chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: Fatigue, upper abdominal pain-lasting 3 days, mild headache, moderate pain in arm of injection, weakness, mild nausea. Due date-Jan 11th 2018.
Age: 50.0
Sex: F
Vaccine: MMR
Symptoms: Chills, Oropharyngeal pain, Pain, Pyrexia, Rash
Clinical narrative: The evening after receiving the vaccine developed achiness, sore throat, fever, and chills. Next day developed rash on R neck and chest to breastbone. Symptoms resolved in 4 days.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Bacterial infection, Erythema, Mobility decreased, Pain, Peripheral swelling
Clinical narrative: Had shot a little after 6 p.m. Friday evening, 11/3/2017. To bed about 10. Awoke in pain just before 4 a.m.--could barely move arm due to pain. From mid humerus to elbow arm was swollen, hot, tender to touch. By 9 a.m. had husband get me ice bag, TYLENOL, and an ace bandage for gentle compression. By night, slight improvement in motion. Continued ice, TYLENOL and gentle ace bandage--swelling seemed to slide down arm slowly. Sunday, 11/5/17, clear hot red area on outer arm, swelling persisted, so I went to urgent care, saw APN--she said it was a classic bacterial infection of the tissue in the arm--prescribed Cephalexin 500 MG oral caps 4x day for 7 days. Started this morning 11/6/2017. But between getting the shot and being awakened by the pain, I kept on the same clean shirt, didn't touch the Bain-Aid--could the bacteria have been in the serum? Doesn't make sense.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Tenderness
Clinical narrative: Had shot a little after 6 p.m. Friday evening, 11/3/2017. To bed about 10. Awoke in pain just before 4 a.m.--could barely move arm due to pain. From mid humerus to elbow arm was swollen, hot, tender to touch. By 9 a.m. had husband get me ice bag, TYLENOL, and an ace bandage for gentle compression. By night, slight improvement in motion. Continued ice, TYLENOL and gentle ace bandage--swelling seemed to slide down arm slowly. Sunday, 11/5/17, clear hot red area on outer arm, swelling persisted, so I went to urgent care, saw APN--she said it was a classic bacterial infection of the tissue in the arm--prescribed Cephalexin 500 MG oral caps 4x day for 7 days. Started this morning 11/6/2017. But between getting the shot and being awakened by the pain, I kept on the same clean shirt, didn't touch the Bain-Aid--could the bacteria have been in the serum? Doesn't make sense.
Age: 88.0
Sex: F
Vaccine: PNC13
Symptoms: Dizziness, Fall, Hypersensitivity, Hypotension
Clinical narrative: Patient came back to pharmacist approximately 10 minutes after getting vaccination and said she was feeling lightheaded. We had her sit on the bench. We got her a water. Pharmacist monitored her to see if she was having an allergic reaction to the PREVNAR. She leaned onto her rolling  wheelchair and fell onto the ground. We made her comfortable on the floor, she was awake and talking. We called EMS. EMS came and checked her vitals. Her blood pressure was low. She was not having a allergic reaction. No difficultly breathing. She recovered and left the store with her sister. She refused to have EMS take her to the hospital.
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Rhinorrhoea
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of injection site pain in a female patient who received FLULAVAL QUADRIVALENT (batch number K5T45, expiry date 31st May 2018). On an unknown date, the patient received FLULAVAL QUADRIVALENT. On an unknown date, less than a year after receiving FLULAVAL QUADRIVALENT, the patient experienced injection site pain and runny nose. On an unknown date, the outcome of the injection site pain was recovered/resolved and the outcome of the runny nose was recovering/resolving. It was unknown if the reporter considered the injection site pain and runny nose to be related to FLULAVAL QUADRIVALENT. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced pain at injection site which lasted up to 3 days. No medical treatment was needed. The patient's symptoms were subsided. The FLULAVAL QUADRIVALENT multi dose vial was the only vaccine given. No additional information was provided. The reporter requested to contact the nurse for further follow ups. It was reported that only one patient experienced runny nose out of the 5 patients, however, it was unknown that which patient had experienced it. This case was one of the 5 cases, reported by the same reporter.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Blood culture negative, Culture urine negative, Hypotension, Intensive care, Pyrexia
Clinical narrative: Pt received FLULAVAL on 10/28/2017. She developed fever and vomiting on 10/30/17 and presented to office on 10/31/17 with fever, tachycardia, hypotension, and rash. She was taken to ED and diagnosed with Toxic Shock Syndrome and admitted to the PICU for ABX, IVF, and dopamine. Over the next 24 hrs, she stabilized and was d/c on 11/4/17.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Streptococcus test positive, Tachycardia, Toxic shock syndrome, Vomiting
Clinical narrative: Pt received FLULAVAL on 10/28/2017. She developed fever and vomiting on 10/30/17 and presented to office on 10/31/17 with fever, tachycardia, hypotension, and rash. She was taken to ED and diagnosed with Toxic Shock Syndrome and admitted to the PICU for ABX, IVF, and dopamine. Over the next 24 hrs, she stabilized and was d/c on 11/4/17.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia
Clinical narrative: This case was reported by a nurse via sales rep and described the occurrence of taste metallic in a 51-year-old female patient who received FLULAVAL QUADRIVALENT. On 19th October 2017, the patient received FLULAVAL QUADRIVALENT. In October 2017, less than a week after recovering FLULAVAL QUADRIVALENT, the patient experienced taste metallic. On an unknown date, the outcome of the taste metallic was unknown. It was unknown if the reporter considered the taste metallic to be related to FLULAVAL QUADRIVALENT. Additional details were reported as follows: The reporter was immunization coordinator. The lot number was different for both patients. The patient experienced metallic taste for 10 minutes. This case has been linked with case US2017GSK163230, as reported by same reporter for same event.
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Rhinorrhoea
Clinical narrative: This case was reported by a pharmacist via sale rep and described the occurrence of injection site pain in a female patient who received FLULAVAL QUADRIVALENT (batch number K5T45, expiry date 31st May 2018). On an unknown date, the patient received FLULAVAL QUADRIVALENT. On an unknown date, less than a year after receiving FLULAVAL QUADRIVALENT, the patient experienced injection site pain and runny nose. On an unknown date, the outcome of the injection site pain was recovered/resolved and the outcome of the runny nose was recovering/resolving. It was unknown if the reporter considered the injection site pain and runny nose to be related to FLULAVAL QUADRIVALENT. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced pain at injection site which lasted up to 3 days. No medical treatment was needed. The patient's symptoms were subsided. The FLULAVAL QUADRIVALENT multi dose vial was the only vaccine given. No additional information was provided. The reporter requested to contact the nurse for further follow ups. It was reported that only one patient experienced runny nose out of the 5 patients, however, it was unknown that which patient had experienced it. This case was one of the 5 cases, reported by the same reporter.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia
Clinical narrative: This case was reported by a nurse via sales rep and described the occurrence of taste metallic in a 24-year-old female patient who received FLULAVAL Quadrivalent. On 22nd October 2017, the patient received FLULAVAL Quadrivalent. In October 2017, less than a week after receiving FLULAVAL Quadrivalent, the patient experienced taste metallic. On an unknown date, the outcome of the taste metallic was unknown. It was unknown if the reporter considered the taste metallic to be related to FLULAVAL Quadrivalent. Additional details were reported as follows: The reporter was immunization coordinator. The patient experienced metallic taste for 20 to 30 minutes. The lot number was different for both patients. This case has been linked with case US2017GSK163228, as reported by same reporter for same events.
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Rhinorrhoea
Clinical narrative: This case was reported by a pharmacist via sales rep and described the occurrence of injection site pain in a female patient who received FLULAVAL QUADRIVALENT (batch number K5T45, expiry date 31st May 2018). On an unknown date, the patient received FLULAVAL QUADRIVALENT. On an unknown date, less than a year after receiving FLULAVAL QUADRIVALENT, the patient experienced injection site pain and runny nose. On an unknown date, the outcome of the injection site pain was recovered/resolved and the outcome of the runny nose was recovering/resolving. It was unknown if the reporter considered the injection site pain and rung nose to be related to FLULAVAL QUADRIVALENT. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced pain at injection site which lasted up to 3 days. No medical treatment was needed. The patient's experienced pain at injection site which lasted up to 3 days. No medical treatment was needed. The patient's symptoms were subsided. The FLULAVAL QUADRIVALENT multi dose was the only vaccine given. No additional information was provided. The reporter requested to contact the nurse for further follow ups. It was reported that only one patient experienced runny nose out of the 5 patients, however, it was unknown that which patient had experienced it. This case was one of the 5 cases, reported by the same reporter.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: Pain in right deltoid since 08/01/17 after PREVNAR 13 was given, never had redness, swelling or warmth.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, DTAPIPV, MMRV, DTAPIPV, MMRV
Symptoms: Anaphylactic reaction, Cough, Disorientation, Dysphagia, Dyspnoea
Clinical narrative: Patient was here in the office today for an acute visit, see office note documented 11/2/17. He received routine 4 year old immunizations: MMR-V and DTaP-IPV around 1200 today. Prior to the administration of the vaccine, he was in good health. Approximately 5 minutes later at 12:05 PM, mother brought him back into the office for coughing, swelling of lips, and increased work of breathing. He was immediately brought back to an examination room for assessment. He was noted to be afebrile, Temp 97.4 axillary and 95% on room air. His HR was 130s. Upon auscultation, he was noted to have coughing with moderate lip swelling and diffuse end-expiratory wheezing. An albuterol sulfate 2.5 mg nebulizer treatment was given and I advised the nursing staff to give BENADRYL 12.5 mg/5 mL PO STAT. He completed the nebulizer treatment without improvement in his respiratory status. Continuous pulse oximetry was obtained and oxygen saturations remained above 95%. He was recognized to having an anaphylactic reaction to the vaccinations. He continued to develop facial edema with diffuse hives from his neck down to his legs. He was able to converse the entire time but seemed increasing somnolent. The emergency response team was immediately activated. Due to his refusal and difficulty swallowing, he was unable to take the liquid BENADRYL. His weight today was 15.5 kg. He was given EPIPEN Jr 0.15 mg IM injection in his right thigh and IM DECADRON 10 mg (0.64mg/kg) in his right bicep. About 1 minute after administering EPIPEN Jr and DECADRON, EMS arrived for assessment. EMT was provided with a detailed account of today's reaction and re-assessed. He continued to be stable on room air, alert although slightly disoriented, and able to tolerate his secretions. He was taken immediately to ED for further evaluation. Both mother and MGM were kept up to date on his status and emergency treatment plan as it was occurring. The family will be contacted later on this afternoon for a status update.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, DTAPIPV, MMRV, DTAPIPV, MMRV
Symptoms: Face oedema, Lip swelling, Somnolence, Urticaria, Wheezing
Clinical narrative: Patient was here in the office today for an acute visit, see office note documented 11/2/17. He received routine 4 year old immunizations: MMR-V and DTaP-IPV around 1200 today. Prior to the administration of the vaccine, he was in good health. Approximately 5 minutes later at 12:05 PM, mother brought him back into the office for coughing, swelling of lips, and increased work of breathing. He was immediately brought back to an examination room for assessment. He was noted to be afebrile, Temp 97.4 axillary and 95% on room air. His HR was 130s. Upon auscultation, he was noted to have coughing with moderate lip swelling and diffuse end-expiratory wheezing. An albuterol sulfate 2.5 mg nebulizer treatment was given and I advised the nursing staff to give BENADRYL 12.5 mg/5 mL PO STAT. He completed the nebulizer treatment without improvement in his respiratory status. Continuous pulse oximetry was obtained and oxygen saturations remained above 95%. He was recognized to having an anaphylactic reaction to the vaccinations. He continued to develop facial edema with diffuse hives from his neck down to his legs. He was able to converse the entire time but seemed increasing somnolent. The emergency response team was immediately activated. Due to his refusal and difficulty swallowing, he was unable to take the liquid BENADRYL. His weight today was 15.5 kg. He was given EPIPEN Jr 0.15 mg IM injection in his right thigh and IM DECADRON 10 mg (0.64mg/kg) in his right bicep. About 1 minute after administering EPIPEN Jr and DECADRON, EMS arrived for assessment. EMT was provided with a detailed account of today's reaction and re-assessed. He continued to be stable on room air, alert although slightly disoriented, and able to tolerate his secretions. He was taken immediately to ED for further evaluation. Both mother and MGM were kept up to date on his status and emergency treatment plan as it was occurring. The family will be contacted later on this afternoon for a status update.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, DTAPIPV, MMRV, DTAPIPV, MMRV
Symptoms: Cough, Lip swelling, Urticaria
Clinical narrative: Patient was here in the office today for an acute visit, see office note documented 11/2/17. He received routine 4 year old immunizations: MMR-V and DTaP-IPV around 1200 today. Prior to the administration of the vaccine, he was in good health. Approximately 5 minutes later at 12:05 PM, mother brought him back into the office for coughing, swelling of lips, and increased work of breathing. He was immediately brought back to an examination room for assessment. He was noted to be afebrile, Temp 97.4 axillary and 95% on room air. His HR was 130s. Upon auscultation, he was noted to have coughing with moderate lip swelling and diffuse end-expiratory wheezing. An albuterol sulfate 2.5 mg nebulizer treatment was given and I advised the nursing staff to give BENADRYL 12.5 mg/5 mL PO STAT. He completed the nebulizer treatment without improvement in his respiratory status. Continuous pulse oximetry was obtained and oxygen saturations remained above 95%. He was recognized to having an anaphylactic reaction to the vaccinations. He continued to develop facial edema with diffuse hives from his neck down to his legs. He was able to converse the entire time but seemed increasing somnolent. The emergency response team was immediately activated. Due to his refusal and difficulty swallowing, he was unable to take the liquid BENADRYL. His weight today was 15.5 kg. He was given EPIPEN Jr 0.15 mg IM injection in his right thigh and IM DECADRON 10 mg (0.64mg/kg) in his right bicep. About 1 minute after administering EPIPEN Jr and DECADRON, EMS arrived for assessment. EMT was provided with a detailed account of today's reaction and re-assessed. He continued to be stable on room air, alert although slightly disoriented, and able to tolerate his secretions. He was taken immediately to ED for further evaluation. Both mother and MGM were kept up to date on his status and emergency treatment plan as it was occurring. The family will be contacted later on this afternoon for a status update.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, DTAPIPV, MMRV, DTAPIPV, MMRV
Symptoms: Face oedema, Lip swelling, Rash, Somnolence, Swelling face
Clinical narrative: Patient was here in the office today for an acute visit, see office note documented 11/2/17. He received routine 4 year old immunizations: MMR-V and DTaP-IPV around 1200 today. Prior to the administration of the vaccine, he was in good health. Approximately 5 minutes later at 12:05 PM, mother brought him back into the office for coughing, swelling of lips, and increased work of breathing. He was immediately brought back to an examination room for assessment. He was noted to be afebrile, Temp 97.4 axillary and 95% on room air. His HR was 130s. Upon auscultation, he was noted to have coughing with moderate lip swelling and diffuse end-expiratory wheezing. An albuterol sulfate 2.5 mg nebulizer treatment was given and I advised the nursing staff to give BENADRYL 12.5 mg/5 mL PO STAT. He completed the nebulizer treatment without improvement in his respiratory status. Continuous pulse oximetry was obtained and oxygen saturations remained above 95%. He was recognized to having an anaphylactic reaction to the vaccinations. He continued to develop facial edema with diffuse hives from his neck down to his legs. He was able to converse the entire time but seemed increasing somnolent. The emergency response team was immediately activated. Due to his refusal and difficulty swallowing, he was unable to take the liquid BENADRYL. His weight today was 15.5 kg. He was given EPIPEN Jr 0.15 mg IM injection in his right thigh and IM DECADRON 10 mg (0.64mg/kg) in his right bicep. About 1 minute after administering EPIPEN Jr and DECADRON, EMS arrived for assessment. EMT was provided with a detailed account of today's reaction and re-assessed. He continued to be stable on room air, alert although slightly disoriented, and able to tolerate his secretions. He was taken immediately to ED for further evaluation. Both mother and MGM were kept up to date on his status and emergency treatment plan as it was occurring. The family will be contacted later on this afternoon for a status update.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV, DTAPIPV, MMRV, DTAPIPV, MMRV
Symptoms: Urticaria, Vaccination complication, Wheezing
Clinical narrative: Patient was here in the office today for an acute visit, see office note documented 11/2/17. He received routine 4 year old immunizations: MMR-V and DTaP-IPV around 1200 today. Prior to the administration of the vaccine, he was in good health. Approximately 5 minutes later at 12:05 PM, mother brought him back into the office for coughing, swelling of lips, and increased work of breathing. He was immediately brought back to an examination room for assessment. He was noted to be afebrile, Temp 97.4 axillary and 95% on room air. His HR was 130s. Upon auscultation, he was noted to have coughing with moderate lip swelling and diffuse end-expiratory wheezing. An albuterol sulfate 2.5 mg nebulizer treatment was given and I advised the nursing staff to give BENADRYL 12.5 mg/5 mL PO STAT. He completed the nebulizer treatment without improvement in his respiratory status. Continuous pulse oximetry was obtained and oxygen saturations remained above 95%. He was recognized to having an anaphylactic reaction to the vaccinations. He continued to develop facial edema with diffuse hives from his neck down to his legs. He was able to converse the entire time but seemed increasing somnolent. The emergency response team was immediately activated. Due to his refusal and difficulty swallowing, he was unable to take the liquid BENADRYL. His weight today was 15.5 kg. He was given EPIPEN Jr 0.15 mg IM injection in his right thigh and IM DECADRON 10 mg (0.64mg/kg) in his right bicep. About 1 minute after administering EPIPEN Jr and DECADRON, EMS arrived for assessment. EMT was provided with a detailed account of today's reaction and re-assessed. He continued to be stable on room air, alert although slightly disoriented, and able to tolerate his secretions. He was taken immediately to ED for further evaluation. Both mother and MGM were kept up to date on his status and emergency treatment plan as it was occurring. The family will be contacted later on this afternoon for a status update.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: 11/1 Noted small red area left upper arm near vaccine site, warm and swollen slight tenderness. 11/2 AM Increased redness, warmth down left arm, approx. 4.5" long. Later in day still red, warm, approx. 4.25" irregularly shaped. 11/3 PM Redness less inflamed, fading, size unchanged but margin shifted downward. Slight tenderness injection site.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Asthenia, Joint stiffness, Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: Patient experienced bilateral mostly elbow and some wrist and shoulder stiffness and pain. The symptoms improved after 2 days but then returned 2-3d after that and have been stable until she was seen in the clinic 14 days after receiving the vaccine. She reports dull pain "feels like in her veins" deep in her upper extremities. She reports subjective weakness but strength is normal on physical exam. She denies numbness or loss sensation.
Age: 22.0
Sex: F
Vaccine: MMR
Symptoms: Pain in extremity
Clinical narrative: Patient experienced bilateral mostly elbow and some wrist and shoulder stiffness and pain. The symptoms improved after 2 days but then returned 2-3d after that and have been stable until she was seen in the clinic 14 days after receiving the vaccine. She reports dull pain "feels like in her veins" deep in her upper extremities. She reports subjective weakness but strength is normal on physical exam. She denies numbness or loss sensation.
Age: 42.0
Sex: M
Vaccine: FLUR3
Symptoms: Headache, Injection site rash, Malaise, Pruritus, Pyrexia
Clinical narrative: States developed rash on left arm and shoulder extending towards back within one hour of vaccine. By the next day rash developed on his buttocks with itchy feeling on feet and knees. States had low grade fever, headache and general malaise.
Age: 42.0
Sex: M
Vaccine: FLUR3
Symptoms: Rash
Clinical narrative: States developed rash on left arm and shoulder extending towards back within one hour of vaccine. By the next day rash developed on his buttocks with itchy feeling on feet and knees. States had low grade fever, headache and general malaise.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Cardiac telemetry, Computerised tomogram abdomen, Computerised tomogram head, Decreased appetite
Clinical narrative: Leukocytosis, Weakness/Difficulty Walking, Altered Mental Status, Loss of Appetite, Redness and Swelling Site of Injection.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count, Gait disturbance, Injection site erythema, Injection site swelling, Leukocytosis
Clinical narrative: Leukocytosis, Weakness/Difficulty Walking, Altered Mental Status, Loss of Appetite, Redness and Swelling Site of Injection.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Mental status changes, Urine analysis
Clinical narrative: Leukocytosis, Weakness/Difficulty Walking, Altered Mental Status, Loss of Appetite, Redness and Swelling Site of Injection.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Induration, Nodule, Oral mucosal eruption, Vaccination complication
Clinical narrative: Given vaccine in school clinic. Next day had a 'hard knot'. On Friday arm was swollen under vaccine administration site to elbow. Mom took to MD office, dx with cellulitis. Given steroid and antibiotics. On Saturday woke up w/ mouth 'broken out'. Took to ER at that time. ER contributes to vaccine reaction.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Vaccination site swelling
Clinical narrative: Given vaccine in school clinic. Next day had a 'hard knot'. On Friday arm was swollen under vaccine administration site to elbow. Mom took to MD office, dx with cellulitis. Given steroid and antibiotics. On Saturday woke up w/ mouth 'broken out'. Took to ER at that time. ER contributes to vaccine reaction.
Sex: U
Vaccine: PPV
Symptoms: Discomfort, Injection site infection, Injection site rash
Clinical narrative: Patient reports a large rash around injection site on the morning after the vaccination (11/3/17) and feeling of generalized discomfort. She visited the emergency room on 11/4/17 and was told there was an infection around the injection site. Patient was given antibiotics for treatment (unspecified).
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
Clinical narrative: Immediate pain in the left shoulder. Since then 7 weeks of pain and decreased range of motion. No visible nerve damage. Suspect bursitis. Given physical therapy exercise, otc nsaids. will consider cortisone shot in 2 weeks.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Nausea
Clinical narrative: The participant had a wellness screening and a flu shot which involved a finger sick to check labs as well as the IM injection. Right after the flu injection the participate complained of feeling nauseated and light headed. The nurse had her to put her head down to her knees and another nurse placed an ice pack on her neck. After about 10 minutes the participant stated she was much better. She did not actually "pass out " or lose conscientiousness.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Needle issue
Clinical narrative: VanishPoint needle did not retract after administering vaccine.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Rash, Rash generalised
Clinical narrative: Per Dr.: HISTORY: The patient is a 42-year-old female who comes in with the above complaint.  The patient works at the Hospital. The patient received an influenza shot on 11/01/2017. She states she woke up on 11/02/2017. She felt hot and noted a slight rash starting.  She states on the morning of 11/03/2017 she noted a rash all over her body. She is not taking any other medications at all. No recent illnesses. No coughs, colds, fevers, chills. No nausea, vomiting, diarrhea. No over-the-counter or prescription medications. The patient denies any shortness of breath at this time.  Denies any pain at this time. PLAN:  The patient is to take Benadryl 25-50 mg 4 times daily.  We  had a long discussion regarding what a severe allergic reaction or anaphylaxis would be like and she is go to the emergency department immediately if she has any respiratory difficulty whatsoever. I will see her back as needed. She can be at regular work duty at this time.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Vaccination complication
Clinical narrative: Patient came back to the pharmacy the next day after receiving the shots, She preceived adverse reactions from the immunization.
Age: 67.0
Sex: M
Vaccine: FLUA3, PNC13
Symptoms: Injected limb mobility decreased, Pain in extremity, Thirst
Clinical narrative: The patient's wife called saying that her husband's left arm is so sore that he can not lift it. Also, he has been drinking an "excessive amount of water" since yesterday.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus, Urticaria
Clinical narrative: 30 min. after vaccine developed hives on face, neck, legs and feet. Intense itching on trunk, scalp and arms. Frequency and volume of hives increased throughout the evening and next day. After call to clinic began 10 mg of Zyrtec and made same day apt. to see Dr. Dr. confirmed wheel hives and suggested continued Zyrtec, Benadryl at nighttime, and an H2 blocker. If Hives are still present after two weeks we might begin steroid treatment. Dr. recommends not getting flu shot again.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth, Mobility decreased
Clinical narrative: Began within a few hours with pain in arm that gradually increased until I could not even move the arm due to pain. 12 hours later the arm swelled for about 6 inches below the injection site. The site was also red with inflammation, warm to the touch, and painful with touch.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Began within a few hours with pain in arm that gradually increased until I could not even move the arm due to pain. 12 hours later the arm swelled for about 6 inches below the injection site. The site was also red with inflammation, warm to the touch, and painful with touch.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Asthma, Cough, Nasal congestion, Pain, Respiratory tract infection
Clinical narrative: Vomiting same evening, asthma attack same night, stuffy nose, body aches over next couple of weeks, cough, respiratory infection , sinus infection over next few weeks.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Sinusitis, Vomiting
Clinical narrative: Vomiting same evening, asthma attack same night, stuffy nose, body aches over next couple of weeks, cough, respiratory infection , sinus infection over next few weeks.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Delirium, Hot flush, Injection site pain, Injection site reaction
Clinical narrative: Around 10pm that evening patient started having the chills, muscle aches, fever, face became flushed and hot, hives developed at the injection sites that then spread down his arm and he also reported experiencing slight delirium. He stated these symptoms lasted until Saturday 11/4/17 am at which point only he was only experiencing the muscle aches, but still had a large red and tender rash that covered most of his left upper arm. On Sunday, 11/5/17, he stated that his left arm was still sore and the rash was still present but shrinking. Upon examination today, 11/6/17, the rash measured 11cm in width x 32cm in length and was tender to palpitation. His temperature was 98.0 degrees F.and he is still experiencing some soreness in the left arm as well.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site urticaria, Myalgia, Pain in extremity, Pyrexia, Rash erythematous
Clinical narrative: Around 10pm that evening patient started having the chills, muscle aches, fever, face became flushed and hot, hives developed at the injection sites that then spread down his arm and he also reported experiencing slight delirium. He stated these symptoms lasted until Saturday 11/4/17 am at which point only he was only experiencing the muscle aches, but still had a large red and tender rash that covered most of his left upper arm. On Sunday, 11/5/17, he stated that his left arm was still sore and the rash was still present but shrinking. Upon examination today, 11/6/17, the rash measured 11cm in width x 32cm in length and was tender to palpitation. His temperature was 98.0 degrees F.and he is still experiencing some soreness in the left arm as well.
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Late in the day of the vaccine, 10/12/17, my left arm hurt as expected from my previous experiences. Pain subsided only slightly the next day but then began to get worse. On 10/16/17 and following, definitely could not lift my arm more than 50% and with moderate to severe pain. I decided to give it time to see if it would go away but as of 11/6, the pain is getting worse and decided to seek medical attention.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Nausea
Clinical narrative: PT STATING SEVERAL ABOUT 4.5 HOURS AFTER INJECTION, IS NOT ABLE TO MOVE LEFT ARM, CANNOT RAISE LEFT ARM. HAS BECOME IMMOBILE AND NOW BECOMING NAUSEOUS.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Erythematous area of skin on deltoid of right arm, some warmth palpated, no drainage or induration.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: ON 11/5/17 IN THE EVENING PT NOTICED THAT SHE STARTED FEELING PAIN AND WARMNESS TO TOUCH AT THE SITE OF INJECTION AND AREA IS RED. SHE TOOK TYLENOL TO HELP WITH THE PAIN AND INFLAMMATION.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Exposure via skin contact, Underdose
Clinical narrative: Medical assistant was administering vaccine, most of serum was injected into the arm, the child pulled away and the medical assistant had some of the serum splash in her eye and the child had serum on his arm, requiring re-vaccination (it has not been done yet but the child will be rescheduled.
Age: 5.0
Sex: F
Vaccine: FLU4, HEPA, IPV, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash on trunk and face noticed 11/3/17. Low grade fever Tmax per family 99.7 started on 10/30/17. No fever immediately preceding vaccine. Rash improving.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Periarthritis
Clinical narrative: Extreme pain in shoulder and left arm within two hours of receiving injection. On August 16, received a ketorolac injection for pain and aching, On October 14, received an injection of cortisone and a diagnosis of adhesive capsulitis of left shoulder (frozen shoulder). On October 31, I saw a doctor and was given an MRI that confirmed "frozen shoulder". I have an appointment to see an orthopedic specialist on November 24, 2017. I must note that I had no problems with my left shoulder/arm prior to this injection.
Age: 16.0
Sex: M
Vaccine: FLU4, HPV9, MENB, MNQ
Symptoms: Flushing, Panic reaction, Paraesthesia
Clinical narrative: Spoke with mom and mom called to notify us that patient had a reaction to BEXSERO on Friday, 9/29/17. Patient received 4 vaccines but mom thinks it was from the BEXSERO because that was the only vaccine he has not had before. Mom stated that Friday evening patient had a reaction that lasted for hours while at work- face was flushed, felt panicked, tingling in arms. She gave patient BENADRYL when he got home from work and he eventually calmed down, felt better and went to sleep. These symptoms are not typical of a vaccine reaction but mom was not looking for advice and just wanted it documented. Also wanted to make Dr. aware that patient will not be receiving second BEXSEREO dose. Mom is a nurse and was not open to education. Offered appointment hoping provider could give education about vaccine reactions and address patient's symptoms which seem to indicate a panic attack. Mom declined appointment. Could you reach out to mom with all your knowledge about vaccines? I would hate his symptoms to go unaddressed.
Age: 5.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Crying, Neck pain, Pain, Swelling, Swelling face
Clinical narrative: She woke up crying that her neck hurt. Upon looking, I noticed that her neck and face were very swollen. Benedryl was given and she went back to sleep. The next morning, the swelling was still there. Ibuprofen was given for pain and swelling. Swelling is still present, but noticeably less 2 days later.
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site erythema, Pain, Peripheral swelling
Clinical narrative: Patient came in today (11-6) and showed me her arm - it had several red patches (not just at injection site) and then looked mildly swollen. Patient said it had not gotten worse, was not itching, was no longer hurting, no other symptoms, etc. She just was not sure if this was a normal reaction to the vaccine or not since it was red at more than just the direct injection site. Told her to use compress, but due to allergies she cannot take anti-inflammatories. Told her to follow-up with us if does not go away or gets worse and also to talk to her primary care physician about it.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Immediate post-injection reaction, Influenza like illness, Injected limb mobility decreased, Injection site pain
Clinical narrative: Immediately upon vaccination in the central area of deltoid muscle, the patient reports significant pain at the area of injection. Upon questioning of where she remembers getting the shot, she specified it was neither too high or low on the deltoid. Three days after the vaccine the patient noted flu-like symptoms (myalgia/fatigue, no fever) that lasted several days. She presents at our pharmacy today (11/06/17) questioning why her shoulder still hurts. She has restricted strength and flexion in her left shoulder that has been continuing ever since the vaccine, and is quite painful. I suggested that she see her physician regarding this, due to the long duration of pain (16 days). She did note upon visual inspection of the injection site, no bruising or swelling was noted.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness, Myalgia
Clinical narrative: Immediately upon vaccination in the central area of deltoid muscle, the patient reports significant pain at the area of injection. Upon questioning of where she remembers getting the shot, she specified it was neither too high or low on the deltoid. Three days after the vaccine the patient noted flu-like symptoms (myalgia/fatigue, no fever) that lasted several days. She presents at our pharmacy today (11/06/17) questioning why her shoulder still hurts. She has restricted strength and flexion in her left shoulder that has been continuing ever since the vaccine, and is quite painful. I suggested that she see her physician regarding this, due to the long duration of pain (16 days). She did note upon visual inspection of the injection site, no bruising or swelling was noted.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Fall, Headache, Lacrimation increased, Muscle twitching
Clinical narrative: Reported approx. 30 minutes after vaccine given client became shaky and weak and fell to ground in twitching type movements per witness. Writer went to clients class room right away and client was walking down the hall in his own accord when seen. Skin was warm and dry ;vital signs stable. Client states he didn't eat breakfast . Did become teary eyed and stated he had a headache. Mom made aware and did pick up client.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: Reported approx. 30 minutes after vaccine given client became shaky and weak and fell to ground in twitching type movements per witness. Writer went to clients class room right away and client was walking down the hall in his own accord when seen. Skin was warm and dry ;vital signs stable. Client states he didn't eat breakfast . Did become teary eyed and stated he had a headache. Mom made aware and did pick up client.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Administration site pain, Administration site warmth, Injection site erythema
Clinical narrative: Large red area at administration site. Heat and pain. Immunization administered 04Nov17 and was reported 06Nov17.
Age: 49.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Nausea, Pyrexia
Clinical narrative: Deltoid area of left arm swollen, red, hot to touch. Patient ran 102 fever for approximately 12 hours, felt nauseous. Immunizing pharmacist recommended patient take acetaminophen q6 hours. Protocol physician and patient's primary care physician contacted and patient advised to alternate ibuprofen and acetaminophen orally and alternate hot and cold compresses to affected area of arm.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Acupuncture, Loss of personal independence in daily activities, Neck pain, Pain
Clinical narrative: Woke up with extreme sore neck right side only. Over the next few days it moved to left side also.  Couldn't move neck without pain, used alternative methods to try and relieve it. Massage, Ice, Heat, and finally acupuncture. Tried Advil/ Aleve didn't relieve pain. After 3 acupuncture sessions 10/27, 10/31 & 11/3 and intermittent doses of Tylenol, I am able resume most activities. During the first 10 days, I was not able to do anything. I am an active healthy 68 year old that doesn't go to the Dr. very often, nor get sick or injured. I can't think of any other reason this happened other than the flu shot may be a possibility. It's interesting that I have heard of 3 other people with stiff and sore necks in the last month, 2 of which had flu shots. They only experienced minimal soreness.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash vesicular
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a patient of unknown age and gender. No information regarding the patient's past medical history, concurrent conditions, or concomitant medication was provided. The patient was inoculated with ZOSTAVAX (lot number, dosage, and route of administration not provided) on or about 04-AUG-2015 at a pharmacy, as recommended for routine adult health maintenance for the prevention of shingles. ZOSTAVAX did not prevent shingles as intended, but rather caused the patient to contract a persistent strain of herpes zoster. On or about 05-JUN-2016, the patient was treated by a physician for a vesicular outbreak that was diagnosed as severe shingles. The patient was prescribed gabapentin and valacyclovir for management of his painful symptoms. As a direct and proximate result of these malfunctions, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, pain and suffering, and other damages. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Ophthalmic herpes zoster, Pain, Rash vesicular
Clinical narrative: Information has been received on 02-NOV-2017 regarding a case in litigation from a lawyer and a female consumer of unknown age. The patient's concurrent conditions, medical history and concomitant medications are unknown. The patient was inoculated with ZOSTAVAX (lot number and expiration not reported), subcutaneous on or about 27-APR-2015 at a clinic, as recommended for routine adult health maintenance and for the prevention of shingles. The vaccine did not prevent shingles as intended, but rather caused the patient to contract a persistent and chronic strain of herpes zoster. On or about 15-APR-2016, the patient was treated at a dermatology physician office for a blistering vesicular outbreak, which was diagnosed as a severe case of herpes zoster, also known as shingles, on the forehead. The patient was referred to ophthalmologist specialists to address the shingles spreading near her eyes. The patient has been prescribed VALTREX for management of her painful and persistent symptoms. As a direct and proximate result of these malfunctions, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, pain and suffering, and other damages. Upon internal review, shingles spreading near her eyes was considered to be medically significant. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination failure
Clinical narrative: Information has been received on 02-NOV-2017 regarding a case in litigation from a lawyer and a female consumer of unknown age. The patient's concurrent conditions, medical history and concomitant medications are unknown. The patient was inoculated with ZOSTAVAX (lot number and expiration not reported), subcutaneous on or about 27-APR-2015 at a clinic, as recommended for routine adult health maintenance and for the prevention of shingles. The vaccine did not prevent shingles as intended, but rather caused the patient to contract a persistent and chronic strain of herpes zoster. On or about 15-APR-2016, the patient was treated at a dermatology physician office for a blistering vesicular outbreak, which was diagnosed as a severe case of herpes zoster, also known as shingles, on the forehead. The patient was referred to ophthalmologist specialists to address the shingles spreading near her eyes. The patient has been prescribed VALTREX for management of her painful and persistent symptoms. As a direct and proximate result of these malfunctions, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, pain and suffering, and other damages. Upon internal review, shingles spreading near her eyes was considered to be medically significant. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Pain, Rash vesicular
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a female patient of unknown age. No information regarding the patient's past medical history, concurrent conditions, or concomitant medication was provided. The patient was inoculated with ZOSTAVAX (lot number, dosage, and route of administration not provided) on or about 05-NOV-2013 at a pharmacy, as recommended for routine adult health maintenance and for the prevention of shingles. ZOSTAVAX did not prevent shingles as intended, but rather caused the patient to contract a persistent and chronic strain of herpes zoster. On or about 04-JUN-2015, the patient was treated by a physician for a blistering vesicular outbreak, which was diagnosed as herpes zoster, also known as shingles. The patient was prescribed valacyclovir hydrochloride (VALTREX) for management of her painful and persistent symptoms. As a direct and proximate result of these malfunctions, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, pain and suffering, and other damages. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Post herpetic neuralgia, Rash
Clinical narrative: Information was received from a lawyer regarding a case in litigation involving a female patient, age not specified. On or about 10-OCT-2013, the patient was vaccinated at a pharmacy with ZOSTAVAX for routine health maintenance and prevention of shingles. The vaccine did not prevent shingles as intended but caused the patient to develop a persistent and chronic strain of herpes zoster and post herpetic neuralgia. On or about 10-NOV-2015 to 04-FEB-2016 the patient was treated at a medical group for a painful outbreak that was diagnosed as herpes zoster or shingles.  The patient was prescribed pregabalin (LYRICA), valacyclovir (VALTREX) and Lidoderm to manage her painful symptoms. As a direct and proximate result of these malfunctions the patient has suffered painful injuries and damages and required extensive medical treatment and care. The patient has suffered and continued to suffer significant medical expenses, pain and suffering and other damages. Additional information has been requested.