cannot feel them either. When the hot/cold is exceptionally extreme in my hands and arms, my whole body gets the chills even when the temperatures are 80-100 degrees ( I live where the temperatures are typically in this range most of the day). This problem consumes my thoughts throughout the day due to it's annoying persistence. I cannot do any of the craft projects that would typically fill my off-time with because the senses I use to enjoy them are numbed. My greatest concern is that this will not go away. When I checked on the Clinic and hospital websites, it stated that the adverse reactions can last 1 to 2 years, or may be permanent.
Age: 59.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Joint swelling, Loss of personal independence in daily activities, Musculoskeletal pain, Orthosis user, Pain
Clinical narrative: By the end of the day, the Bursa popped out of left posterior knee with swelling, joint clicking and severe pain. Conditions persists. The following evening I began to have excruciating pain in my upper back, shoulders, down my arms into my wrists and down to my fingertips. The pain was icy-hot and burning as well as throbbing. I take (Aleve) to help with the pain and purchased wrist braces which did not help. The pain is severe in my arms and my hands remain constantly numb. It has, also moved into my face, mouth, sinuses, eyes, and into my chest causing heavy breathing and chest pain similar to the arm pain.  I cannot properly perform my work duties, as my fingers are numb, preventing me from using the keyboard in my normal manner.  I tire easily and have great difficulty trying to find a position that I can sleep in comfortably. I wake approximately every two hours with my hands and  shoulders numb and painful. I also have difficulty with simple dexterity. Events such as holding a glass of water require concentration, because I cannot gauge how it feels.  I have had many cuts, bruises, scrapes, pinches and broken fingernails to my hands and arms because I cannot feel them. The numbness in my eyes causes vision problems. I drive one hour each way to and from work. The other problems are with heat and cold on my tongue and mouth, because they are numb and I cannot feel them either. When the hot/cold is exceptionally extreme in my hands and arms, my whole body gets the chills even when the temperatures are 80-100 degrees ( I live where the temperatures are typically in this range most of the day). This problem consumes my thoughts throughout the day due to it's annoying persistence. I cannot do any of the craft projects that would typically fill my off-time with because the senses I use to enjoy them are numbed. My greatest concern is that this will not go away. When I checked on the Clinic and hospital websites, it stated that the adverse reactions can last 1 to 2 years, or may be permanent.