chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: A couple hours after receiving the shingles vaccine I started feeling very tired including mild fever, chills and backache so I went home to rest and ended up staying in bed asleep from about 3pm to 6am the next morning.  on the 15th, the next day, I felt better but still not great and my arm is still very sore but no swelling.  Decided to take a day off of work and continue to rest, drink plenty of liquids and Tylenol.  It is now almost 2pm and suspect I will return to normal capacity by tomorrow morning.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection site reaction greater than 4 inches with redness, pain, and swelling. Patient called PCP and was told to monitor rash and mark with a pen. Over the course of the next few days, the injection site reaction had subsided, and the patient has since recovered.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, body ache
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache
Clinical narrative: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea.  She did get some redness to her neck and upper chest.  No recent illness.  Had elevated BPs ranged from 158/103 to 207/126 .  HR ranged from 82-106.  O2 sats always > 96%.  Temp 37.1 C.  Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS.  Patient prescribed EpiPen and prednisone and discharged.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea
Clinical narrative: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea.  She did get some redness to her neck and upper chest.  No recent illness.  Had elevated BPs ranged from 158/103 to 207/126 .  HR ranged from 82-106.  O2 sats always > 96%.  Temp 37.1 C.  Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS.  Patient prescribed EpiPen and prednisone and discharged.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Heart rate increased, Nausea
Clinical narrative: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea.  She did get some redness to her neck and upper chest.  No recent illness.  Had elevated BPs ranged from 158/103 to 207/126 .  HR ranged from 82-106.  O2 sats always > 96%.  Temp 37.1 C.  Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS.  Patient prescribed EpiPen and prednisone and discharged.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea.  She did get some redness to her neck and upper chest.  No recent illness.  Had elevated BPs ranged from 158/103 to 207/126 .  HR ranged from 82-106.  O2 sats always > 96%.  Temp 37.1 C.  Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS.  Patient prescribed EpiPen and prednisone and discharged.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Nausea, Visual impairment
Clinical narrative: About 25 minutes after receiving vaccine complained of dizziness and being hot and nauseated. No difficulty breathing. No chest pain. B/P was 130/90 and was monitored. It went down to 124/80 after he started feeling better. He was wearing sweater over shirt and it was warm in building. Took sweater off. Cool wet cloth applied to back of neck. States he had only had a donut and cup of hot chocolate before receiving vaccine. Sprite and peanut butter crackers given. Became nauseated after eating peanut butter crackers Blood pressure monitored monitored. He laid on exam table for about 15 minutes. He felt better. Stood up and walked to conference room for another 15 minutes. Stated he felt much better and was ready to leave. Coworker drove him back. Received email from him letting us know he had made it back and they had stopped and eaten pizza on the way. Received text from coworker that he was dizzy and seeing spots and that his blood pressure had been 120/80 and then spiked to 160/100. Coworkers taking him to ER at Hospital for evaluation.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: At 12:55 pm 10 minutes following vaccine being given states feeling lightheaded and flush. Was sitting in the chair.  Encouraged him to lay down on the floor which he did on his own. Feet elevated.  BP 174/70 pulse 82.  Denies any other complaints.  Laid on floor for 15 minutes then sat in chair. Denies complaints. 1:15 pm was allowed to leave. BP 120/80 and states feeling fine.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate increased
Clinical narrative: At 12:55 pm 10 minutes following vaccine being given states feeling lightheaded and flush. Was sitting in the chair.  Encouraged him to lay down on the floor which he did on his own. Feet elevated.  BP 174/70 pulse 82.  Denies any other complaints.  Laid on floor for 15 minutes then sat in chair. Denies complaints. 1:15 pm was allowed to leave. BP 120/80 and states feeling fine.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Flushing
Clinical narrative: Flushing/lightheadedness; BP & HR also increased to 170/75 (BP) and HR (85) during the lightheaded and flushing episode (baseline was 120/70 (BP) and 62 (HR). My symptoms resolved after around 5-10 minutes post onset. Injection given at 12:45; reaction started at 12:55; symptoms resolved by 1:05 P.M.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Flushing, Heart rate increased
Clinical narrative: Flushing/lightheadedness; BP & HR also increased to 170/75 (BP) and HR (85) during the lightheaded and flushing episode (baseline was 120/70 (BP) and 62 (HR). My symptoms resolved after around 5-10 minutes post onset. Injection given at 12:45; reaction started at 12:55; symptoms resolved by 1:05 P.M.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient went to Urgent Care for rash on her abdomen and face that started on 12/12/20.  Patient had started taking Benadryl
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient states she developed fever, nausea, extreme left leg pain, body aches, and felt like she was going to pass out. Patient describes leg pain as extremely tender to the touch on 12/14. Patient states today on 12/15 that she only has joint pain in her left knee now, all other symptoms resolved.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Patient states she developed fever, nausea, extreme left leg pain, body aches, and felt like she was going to pass out. Patient describes leg pain as extremely tender to the touch on 12/14. Patient states today on 12/15 that she only has joint pain in her left knee now, all other symptoms resolved.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Henoch-Schonlein purpura, Rash
Clinical narrative: She got her shot the 20th had a slight fever that night but the Dr said that it was normal and it was gone the next day. Everything was going good then the night of December 9th I was helping her wipe after potty time and I noticed some little specks. Didnt think much of it since there was none any where else at the time. They got a little bigger and a little more red but i figured shes a kid and was scooting around on the ground so I didnt think much of it put some lotion on. December 13th come and she woke up and had those little spots down on her ankles and im like geeze maybe we have bugs in the house. So I checked everybody and couldnt find anybody else who has any little bumps. We went to my moms which is about 45 mins away spent the day with her and she just keeps getting more spots but only on her legs. Then im like well maybe she has the chicken pox! My mom looks at them and they just started growing right before our eyes!   So I go to head home and in that 45 min window they grew about 4X the original size and are now completely covering her legs and butt. I call my nurse friend and shes like maybe its Hives give her some benadryl and see what they look like in the morning so i do that. In the morning they were a dark deep redish purple almost like a bruise so i called the clinic to get her in. They ask a bunch of questions and have her pee in a hat and come back tell me that its something called HSP.   Dr didn't really explain much on what causes it he just said that it can be caused by a few things. So i check the CDC for it and one of the things listed for a cause is the chicken pox. She hasn't been sick hasn't been around anybody who has been sick we have not changed her diet etc so i fell like its an adverse reaction to the shot.   Once he explained to me some of the symptoms I feel like she was showing sooner then December 9th because shes been complaining about her legs and her hands hurting since the first week of December and he said joint pain is a side effect of HSP.   He prescribed a steroid to help keep it out of the kidney and told us to keep an eye out for bloody urine and bloody stool.   We are currently home and she still has her big purple rash on the bottom half of her body.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Mobility decreased, Nausea
Clinical narrative: Feeling fatigue, swollen and painful arm, couldn't bend arm. Had fever, shivering, nausea, headache and all body ache. By Sunday afternoon, it has gone.  Still has a little tenderness, but otherwise she feels better.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Tenderness
Clinical narrative: Feeling fatigue, swollen and painful arm, couldn't bend arm. Had fever, shivering, nausea, headache and all body ache. By Sunday afternoon, it has gone.  Still has a little tenderness, but otherwise she feels better.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Paraesthesia oral, Swollen tongue, Tongue pruritus
Clinical narrative: Reporting post vaccination tingling, itchiness, and swelling of the tongue. Taken to Urgent Care for continued treatment and monitoring.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Gingival swelling, Lip exfoliation, Lip swelling, Oral discomfort, Oral mucosal exfoliation
Clinical narrative: In ths order and still have all symptoms: "Burning Mouth Syndrome" swelling of gums, pealing gums, pealing lips, swollen lips and rash around lips ...Then pox-like erruptions started on arms, chest, back, inside ears, on scalp.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: In ths order and still have all symptoms: "Burning Mouth Syndrome" swelling of gums, pealing gums, pealing lips, swollen lips and rash around lips ...Then pox-like erruptions started on arms, chest, back, inside ears, on scalp.
Age: 61.0
Sex: M
Vaccine: FLUR4, VARZOS
Symptoms: Injection site pain
Clinical narrative: PT came in today and stated he has sore shoulders- not all the time but mostly at night- and it has been since the vaccines
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Headache, Muscle spasms, Pain
Clinical narrative: severe headache, chills, fever, neck and body aches, dizziness,
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: severe headache, chills, fever, neck and body aches, dizziness,
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Burning sensation, Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: Immediately after the injection, my arm hurt badly. The next day it was getting worse and it's now over two months and the throbbing and achy feeling in my arm and shoulder is still there.  There is also a burning feeling
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Pain
Clinical narrative: Patient reports severe shoulder pain that is worse with movement even after one week after administration. Denied any erythema, edema or heat at injection site.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Ear discomfort, Flushing, Palpitations, Paraesthesia
Clinical narrative: Patient felt facial flushing, pounding in chest, burning and hot ears and blood pressure went up. Tingly in right arm and chest and hands. Symptoms resolved, after a few minutes but then returned. Patient sat with nurse during this reaction.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Patient felt facial flushing, pounding in chest, burning and hot ears and blood pressure went up. Tingly in right arm and chest and hands. Symptoms resolved, after a few minutes but then returned. Patient sat with nurse during this reaction.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Eating disorder, Lethargy, Pain, Tremor
Clinical narrative: Patient reported extreme lethargy, trouble eating, aches, severe tremors, and no fever over the course of 3 days before coming out of it.
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Mobility decreased
Clinical narrative: Patient states can not lift arm.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Throat tightness
Clinical narrative: She claims she experienced tightness in the right side of throat and her tongue started tingling. Took her the Emergency Department, She decided to go and buy Benadryl
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Arthralgia, Arthritis, Condition aggravated, Fibromyalgia
Clinical narrative: The evening after receiving vaccination pt states that her fibromyalgia condition became activated. Sensation of tingling started at injection site and moved throughout pt's body in a controlled fashion ending down at her feet. Sensational continued throughout week and continued to grow stronger. Then, 2 weeks after pt began to feel uncomfortable pressure in her arms and legs from the inside out. Then symptoms progressed to pain and inflammation in knee joints. As tingling and pain began to resolve in extremities over the course of a month, pt began to have uncomfortable gastrointestinal sensations similar to mild diverticulitis. Knee pain has resolved. Bloated feeling in extremities has resolved. Pt still has overall tingling sensation as well as gastrointestinal uncomfortableness.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort, Paraesthesia
Clinical narrative: The evening after receiving vaccination pt states that her fibromyalgia condition became activated. Sensation of tingling started at injection site and moved throughout pt's body in a controlled fashion ending down at her feet. Sensational continued throughout week and continued to grow stronger. Then, 2 weeks after pt began to feel uncomfortable pressure in her arms and legs from the inside out. Then symptoms progressed to pain and inflammation in knee joints. As tingling and pain began to resolve in extremities over the course of a month, pt began to have uncomfortable gastrointestinal sensations similar to mild diverticulitis. Knee pain has resolved. Bloated feeling in extremities has resolved. Pt still has overall tingling sensation as well as gastrointestinal uncomfortableness.
Age: 95.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Feeling cold
Clinical narrative: She very weak and feeling cold
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain
Clinical narrative: Patient reports severe left shoulder pain to the extent her range of motion is limited due to pain even weeks after receiving injection. Patient denies any erythema, edema, induration or heat present to injection site.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Patient was administered shingrix, patient noticed on her left arm from injection site down her arm was swollen. she described it as red swollen and some discomfort, after a few days the swelling subsided however she noticed it was unusual
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Sleep disorder
Clinical narrative: Patient experienced pain in her shoulder for over 3 weeks. Starting 12/07 the pain started to disturb her sleep at night. No rash, lumps at the injection site.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: System was not populating immunization record, member denied having immunizations within last 14 days. Vaccine given, record populated and patient had anthrax on 12/10/20
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient informed the pharmacy 12/14/20 (over one year later then the time of vaccination) that he has been dealing with pain and limited movement in his left arm since he as received the vaccine in December 2019. He said he did physical therapy and received treatment from doctor and the condition improved as of 12/14/20 but not totally recovered.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Decreased appetite, Dizziness, Erythema, Headache
Clinical narrative: Fever, Chills, 102 Temperature, Redness, Swelling, Severe Pain & Swelling at Injection Site approximate(ly 4"x 6" on left arm  Rash on arm, and neck, headache, nausea, loss of appetite, dizziness, body aches similar to Flu.  (Dr. Ordered Covid-19 test which came back Negative)
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Nausea, Pain, Pyrexia
Clinical narrative: Fever, Chills, 102 Temperature, Redness, Swelling, Severe Pain & Swelling at Injection Site approximate(ly 4"x 6" on left arm  Rash on arm, and neck, headache, nausea, loss of appetite, dizziness, body aches similar to Flu.  (Dr. Ordered Covid-19 test which came back Negative)
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Rash, SARS-CoV-2 test negative, Swelling
Clinical narrative: Fever, Chills, 102 Temperature, Redness, Swelling, Severe Pain & Swelling at Injection Site approximate(ly 4"x 6" on left arm  Rash on arm, and neck, headache, nausea, loss of appetite, dizziness, body aches similar to Flu.  (Dr. Ordered Covid-19 test which came back Negative)
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: swelling of upper arm, redness, pain, and hot to touch
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Feeling hot, Paraesthesia, Paraesthesia oral
Clinical narrative: Tingling of upper lip and cheeks, warmth in face, and itchy eyes Treatment: diphenhydramine 50 mg PO x1 Outcome: symptom onset within 15 minutes of vaccine administration. Symptoms resolved within 20-30 minutes of diphenhydramine administration.
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Chills, Dyspnoea, Heart rate increased, Tremor
Clinical narrative: rather severe shaking, shortness of breath, increased heart rate, chills (but no measurable fever), weakness. Acute symptoms lasted a few hours (4-5), all noticeable symptoms were gone after about 24 hours.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain
Clinical narrative: LMP 09/05/20 Due date 6/12/21  From 9pm 10/7-10/9: Fever tmax 102, Chills, Muscle and body aches, headache, fatigue
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: LMP 09/05/20 Due date 6/12/21  From 9pm 10/7-10/9: Fever tmax 102, Chills, Muscle and body aches, headache, fatigue
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: STARTED WITH NECK PAIN, WHICH GRADUALLY MOVED TO HER RIGH ARM. PATIENT COMPLIANED OF DIFFICULTY MOVING HER ARM BUT HER ARM LOOKED NORMAL WHEN I CHECKED. NO SWELLING, INFLAMMATION OR REDNESS.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Chills, Cold sweat, Confusional state, Dizziness, Headache
Clinical narrative: S: Patient presents for ER f/u of immunization reaction concerns. Yesterday, she had an immz. only visit at facility and received her 1st dose of Gardasil HPV in right arm at 3:54 pm and 1st dose of Menveo Meningococcal ACYW in right arm at 3:55 pm. Mother reports she was in her usual state of health yesterday and felt fine that evening laughing and participating in family activities, then around 9 pm her eyes suddenly seemed puffy and she got a confused look on her face, saying she was dizzy. She additionally developed clamminess/chills without fever, nausea without vomiting and a headache which is throbbing over her whole head without vision or hearing changes. Mother called the after hours line and was directed to take patient to ER, where they waited for "hours" with patient evaluated by provider at 3:54 am (per record note) with limited w/u including rapid strep, which was negative, and impression that symptoms were likely due to vaccinations.  Mother reports that today, Patient is about the same with all symptoms above still present. Patient reports she has a stuffy nose and non-phlegmy cough, which mother has not noticed. She denies neck stiffness, difficulty swallowing, ear or throat pain, rashes or diarrhea. She adds that she feels achy btu can move all extremities without difficulty. Right arm is sore at injection site with no known swelling. Patient has a decreased appetite today though has tolerated water and fruit and has voided a couple of times. She took ibuprofen yesterday and tylenol today without much improvement. There is no prior history of immunizations or known drug allergies.  O: Patient ambulatory, conversational, laughing at times. Exam significant for mild eyelid swelling and mild pharyngeal inflammation. Additional systems examined (ears, nose, mouth, neck, skin, lungs, heart, abdomen, neurological) all WNL. A: Possible immunization reaction versus acute infection. P: Detailed discussion with mother regarding possible immunization reaction to either HPV or Menveo versus infection, given acute onset. Convoluted history from mother regarding possible meningitis last year with similar symptoms, with records requested to review more thoroughly, however advised mother that at this time, patient does not have any signs of meningitis and that meningitis immunization does not cause meningitis infection. Rapid flu negative and COVID test ordered; as patient overall well appearing today will defer additional w/u unless symptoms worsen or do not improve as expected over the next 5-7 days. Zofran prescribed for nausea with administration discussed, recommend offering Pediasure and OTC ibuprofen/Tylenol PRN discomfort. Go to ER if syncope, neck stiffness, no voids for 8 hours, changes in speech/coordination, severe worsening of headache or any other concerns. Mother verbalizes understanding. Will report presentation to VAERS.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Influenza A virus test negative, Influenza B virus test, Nasal congestion, Nausea, Streptococcus test negative
Clinical narrative: S: Patient presents for ER f/u of immunization reaction concerns. Yesterday, she had an immz. only visit at facility and received her 1st dose of Gardasil HPV in right arm at 3:54 pm and 1st dose of Menveo Meningococcal ACYW in right arm at 3:55 pm. Mother reports she was in her usual state of health yesterday and felt fine that evening laughing and participating in family activities, then around 9 pm her eyes suddenly seemed puffy and she got a confused look on her face, saying she was dizzy. She additionally developed clamminess/chills without fever, nausea without vomiting and a headache which is throbbing over her whole head without vision or hearing changes. Mother called the after hours line and was directed to take patient to ER, where they waited for "hours" with patient evaluated by provider at 3:54 am (per record note) with limited w/u including rapid strep, which was negative, and impression that symptoms were likely due to vaccinations.  Mother reports that today, Patient is about the same with all symptoms above still present. Patient reports she has a stuffy nose and non-phlegmy cough, which mother has not noticed. She denies neck stiffness, difficulty swallowing, ear or throat pain, rashes or diarrhea. She adds that she feels achy btu can move all extremities without difficulty. Right arm is sore at injection site with no known swelling. Patient has a decreased appetite today though has tolerated water and fruit and has voided a couple of times. She took ibuprofen yesterday and tylenol today without much improvement. There is no prior history of immunizations or known drug allergies.  O: Patient ambulatory, conversational, laughing at times. Exam significant for mild eyelid swelling and mild pharyngeal inflammation. Additional systems examined (ears, nose, mouth, neck, skin, lungs, heart, abdomen, neurological) all WNL. A: Possible immunization reaction versus acute infection. P: Detailed discussion with mother regarding possible immunization reaction to either HPV or Menveo versus infection, given acute onset. Convoluted history from mother regarding possible meningitis last year with similar symptoms, with records requested to review more thoroughly, however advised mother that at this time, patient does not have any signs of meningitis and that meningitis immunization does not cause meningitis infection. Rapid flu negative and COVID test ordered; as patient overall well appearing today will defer additional w/u unless symptoms worsen or do not improve as expected over the next 5-7 days. Zofran prescribed for nausea with administration discussed, recommend offering Pediasure and OTC ibuprofen/Tylenol PRN discomfort. Go to ER if syncope, neck stiffness, no voids for 8 hours, changes in speech/coordination, severe worsening of headache or any other concerns. Mother verbalizes understanding. Will report presentation to VAERS.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Swelling of eyelid
Clinical narrative: S: Patient presents for ER f/u of immunization reaction concerns. Yesterday, she had an immz. only visit at facility and received her 1st dose of Gardasil HPV in right arm at 3:54 pm and 1st dose of Menveo Meningococcal ACYW in right arm at 3:55 pm. Mother reports she was in her usual state of health yesterday and felt fine that evening laughing and participating in family activities, then around 9 pm her eyes suddenly seemed puffy and she got a confused look on her face, saying she was dizzy. She additionally developed clamminess/chills without fever, nausea without vomiting and a headache which is throbbing over her whole head without vision or hearing changes. Mother called the after hours line and was directed to take patient to ER, where they waited for "hours" with patient evaluated by provider at 3:54 am (per record note) with limited w/u including rapid strep, which was negative, and impression that symptoms were likely due to vaccinations.  Mother reports that today, Patient is about the same with all symptoms above still present. Patient reports she has a stuffy nose and non-phlegmy cough, which mother has not noticed. She denies neck stiffness, difficulty swallowing, ear or throat pain, rashes or diarrhea. She adds that she feels achy btu can move all extremities without difficulty. Right arm is sore at injection site with no known swelling. Patient has a decreased appetite today though has tolerated water and fruit and has voided a couple of times. She took ibuprofen yesterday and tylenol today without much improvement. There is no prior history of immunizations or known drug allergies.  O: Patient ambulatory, conversational, laughing at times. Exam significant for mild eyelid swelling and mild pharyngeal inflammation. Additional systems examined (ears, nose, mouth, neck, skin, lungs, heart, abdomen, neurological) all WNL. A: Possible immunization reaction versus acute infection. P: Detailed discussion with mother regarding possible immunization reaction to either HPV or Menveo versus infection, given acute onset. Convoluted history from mother regarding possible meningitis last year with similar symptoms, with records requested to review more thoroughly, however advised mother that at this time, patient does not have any signs of meningitis and that meningitis immunization does not cause meningitis infection. Rapid flu negative and COVID test ordered; as patient overall well appearing today will defer additional w/u unless symptoms worsen or do not improve as expected over the next 5-7 days. Zofran prescribed for nausea with administration discussed, recommend offering Pediasure and OTC ibuprofen/Tylenol PRN discomfort. Go to ER if syncope, neck stiffness, no voids for 8 hours, changes in speech/coordination, severe worsening of headache or any other concerns. Mother verbalizes understanding. Will report presentation to VAERS.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: - within 24 hours post vaccination my daughter developed fever and local symptoms: pain, redness and swelling (12-15cm in diameter) -antipyretics administered for fever management and cold ice-packs applied to reduce swelling and redness
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Feeling abnormal, Heart rate increased, Hypertension
Clinical narrative: I am a immunization nurse at this location.  I gave 2 of the first 4 Covid vaccinations given at our location.  Then I received dose # 5.  It was easy.  I did a couple of things and then returned to my desk.  As I sat down, my arm started feeling very heavy.  I was unable to send a text.  I told staff that I was feeling funny and that I was going to the other room to lay down.  Staff followed me and took my Pulse 100 and BP 164/ 82 (high for me!)  .  I felt shaky, but my hands were not shaking.  Put a wet cloth on my head and laid there a few minutes, telling staff stories and laughing at my BP.  When I sat up, my BP was 126/74 and pulse was 80.  I stood up for a minute or two, then my legs got heavy and I sat down for a few more minutes.  I went to the bathroom and came back to my desk, but was weak and tired.  I ate and drank some fluids.  Because it was snowing  and I live 25 miles away, I accepted a ride home from a co-worker.  I walked across the parking lot without problems and talked all the way home.  At home, I was tired, but had a sandwich and talked on the phone.  I would still describe myself as tired, but functioning.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Limb discomfort, Nervousness
Clinical narrative: I am a immunization nurse at this location.  I gave 2 of the first 4 Covid vaccinations given at our location.  Then I received dose # 5.  It was easy.  I did a couple of things and then returned to my desk.  As I sat down, my arm started feeling very heavy.  I was unable to send a text.  I told staff that I was feeling funny and that I was going to the other room to lay down.  Staff followed me and took my Pulse 100 and BP 164/ 82 (high for me!)  .  I felt shaky, but my hands were not shaking.  Put a wet cloth on my head and laid there a few minutes, telling staff stories and laughing at my BP.  When I sat up, my BP was 126/74 and pulse was 80.  I stood up for a minute or two, then my legs got heavy and I sat down for a few more minutes.  I went to the bathroom and came back to my desk, but was weak and tired.  I ate and drank some fluids.  Because it was snowing  and I live 25 miles away, I accepted a ride home from a co-worker.  I walked across the parking lot without problems and talked all the way home.  At home, I was tired, but had a sandwich and talked on the phone.  I would still describe myself as tired, but functioning.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood glucose normal, Blood test, Dyspnoea, Erythema, Flushing
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperhidrosis, Pulse abnormal, Tunnel vision
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Anaphylactic reaction, Aspartate aminotransferase increased, Blood thyroid stimulating hormone normal, C-reactive protein normal
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Erythema, Flushing, Full blood count normal
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypokalaemia, Intensive care, Metabolic function test abnormal, Rash erythematous, Thyroxine free normal
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin normal
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Hyperventilation, Respiratory rate increased
Clinical narrative: 1750- IM injection ot R Deltoid.  She was sitting, and felt short of breath without wheeze or tightness in the chest or throat.  She stood up, and then felt tunneling.  Assisted to chair and floor.  Pulse weak, skin flushed, sweating on torso.  Face and Neck remained flushed and red. She refused epi at first.  So we gave her benedryll 25 mg po with apple juice.  She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85.  10 min after the first SOB feeling, it returned.  BP was recorded as 160/100.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site rash, Neck pain, Rash, Rash pruritic
Clinical narrative: Bruise at site became painful after a couple days and my neck started hurting also.  Went to hospital; RN told me he thought the needle had hit a blood vessel and should go away in a few days.   A week later I started getting red bumps around site, back and neck.  Itching and soreness.  Talked to my doctor who said some side effects take longer to heal.  It is now 3 weeks and no better and rash has spread  a little.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Erythema, Full blood count, Lymphopenia, Neutropenia, Pyrexia
Clinical narrative: Low grade fever to 100.4, bilateral red cheeks, then reticulated rash within 3 days of vaccines above.  Then resolved, then on 12/11/20, bilateral red cheeks again, pink papular rash on body.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash
Clinical narrative: Low grade fever to 100.4, bilateral red cheeks, then reticulated rash within 3 days of vaccines above.  Then resolved, then on 12/11/20, bilateral red cheeks again, pink papular rash on body.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Dyspnoea, Muscle spasms
Clinical narrative: After few minutes of vaccine administration, patient started reporting difficulty  breathing and spasm of back. Pharmacy team contacted 911 and Pharmacist administrate Epinephrine injection Once more help arrived, after getting patient's  consent to go which hospital, they took patient with them.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care
Clinical narrative: Fuzziness, overwhelming sensation like IV contrast running through, severe chest tightness, these kept recurring, SOA but not due to lung issue. O2 sat was normal and no wheezing, Sensation of doom. Became clammy with blue fingers and perioral palor. BP 170/90 (my nl systolic is 90) and pulse 120's. Then started severe chills and rigors like amphotericin infusion reaction. Received decadron 8 mg IM and benadryl 50 mg IM. I was taken to the ICU. took about 30 min for chest tightness to start improving and another 30 min for the rigors to stop. Then had a very full bladder urinated almost 2l (w/o hydration). BP down to 140's and HR 90"s. Went home. Mild chest tightness persisted til next morning. took another 25 mg oral benadryl before going to bed. Next day BP still high 130-170 systolic and P low 100's after walking. At about 16 hrs from the decadron dose chest tightness and the surge in all my body started again, Not as severe. BP 140/19, P 90's. Took benadryl 25 mg po and IM solumderol 125 mg. Sx improved within 30 min- 1h. Still have mild chest tightness. o2 sat nl. SBP down to 120's and P 70-80. I am very scared. If someone reads this please tell me what to do next. I am an infectious disease physician on the front lines in the covid units.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood pressure systolic increased, Chest discomfort, Chills, Cold sweat
Clinical narrative: Fuzziness, overwhelming sensation like IV contrast running through, severe chest tightness, these kept recurring, SOA but not due to lung issue. O2 sat was normal and no wheezing, Sensation of doom. Became clammy with blue fingers and perioral palor. BP 170/90 (my nl systolic is 90) and pulse 120's. Then started severe chills and rigors like amphotericin infusion reaction. Received decadron 8 mg IM and benadryl 50 mg IM. I was taken to the ICU. took about 30 min for chest tightness to start improving and another 30 min for the rigors to stop. Then had a very full bladder urinated almost 2l (w/o hydration). BP down to 140's and HR 90"s. Went home. Mild chest tightness persisted til next morning. took another 25 mg oral benadryl before going to bed. Next day BP still high 130-170 systolic and P low 100's after walking. At about 16 hrs from the decadron dose chest tightness and the surge in all my body started again, Not as severe. BP 140/19, P 90's. Took benadryl 25 mg po and IM solumderol 125 mg. Sx improved within 30 min- 1h. Still have mild chest tightness. o2 sat nl. SBP down to 120's and P 70-80. I am very scared. If someone reads this please tell me what to do next. I am an infectious disease physician on the front lines in the covid units.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cyanosis, Dyspnoea, Feeling abnormal, Intensive care, Pallor
Clinical narrative: Fuzziness, overwhelming sensation like IV contrast running through, severe chest tightness, these kept recurring, SOA but not due to lung issue. O2 sat was normal and no wheezing, Sensation of doom. Became clammy with blue fingers and perioral palor. BP 170/90 (my nl systolic is 90) and pulse 120's. Then started severe chills and rigors like amphotericin infusion reaction. Received decadron 8 mg IM and benadryl 50 mg IM. I was taken to the ICU. took about 30 min for chest tightness to start improving and another 30 min for the rigors to stop. Then had a very full bladder urinated almost 2l (w/o hydration). BP down to 140's and HR 90"s. Went home. Mild chest tightness persisted til next morning. took another 25 mg oral benadryl before going to bed. Next day BP still high 130-170 systolic and P low 100's after walking. At about 16 hrs from the decadron dose chest tightness and the surge in all my body started again, Not as severe. BP 140/19, P 90's. Took benadryl 25 mg po and IM solumderol 125 mg. Sx improved within 30 min- 1h. Still have mild chest tightness. o2 sat nl. SBP down to 120's and P 70-80. I am very scared. If someone reads this please tell me what to do next. I am an infectious disease physician on the front lines in the covid units.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pollakiuria, Sensory disturbance
Clinical narrative: Fuzziness, overwhelming sensation like IV contrast running through, severe chest tightness, these kept recurring, SOA but not due to lung issue. O2 sat was normal and no wheezing, Sensation of doom. Became clammy with blue fingers and perioral palor. BP 170/90 (my nl systolic is 90) and pulse 120's. Then started severe chills and rigors like amphotericin infusion reaction. Received decadron 8 mg IM and benadryl 50 mg IM. I was taken to the ICU. took about 30 min for chest tightness to start improving and another 30 min for the rigors to stop. Then had a very full bladder urinated almost 2l (w/o hydration). BP down to 140's and HR 90"s. Went home. Mild chest tightness persisted til next morning. took another 25 mg oral benadryl before going to bed. Next day BP still high 130-170 systolic and P low 100's after walking. At about 16 hrs from the decadron dose chest tightness and the surge in all my body started again, Not as severe. BP 140/19, P 90's. Took benadryl 25 mg po and IM solumderol 125 mg. Sx improved within 30 min- 1h. Still have mild chest tightness. o2 sat nl. SBP down to 120's and P 70-80. I am very scared. If someone reads this please tell me what to do next. I am an infectious disease physician on the front lines in the covid units.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache
Clinical narrative: Within 10 mins of Pfizer-BioNTech Covid 19 vaccine EUA, I developed a rash on my chest and neck, felt like i was going to pass out, rapid heart rate, shortness of breath, nauseous. I developed a headache about 30 minutes later.I was rushed to the emergency department.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea
Clinical narrative: Within 10 mins of Pfizer-BioNTech Covid 19 vaccine EUA, I developed a rash on my chest and neck, felt like i was going to pass out, rapid heart rate, shortness of breath, nauseous. I developed a headache about 30 minutes later.I was rushed to the emergency department.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Heart rate increased, Nausea
Clinical narrative: Within 10 mins of Pfizer-BioNTech Covid 19 vaccine EUA, I developed a rash on my chest and neck, felt like i was going to pass out, rapid heart rate, shortness of breath, nauseous. I developed a headache about 30 minutes later.I was rushed to the emergency department.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Within 10 mins of Pfizer-BioNTech Covid 19 vaccine EUA, I developed a rash on my chest and neck, felt like i was going to pass out, rapid heart rate, shortness of breath, nauseous. I developed a headache about 30 minutes later.I was rushed to the emergency department.
Sex: F
Vaccine: VARCEL
Symptoms: Extra dose administered, Vaccination failure
Clinical narrative: titers were borderline; This spontaneous report was received from a consumer referring to his daughter, a 27-year-old female patient. No information regarding her pertinent medical history, drug reactions or allergies and concomitant therapies was provided.  On an unknown date in 1996, the patient was vaccinated with her first dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection, one dose (injection site, route of administration, lot # and expiration date were not provided) for vaccination reconstituted with sterile diluent (MERCK) (exact dose, injection site, route of administration, lot # and expiration date were not provided). She needed vaccination proof for her school and when the blood test was done on an unknown date in August 2020 the titers were borderline. The patient did not seek medical attention. The physician recommended the patient get the dose as a treatment and she received her second dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection (exact dose, injection site, route of administration, lot # and expiration date were not provided) reconstituted with sterile diluent (MERCK) (exact dose, injection site, route of administration, lot # and expiration date were not provided) on an unknown date in August 2020. The outcome of the event was unknown.  The relatedness between the event and varicella virus vaccine live (oka/merck) (VARIVAX) and sterile diluent (MERCK) was not reported.