chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site warmth, Polymerase chain reaction, Pyrexia, Skin warm, Tenderness
Clinical narrative: Patient was seen for cough on 11/28/17 after exposure to pertussis at school. He had a pertussis PCR done and was placed on BACTRIM. He was subjectively warm but no documented fever. He received a Tdap on 11/28/2017 as well. On 11/29/2017 his entire left arm from shoulder to wrist developed redness, warmth and swelling with tender left armpit. BENADRYL was given with cold compress with benefit. Mom states he had fever to 101 F x 2 days.
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient got vaccine at 10:15 am. He reported NKA and no prior vaccine reactions. He called and said he had rash on legs at 2pm. He also had used a new lotion so not sure of cause. He got BENADRYL and will follow up w/ MD office if symptoms worsen or don't resolve.
Age: 59.0
Sex: M
Vaccine: MMR
Symptoms: Arthralgia, Full blood count normal, Joint swelling, Pain in extremity, Parvovirus B19 test
Clinical narrative: On 11/27/17 patient awoke with a general body rash that was not itchy. He denied any fever. On 11/28/17 he developed acute knee joint pain and swelling, with Right foot/ankle/wrist pain and Left middle finger pain. He saw his PCP on 11/29/17 and she did a CBC which was normal and order a Parvo screen.
Age: 59.0
Sex: M
Vaccine: MMR
Symptoms: Rash generalised
Clinical narrative: On 11/27/17 patient awoke with a general body rash that was not itchy. He denied any fever. On 11/28/17 he developed acute knee joint pain and swelling, with Right foot/ankle/wrist pain and Left middle finger pain. He saw his PCP on 11/29/17 and she did a CBC which was normal and order a Parvo screen.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Within 2 hours of receiving flu vaccine felt (L) upper arm swelling 10/18/17. Woke this AM and (L) upper arm swollen, redness and was itchy. Seen in Employee Health.
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of pain in arm in a female patient who received FLULAVAL QUADRIVALENT. On an unknown date, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was unknown. It was unknown if the reporter considered the pain in arm to be related to FLULAVAL QUADRIVALENT. Additional details were provided as follows: The age at the vaccination was not reported. The reporter collected adverse event report. The clinic manager asked the patient (staff member) what was experience with FLULAVAL immunization and the patient stated arm hurt for days following administration. The other reporter thought it was related to shot but one other patient commented that they thought administration technique of immunizer may have contributed. None of the immunizations led to hospitalization. This case has been linked to case US2017GSK182496 and US2017GSK183816, reported by same reporter for same event.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Abdominal pain, Malaise, Vaccination site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Child was given immunization 11/29/17. 11/30/17 Mom reports after lunch he reported feeling "ill" C/O tummy ache. Fine by evening. Mom noted redness/warmth and swelling to (R) arm. 12/1/17 AM area was larger in redness and slightly painful to touch. Red area measures approx. 3.25 length 2.75 width.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Vaccination site warmth
Clinical narrative: Child was given immunization 11/29/17. 11/30/17 Mom reports after lunch he reported feeling "ill" C/O tummy ache. Fine by evening. Mom noted redness/warmth and swelling to (R) arm. 12/1/17 AM area was larger in redness and slightly painful to touch. Red area measures approx. 3.25 length 2.75 width.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Pain in extremity
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of pain in arm in a 17-year-old female patient who received BEXSERO (batch number 16B501, expiry date unknown). On an unknown date, the patient received the 1st dose of BEXSERO .5 ml. On an unknown date, unknown after receiving BEXSERO, the patient experienced pain in arm. The patient was treated with ibuprofen. On an unknown date, the outcome of the pain in arm was recovered/resolved. It was unknown if the reporter considered the pain in arm to be related to BEXSERO. Additional details were provided as follows: The case was received from a Medical assistant. The age at the vaccination was not reported. The patient experienced pain, hurt to move arm for three weeks that was painful not red or swollen. The patient was treated with ibuprofen for several days.
Age: 25.0
Sex: F
Vaccine: MENB, PPV
Symptoms: Chills, Erythema, Hyperhidrosis, Nausea, Pain in extremity
Clinical narrative: 11/28/17 started w/nausea. 11/29/17 fever 101 (ear temp), periods of sweat and chills. L arm sore and tender to touch. Took ADVIL during the day and ADVIL PM at nite. 11/30/17 temp 99. Then dropped to 94. White finger tips and toes. Temp in evening 100 ADVIL PM. 12/01/17 went to PMD. (Temp 99.0 oral) who said it may be cellulitis and noted to be red, swollen, with a streak going down. Prescribed BACTRIM. Started at 11:00 AM 1 tab every 12 hour.
Age: 25.0
Sex: F
Vaccine: MENB, PPV
Symptoms: Pyrexia, Swelling, Tenderness
Clinical narrative: 11/28/17 started w/nausea. 11/29/17 fever 101 (ear temp), periods of sweat and chills. L arm sore and tender to touch. Took ADVIL during the day and ADVIL PM at nite. 11/30/17 temp 99. Then dropped to 94. White finger tips and toes. Temp in evening 100 ADVIL PM. 12/01/17 went to PMD. (Temp 99.0 oral) who said it may be cellulitis and noted to be red, swollen, with a streak going down. Prescribed BACTRIM. Started at 11:00 AM 1 tab every 12 hour.
Age: 2.0
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Urticaria
Clinical narrative: PATIENT DEVELOPED HIVES TO FACE AND TRUNK APPROXIMATELY 90 MINUTES AFTER RECEIVING VACCINES. RECEIVED 12.5MG OF BENADRYL IN OFFICE. MOM INSTRUCTED BY PROVIDER TO CONTINUE BENADRYL EVERY 6 HOURS AS NEEDED.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Chills, Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient states that 1-2 days after receiving his vaccines he started to notice swelling and redness of his entire upper arm and inside of his chest adjacent to the arm. He states the injection sites seemed fine but his arm from the elbow to shoulder became very swollen and painful. Upon the 3rd day he started experiencing fever and chills and decided to go to a doctor for evaluation. This reaction only occurred in his Right arm-which he received Hdose Flu and PPSV23 vaccines in.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV, TDAP
Symptoms: Pyrexia, Swelling
Clinical narrative: Patient states that 1-2 days after receiving his vaccines he started to notice swelling and redness of his entire upper arm and inside of his chest adjacent to the arm. He states the injection sites seemed fine but his arm from the elbow to shoulder became very swollen and painful. Upon the 3rd day he started experiencing fever and chills and decided to go to a doctor for evaluation. This reaction only occurred in his Right arm-which he received Hdose Flu and PPSV23 vaccines in.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling
Clinical narrative: Patient reported that a "red streaky" reaction occurred 3-4 inches below her injection site on her left arm. She has used Naproxen twice daily to decrease swelling and has applied a heating pad to site.
Age: 76.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Chills, Fatigue, Hyperhidrosis, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Pt developed fever to 102F and body aches 11/29/17, after receiving the pneumococcal 23 and flu vaccinations 11/28/17 in clinic. He also had right shoulder soreness where he received both vaccinations. 11/30/17 patient reported in that morning the skin over his right deltoid became red and swollen. Reports sweats and chills and feels very fatigued, mild nasal congestion. He states he had had fatigue and body aches after a previous flu shot but never symptoms this severe. Has been taking TYLENOL, drinking a lot of fluids. He denies mouth swelling, hives, rash or trouble swallowing or breathing.   Pt appears fatigued,  Skin over right deltoid is diffusely erythematous, mildly edematous, and quite tender to palpation.   1. Suspected adverse effect of vaccine, initial encounter We discussed how fever and body aches can be a rare side effect from vaccinations, in particular pneumococcal 23. I was unable to find data on the CDC website regarding how long these symptoms typically last, although I anticipate not more than a few days.   2. Possible cellulitis of right upper extremity Given new erythema, edema and tenderness at vaccine site that appeared 2 days after vaccination along with his systemic symptoms, I have elected to treat for possible cellulitis. However, it is also possible the skin findings are simply a reaction to the vaccination rather than bacterial cellulitis. A skin pen was used to demarcate the border of the skin redness for pt tracking purposes. Pt's VS are WNL today during his visit. - cephaLEXin (KEFLEX) 500 mg Oral Capsule; Take 1 Cap by mouth four times a day for 5 days.  Dispense: 20 Cap; Refill: 0 3. Fever 4. Body aches
Age: 76.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Influenza virus test negative, Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling
Clinical narrative: Pt developed fever to 102F and body aches 11/29/17, after receiving the pneumococcal 23 and flu vaccinations 11/28/17 in clinic. He also had right shoulder soreness where he received both vaccinations. 11/30/17 patient reported in that morning the skin over his right deltoid became red and swollen. Reports sweats and chills and feels very fatigued, mild nasal congestion. He states he had had fatigue and body aches after a previous flu shot but never symptoms this severe. Has been taking TYLENOL, drinking a lot of fluids. He denies mouth swelling, hives, rash or trouble swallowing or breathing.   Pt appears fatigued,  Skin over right deltoid is diffusely erythematous, mildly edematous, and quite tender to palpation.   1. Suspected adverse effect of vaccine, initial encounter We discussed how fever and body aches can be a rare side effect from vaccinations, in particular pneumococcal 23. I was unable to find data on the CDC website regarding how long these symptoms typically last, although I anticipate not more than a few days.   2. Possible cellulitis of right upper extremity Given new erythema, edema and tenderness at vaccine site that appeared 2 days after vaccination along with his systemic symptoms, I have elected to treat for possible cellulitis. However, it is also possible the skin findings are simply a reaction to the vaccination rather than bacterial cellulitis. A skin pen was used to demarcate the border of the skin redness for pt tracking purposes. Pt's VS are WNL today during his visit. - cephaLEXin (KEFLEX) 500 mg Oral Capsule; Take 1 Cap by mouth four times a day for 5 days.  Dispense: 20 Cap; Refill: 0 3. Fever 4. Body aches
Age: 76.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Nasal congestion, Pain, Pyrexia
Clinical narrative: Pt developed fever to 102F and body aches 11/29/17, after receiving the pneumococcal 23 and flu vaccinations 11/28/17 in clinic. He also had right shoulder soreness where he received both vaccinations. 11/30/17 patient reported in that morning the skin over his right deltoid became red and swollen. Reports sweats and chills and feels very fatigued, mild nasal congestion. He states he had had fatigue and body aches after a previous flu shot but never symptoms this severe. Has been taking TYLENOL, drinking a lot of fluids. He denies mouth swelling, hives, rash or trouble swallowing or breathing.   Pt appears fatigued,  Skin over right deltoid is diffusely erythematous, mildly edematous, and quite tender to palpation.   1. Suspected adverse effect of vaccine, initial encounter We discussed how fever and body aches can be a rare side effect from vaccinations, in particular pneumococcal 23. I was unable to find data on the CDC website regarding how long these symptoms typically last, although I anticipate not more than a few days.   2. Possible cellulitis of right upper extremity Given new erythema, edema and tenderness at vaccine site that appeared 2 days after vaccination along with his systemic symptoms, I have elected to treat for possible cellulitis. However, it is also possible the skin findings are simply a reaction to the vaccination rather than bacterial cellulitis. A skin pen was used to demarcate the border of the skin redness for pt tracking purposes. Pt's VS are WNL today during his visit. - cephaLEXin (KEFLEX) 500 mg Oral Capsule; Take 1 Cap by mouth four times a day for 5 days.  Dispense: 20 Cap; Refill: 0 3. Fever 4. Body aches
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: On 9/27/17, the employee reported two raised, red spots slightly below the injection site. She reported she had not had any reactions to any previous flu vaccines. There was no itching or discomfort. Employee was advised by workplace nurse to ice it and take BENADRYL that night, then report back. Employee reported back on 9/28/17. The two spots had now combined into one bigger one. There was still no discomfort but it was now a little itchy. The employee had not applied ice nor taken BENADRYL the night before, and was told by the workplace nurse to try those measures that night and then report back again. Employee reported back on 9/29/17. The spot was less red and less raised, with no discomfort and no itching. The employee was advised to see her primary care provider if she felt it was necessary, but that she did not need to report back to us unless she had concerns or if the spot worsened. The employee said she had no concerns; she did not report back. I spoke with the employee on 12/1/17 to let her know this report was being filed. She did mention she still has a mark, like a bruise, in the spot where the red mark was. There is no discomfort and no itching.
Age: 0.08
Sex: M
Vaccine: HEPA
Symptoms: Wrong drug administered
Clinical narrative: Hep A vaccine was given instead of Hep B vaccine.
Age: 89.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: Vaccine was injected in right arm (Pt can't have vaccines injected in her left arm due to getting a mastectomy when fighting breast cancer). Patient reported that right arm throbs at night and disturbs her out of her sleep. Patient received the FLUAD vaccine 8/24/17. Pt is right handed so does not feel pain during the day since she uses it most of the time. She feels the pain when her arm is at rest. Today (12/01/17) is the patient's second visit to the pharmacy reporting pain in her arm. She went to see her MD about it and thinks it has something to do with the vaccine injection into the muscle. Patient would like to hear from the FDA about what she should do. She also took TYLENOL 650 mg to help with the pain. Patient never had any issues with the high dose flu vaccine and received FLUZONE in the past. This was her first time getting FLUAD.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: She received the vaccination around 11:30 am on 11/30/2017.The patient noticed symptoms that same evening around 6 or 7 pm. Her symptoms included redness of the upper left arm, pain, swelling, and itchiness. She called her doctor's office and has since taken ALEVE and BENADRYL and symptoms are improving. She has had no limited movement, just pain. No appointment has been made at this point.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Furuncle, Injection site pain, Injection site reaction, Oral mucosal blistering, Oral pain
Clinical narrative: Patient developed three "boils" BELOW injection on left arm. They were sore, but disappeared within 3 days. Patient also developed "big" blister on upper palate of mouth. Painful, but disappeared quickly.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Child received varicella vaccine of some sort in early November at PCP clinic. I do not know which one. Had acute febrile illness, now at 1 week old zoster like eruption in a V2 facial distribution.
Age: 25.0
Sex: F
Vaccine: HEPAB, HPV9, MMR, TYP
Symptoms: Dizziness, Fatigue, Feeling hot, Inappropriate schedule of drug administration, Loss of consciousness
Clinical narrative: Patient reported for simple vaccine update - she'd had one GARDASIL (unsure if 4 or GARDASIL 9) on 10/27/17 without any prior reaction - and due to prior lab work showing lack of immunity to measles or hepatitis B. After administration of 4th vaccine (3 IM and 1 SC) nurse reported that patient felt light-headed and warm and then lost consciousness - this was almost immediately after injection of 4th vaccine. She yelled to me and I came in to room to find patient unconscious and seated, going quickly into tonic stiffening with mild extension of trunk and total extension of BUE/LE. She became incontinent of urine as well. No tongue trauma. We laid patient supine and within 30 - 45 seconds patient's tonicity had relaxed and she had regained consciousness. She was able to bend knees up while laying supine at this time. She had a NL pulse (HR 70's) and had a normal respiration rate, roughly 14 - 16. Within minutes she was AO x 3 with VS stable/normal (97/67, HR 87, Px 100% RA). After 10 - 15 minutes she was seated and felt slightly tired and nauseated but eager to go home. She was messaging with her boss and friend and said friend would drive her home or she would consider ordering Uber ride home. We discouraged driving until she felt well enough for this. She was able to walk out of wellness center without incident. This reaction will be reported to the VAERS by myself.
Age: 25.0
Sex: F
Vaccine: HEPAB, HPV9, MMR, TYP
Symptoms: Musculoskeletal stiffness, Nausea, Urinary incontinence
Clinical narrative: Patient reported for simple vaccine update - she'd had one GARDASIL (unsure if 4 or GARDASIL 9) on 10/27/17 without any prior reaction - and due to prior lab work showing lack of immunity to measles or hepatitis B. After administration of 4th vaccine (3 IM and 1 SC) nurse reported that patient felt light-headed and warm and then lost consciousness - this was almost immediately after injection of 4th vaccine. She yelled to me and I came in to room to find patient unconscious and seated, going quickly into tonic stiffening with mild extension of trunk and total extension of BUE/LE. She became incontinent of urine as well. No tongue trauma. We laid patient supine and within 30 - 45 seconds patient's tonicity had relaxed and she had regained consciousness. She was able to bend knees up while laying supine at this time. She had a NL pulse (HR 70's) and had a normal respiration rate, roughly 14 - 16. Within minutes she was AO x 3 with VS stable/normal (97/67, HR 87, Px 100% RA). After 10 - 15 minutes she was seated and felt slightly tired and nauseated but eager to go home. She was messaging with her boss and friend and said friend would drive her home or she would consider ordering Uber ride home. We discouraged driving until she felt well enough for this. She was able to walk out of wellness center without incident. This reaction will be reported to the VAERS by myself.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Dizziness, Dysphonia, Respiratory tract congestion, Vision blurred
Clinical narrative: Started with some congestion, dizziness, then quickly progressed to coughing and hoarseness, blurry vision. I was transported via a wheelchair to the ED. I took 2 BENADRYL about 2 hours before the injection with lunch. I took 2 more after the reaction started plus 2 puffs of my albuterol inhaler. Then 50 mg of prednisone followed later by a taper of prednisone for 3 days.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Wheelchair user
Clinical narrative: Started with some congestion, dizziness, then quickly progressed to coughing and hoarseness, blurry vision. I was transported via a wheelchair to the ED. I took 2 BENADRYL about 2 hours before the injection with lunch. I took 2 more after the reaction started plus 2 puffs of my albuterol inhaler. Then 50 mg of prednisone followed later by a taper of prednisone for 3 days.
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Fatigue, Headache, Nausea
Clinical narrative: Within 30 minutes of receiving the vaccine, my daughter began feeling extremely exhausted and tired.  Within 2 hours she was extremely nauseous and had a terrible headache. These side effects lasted for about 1 full day (24 hours). After the 2nd day she was back to normal and has not had any problems since. There was no treatment needed, just rest.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Eye pruritus, Lacrimation increased, Local reaction, Throat irritation
Clinical narrative: Given her history of large local reactions to the flu vaccine, we administered the doses according to a graded protocol as reported in the Guidelines. She received all doses with a 15 min observation after each dose. After her last dose she developed throat itching and clearing followed by eye itching and watering and then progressed to difficulty swallowing. She was given BENADRYL, steroids and epinephrine and sent to the ER for a 4 hour observation. The following day she continued to have a large local reaction larger than the day before. No systemic symptoms on day 2.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Headache, Hypoaesthesia
Clinical narrative: Headache, dizziness, leg numbness.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient came back into the pharmacy on 12-1-2017 at 2:30 pm to show me her arm. The right arm was swollen, red and hurts. She had been using ice. I recommended continuing with ice and gave her BENADRYL to use also. She is to call me again for a follow up.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Wrong patient received medication
Clinical narrative: Due to language issues with patient and family the wrong patient was brought up from the Vaccine Registry. The Varicella vaccine was administered but was not needed. No adverse symptoms were noted.
Age: 1.0
Sex: F
Vaccine: DTAPIPV, HIBV, PNC13
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: No adverse event. Noted by billing that KINRIX was given to patient less than 4 years old.
Age: 5.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Condition aggravated, Full blood count, Henoch-Schonlein purpura, Injection site swelling, Skin discolouration
Clinical narrative: Pt had left leg swelling and darkening of HSP spots.
Age: 5.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Urine analysis
Clinical narrative: Pt had left leg swelling and darkening of HSP spots.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient came to pharmacy showing arm with redness and swelling starting just below injection site involving all tissue down to elbow and patient feeling like it was feverish and maybe swelling redness was continuing to worsen. Two injection site barrier bandages were used about 1-2 inches apart for the vaccines, removed by patient the next morning, showing partial redness "rings" from where the two bandages were placed before the injection also.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of pain in arm in a 39-year-old female patient who received FLULAVAL QUADRIVALENT. On an unknown date, the patient received FLULAVAL QUADRIVALENT .5 ml. On an unknown date, less than a year after receiving FLULAVAL QUADRIVALENT, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm was recovered/resolved. It was unknown if the reporter considered the pain in arm to be related to FLULAVAL QUADRIVALENT. Additional details were provided as follows: The age at the vaccination was not reported. The Clinic manager stated that the flu shot left her arm sore for one week. None of the immunizations led to hospitalization. This case has been linked to case US2017GSK183784 and US2017GSK183816, reported by same reporter for same event.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site inflammation, Injection site pain, Injection site streaking, Injection site warmth
Clinical narrative: Patient reports severe injection site pain, which extended up through her left shoulder. She also reports red streaks that extended up and down her left arm, which were warm to the touch and inflamed.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Nausea
Clinical narrative: PT REPORTED FEELING FAINT AND NAUSEOUS MOMENTS AFTER VACCINE WAS ADMINISTERED. RPH  INSTRUCTED PT TO SIT DOWN AND REST FOR A WHILE. RPH OBSERVED PT FOR A WHILE HOWEVER  SYMPTOMS PERSISTED FOR MORE THAN 15 MINUTES. PT WAS THEN REFERED TO NURSING FOR  INTAKE.
Age: 1.0
Sex: F
Vaccine: VARZOS
Symptoms: Wrong drug administered
Clinical narrative: Patient given ZOSTAVAX instead of Varicella vaccine.
Age: 77.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Axillary pain, Injection site induration, Injection site pain, Injection site warmth, Peripheral swelling
Clinical narrative: THE ENTIRE UPPER ARM (TILL ELBOW) HAD A SEVERE REACTION AFTER ABOUT 24 HOURS. THE INJECTION SITE WAS HARD, PAINFUL, HOT. THE NEXT DAY THE RASH BECAME MORE PROMINENT, SWELLED, ARM WAS MORE PAINFUL TO TOUCH AND ARMPIT WAS SORE - ALL OVER HER UPPER ARM. PATIENT TOOK BENADRYL 25 MG AS A SINGLE DOSE ON 11/29/2017 AND IBUPROFEN 200 MG TOOK 2 DOSES ON 11/28/17 AND 11/29/17. (JUST A SUGGESTION: THERE SHOULD BE A WAY TO UPLOAD PICTURES OF THESE OUTCOMES - IT WOULD MORE CLEARLY BE ABLE TO DEPICT THE REACTIONS OBSERVED).
Age: 77.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Rash, Tenderness
Clinical narrative: THE ENTIRE UPPER ARM (TILL ELBOW) HAD A SEVERE REACTION AFTER ABOUT 24 HOURS. THE INJECTION SITE WAS HARD, PAINFUL, HOT. THE NEXT DAY THE RASH BECAME MORE PROMINENT, SWELLED, ARM WAS MORE PAINFUL TO TOUCH AND ARMPIT WAS SORE - ALL OVER HER UPPER ARM. PATIENT TOOK BENADRYL 25 MG AS A SINGLE DOSE ON 11/29/2017 AND IBUPROFEN 200 MG TOOK 2 DOSES ON 11/28/17 AND 11/29/17. (JUST A SUGGESTION: THERE SHOULD BE A WAY TO UPLOAD PICTURES OF THESE OUTCOMES - IT WOULD MORE CLEARLY BE ABLE TO DEPICT THE REACTIONS OBSERVED).
Age: 77.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Inflammation
Clinical narrative: THE ENTIRE UPPER ARM (TILL ELBOW) HAD A SEVERE REACTION AFTER ABOUT 24 HOURS. THE INJECTION SITE WAS HARD, PAINFUL, HOT. THE NEXT DAY THE RASH BECAME MORE PROMINENT, SWELLED, ARM WAS MORE PAINFUL TO TOUCH AND ARMPIT WAS SORE - ALL OVER HER UPPER ARM. PATIENT TOOK BENADRYL 25 MG AS A SINGLE DOSE ON 11/29/2017 AND IBUPROFEN 200 MG TOOK 2 DOSES ON 11/28/17 AND 11/29/17. (JUST A SUGGESTION: THERE SHOULD BE A WAY TO UPLOAD PICTURES OF THESE OUTCOMES - IT WOULD MORE CLEARLY BE ABLE TO DEPICT THE REACTIONS OBSERVED).
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Blood magnesium, C-reactive protein, Electroencephalogram, Full blood count, Metabolic function test
Clinical narrative: MYOCLONIC JERKING. MUSCLE SPASM.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Muscle spasms, Myoclonus, Nuclear magnetic resonance imaging, Red blood cell sedimentation rate, Streptococcus test
Clinical narrative: MYOCLONIC JERKING. MUSCLE SPASM.
Age: 5.0
Sex: F
Vaccine: MMRV
Symptoms: Urine analysis
Clinical narrative: MYOCLONIC JERKING. MUSCLE SPASM.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: Patient has described soreness, pain, and stiffness in injection site and deltoid muscle since the vaccination, which was on 9/10/17. It has almost been three months since the vaccination and he says it was right after the vaccine that he felt this. He has stated that it is getting better lately.
Age: 86.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site irritation
Clinical narrative: Redness and irritation at site slightly below the injection site.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Site of injection is red and itchy. Taking BENADRYL and applying hydrocortisone cream. And will go to the doctor if doesn't improve or gets worse.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Immediate post-injection reaction, Injection site pain, Pain
Clinical narrative: Immediate, sharp, shooting pain at time of vaccination that has continued for 2 weeks now. It has lessened but pt still reports shooting pain when she moves her arm in a certain way and she has limited range of motion. Appears this may have been injected too high.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Joint lock, Pain, Swelling
Clinical narrative: Shot administered high on the right arm, causing local pain and swelling. Subsequently the patients shoulder "locked up" on him the next day.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Drug administered at inappropriate site, Injection site pain
Clinical narrative: Patient reported pain in shoulder almost immediately after injection. She stated that she felt that the injection was given to high in the deltoid, nearly in the joint. She has seen her physician multiple times, has been given a cortisone injection and is currently still in physical therapy for this. She reported this to me today, 12/1/17, as she felt we should know for educational purposes.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Pyrexia, Urticaria
Clinical narrative: Patient said she had a very high fever with body aches and pain and hives.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Asthenia, Erythema, Rash, Skin warm
Clinical narrative: Pt seen as walk in due to immunization reaction-immunizations 2 days ago. Rash on legs started yesterday. Redness worsened over day, child felt low energy. No fevers, but felt warm. Mother put cool clothes on legs. Mother gave baby ASA, but didn't have money for TYLENOL or ibu. Denies SOB, has little cough but started prior. No other SXS.
Age: 32.0
Sex: F
Vaccine: FLUC4, MMR, TDAP
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: NO CURRENT ADVERSE EFFECTS. REPORT IS BEING DONE AS A PRECAUTION. Patient denied current pregnancy at the time of her vaccinations. She is with only one vaccination session of Td, MMR and Flu vaccine. LMP 10.15.2017. 2 weeks prior to vaccination. EDC estimated to be 07.21.2018. No illness noted after vaccinations. She has a theoretical risk of fetal anomaly as she was given MMR in very early pregnancy.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient had a low grade fever, arm and general soreness and chills. He said he has had this for the days after shot. He is feeling better as of 12/1/17 7pm and he barely has a fever.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Malaise
Clinical narrative: Patient complained about chills and malaise. Advised patient to take APAP or ibuprofen and to seek medical attention if last longer than 3 days.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Headache, Inflammation, Influenza like illness, Pain
Clinical narrative: Patient called pharmacy in the evening after receiving the immunizations on 11/30/2017 to report that she was experiencing swelling in the arm, chills, headache, and flu like symptoms. Patient called her primary care physician the next day, was told to take ibuprofen for the inflammation and pain and use cold compress, pharmacy called patient on 12/1/2017 to inquire on status, patient reported feeling better, less swelling, and a decrease in pain. Patient was told to inform both physician and pharmacy if symptoms do not continue to improve or if they worsen.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Peripheral swelling
Clinical narrative: Patient called pharmacy in the evening after receiving the immunizations on 11/30/2017 to report that she was experiencing swelling in the arm, chills, headache, and flu like symptoms. Patient called her primary care physician the next day, was told to take ibuprofen for the inflammation and pain and use cold compress, pharmacy called patient on 12/1/2017 to inquire on status, patient reported feeling better, less swelling, and a decrease in pain. Patient was told to inform both physician and pharmacy if symptoms do not continue to improve or if they worsen.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Nausea, Pain in extremity
Clinical narrative: The patient had severe pain in her left arm and had trouble lifting it. She was experiencing nausea as well. The onset was within a few hours after the shot.
Age: 79.0
Sex: F
Vaccine: FLU3, PNC13, VARZOS
Symptoms: Emotional distress, Malaise, Rash
Clinical narrative: Patient reported feeling very ill (and getting rash - which was reported later) after receiving the vaccines. She said that she went to see her physician but I was not able to clear description of symptoms due to patient being upset about adverse events and abruptly ending phone call. Upon follow up with physician (who patient went to see following immunizations), physician is attributing effects to potential illness she may have come in contact with prior to the immunizations themselves, which is why he prescribed an antibiotic at office visit on 11/6/17. Per physician, appointment was scheduled prior to adverse effects (adverse effects were discussed at this routine visit).
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Dizziness, Dysphagia, Headache, Hypertension
Clinical narrative: 18 hours after receiving the vaccine, I suddenly started having an extreme aura (that preceded a migraine), accompanied by very high blood pressure. (187 over 136....later reaching 200 while in ambulance). I have never had a migraine or aura before. I had only very rarely had  an occasional slight headache in my lifetime. The aura included large blind spots, very blurry vision, and bright white twinkling lights around my peripheral vision, including jagged white lines/lights. I was also lightheaded and dizzy. I was taken from work by ambulance. At the hospital, I was given scans. A small nodule was found on the isthmus of my thyroid, but they said it did not look serious. I was released 3 hours later, which was the time my headache started. Shortly thereafter, I had a migraine and had to lie in the dark with no sound, ice on head. The day after this, almost 48 hours after the vaccine, I noticed that my throat felt thick, and like it was slightly closing. This lasted for weeks. In addition, all the glands around my neck and back of neck felt very swollen, making it hard to swallow. My thyroid tests came back within normal range, but the pain and heaviness continued for about 6 weeks until the endocrinologist put me on prednisone. My headaches have continued since September 25th, pretty much daily. I am trying to take various meds to deal with the pain. I did have an MRI which showed chronic small vessel ischemic disease from high blood pressure. This has been the worst two months of my life. I am meeting with an neurologist this Tuesday morning.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Migraine with aura, Nuclear magnetic resonance imaging abnormal, Pain, Pharyngeal oedema
Clinical narrative: 18 hours after receiving the vaccine, I suddenly started having an extreme aura (that preceded a migraine), accompanied by very high blood pressure. (187 over 136....later reaching 200 while in ambulance). I have never had a migraine or aura before. I had only very rarely had  an occasional slight headache in my lifetime. The aura included large blind spots, very blurry vision, and bright white twinkling lights around my peripheral vision, including jagged white lines/lights. I was also lightheaded and dizzy. I was taken from work by ambulance. At the hospital, I was given scans. A small nodule was found on the isthmus of my thyroid, but they said it did not look serious. I was released 3 hours later, which was the time my headache started. Shortly thereafter, I had a migraine and had to lie in the dark with no sound, ice on head. The day after this, almost 48 hours after the vaccine, I noticed that my throat felt thick, and like it was slightly closing. This lasted for weeks. In addition, all the glands around my neck and back of neck felt very swollen, making it hard to swallow. My thyroid tests came back within normal range, but the pain and heaviness continued for about 6 weeks until the endocrinologist put me on prednisone. My headaches have continued since September 25th, pretty much daily. I am trying to take various meds to deal with the pain. I did have an MRI which showed chronic small vessel ischemic disease from high blood pressure. This has been the worst two months of my life. I am meeting with an neurologist this Tuesday morning.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Photopsia, Scan, Throat tightness, Thyroid function test normal, Thyroid mass
Clinical narrative: 18 hours after receiving the vaccine, I suddenly started having an extreme aura (that preceded a migraine), accompanied by very high blood pressure. (187 over 136....later reaching 200 while in ambulance). I have never had a migraine or aura before. I had only very rarely had  an occasional slight headache in my lifetime. The aura included large blind spots, very blurry vision, and bright white twinkling lights around my peripheral vision, including jagged white lines/lights. I was also lightheaded and dizzy. I was taken from work by ambulance. At the hospital, I was given scans. A small nodule was found on the isthmus of my thyroid, but they said it did not look serious. I was released 3 hours later, which was the time my headache started. Shortly thereafter, I had a migraine and had to lie in the dark with no sound, ice on head. The day after this, almost 48 hours after the vaccine, I noticed that my throat felt thick, and like it was slightly closing. This lasted for weeks. In addition, all the glands around my neck and back of neck felt very swollen, making it hard to swallow. My thyroid tests came back within normal range, but the pain and heaviness continued for about 6 weeks until the endocrinologist put me on prednisone. My headaches have continued since September 25th, pretty much daily. I am trying to take various meds to deal with the pain. I did have an MRI which showed chronic small vessel ischemic disease from high blood pressure. This has been the worst two months of my life. I am meeting with an neurologist this Tuesday morning.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Vision blurred, Visual field defect
Clinical narrative: 18 hours after receiving the vaccine, I suddenly started having an extreme aura (that preceded a migraine), accompanied by very high blood pressure. (187 over 136....later reaching 200 while in ambulance). I have never had a migraine or aura before. I had only very rarely had  an occasional slight headache in my lifetime. The aura included large blind spots, very blurry vision, and bright white twinkling lights around my peripheral vision, including jagged white lines/lights. I was also lightheaded and dizzy. I was taken from work by ambulance. At the hospital, I was given scans. A small nodule was found on the isthmus of my thyroid, but they said it did not look serious. I was released 3 hours later, which was the time my headache started. Shortly thereafter, I had a migraine and had to lie in the dark with no sound, ice on head. The day after this, almost 48 hours after the vaccine, I noticed that my throat felt thick, and like it was slightly closing. This lasted for weeks. In addition, all the glands around my neck and back of neck felt very swollen, making it hard to swallow. My thyroid tests came back within normal range, but the pain and heaviness continued for about 6 weeks until the endocrinologist put me on prednisone. My headaches have continued since September 25th, pretty much daily. I am trying to take various meds to deal with the pain. I did have an MRI which showed chronic small vessel ischemic disease from high blood pressure. This has been the worst two months of my life. I am meeting with an neurologist this Tuesday morning.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: Low-grade fever; marked swelling of lower extremity 16" in diameter vs 12" in diameter of opposite lower extremity; significant pain beginning roughly 20 post injection.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Patient had a rash around injection site, some swelling, and tenderness approximately 2 by 3 inches when viewed on 12/1/17. Advised to monitor, and that this is a possible side effect from vaccine, advised could take Benadryl  and to continue to monitor for the next 7 to days 10 days. Advised patient to follow up with her primary care physician if the rash or symptoms worsened.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Influenza virus test negative, Pain, Pyrexia
Clinical narrative: Fever chills within 5 hours of vaccine. Body aches, headache.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Dark circles under eyes, Emotional distress, Fall, Food aversion, Hyperacusis
Clinical narrative: Over a period of about 6 months following the vaccines he would constantly complaim of pain in feet and legs. He developed dark circles under his eyes. Started hitting himself. Falling all the time. Food texture issues. Hard to calm down. Over sensitive to noice
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Intentional self-injury, Pain in extremity
Clinical narrative: Over a period of about 6 months following the vaccines he would constantly complaim of pain in feet and legs. He developed dark circles under his eyes. Started hitting himself. Falling all the time. Food texture issues. Hard to calm down. Over sensitive to noice
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Decreased appetite, Erythema, Fall, Hypoaesthesia
Clinical narrative: Patient's mother called stating she had a reaction to vaccination several hours after administration. Symptoms included post reaction redness and pain and lack of appetite. She also experienced weakness and syncope following a bath, which apparently led to a fall and possible head injury. She also stated a general lack of feeling and numbness affecting the arm, which was largely the reason for submitting the VAERS. I have been unable to follow up at this time, but the mother was considering taking her to the ED at the time of the report.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Sensory loss, Syncope
Clinical narrative: Patient's mother called stating she had a reaction to vaccination several hours after administration. Symptoms included post reaction redness and pain and lack of appetite. She also experienced weakness and syncope following a bath, which apparently led to a fall and possible head injury. She also stated a general lack of feeling and numbness affecting the arm, which was largely the reason for submitting the VAERS. I have been unable to follow up at this time, but the mother was considering taking her to the ED at the time of the report.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Abortion spontaneous, Cough, Exposure during pregnancy, Human chorionic gonadotropin decreased, Influenza virus test negative
Clinical narrative: Received vaccination on 10/10/17 LMP 9/20/27 so pregnancy not suspected, on 10/23 tested positive for pregnancy, 10/27-10/31 light spotting associated with pregnancy,  11/1 spotting diminished, OB provider ordered HCG (second HCG draw 11/7 determined declining HCG levels and miscarriage likely), 11/3 swelling in sinuses and lymph nodes of the neck, fever, cough and swelling of lymph nodes persisted through 11/21. 11/15 bleeding began and miscarriage occurred. Visited Urgent Care 11/18 and was tested for influenza and strep with negative results on both. Symptoms cleared by 11/22.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Lymphadenopathy, Pregnancy test positive, Pyrexia, Streptococcus test negative, Thyroid function test
Clinical narrative: Received vaccination on 10/10/17 LMP 9/20/27 so pregnancy not suspected, on 10/23 tested positive for pregnancy, 10/27-10/31 light spotting associated with pregnancy,  11/1 spotting diminished, OB provider ordered HCG (second HCG draw 11/7 determined declining HCG levels and miscarriage likely), 11/3 swelling in sinuses and lymph nodes of the neck, fever, cough and swelling of lymph nodes persisted through 11/21. 11/15 bleeding began and miscarriage occurred. Visited Urgent Care 11/18 and was tested for influenza and strep with negative results on both. Symptoms cleared by 11/22.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Vaginal haemorrhage
Clinical narrative: Received vaccination on 10/10/17 LMP 9/20/27 so pregnancy not suspected, on 10/23 tested positive for pregnancy, 10/27-10/31 light spotting associated with pregnancy,  11/1 spotting diminished, OB provider ordered HCG (second HCG draw 11/7 determined declining HCG levels and miscarriage likely), 11/3 swelling in sinuses and lymph nodes of the neck, fever, cough and swelling of lymph nodes persisted through 11/21. 11/15 bleeding began and miscarriage occurred. Visited Urgent Care 11/18 and was tested for influenza and strep with negative results on both. Symptoms cleared by 11/22.
Age: 1.08
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: Patient got a red, bump rash and fever.
Age: 1.75
Sex: F
Vaccine: DTAPIPV, HEPA
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: KINRIX given to patient under 4 years old.
Age: 54.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Back pain, Chest pain, Fatigue, Influenza
Clinical narrative: Patient states she experienced chest pains several hours after the injections that subsided and no treatment was needed. About 3 weeks after immunizations, patient reported flu symptoms, fatigue and needle-like pain all over her back that she states resolves with continued ibuprofen. No other pain in her extremities, no shortness of breath or any other issues.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash
Clinical narrative: Rash on left upper arm surrounding arm, has increased in size since 11/28/2017. On 11/29/2017, patient went to MD office for Abx on 11/30/17.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Patient received a PNEUMOMVAX 23 vaccination and was eventually admitted to ER later that night due to intolerable pain in right arm. Patient contacted pharmacy at approximately 12P on 12/1/17 to alert  the pharmacy that she had been admitted to the emergency room due to the pain in her arm following the vaccination. Patient has since been released from ER and is still experiencing pain in right arm but okay now.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Headache, Pyrexia, Skin discolouration, Vomiting
Clinical narrative: I don't know all these answers, but my healthy happy daughter as of last week is not right. After receiving the flu shot she had a big mark on her arm that night was the first of many headaches. I gave her TYLENOL and told her it was normal. She continued to complain of being really tired over the weekend even taking two hour naps on Sat and Sun. She went to school Monday and was in bed by 7 on Tuesday she went to school then to her ice skating lesson she was escorted off the ice by her coach and began vomiting and has been on the couch or in bed ever since. I took her to the Dr this morning because she has been running 101-103 fever even with TYLENOL and just isn't getting better.