chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Peripheral swelling, Tenderness
Clinical narrative: Patient received SHINGRIX 3/20/18 and on Wednesday and Thursday (3/21 and 3/22) patient noted a firm red area, warm at site of vaccine. Since then, redness resolved, but on Saturday (3/24) patient noted redness, swelling of forearm, ipsilateral side. Patient reports feeling flushed, not sure if fever or chills. Left forearm is red, swollen and tender. Redness seems to be tracking down her arm, following gravity. Clearing from more proximal areas per her pen marks and extending distally. Patient diagnoses with cellulitis and prescribed Amoxicillin/Clavulanate 875/125mg to treat.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS, VARZOS
Symptoms: Cellulitis
Clinical narrative: Patient received SHINGRIX 3/20/18 and on Wednesday and Thursday (3/21 and 3/22) patient noted a firm red area, warm at site of vaccine. Since then, redness resolved, but on Saturday (3/24) patient noted redness, swelling of forearm, ipsilateral side. Patient reports feeling flushed, not sure if fever or chills. Left forearm is red, swollen and tender. Redness seems to be tracking down her arm, following gravity. Clearing from more proximal areas per her pen marks and extending distally. Patient diagnoses with cellulitis and prescribed Amoxicillin/Clavulanate 875/125mg to treat.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysstasia, Mobility decreased, Post herpetic neuralgia
Clinical narrative: Within 4 hours of the vaccination, Postherpetic Neuralgia, replicating the same nerve pain associated with a prior (5 year) incidence of shingles. Pain was level 7-8 and made it extremely difficult to move at the torso (stand up from toilet, sit down into an automobile seat).
Age: 79.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Patient received PCV 13 vaccine on 4/5/2018 and reported that she started having fever 102 F on 4/6/2018 morning. It has decreased to 100.8 F in the afternoon of 4/6/2018. Patient also had sore arm but has decreased. Patient denied allergic symptoms, headache, dizziness chills, SOB, hives or any other discomfort on 4/6/2018 afternoon.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Discomfort, Fatigue, Headache, Myalgia
Clinical narrative: Extreme fatigue & weakness; excruciating headache; body-wide muscle pain. Duration approximately 36 hours. Note: I have history of hypersensitivity to numerous drugs, but not "allergic" to any. Note: Having had 3 episodes of Shingles (1979, 2004, 2013), I enthusiastically awaited approval of this vaccine, and, despite a day-and-a-half of discomfort, will definitely have the 2nd inoculation! The expected immunity (as opposed to ineffective ZOSTAVAX) is definitely worth temporary pain!!
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Arm is red and swollen the size of a baseball around the injection site. Advised her to take BENADRYL as directed.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Erythema, Fatigue, Injection site erythema, Injection site rash
Clinical narrative: Patient received SHINGRIX on 3/23/18 and called in to speak to a nurse on 3/25/18 to report fatigue, red area less than the size of her palm on her right arm. Red area is less than the size of her palm, warm to touch. Patient also reported raised bumps and closed blisters in the red area which is approximately 5 inches below injection site. Patient reports red area is tender, aching. Per office visit with physician on 3/26/18: Redness and blisters 5" beneath site of injection. Has chronic dizziness and the day after the shot she felt fatigued but dizziness was stable. Was able to exercise the day of and next day after immunization. No SOB, wheezing, throat swelling. Had shingles about 8-9 years ago. Then had ZOSTAVAX. Follow up phone call with nurse on 4/4/18: Patient states received the SHINGRIX vaccine 13 days ago. Three days following the vaccine had an OV to evaluate red arm on arm. Verified that it was a reaction from the vaccine. Starting about 4-5 days ago noticed on the right side of her trunk and under right arm bright red bumps. There is a second red area across her chest with bumps. Areas are not painful but very itchy. Has not tried anything for the itchiness. There is also an area on the top of her head "right at midline" that is very itchy, does not feel any bumps. Symptoms were the worst on Tuesday and Wednesday of this week, seem to be slightly improved today.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site vesicles, Pruritus, Rash, Rash erythematous, Skin warm
Clinical narrative: Patient received SHINGRIX on 3/23/18 and called in to speak to a nurse on 3/25/18 to report fatigue, red area less than the size of her palm on her right arm. Red area is less than the size of her palm, warm to touch. Patient also reported raised bumps and closed blisters in the red area which is approximately 5 inches below injection site. Patient reports red area is tender, aching. Per office visit with physician on 3/26/18: Redness and blisters 5" beneath site of injection. Has chronic dizziness and the day after the shot she felt fatigued but dizziness was stable. Was able to exercise the day of and next day after immunization. No SOB, wheezing, throat swelling. Had shingles about 8-9 years ago. Then had ZOSTAVAX. Follow up phone call with nurse on 4/4/18: Patient states received the SHINGRIX vaccine 13 days ago. Three days following the vaccine had an OV to evaluate red arm on arm. Verified that it was a reaction from the vaccine. Starting about 4-5 days ago noticed on the right side of her trunk and under right arm bright red bumps. There is a second red area across her chest with bumps. Areas are not painful but very itchy. Has not tried anything for the itchiness. There is also an area on the top of her head "right at midline" that is very itchy, does not feel any bumps. Symptoms were the worst on Tuesday and Wednesday of this week, seem to be slightly improved today.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Local reaction
Clinical narrative: Swelling, redness, pain, warmth at site of injection. No fever. Significant redness and swelling at injection site. Went to doctor who told her that it was a local reaction to vaccine and not uncommon. Gave antibiotics in case continued to get worse. Patient picked up, but reports did not take. (Now 4 days after administration of injection.) Worse at day 2-3. Typical median time for reaction. Still reports red today, but not as fire red and warm, and not getting worse. Starting to get a little better.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Tinnitus
Clinical narrative: Morning after administration staff reported ringing in the ears since waking up, myalgia not present, some soreness to injection site.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Fatigue, Myalgia, Sinusitis, Tinnitus
Clinical narrative: Morning after administration staff reported ringing in the ears since waking up, myalgia not present, some soreness to injection site.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Cyanosis
Clinical narrative: BRUE - episode of perioral cyanosis.
Age: 71.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Moderate pain in right (SHINGRIX) arm. Very mild pain in left (Tdap) arm. Fever rising to 101.4 on first day after vaccination. Fatigue. Symptoms improved second day - fever 99.4, fatigue mostly gone.
Age: 60.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient report pain in the left arm that is still ongoing after months of being vaccinated. She reports unable to bend her arm behind her back on raising her arm up.
Age: 19.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Lump to L upper arm surrounding injection site. Lump is raised, mildly red, tender to touch and warm to touch.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Drug administration error, Needle issue
Clinical narrative: On 4/5/2018, I administered the SHINGRIX vaccination IM using a SQ needle (25 G x 5/8'').
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Erythema, Pruritus generalised, Rash
Clinical narrative: In the early morning hours after vaccine, woke with itchy legs. Left side worse than right. More itchy at night. Had significant redness. By Thursday morning, itching on legs better but wrists (inside) were itchy. Thursday night elbows started itchy. Friday morning all of arms beginning to itch. Later in day, back began to itch. Friday night spread to neck, then later at night started to break out in rash. Saturday mid-day (after steroid shot) noticed issues with labored breathing while doing some normal activities.
Age: 53.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Malaise, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient complained of left arm pain and body aches as well as fever post vaccination. Patient took ADVIL the night of and spoke to a member of our medical team the next day. Recommended to patient: Start cool compresses or frozen pack of peas. NSAIDs for pain/irritation, low grade fever. Monitor malaise closely, if Sx not resolving in next 24 hours, please call VMT/consider OV. Red flags advised, callback if no improvement within 24H, sooner if worsening.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Swelling
Clinical narrative: Patient received vaccines on Monday. Swelling started on Wednesday. Mom says it was the size of baseball. This was reported on Wednesday. Tried to follow up Friday, no answer.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Feeling abnormal, Headache
Clinical narrative: By the evening felt stomach cramps and a little off. By morning, 4/5, had body aches, chills, stomach cramps, strong headache, vomiting and diarrhea -- patient was sick as could be in less than 24 hours. Took 3 ADVIL and called doctor who advised just wait it out and take ADVIL as needed. Symptoms continued and aggravated over the next days. Patient called doctor again on 4/8 who recommended visit to office or ER. On 4/9 called doctor again since developed fever (approximately 99.5); doctor provided now new recommendations. Patient not satisfied with provider's handling of case so has appointment with new doctor on 5/15. Patient mentions that she had chickenpox as a child--a bad case, a shingles outbreak on left torso at age 44, and at 55 years patient received the Zoster vaccine with no problems. Today patient is doing better--has turned corner; patient has been in bed the entire week. Patient continues to take ADVIL and lots of fluid as needed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Pain, Pyrexia, Vomiting
Clinical narrative: By the evening felt stomach cramps and a little off. By morning, 4/5, had body aches, chills, stomach cramps, strong headache, vomiting and diarrhea -- patient was sick as could be in less than 24 hours. Took 3 ADVIL and called doctor who advised just wait it out and take ADVIL as needed. Symptoms continued and aggravated over the next days. Patient called doctor again on 4/8 who recommended visit to office or ER. On 4/9 called doctor again since developed fever (approximately 99.5); doctor provided now new recommendations. Patient not satisfied with provider's handling of case so has appointment with new doctor on 5/15. Patient mentions that she had chickenpox as a child--a bad case, a shingles outbreak on left torso at age 44, and at 55 years patient received the Zoster vaccine with no problems. Today patient is doing better--has turned corner; patient has been in bed the entire week. Patient continues to take ADVIL and lots of fluid as needed.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP
Symptoms: Vaccination complication
Clinical narrative: Diagnosed with reaction to polio vaccine by Hospital specialist.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP
Symptoms: Computerised tomogram abdomen normal, Computerised tomogram head normal, Computerised tomogram pelvis, Electroencephalogram normal, Nuclear magnetic resonance imaging brain normal
Clinical narrative: Diagnosed with reaction to polio vaccine by Hospital specialist.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, DTAPHEPBIP
Symptoms: Ocular dysmetria, Saccadic eye movement, Scan with contrast normal, Urine analysis normal
Clinical narrative: Diagnosed with reaction to polio vaccine by Hospital specialist.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Breast pain, Burning sensation, Discomfort, Ear pain
Clinical narrative: Had new shingles vaccination on Tuesday, March 27, 2018. On Thursday, March 29, I had discomfort in right shoulder blade area, then from that spot, shooting pains into my right breast. Shooting pain stopped, but back ached, burned and pained Fri night causing sleepless night. Skin sore; can't sleep on back. Sat: Miserable and painful day. Tender skin increased to upper arm and left side of back. Started taking Famciclovir and used topical ointment TERRASIL. Took 4 ibuprofen throughout day, and continued up until today. Experienced compression-like feelings from back to chest cavity. Very slight rash breakout on Sun: Rash eventually covered right breast, but had no sores and no pain at that time. Experienced "pain shoots" in right ear for about 3 days. Skin is very tender and burning: across the right breast; on lower right back and side. Fitful sleeping every night. After having for 2 weeks, I am exhausted from the grave discomfort/pain. My doctor and I communicated through medical portal from day one. As of today, April 11, she is prescribing a lidocaine patch and gabapentin prescriptions to give better relief from nerve pain.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Herpes zoster, Insomnia, Musculoskeletal pain
Clinical narrative: Had new shingles vaccination on Tuesday, March 27, 2018. On Thursday, March 29, I had discomfort in right shoulder blade area, then from that spot, shooting pains into my right breast. Shooting pain stopped, but back ached, burned and pained Fri night causing sleepless night. Skin sore; can't sleep on back. Sat: Miserable and painful day. Tender skin increased to upper arm and left side of back. Started taking Famciclovir and used topical ointment TERRASIL. Took 4 ibuprofen throughout day, and continued up until today. Experienced compression-like feelings from back to chest cavity. Very slight rash breakout on Sun: Rash eventually covered right breast, but had no sores and no pain at that time. Experienced "pain shoots" in right ear for about 3 days. Skin is very tender and burning: across the right breast; on lower right back and side. Fitful sleeping every night. After having for 2 weeks, I am exhausted from the grave discomfort/pain. My doctor and I communicated through medical portal from day one. As of today, April 11, she is prescribing a lidocaine patch and gabapentin prescriptions to give better relief from nerve pain.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Neuralgia, Pain, Pain of skin, Poor quality sleep, Rash
Clinical narrative: Had new shingles vaccination on Tuesday, March 27, 2018. On Thursday, March 29, I had discomfort in right shoulder blade area, then from that spot, shooting pains into my right breast. Shooting pain stopped, but back ached, burned and pained Fri night causing sleepless night. Skin sore; can't sleep on back. Sat: Miserable and painful day. Tender skin increased to upper arm and left side of back. Started taking Famciclovir and used topical ointment TERRASIL. Took 4 ibuprofen throughout day, and continued up until today. Experienced compression-like feelings from back to chest cavity. Very slight rash breakout on Sun: Rash eventually covered right breast, but had no sores and no pain at that time. Experienced "pain shoots" in right ear for about 3 days. Skin is very tender and burning: across the right breast; on lower right back and side. Fitful sleeping every night. After having for 2 weeks, I am exhausted from the grave discomfort/pain. My doctor and I communicated through medical portal from day one. As of today, April 11, she is prescribing a lidocaine patch and gabapentin prescriptions to give better relief from nerve pain.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site rash, Injection site warmth
Clinical narrative: Caregiver for patient contacted mom and advised of rash on right leg and advised mom to be seen. Mom presented straight to office and was evaluated by physician. Mom denied any rash this morning; pt presented with asymmetrical redness, warmth, and induration - 5 cm x 6 cm on right thigh.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling abnormal, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, I'm fine, but have felt miserable all day. The doctor said there were no side effects. I thought about going home from work because I feel crummy.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis
Clinical narrative: Cellulitis. Treated with ABx.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Vaccination site induration
Clinical narrative: Hours after vaccine area turn red red and indurated. Mom at home applied EPSON salt and cold compress. Now doing better before 24 hrs.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: "Flu-like symptoms".
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site nodule, Injection site warmth
Clinical narrative: Arm became extremely red from shoulder to elbow, sizeable hard knot formed at injection site, site was hot to the touch, began running fever which last couple of days, entire arm was throbbing and very painful for 1 week. Severe headache and difficulty thinking; thoughts seemed muddled. Started Epsom salt warm compresses to injection site which began reducing knot slightly and after one week, knot still remains at injection site. Could not stand for anyone or anything to touch right arm during entire week.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Mental impairment, Pain, Pain in extremity, Pyrexia, Tenderness
Clinical narrative: Arm became extremely red from shoulder to elbow, sizeable hard knot formed at injection site, site was hot to the touch, began running fever which last couple of days, entire arm was throbbing and very painful for 1 week. Severe headache and difficulty thinking; thoughts seemed muddled. Started Epsom salt warm compresses to injection site which began reducing knot slightly and after one week, knot still remains at injection site. Could not stand for anyone or anything to touch right arm during entire week.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Thinking abnormal
Clinical narrative: Arm became extremely red from shoulder to elbow, sizeable hard knot formed at injection site, site was hot to the touch, began running fever which last couple of days, entire arm was throbbing and very painful for 1 week. Severe headache and difficulty thinking; thoughts seemed muddled. Started Epsom salt warm compresses to injection site which began reducing knot slightly and after one week, knot still remains at injection site. Could not stand for anyone or anything to touch right arm during entire week.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Patient stated she had soreness at injection site, but on day 2 after vaccination (3/7/2018) the injection site was red and swollen to the size of a baseball. She said the redness and swelling has stopped without treatment and could not tell me an exact timeframe, but she continues to have soreness in her right arm.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Injection site erythema, Injection site warmth
Clinical narrative: Redness/warmth around injection site spreading towards inner bicep over 3 days.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Abdominal pain upper, Decreased appetite, Dyspnoea, Headache, Hypoaesthesia
Clinical narrative: As soon as vaccine received patient had headache. Later in the day, took 3 Ibuprofen later on; it helped for a couple of hours. By 7pm palm of hands went numb for a couple of hours; went to bed and back to normal by the morning. Patient still has headache now--progresses between headache and migraine. Taking Ibuprofen as needed for headache. Patient mentions pain, stiffness on neck and shoulder blades, and spine is very sore. Today, left side of face went numb for about 30 minutes. Patient called the doctor but was directed to make an appointment. Patient had a little shortness of breath during choir practice; was told to go to the ER if got worse. Has also noticed loss of appetite, stomach pain, pain on left footpressure around the top and side of foot; most issues on left side of body. Patient is on the last day of her period; patient has noticed thinner and excessive discharge. Patient has developed a cold but over the weekend exposed to someone that was sick. Patient reports mood swings are not common.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Limb discomfort, Menstrual disorder, Migraine, Mood swings, Musculoskeletal stiffness
Clinical narrative: As soon as vaccine received patient had headache. Later in the day, took 3 Ibuprofen later on; it helped for a couple of hours. By 7pm palm of hands went numb for a couple of hours; went to bed and back to normal by the morning. Patient still has headache now--progresses between headache and migraine. Taking Ibuprofen as needed for headache. Patient mentions pain, stiffness on neck and shoulder blades, and spine is very sore. Today, left side of face went numb for about 30 minutes. Patient called the doctor but was directed to make an appointment. Patient had a little shortness of breath during choir practice; was told to go to the ER if got worse. Has also noticed loss of appetite, stomach pain, pain on left footpressure around the top and side of foot; most issues on left side of body. Patient is on the last day of her period; patient has noticed thinner and excessive discharge. Patient has developed a cold but over the weekend exposed to someone that was sick. Patient reports mood swings are not common.
Age: 15.0
Sex: F
Vaccine: HPVX
Symptoms: Nasopharyngitis, Pain, Pain in extremity, Spinal pain, Vaginal discharge
Clinical narrative: As soon as vaccine received patient had headache. Later in the day, took 3 Ibuprofen later on; it helped for a couple of hours. By 7pm palm of hands went numb for a couple of hours; went to bed and back to normal by the morning. Patient still has headache now--progresses between headache and migraine. Taking Ibuprofen as needed for headache. Patient mentions pain, stiffness on neck and shoulder blades, and spine is very sore. Today, left side of face went numb for about 30 minutes. Patient called the doctor but was directed to make an appointment. Patient had a little shortness of breath during choir practice; was told to go to the ER if got worse. Has also noticed loss of appetite, stomach pain, pain on left footpressure around the top and side of foot; most issues on left side of body. Patient is on the last day of her period; patient has noticed thinner and excessive discharge. Patient has developed a cold but over the weekend exposed to someone that was sick. Patient reports mood swings are not common.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV9, MEN
Symptoms: Burning sensation, Rash, Urticaria
Clinical narrative: Urticaria/painful burning rash.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: PT DEVELOPED CHICKEN POX ON 4/2/2018 AFTER RECEIVED ZOSTAVAX ON 12/10/2016.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt reports L Arm pain beginning immediately following vaccine administration on 4/4/18. Later that evening she reports L Arm swelling, redness, heat, pain extending from shoulder to elbow. Pt states she immobilized her limb, used ice, and took ADVIL to alleviate the pain. The pain lasted for approx. 3 days, subsiding on Saturday 3/7/18.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Pt reports L Arm pain beginning immediately following vaccine administration on 4/4/18. Later that evening she reports L Arm swelling, redness, heat, pain extending from shoulder to elbow. Pt states she immobilized her limb, used ice, and took ADVIL to alleviate the pain. The pain lasted for approx. 3 days, subsiding on Saturday 3/7/18.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Within 12 hour, area was swollen and red, hot to the touch, burning sensation, pain from wrist to shoulder, couldn't move arm, said she was in agony. Treated with KEFLEX 500 mg TID and was better within 16 hours.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Within 12 hour, area was swollen and red, hot to the touch, burning sensation, pain from wrist to shoulder, couldn't move arm, said she was in agony. Treated with KEFLEX 500 mg TID and was better within 16 hours.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Lymphoedema, Pyrexia
Clinical narrative: Lymphedema, fever.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Blood glucose normal, Feeling abnormal, Hypotension, Loss of consciousness, Pallor
Clinical narrative: Client at clinic accompanied by parent (mother) for 11 YO Immunizations. Client properly identified by name and DOB. Client properly screened for allergies (food/medication) and medical conditions. As per mother statement client has no allergies and no medical conditions. Client and parent explained vaccines about to received. Parent provided VIS. Questions/concerns parent had were answered by nurse. Nurse started administering Flu and MCV4 vaccines at 2:00PM on left arm without any problems/reactions.  Nurse continued to administer Tdap and HPV9 vaccines to right arm. Around 2:01PM when nurse just finished giving client HPV9 vaccine client fainted and started shaking legs and arms for less than 5 seconds. Client quickly regained consciousness but looked "spaced-out" and pale. 2:05PM  Vitals signs were checked and blood pressure was low and pulse was normal. Ambulance was called. In the mean time, vitals signs were monitored, blood pressure stabilized by 2:12PM client remain conscious but continued to looked "spaced-out". 2:30PM ambulance and paramedics arrived. Vital signs checked and normal. RBS checked and normal. 2:40PM client threw up. 2:46PM client left clinic in ambulance going to Hospital and accompanied by mother.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Syncope, Tremor
Clinical narrative: Client at clinic accompanied by parent (mother) for 11 YO Immunizations. Client properly identified by name and DOB. Client properly screened for allergies (food/medication) and medical conditions. As per mother statement client has no allergies and no medical conditions. Client and parent explained vaccines about to received. Parent provided VIS. Questions/concerns parent had were answered by nurse. Nurse started administering Flu and MCV4 vaccines at 2:00PM on left arm without any problems/reactions.  Nurse continued to administer Tdap and HPV9 vaccines to right arm. Around 2:01PM when nurse just finished giving client HPV9 vaccine client fainted and started shaking legs and arms for less than 5 seconds. Client quickly regained consciousness but looked "spaced-out" and pale. 2:05PM  Vitals signs were checked and blood pressure was low and pulse was normal. Ambulance was called. In the mean time, vitals signs were monitored, blood pressure stabilized by 2:12PM client remain conscious but continued to looked "spaced-out". 2:30PM ambulance and paramedics arrived. Vital signs checked and normal. RBS checked and normal. 2:40PM client threw up. 2:46PM client left clinic in ambulance going to Hospital and accompanied by mother.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Injected limb mobility decreased, Injection site erythema, Injection site nodule, Injection site warmth
Clinical narrative: Patient had redness, red "knot", warmness. Even though her arm was red, she was freezing to death. She also said she couldn't lift her arm. I have since spoken to the patient. I had told her to apply a cold compress to the vaccination area. She said that has really helped. She can raise her arm all the way up. She still has the red knot.
Age: 0.08
Sex: F
Vaccine: HPV9, MNQ, RV1, TDAP
Symptoms: Drug administered to patient of inappropriate age, Drug dispensed to wrong patient
Clinical narrative: At this time, the Mother of the Child has not reported any adverse events, symptoms to PCP Dr. Reporting this as the patient was not intended to get these vaccines. Vaccines given by LPN were intended for patient's sibling, 11 year old. LPN noticed that she gave the wrong immunizations to the wrong patient, and self-reported to PCP, Mother, Office Manager, Nurse Manager, and agency. Per Dr.: "I called and spoke with staff at agency. This patient inadvertently received Tdap, MENVEO, and HPV vaccines at 2 mos. visit this morning (also received Rotavirus, appropriately). Per the CDC, there is no documented harm with giving the MENVEO and HPV vaccines, they were given off label at this age. Pt will still need to receive recommended PEDIARIX, HIB, and PNU vaccines (Tdap received does not count for DTaP)".
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Fatigue, Feeling abnormal, Headache, Somnolence
Clinical narrative: I awoke with a headache (unusual for me). As the day progressed I became very tired. By 2 PM I felt I had to take a nap. By 4 PM, I just felt off and sensed a fever coming on. My stomach feels delicate. And now, at 5:02, I'm going to bed.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 4 cm x 3.5 cm erythematous, warm, raised, round patch to patients left deltoid where injection was given.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Pyrexia
Clinical narrative: Pt had redness starting day after injection. Low grade fever started 4/10 with increased redness. Consulted with MD on 4/11 who diagnosed cellulitis and prescribed an antibiotic.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Swollen at inject site, then gets better a few days after.
Age: 17.0
Sex: F
Vaccine: HPV9, MEN, VARCEL
Symptoms: Asthenia, Dizziness, Injection site erythema, Injection site irritation, Injection site warmth
Clinical narrative: Bright red, hot agitation at the site of Varicella vaccination. Dizziness, nausea, and weakness.
Age: 17.0
Sex: F
Vaccine: HPV9, MEN, VARCEL
Symptoms: Nausea
Clinical narrative: Bright red, hot agitation at the site of Varicella vaccination. Dizziness, nausea, and weakness.
Age: 58.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient stated the injection site was red and warm to the touch.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Neck pain, Pain of skin
Clinical narrative: Pt reports "shingles" outbreak. MD saw pt on 4/10, no evidence of shingles. Pt reports pain on neck, and scalp. MD reports that this is described similar to PHN pain. This is a different dermatome then pt's history of PHN. Pt treated with Lidocaine 5% oint., LYRICA 75 mg BID and Tramadol 50 mg PRN.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Patient stated she noticed itching and red patches over her body - none were directly at the injection site though.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Erythema, Malaise, Peripheral swelling, Pyrexia
Clinical narrative: Pt said there was a big red swell on his arms that progressively was bigger. Pt reported of malaise, chills and slight fever that he said went away with some TYLENOL.
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Rash, Rash pruritic
Clinical narrative: Right thigh with erythema, swelling, pain the morning after vaccines were administered. No symptoms to left thigh. Patient also with rash to back although mom reports could also be heat related d/t air conditioning issues currently. Itching to rash areas also. OTC BENADRYL was given at home with improvement although patient reported to office with continued swelling and redness surrounding injection sites to right thigh. Minimal pain on palpation, no fluid collection or concern for abscess or infection at the time of assessment in office. Recommended another dose of BENADRYL, cool compresses to area, and starting PO cetirizine today to be taken for 1 week. Mother to return for any changes in patient condition.
Age: 83.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Pruritus
Clinical narrative: Redness at the injection site, may be cellulitis, itching, Dr has prescribed her cephalexin for it.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Musculoskeletal stiffness, Tenderness
Clinical narrative: Extreme joint pain, tenderness and stiffness that was more intense than usual arthritis pain and lasted about 24 hours. Intense headache.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Crying, Flatulence, Infantile spitting up, Injection site erythema, Injection site pain
Clinical narrative: Extreme crying to the point of being inconsolable for over 4 hours, spitting up thick chunky liquid repeatedly, excessive gas and very tender injection sites that are bright red only on 1 thigh. Injections occurred in both thighs. 2.5 ml of infant TYLENOL helped to fall asleep and lessen crying, thighs still appear to be tender.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site pain, Limb discomfort, Muscular weakness
Clinical narrative: The injection site was sore for 48 hours. The day after the injection (4/7/18) she felt extreme tiredness and chills. Her arm also started feeling "heavy" and weak starting at 1 PM on 4/8/18. Pt. states that it "feels like a deep muscle ache and has not resolved". As of this writing at 8:15 PM on 4/11/18 it still has not resolved. Patient is scheduled to see her primary care physician on 4/12/18.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: The injection site was sore for 48 hours. The day after the injection (4/7/18) she felt extreme tiredness and chills. Her arm also started feeling "heavy" and weak starting at 1 PM on 4/8/18. Pt. states that it "feels like a deep muscle ache and has not resolved". As of this writing at 8:15 PM on 4/11/18 it still has not resolved. Patient is scheduled to see her primary care physician on 4/12/18.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Angiogram, Blood creatine phosphokinase MB, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Drug screen negative, Echocardiogram, Ejection fraction normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Fibrin D dimer normal, Impaired work ability, Insomnia, Nausea, Painful respiration
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Pallor, Prinzmetal angina, Red blood cell sedimentation rate normal, Troponin I increased, Ventricular extrasystoles
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Vomiting
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Acute myocardial infarction, Angiogram, Blood creatine phosphokinase MB increased, Chest X-ray normal, Chest discomfort
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Chest pain, Drug screen negative, Ejection fraction normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 21.0
Sex: M
Vaccine: ANTH, SMALL, ANTH, SMALL, TYP
Symptoms: Fibrin D dimer normal, Insomnia, Loss of personal independence in daily activities, Nausea, Painful respiration
Clinical narrative: (IHB VAECS Case) Patient received SPV(1) and AVA(1) on 26 Mar 2018. 4 Apr, Onset of chest  pain:  about 4 hours after completing work out. Thought maybe it was a  pulled muscle, so "toughed it out".(intensity at onset (5/10). That night, he had difficulty sleeping due to pain. 5 Apr, Substernal chest pain "like a sumo wrestler on chest" continued and became progressively worse (10/10) during the day.  Pain worse with deep breaths . No change with position changes. No radiation. No shortness of breath, palpitations, and pedal edema. By late afternoon, in addition to chest pain, patient was nauseous and had one emesis; his coworkers said he was pale. He went to the local ER where he was admitted. In the ER, patient had abnormal ECG and elevated troponins. He received Toradol with some decrease in chest pain, but pain not resolution. He was admitted and taken for cardiac angiography in cath lab. During procedure, IV NTG was administered under sedation.  Patient remained in the hospital through Sunday, 8 Apr. He was diagnosed with Printzmetal Angina and discharged on Isosorbide  60 mg daily, ASA 81 mg daily, and L-arginine 1000 mg 3x/day. Patient has been asymptomatic since 6 Apr. He is on limited duty x 6 months. Plans are for patient to have follow up with cardiologist.
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Ear discomfort, Lacrimation increased, Pyrexia, Rhinorrhoea
Clinical narrative: Per patient via incoming call at office: ear pressure, fever, chills, runny nose, eyes watery.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction, Musculoskeletal stiffness, Product administered at inappropriate site
Clinical narrative: Vaccine seemed to be administered too high-closer to AC space rather than the bulky portion of the deltoid. Symptoms: acute onset of left shoulder pain, stiffness, decreased range of motion.
Age: 37.0
Sex: M
Vaccine: PPV
Symptoms: Local reaction, Rash
Clinical narrative: It appears patient had a localized reaction to the PNEUMOVAX 23 immunization. Patient still denies any allergies to latex or eggs. Advised patient to take OTC BENADRYL for the rash and avoid future exposure to PNEUMOVAX.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Middle insomnia, Oedema, Pain, Skin warm
Clinical narrative: Pt just received PNEUMOVAX booster on 29 Nov 17. Had the Pneumococcal Polysaccharide PPV23 vaccine on Wednesday morning, noted redness and pain at about 0200 the next morning as it woke her from sleep. Called the advice nurse and they triaged her into apt today. Pain bothered her last night. Erythema and edema have greatly reduced since yesterday with application of warm compresses. Tried ibuprofen 400mg 3x yesterday. None today. No pain, drainage or fluctuance noted by patient. Never had before with vaccine. Warm to touch and not bleeding.