chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Hyperhidrosis, Nausea, Pyrexia, Tremor, Upper respiratory tract infection
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of vaccination failure in a 71-year-old female patient who received Hepatitis A vaccine. Co-suspect products included Hepatitis A vaccine and Atorvastatin unknown for an unknown indication. Concomitant products included estradiol and PNEUMOVAX. On 28th August 2015, the patient received the 2nd dose of Hepatitis A vaccine. On 19th February 2015, the patient received the 1st dose of Hepatitis A vaccine. In September 2015, the patient started Atorvastatin at an unknown dose and frequency. On 30th September 2015, 33 days after receiving Hepatitis A vaccine, 223 days after receiving Hepatitis A vaccine and not applicable after starting Atorvastatin, the patient experienced vaccination failure (serious criteria GSK medically significant), hepatitis A, upper respiratory tract infection, chills, sweating, weakness, energy decreased and appetite absent. On 3rd October 2015, the patient experienced nausea, taste altered, tremor and fever. On 4th October 2015, the patient experienced urine discoloration. On an unknown date, the patient experienced elevated liver enzymes. On 3rd October 2015, the outcome of the upper respiratory tract infection, chills, sweating and appetite absent were recovered/resolved. On 4th October 2015, the outcome of the tremor and fever were recovered/resolved. On an unknown date, the outcome of the vaccination failure, hepatitis A and elevated liver enzymes were unknown and the outcome of the weakness, energy decreased, nausea and taste altered were recovering/resolving and the outcome of the urine discoloration was unchanged. It was unknown if the reporter considered the vaccination failure, hepatitis A, upper respiratory tract infection, chills, sweating, weakness, energy decreased, appetite absent, nausea, taste altered, tremor, fever, elevated liver enzymes and urine discoloration to be related to Hepatitis A vaccine, Hepatitis A vaccine and Atorvastatin. Additional details were provided as follows: The patient reported that she received her first dose of hepatitis A vaccine on 19th February 2015. She received her second dose on 28th August 2015. As of July 2015, her lab values were normal. The patient reported that around 30th September 2015 she started experiencing issues that included an upper respiratory infection, chills, sweating, low energy, no appetite and weakness. Over the past weekend beginning, 3rd October 2015 she experienced nausea, food tasted bad, shaking and a fever of 104 degrees Fahrenheit. The patient went to the doctor and after lab work was completed her results showed elevated liver enzymes including ALT, AST and Bilirubin. She reported that her Hepatitis A panel was reactive as well and she was told that she had Hepatitis A. This case was considered as a vaccination failure case. The patient stated that she started Atorvastatin about a month ago and she felt that this product was actually the cause of all of her issues and not the hepatitis A vaccine.
Age: 71.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Vaccination failure
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of vaccination failure in a 71-year-old female patient who received Hepatitis A vaccine. Co-suspect products included Hepatitis A vaccine and Atorvastatin unknown for an unknown indication. Concomitant products included estradiol and PNEUMOVAX. On 28th August 2015, the patient received the 2nd dose of Hepatitis A vaccine. On 19th February 2015, the patient received the 1st dose of Hepatitis A vaccine. In September 2015, the patient started Atorvastatin at an unknown dose and frequency. On 30th September 2015, 33 days after receiving Hepatitis A vaccine, 223 days after receiving Hepatitis A vaccine and not applicable after starting Atorvastatin, the patient experienced vaccination failure (serious criteria GSK medically significant), hepatitis A, upper respiratory tract infection, chills, sweating, weakness, energy decreased and appetite absent. On 3rd October 2015, the patient experienced nausea, taste altered, tremor and fever. On 4th October 2015, the patient experienced urine discoloration. On an unknown date, the patient experienced elevated liver enzymes. On 3rd October 2015, the outcome of the upper respiratory tract infection, chills, sweating and appetite absent were recovered/resolved. On 4th October 2015, the outcome of the tremor and fever were recovered/resolved. On an unknown date, the outcome of the vaccination failure, hepatitis A and elevated liver enzymes were unknown and the outcome of the weakness, energy decreased, nausea and taste altered were recovering/resolving and the outcome of the urine discoloration was unchanged. It was unknown if the reporter considered the vaccination failure, hepatitis A, upper respiratory tract infection, chills, sweating, weakness, energy decreased, appetite absent, nausea, taste altered, tremor, fever, elevated liver enzymes and urine discoloration to be related to Hepatitis A vaccine, Hepatitis A vaccine and Atorvastatin. Additional details were provided as follows: The patient reported that she received her first dose of hepatitis A vaccine on 19th February 2015. She received her second dose on 28th August 2015. As of July 2015, her lab values were normal. The patient reported that around 30th September 2015 she started experiencing issues that included an upper respiratory infection, chills, sweating, low energy, no appetite and weakness. Over the past weekend beginning, 3rd October 2015 she experienced nausea, food tasted bad, shaking and a fever of 104 degrees Fahrenheit. The patient went to the doctor and after lab work was completed her results showed elevated liver enzymes including ALT, AST and Bilirubin. She reported that her Hepatitis A panel was reactive as well and she was told that she had Hepatitis A. This case was considered as a vaccination failure case. The patient stated that she started Atorvastatin about a month ago and she felt that this product was actually the cause of all of her issues and not the hepatitis A vaccine.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Seen at urgent care on 10/9./15. Fever (99.2 with TYLENOL) aches, no cough, congestion or respiratory problems. Advised to continue with TYLENOL for fever and aches. Drink plenty of fluids and cool baths to control temp. Stated fever up to 103.7 at home.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Redness and puffiness noted distal to injection site (Left Deltoid) Warm to touch. Tender. Bruising noted, of purple and red color. Two spots noted on each side of deltoid muscle. Client seen NP 10/12/2015, was given Bactrim but NP doesn't believe swelling and bruising is related to flu shot.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site warmth, Rash
Clinical narrative: Redness and puffiness noted distal to injection site (Left Deltoid) Warm to touch. Tender. Bruising noted, of purple and red color. Two spots noted on each side of deltoid muscle. Client seen NP 10/12/2015, was given Bactrim but NP doesn't believe swelling and bruising is related to flu shot.
Age: 44.0
Sex: M
Vaccine: FLUX
Symptoms: Rash generalised
Clinical narrative: Rash on inner thighs, legs, shoulders, arms, back.
Age: 72.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Red Swollen and hot injection site, Hives on neck bilateral and under Left breast and rib area.
Age: 54.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site pain, Ultrasound scan normal
Clinical narrative: Left arm/shoulder pain X1day s/p pneumonia vaccine.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Back pain, Fatigue, Gait disturbance, Groin pain
Clinical narrative: Fatigue, muscular aches/pain in lower back extending to top of legs and groin area; weakness in walking.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Fatigue, muscular aches/pain in lower back extending to top of legs and groin area; weakness in walking.
Age: 75.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Asthenia, Dizziness, Gait disturbance, Groin pain, Myalgia
Clinical narrative: Muscular aches/pains in legs and groin area; dizziness; weakness in walking.
Age: 75.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Pain in extremity
Clinical narrative: Muscular aches/pains in legs and groin area; dizziness; weakness in walking.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper, Asthenia, Decreased appetite, Flatulence, Pain
Clinical narrative: Stomach ache, lots of gas, loss of appetite, body aches, no energy.
Age: 32.0
Sex: F
Vaccine: FLUR3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Reaction slight redness, swelling and warm feeling to Lt delt from flu shot. Got shot 10-6-15. Symptoms started 10/7/15.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous
Clinical narrative: Red swollen quarter sized rash on arm.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Nausea
Clinical narrative: Headache, nausea, chills.
Age: 0.27
Sex: M
Vaccine: RV5
Symptoms: Intussusception, Laparoscopic surgery
Clinical narrative: This spontaneous report was received from a nurse and refers to a 4 month old male patient. The patient did not have pertinent medical history and drug reactions or allergies. The patient did not use any concomitant medications. On 16-JUL-2015, the patient was vaccinated with the first dose of ROTATEQ suspension single dose (1 DF) orally (lot number K023157 and expiry date 23-JUL-2016). On 10-SEP-2015, the patient was vaccinated with the second dose of ROTATEQ single dose (lot number L008031 and expiry date 03-AUG-2016). On 07-OCT-2015, the patient was diagnosed with intussusception. On 07-OCT-2015, the patient sought medical attention and was admitted to the hospital. On 08-OCT-2015, the patient had an unspecified laparoscopic surgical procedure. The outcome of the events was reported as recovering. The reporter did not provide the causality between the events and the suspect therapy. The reporter considered the events unspecified laparoscopic surgical procedure and intussusception as serious due hospitalization, disability and life threatening. Additional information has been requested.
Age: 54.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Injection site pain
Clinical narrative: This spontaneous report as received from a pharmacist via company representative refers to a 54 year old patient of unknown gender. The patient's pertinent medical history was not reported. Approximately in September 2015 (reported as last week), the patient was vaccinated with PNEUMOVAX 23 (lot # L007720 and expiry date: unknown, dose and frequency were unknown) and influenza virus vaccine inactivated (unspecified) (reported as flu shot) in the same arm. Approximately in September 2015 (reported as within five days of administration), the patient came back to the pharmacy and stated that he/she experienced arm soreness in the arm where the vaccines were administered. The outcome of the event was unknown. The relatedness of the events with suspect therapies was not reported. This is one of the two reports from the same reporter. Additional information has been requested.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis of left deltoid/shoulder.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Local reaction, Paraesthesia
Clinical narrative: Pt had local reaction starting on 10-8-15 with reddened and swollen area at injection site. Then starting on 10-10-15 the pt experienced numbness and tingling bilateral hand and feet. Pt seen by physician assistant 10-12-15. Feet and hands were dusky in appearance and warm to the touch and capillary refill was normal. There was no pain or weakness. 10-13-15 pt states there is a little improvement with tingling and numbness today.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm
Clinical narrative: Pt had local reaction starting on 10-8-15 with reddened and swollen area at injection site. Then starting on 10-10-15 the pt experienced numbness and tingling bilateral hand and feet. Pt seen by physician assistant 10-12-15. Feet and hands were dusky in appearance and warm to the touch and capillary refill was normal. There was no pain or weakness. 10-13-15 pt states there is a little improvement with tingling and numbness today.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Conjunctivitis, Dizziness, Muscular weakness, Tremor
Clinical narrative: Leg weakness, muscle tremors, dizziness and pink eye.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Decreased appetite, Dizziness, Headache, Lethargy, Nausea
Clinical narrative: 12:00PM Lethargy, headache, took 200mg Tylenol. 1:30PM Lethargy, body aches, HA worse, fever 101F. 4:00PM Lethargy, extreme body aches, dizziness, nausea, vomiting, fever 102.7F, horrible HA. 7:00 PM same symptoms as above and fever now 103.7.  1:00AM 10/07/2015- fever 102 after Ibuprofen, other symptoms persist. 6:00Am-  Fever gone-Temp 98, mild body aches, lethargy continues, mild nausea, no appetite. 5:00PM-Starting to feel back to normal but still lethargic.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: 12:00PM Lethargy, headache, took 200mg Tylenol. 1:30PM Lethargy, body aches, HA worse, fever 101F. 4:00PM Lethargy, extreme body aches, dizziness, nausea, vomiting, fever 102.7F, horrible HA. 7:00 PM same symptoms as above and fever now 103.7.  1:00AM 10/07/2015- fever 102 after Ibuprofen, other symptoms persist. 6:00Am-  Fever gone-Temp 98, mild body aches, lethargy continues, mild nausea, no appetite. 5:00PM-Starting to feel back to normal but still lethargic.
Age: 11.0
Sex: F
Vaccine: FLU3, HEPA, HPV4, IPV, TTOX
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Pt. received Td, IPV, HPV, Hep A and the flu vaccine. After 10 seconds pt. started to feel dizzy and fainted. This episode lasted for a few seconds and pt. woke up. Was examined by provider. Did not eat anything before.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Axillary pain, Breast pain, Lymphadenopathy, Rash
Clinical narrative: Pain in left armpit radiating to side of breast. Swollen lymph node under left arm. Rash on left side near breast on 3rd day (10/12/2015).
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Axillary pain, Back pain, Breast pain, Herpes zoster, Pain in extremity
Clinical narrative: Pain in left armpit radiating to side of breast. Swollen lymph node under left arm. Rash on left side near breast on 3rd day (10/12/2015).
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and sore lymph nodes in armpit area, this was after the second dose of varicella.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Tinnitus
Clinical narrative: Constant ringing in the ears. Have an appointment to see an Otolaryngologist on Friday, October, 16, 2015.
Age: 75.0
Sex: M
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: Rash on arm Dr. gave patient KEFLEX. Pt. said it got worse and went to hospital. 10/5/15.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Cholecystectomy, Cholecystitis infective, Feeling abnormal, Fungal infection, Malaise
Clinical narrative: Flu shot 9/17/15. Started feeling bad next day 18th. My wife put herself on a liquid diet, as she sometimes does, for her Crohn's. Our Dr got sick so he sent us to a Dr that we did not know on 9/22. She was told to stay on broth and Jello-no substantial food for about 5 days. I am patient's husband filling out this report. I called an ambulance, she was very sick 9/23. My wife was operated on 9/24 gallbladder removed. Surgeon told us it was gangrenous. Given antibiotics-later developed yeast infection. White blood count went up-taken off antibiotics given fluconazole for yeast-white blood count stabilized. Some speculated that the flu shot exacerbated my wife's Crohn's disease-others dissed that idea.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: White blood cell count increased
Clinical narrative: Flu shot 9/17/15. Started feeling bad next day 18th. My wife put herself on a liquid diet, as she sometimes does, for her Crohn's. Our Dr got sick so he sent us to a Dr that we did not know on 9/22. She was told to stay on broth and Jello-no substantial food for about 5 days. I am patient's husband filling out this report. I called an ambulance, she was very sick 9/23. My wife was operated on 9/24 gallbladder removed. Surgeon told us it was gangrenous. Given antibiotics-later developed yeast infection. White blood count went up-taken off antibiotics given fluconazole for yeast-white blood count stabilized. Some speculated that the flu shot exacerbated my wife's Crohn's disease-others dissed that idea.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Blood glucose normal, Face injury, Fall, Seizure like phenomena, Tooth fracture
Clinical narrative: Child got HPV9 - within minutes and while sister was getting imm -> child got up and fell on her face. Then had a seizure like episode that lasted seconds. Did fall on face and broke 2 incisors.
Age: 91.0
Sex: M
Vaccine: PNC13
Symptoms: Arthralgia, Arthritis bacterial, Erythema, Injection site bruising, Injection site erythema
Clinical narrative: On 6/16/15 after receiving vaccination shot, patient started feeling radiating pain down (R) elbow, arm and shoulder, severe bruising and pronounced puncture wound in upper (R) shoulder, redness and swollen. Took patient to ER-where pain medication, ultrasound and X-ray taken. Found fluid in the (R) shoulder joint causing a septic joint-Infectious Disease Dr called in antibiotic treatment started with withdrawal of infected fluid. Admitted ER at 4:00 pm 6/16/2015.
Age: 91.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site joint effusion, Injection site pain, Injection site swelling, Musculoskeletal pain, Pain in extremity
Clinical narrative: On 6/16/15 after receiving vaccination shot, patient started feeling radiating pain down (R) elbow, arm and shoulder, severe bruising and pronounced puncture wound in upper (R) shoulder, redness and swollen. Took patient to ER-where pain medication, ultrasound and X-ray taken. Found fluid in the (R) shoulder joint causing a septic joint-Infectious Disease Dr called in antibiotic treatment started with withdrawal of infected fluid. Admitted ER at 4:00 pm 6/16/2015.
Age: 91.0
Sex: M
Vaccine: PNC13
Symptoms: Swelling, Ultrasound joint, Ultrasound scan abnormal, Wound, X-ray limb abnormal
Clinical narrative: On 6/16/15 after receiving vaccination shot, patient started feeling radiating pain down (R) elbow, arm and shoulder, severe bruising and pronounced puncture wound in upper (R) shoulder, redness and swollen. Took patient to ER-where pain medication, ultrasound and X-ray taken. Found fluid in the (R) shoulder joint causing a septic joint-Infectious Disease Dr called in antibiotic treatment started with withdrawal of infected fluid. Admitted ER at 4:00 pm 6/16/2015.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 21 year old female patient. The patient had no drug reaction/allergies. The patient's pertinent medical history included hypertension and anxiety. Past medical history was not provided. On 28-AUG-2015, the patient was vaccinated with first dose of VARIVAX (Merck) (strength, dose, lot #, vaccination site, route unspecified). Concomitant therapies included ZOLOFT, WELLBUTRIN and metoprolol. Approximately on 29-AUG-2015 (reported as one day later), the patient developed a small red bump at the injection site which was resolved on an unspecified date in 2015. On 29-SEP-2015, the patient received the second dose of VARIVAX (Merck) (lot# L004650 and expiry date: 11-FEB-2017, strength, dose, vaccination site, route unspecified). Approximately on 30-SEP-2015 (reported as one day later), the patient developed a red bump at the injection site that grew to the size of a lemon. The patient sought medical attention and visited her physician on 01-OCT-2015. The physician recommended the patient to admit in the hospital because of the adverse reaction. On 01-OCT-2015, the patient was admitted to the hospital and was diagnosed with cellulitis at the injection site while in the hospital. The pharmacist reported that, while in the hospital the patient was treated with BENADRYL, prednisone, acetaminophen, tramadol and vancomycin for unspecified reasons. Approximately in October 2015 (reported as while in hospital), the patient developed itchiness from vancomycin and was switched to doxycycline. The patient was discharged from the hospital on 03-OCT-2015. The outcome of the events cellulitis and pruritus was reported as recovering/resolving. The causality assessment was not provided. No product quality complaint was reported for VARIVAX (Merck). The event, cellulitis was considered to be serious due to hospitalization. Additional information has been requested.
Age: 51.0
Sex: U
Vaccine: FLUX, PPV
Symptoms: Pain in extremity
Clinical narrative: This spontaneous report as received from a pharmacist via company representative refers to a 51 year old patient of unknown gender. The patient's pertinent medical history was not reported. Approximately in September 2015 (reported as last week), the patient was vaccinated with PNEUMOVAX 23 (lot # L007720 and expiry date: unknown, dose and frequency were unknown) and influenza virus vaccine inactivated (unspecified) (reported as flu shot) in the same arm. Approximately in September 2015 (reported as within five days of administration), the patient came back to the pharmacy and stated that he/she experienced arm soreness in the arm where the vaccines were administered. The outcome of the event was unknown. The relatedness of the events with suspect therapies was not reported. This is one of the two reports from the same reporter. Additional information has been requested.
Age: 52.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Lt. deltoid pain at time of injection and with abduction of Lt arm since.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Right arm swelling, redness and itching started on the same night of the vaccine administration. Vaccine was administered on right deltoid.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Induration, Local reaction, Local swelling, Skin warm
Clinical narrative: Delayed, large local reaction - red, raised, 6 x 8 cm - indurated warm.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reports redness, swelling and painful to touch at injection site on arm where PREVNAR was given.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Face oedema, Oedema peripheral
Clinical narrative: Edema face and legs. BENADRYL 25mg, Prednisone 60mg, ZANTAC 150mg. Discharge Rx Prednisone 20 TID x 3 days, Omeprazole 20mg x 1 daily, Epinephrine auto-injector.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling face, Urticaria
Clinical narrative: Hives and redness on same arm as vaccine was administered.  Facial swelling, itching, and hives on neck began shortly thereafter.
Age: 1.52
Sex: F
Vaccine: DTAP, FLU3, HIBV, PNC13
Symptoms: Eye movement disorder, Pyrexia, Seizure, Tremor, Unresponsive to stimuli
Clinical narrative: After receiving the vaccines, my daughter began to have fevers ranging from 100.4-103.5 F. She was given Ibuprofen and Tylenol throughout the fever. But on the evening of 10/1/15, she experienced a seizure where her eyes rolled back and her arms and legs began to shake. She was unresponsive throughout the episode which lasted about 5-8 minutes, which still continued on route to the local ER.
Age: 73.0
Sex: M
Vaccine: PNC13
Symptoms: Headache, Injection site erythema, Injection site urticaria, Injection site warmth, Pain in extremity
Clinical narrative: Patient reports left arm was bright red, warm to the touch in the deltoid area with hives, arm ached with headache.  He applied ice and began taking Benadryl on 10/9 50mg every 6 hours, which he reports lessened the hives.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Headache, Hyperhidrosis, Pallor, Tremor
Clinical narrative: Patient had just received the flu shot, a couple minutes later started complaining of dizziness, sweating, headaches, and shakiness. His pallor changed. These symptoms continued for a good 30 minutes before the patient started to feel better. No treatment was given.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Influenza like illness, Nausea, Peripheral swelling
Clinical narrative: Patient felt nauseaus and felt flu-like symptoms.  Her arm also was swollen.
Age: 11.0
Sex: F
Vaccine: FLUN4
Symptoms: Chest X-ray normal, Cough, Nausea, Oropharyngeal pain, Upper respiratory tract infection
Clinical narrative: Developed URI following Flumist.  Mother given influenza questionnaire and VIS.  Asked if she wanted the shot or the mist and decided to try the mist despite child's history of exercise induced asthma.  The next day the child began with nausea, sore throat, cough.  She was seen twice with URI---no asthma exacerbation.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Feeling hot, Nausea, Tremor, Vomiting
Clinical narrative: About 10 minutes after recieving the flu vaccination patient started to feel hot, nauseous, dizzy and a little shakey. She rested for a few minutes and started to feel a little bit better so she went back to work. She then started to feel even worse and about 10 minutes later she vomited for the first time. She then rested for 10 minutes then vomited a second time. We had her lay down and started fanning her because she was still feeling the same symptoms. About 30 minutes after that she vomited a third time. We were finally able to get a hold of our company nurse and she suggested that we take her to the urgent care for a check up.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Nodule
Clinical narrative: Patient called pharmacy to complain that the IMZ caused a knot on her upper arm (10/12/15) she visited pharmacy to show it to RPh there(10/13/15), RPh stated that it appeared to be a normal reaction - small knot in upper arm - shot was given IM with no complaints until Monday 10/12/15.  She said she was not in any pain, but the knot was there so she wanted to report it.
Age: 24.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Chest pain, Rash
Clinical narrative: Rash and chest pain.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Dizziness
Clinical narrative: Weakness, achy joints, dizziness. Missed 2 days of work to recover.
Age: 62.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site inflammation
Clinical narrative: Injection site reaction - Inflammation. Possible infection.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Visual impairment
Clinical narrative: Patient reported black vision around the edges about 10 minutes after vaccine administration.  Symptoms subsided about 1 hour after onset.
Age: 74.0
Sex: F
Vaccine: PNC13
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: LEFT ARM SORE AT INJECTION SITE. PATIENT STATES THE SORENESS LIMITS HER LEFT ARM MOVEMENT.
Age: 38.0
Sex: M
Vaccine: SMALL
Symptoms: Swelling face
Clinical narrative: Patient received second smallpox 6 days ago and came into clinic today to have checked. Smallpox took on arm and patient also brought up a bump that came up on his left cheek after administration of smallpox.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Local reaction, Musculoskeletal pain, Neck pain, Spinal pain
Clinical narrative: Patient called service on 10-10-15 at 0821. Reported to Dr., questionable local reaction to flu vaccine (pain down spine, up neck, and shoulder blades). Applied heating pad to back and right shoulder blade, took TYLENOL as instructed by Doctor - little to no relief. Was advised to see the doctor in office. No appointment to date.
Age: 17.0
Sex: M
Vaccine: FLU3, HPV4, MNQ
Symptoms: Erythema, Local reaction, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient called the office today than since yesterday (10/11/15) his right arm is painful, red, warm and swollen. A 4:30PM seen per Dr. No treatment necessary appears as local reaction.
Age: 41.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Electrocardiogram, Nausea, Tachycardia, Vomiting
Clinical narrative: Lightheadedness, nausea, vomiting, tachycardia, BP, Pulse, EKG.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Within 24 hrs of receiving the FLUZONE injection in his right deltoid, patient developed an approximate 10cm x 15cm large, red, swollen, hot to touch area below injection site. Placed on KEFLEX on 10/11/15 for cellulitis by urgent care.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin irritation, Skin warm
Clinical narrative: Warm, red, irritated skin (entire forearm).
Age: 35.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis.
Age: 22.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Drug administered at inappropriate site
Clinical narrative: Pt. reports an ER dx of cellulitis due to administration of a flu shot too low on the arm. Below the deltoid muscle.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU3, MMRV
Symptoms: Injection site erythema
Clinical narrative: Redness of thigh where DTaP/IPV (KINRIX) and Flu vaccine given.
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Diarrhoea, Influenza, Myalgia, Rhinorrhoea, Vomiting
Clinical narrative: On 10/13/15 patient comes back to pharmacy reporting. The night he got flu shot he got flu symptoms runny nose, on 10/12/15 he got diarrhea, vomiting.
Age: 62.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Grip strength decreased, Hypoaesthesia, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pain in right arm cannot hold pen, arm is numb, cannot move.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Skin warm
Clinical narrative: 10x8 cm, redness, warm, indurated.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Gastroenteritis viral, Influenza like illness, Pain
Clinical narrative: Stomach flu like symptoms. Aching, pain, diarrhea.
Age: 57.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Blood potassium decreased, Electrocardiogram ambulatory, Palpitations
Clinical narrative: Pt got flu shot on 9/25/15. He reported on 10/2 that he went to ER with heart palpitations and low potassium levels. Has seen 2 cardiologist, was placed on Holter monitor on 10/1/15. He went to ER on 9/30/15. He still as of 10/6/15 has heart palpitations in the AM. He wld like this incident reported but can't pinpoint if it was due to Flu shot.
Age: 57.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Blood potassium decreased, Cardiac flutter
Clinical narrative: Pt got flu shot on 9/25/15. He reported on 10/2 that he went to ER with heart palpitations and low potassium levels. Has seen 2 cardiologist, was placed on Holter monitor on 10/1/15. He went to ER on 9/30/15. He still as of 10/6/15 has heart palpitations in the AM. He wld like this incident reported but can't pinpoint if it was due to Flu shot.
Age: 62.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pt had site reaction on 9/27/15. She received the Flu shot on 9/25/15 at about 12.30pm. Her site was swollen and red. Went away in a few days.
Age: 62.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site reaction
Clinical narrative: Pt had site reaction on 9/27/15. She received the Flu shot on 9/25/15 at about 12.30pm. Her site was swollen and red. Went away in a few days.
Age: 17.0
Sex: F
Vaccine: FLUN4, HPV4
Symptoms: Peripheral swelling
Clinical narrative: 2" swelling on upper arm, not red or painful 9 days after shot.
Age: 58.0
Sex: F
Vaccine: FLUX
Symptoms: Vertigo
Clinical narrative: Vertigo, severe spinning. Few minutes after looking down or bending over. Never experienced before. Steadied myself and closed my eyes until it was over.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Local swelling, Lymphadenopathy, Paraesthesia, Swelling face
Clinical narrative: Swelling of glands below shoulder, swelling going up my neck into my jaw, tingling in my face on the left side. Doctor started me on a prednisone treatment.
Age: 53.0
Sex: F
Vaccine: FLUC3
Symptoms: Eye pruritus, Fatigue, Pruritus generalised
Clinical narrative: Patient called today complaining of body itching, itchy eyes and fatigue.  She has been taking Benadryl every 6 hours. Patient will start regimen which includes antihistamines and Medrol dose pack. If symptoms worsen go to ER.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash
Clinical narrative: PRURITIS AND BUMPS BEGINNING UNDER ARM AND ON FOREHEAD LATER SPREADING TO THE BACK OF THE NECK. PRURITIS IN ONGOING AS OF TODAY. PRURITIS BEGAN DAY AFTER IMMUNIZATION.
Age: 4.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Very swollen leg, from upper thigh down to her knee, softball sized, hot to the touch.  Skin became hard and red, very itchy. Took her to urgent care, doctor verified it was a large site reaction. Treated with Motrin and antihistamines.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Got vaccination on 10/10/15 and reported to the pharmacy on 10/13/15 that there was site reaction, swelling and redness, relieved with cold pack and returns to swell and redness an hour later.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Incorrect route of drug administration, Local swelling, Pain
Clinical narrative: Vaccine was administered subcutaneously in the back of my arm which is large.  It was not put in my deltoid. I even asked the NP if it was supposed to be a subq or IM injection and he said IM but continued to give it sub q & now I have localized swelling & pain.  He also rubbed it vigorously after injecting it.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Eye pain, Ocular hyperaemia
Clinical narrative: Bloodshot, veiny, sore eyes.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: After receiving the vaccine, the patient stated that it burned, but there was no immediate reaction. It wasn't until she woke up the next morning that she noticed redness, warmth, soreness, and pain below the injection site on her right arm to her elbow. The patient stated that she took two 200 mg ibuprofen, which seemed to help with the symptoms.
Age: 85.0
Sex: F
Vaccine: PNC13
Symptoms: Dry skin, Eyelid oedema, Rash, Skin exfoliation, Swelling face
Clinical narrative: Swelling of left side of face/eye swollen shut; left cheek skin dry and flaking off. Rash on upper torso.
Age: 55.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Induration, Nodule, Peripheral swelling
Clinical narrative: Pt received flu shot on 9/25/15. She stated on 9/27 evening her arm started to swell to size of a fist. It was hard knot. She did not take any action and swelling went away after 6 days.
Age: 55.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling
Clinical narrative: Pt received flu shot on 9/25/15. She stated on 9/27 evening her arm started to swell to size of a fist. It was hard knot. She did not take any action and swelling went away after 6 days.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Balance disorder, Coordination abnormal, Fall, Gait disturbance
Clinical narrative: 2PM, shot. 7 hrs. after vaccine, sudden loss of balance, stumbling, falling backward (not to floor), walk uncoordinated. Took blood pressure 153/102 H.R. 87. Normally at this time, 9PM, 110/75. Could read, write. On to bed. 7AM next day, OK. Lasted (9-11PM) and in lesser amount when up twice in night.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Blister, Erythema, Feeling hot, Swelling
Clinical narrative: Swelling, redness, warmth, blisters.
Age: 69.0
Sex: U
Vaccine: FLU3, PNC13
Symptoms: Burning sensation, Cellulitis, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Within 24 hrs, redness, swelling, pain, burning - 3 dys later started to go down my arm - below elbow. Antibiotics on KEFLEX 500mg every 8 H.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Chest discomfort, Pruritus generalised, Pulmonary function test
Clinical narrative: Within 15 minutes of influenza vaccine, given in left arm, right arm started itching. Progressed to scalp, neck and torso. Tight feeling in chest. Dr. notified, vitals taken, PFT done and injected in left arm with epinephrine by Dr.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Redness/rash/itch torso.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Hyperhidrosis, Myalgia
Clinical narrative: Employee reporting having rigors, diaphoresis, and myalgias three hours after receiving the Flu vaccine stated symptoms completely resolved by the next morning.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dizziness, Fatigue, Headache, Pain
Clinical narrative: Dizziness, vertigo, chills, headache, fatigue, soreness. Onset the following evening after administration 10-1-15 lasting continuously through 10-5-15.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Vertigo
Clinical narrative: Dizziness, vertigo, chills, headache, fatigue, soreness. Onset the following evening after administration 10-1-15 lasting continuously through 10-5-15.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Laboratory test normal, Paraesthesia, Visual impairment
Clinical narrative: Employee received her immunization at 11:15. Her symptoms of numbness and tingling up her (L) arm, up her neck, into (L) side of head. Began 10 minutes after shot. She also had visual disturbance. She went to the Emergency Dept. where a "code stroke" was called. Complete workup was negative, sent home.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Ear pain, Fatigue, Lymphadenopathy
Clinical narrative: Fever - chills, diarrhea, nauseous, achy, sore throat, earache, swollen glands, severe fatigue.
Age: 53.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever - chills, diarrhea, nauseous, achy, sore throat, earache, swollen glands, severe fatigue.
Age: 4.0
Sex: M
Vaccine: FLUN4
Symptoms: Decreased appetite, Diarrhoea, Headache, Pyrexia
Clinical narrative: Pt had a high fever, diarrhea, loss of appetite and headache (approx 3 days).
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Eye swelling, Lip swelling, Vomiting
Clinical narrative: Dizziness followed by vomiting. Eyes, lips became swollen.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness, Nuclear magnetic resonance imaging, Seizure
Clinical narrative: Pt experienced convulsions and loss of consciousness 12-24 hours post vaccine.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction, Vaccine positive rechallenge
Clinical narrative: Local reaction around area where vaccine was administered-roughly 2-3" diameter, red, slightly raised and warm to the touch-started w/in 24 hours of vaccination.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: Arm where the injections were given were red and there was a blister (bigger than a nickle smaller than a quarter).
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLUX, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Arm where the injections were given were red and there was a blister (bigger than a nickle smaller than a quarter).
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Erythema, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 9/29/15 Temp at 11am 99? Lethargy. 9/30/15 Temp 101 deg lower area of left arm by elbow red and fevery. 10/1/15 Reported left arm above elbow red and fevery. Painful to touch. 10/2/15 Condition improving dark pink in colorr. 9cm x 5 inch including elbow red.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Lethargy, Skin warm, Tenderness
Clinical narrative: 9/29/15 Temp at 11am 99? Lethargy. 9/30/15 Temp 101 deg lower area of left arm by elbow red and fevery. 10/1/15 Reported left arm above elbow red and fevery. Painful to touch. 10/2/15 Condition improving dark pink in colorr. 9cm x 5 inch including elbow red.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site bruising, Peripheral swelling
Clinical narrative: Gave vaccination per usual protocol. Immediately upon removal of the syringe, her arm began swelling. By the time we returned to the pharmacy waiting area, her arm was approx twice its normal size. She sat with an ice pack for 15 min, just in which time the swelling subsided. One week later (today) she returned to show the bruise that stretched from Rt. deltoid down to elbow.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Pain, Pruritus, Swelling
Clinical narrative: Patient reports to have swelling, pain, itching. Dr's office say cellulitis.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Electrocardiogram normal, Hyperhidrosis, Laboratory test, Pruritus generalised
Clinical narrative: Breathing problem, SOB, Itching all over, sweating. 12 hrs after shot pt got itching and sweating. 2 hrs later she got SOB. Pt went to hospital got EKG and other test. Took long. She felt better and left and called her cardiologist.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Body temperature increased, Chills, Dizziness, Hyperhidrosis, Pain
Clinical narrative: 10/12/15 - 14:15 - light headed, diaphoretic, chills; rest. 19:30 - body aches, temp - 101.7, 2 TYLENOL taken. 10/13/15 - 02:00 - temp - 100; 2 TYLENOL taken. - 11:30A - temp - 99.0; Physician seen.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Bed rest, Condition aggravated, Decreased appetite, Dizziness
Clinical narrative: Weakness Dizzy Lethargic No Appetite Bed Ridden Long Period of Headaches Hot Flashes.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hot flush, Lethargy
Clinical narrative: Weakness Dizzy Lethargic No Appetite Bed Ridden Long Period of Headaches Hot Flashes.
Age: 63.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pain in extremity
Clinical narrative: Onset pain in his right arm ever since receiving the vaccination, worse with moving his right arm/shoulder. He denies any swelling, numbness, tingling, or facial swelling.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Cough, Decreased appetite, Ear pain, Hyperhidrosis
Clinical narrative: Chills, fever, sweats, coughing, loss of appetite, body aches, pain behind left ear, weight loss...
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pyrexia, Weight decreased
Clinical narrative: Chills, fever, sweats, coughing, loss of appetite, body aches, pain behind left ear, weight loss...
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Pruritus
Clinical narrative: Itchiness to right arm, opposite of arm injected then itchiness spread to neck, bilateral cheeks, chest, knuckles, forearms and feet.  Redness to all sites noted.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Vomiting
Clinical narrative: DIARRHEA AND VOMITING ON SUNDAY NIGHT AT 8PM UNTIL 4AM NEXT DAY. STARTED RESOLVING THE NEXT DAY AND PATIENT IS OKAY NOW.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dizziness, Fatigue, Feeling abnormal, Hyperhidrosis
Clinical narrative: Complained of feeling slightly lightheadedness, feeling odd, as if her mind & body were disconnected. She was perspiring, chills. 11:10 AM-She felt a lump in her throat. Dr. ordered Benadryl. 11:15 am Benadryl given with water. V/S-T98.7 115/76 b/p- 11:25 Feeling tired and rested. 11:45-Lump in her throat was gone. 11:55-Felt fine except her legs felt like a jello & resumed work at the computer.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness, Sensation of foreign body
Clinical narrative: Complained of feeling slightly lightheadedness, feeling odd, as if her mind & body were disconnected. She was perspiring, chills. 11:10 AM-She felt a lump in her throat. Dr. ordered Benadryl. 11:15 am Benadryl given with water. V/S-T98.7 115/76 b/p- 11:25 Feeling tired and rested. 11:45-Lump in her throat was gone. 11:55-Felt fine except her legs felt like a jello & resumed work at the computer.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Blood glucose, Diet refusal, Electrocardiogram, Hypopnoea, Irritability
Clinical narrative: Sudden HHE. Went totally pale, unresponsive, wouldn't nurse, wouldn't open eyes, no response to shouting name or tapping cheek, appeared dead, breathing shallowly. Called 911 immediately. EMTs arrived. Attempted to rouse him. Color returned to face, but eyes still closed and not responding to touch or pain when heel pricked to test glucose levels.  Taken to ER. After being undressed and hooked up to EKG, O2, and blood pressure cuff, opened eyes, fussed, and became alert. Nursed well within 30 minutes. Returned to normal self after a couple hours. Discharged from ER at 7:20 pm.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: Sudden HHE. Went totally pale, unresponsive, wouldn't nurse, wouldn't open eyes, no response to shouting name or tapping cheek, appeared dead, breathing shallowly. Called 911 immediately. EMTs arrived. Attempted to rouse him. Color returned to face, but eyes still closed and not responding to touch or pain when heel pricked to test glucose levels.  Taken to ER. After being undressed and hooked up to EKG, O2, and blood pressure cuff, opened eyes, fussed, and became alert. Nursed well within 30 minutes. Returned to normal self after a couple hours. Discharged from ER at 7:20 pm.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Injection site induration, Injection site nodule, Pain in extremity, Paraesthesia
Clinical narrative: Patient reports 2 days after vaccination, sore arm and tingling in hand on arm that was vaccinated that has continued up to 2 weeks after vaccination. Shot location had a hard knot and discomfort for 2 weeks after. Recommended to use OTC anti-inflammatories and follow up with MD if continued tingling.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Influenza like illness, Pain
Clinical narrative: After receiving her flu shot around 12:30pm, patient said she experienced adverse effects around 6pm the same day. Patient said she had trouble breathing and had aches and pains. She said she felt like she was getting the flu. She said she never had a reaction before, but was fine the next day. Patient did not discuss this with her doctor. She reported this on 10/10/2015.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site erythema, Injection site swelling, Insomnia, Pain in extremity
Clinical narrative: Patient called me at the pharmacy on 10/10/15 complaining that her arm was hurting all night and she could not sleep.  She got the flu vaccine from her PCP on 10/8 then Prevnar from our pharmacy on 10/9, both in the left arm as requested. She said the injection site was red and swollen. I advised her to put a cold compress on the painful area and to take ibuprofen that was prescribed by her PCP.  I called the on-call physician who said that the patient is experiencing a normal reaction and should apply a cold compress and take ibuprofen or acetaminophen.  I called the patient back 1 hour later to let her know and check up on her, she said that she was feeling much better than before. The patient came to the pharmacy today and spoke with pharmacist saying the pain has not gone away, and she has a red band around her arm that is spreading.  Pharmacist advised her to draw a line around the red-band on her arm to note the change over time and to go to the hospital right away.