chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLU4
Symptoms: Erythema, Local reaction, Pruritus
Clinical narrative: Initial unsolicited report received from a pharmacist (Director of Pharmacy)on 12 October 2016. This case is linked with 2016SA189772, 2016SA189781, 2016SA189791, 2016SA189792, 2016SA189793, 2016SA189794, 2016SA189795, 2016SA189796, 2016SA189797, 2016SA189798, 2016SA189799, 2016SA189800, 2016SA189801, 2016SA189802, 2016SA189803, 2016SA189804, 2016SA189805, 2016SA189806, 2016SA189807, 2016SA189808, 2016SA189809, 2016SA189810, 2016SA189811, 2016SA189812, 2016SA189813, 2016SA189814, 2016SA189815, 2016SA189816, 2016SA189817, 2016SA189818, 2016SA189819, 2016SA189820, 2016SA189821, 2016SA189822, 2016SA189823, 2016SA189824, 2016SA189825, 2016SA189826, 2016SA189827, 2016SA189828, 2016SA189829, 2016SA189830, 2016SA189831, 2016SA189832, 2016SA189833, 2016SA189834, 2016SA189835, 2016SA189837, 2016SA189838, 2016SA189839, 2016SA189840, 2016SA189841, 2016SA189842, 2016SA189843, 2016SA189844, 2016SA189845, 2016SA189846, 2016SA189847, 2016SA189848. This case involves a patient (age and gender not reported) who was vaccinated with a dose of FLUZONE (batch number: UI669AA, expiration date: 30 June 2017 and site of administration was not reported) intramuscularly, 04 October 2016 (over the past month). Patient's Illness at time of vaccination and pre-existing physician diagnosed allergies, birth defects, medical conditions was reported as unknown. Concomitant medication was not reported. On 04 October 2016 (over the past month), same day following vaccination patient had localized reaction. On 06 October 2016, (reported as "over the past month"), two days following the vaccination, patient experienced localized redness and very itchy. Patient required emergency room (ER)/ doctor visit. Lab data and corrective treatment were not reported. Sought out treatment was reported as none. The outcome of the events was reported as unknown. List of documents held by sender: none.
Age: 19.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Chills, Muscular weakness, Pyrexia
Clinical narrative: This case was reported by a physician and described the occurrence of muscle weakness in a 19-year-old female patient who received BEXSERO (batch number 153701, expiry date April 2017). Co-suspect products included FLUARIX QUADRIVALENT (batch number 9D325, expiry date 15th June 2017). Concurrent medical conditions included insomnia. On 3rd October 2016, the patient received BEXSERO (intramuscular) and FLUARIX QUADRIVALENT (intramuscular). On 4th October 2016, 1 days after receiving BEXSERO and FLUARIX QUADRIVALENT, the patient experienced muscle weakness (serious criteria clinically significant/intervention required), fever and chills. In October 2016, the outcome of the muscle weakness, fever and chills were recovered/resolved. The reporter considered the muscle weakness, fever and chills to be possibly related to BEXSERO and FLUARIX QUADRIVALENT. Additional details were reported as follows: The patient did not have any known allergies and her concurrent condition included insomnia which was ongoing at the time of reporting. The patient received both BEXSERO and FLUARIX QUADRIVALENT vaccines in her right deltoid. The patient experienced weakness of right arm and leg. Multiple attempts were made to communicate with the patient to check the status but no call back was received till the time of reporting. The events were not result of suspected transmission of an infectious agent via medicinal product. The patient did not have any diagnostic tests details which were performed.
Sex: F
Vaccine: HEPAB, PPV
Symptoms: Anaphylactic shock, Angioedema, Eczema
Clinical narrative: This case was reported by a physician via call center representative and described the occurrence of anaphylactic shock in a female patient who received TWINRIX adult. Co-suspect products included PNEUMOVAX. On an unknown date, the patient received TWINRIX adult and PNEUMOVAX. On an unknown date, less than a year after receiving TWINRIX adult, the patient experienced anaphylactic shock (serious criteria GSK medically significant), angioedema (serious criteria GSK medically significant and clinically significant/intervention required) and eczema. The patient was treated with Adrenaline. On an unknown date, the outcome of the anaphylactic shock, angioedema and eczema were unknown. The reporter considered the anaphylactic shock, angioedema and eczema to be related to TWINRIX adult. Additional details were reported as follows: In 2012, the patient received TWINRIX adult with PNEUMOVAX. After vaccination, the patient got eczema and angioedema after injection. She visited a pharmacy thereafter, where she got adrenaline via syringe as the pharmacy suspected that the patient had got anaphylactic shock. This was the story told by the patient to the reporting physician. The reporting physician did not seen any medical records or notes from this event but anticipated that he would get it. The reporter considered the anaphylactic shock, angioedema and eczema to be related to PNEUMOVAX. This was all the available information.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity, Skin burning sensation
Clinical narrative: Patient reports painful, sore arm with burning and limited mobility.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injected limb mobility decreased, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling and pain at site of injection. Injection site is warm to the touch. Range of motion is limited in the arm that received the vaccine due to pain.  Headache
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Crying, Decreased appetite, Ear infection, Insomnia, Poor quality sleep
Clinical narrative: First started the fever, lasting days. I took him back to doctors office and I was told it was a double ear infection and was prescribed Antibiotics. The fever broke Tuesday 10/25. My child has lost 1.5 pounds due to vomiting fever no appetite and sleeping. He won't function like before the shot. He has now broke out into a horrible rash and will not sleep during the night without crying and rolling around. I won't take my child back to the doctor for they aren't any help. I know this is all caused by the jab and not a double ear infection.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash, Vomiting, Weight decreased
Clinical narrative: First started the fever, lasting days. I took him back to doctors office and I was told it was a double ear infection and was prescribed Antibiotics. The fever broke Tuesday 10/25. My child has lost 1.5 pounds due to vomiting fever no appetite and sleeping. He won't function like before the shot. He has now broke out into a horrible rash and will not sleep during the night without crying and rolling around. I won't take my child back to the doctor for they aren't any help. I know this is all caused by the jab and not a double ear infection.
Age: 2.0
Sex: F
Vaccine: HEPA, UNK
Symptoms: Vaccination complication
Clinical narrative: Oth complications following immunization NEC, init on 2016-10-19.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Vertigo
Clinical narrative: Vertigo.
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Adverse event
Clinical narrative: Adverse effect of vaccines and biological substances, init on 2016-10-19.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Pyrexia
Clinical narrative: Post vaccination fever on 2016-10-08.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site bruising
Clinical narrative: Patient states bruising (about quarter-size with varying shades of dark purple) on 10/19/2016 around injection site (right deltoid) and numbness in right wrist/forearm on 10/22/2016. RN recommended she make an appointment with primary care provider to obtain follow-up.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Adverse event
Clinical narrative: Oth complications following immunization, NEC, init on 2016-10-17.
Age: 63.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Large red rash at injection site, right arm.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site hypoaesthesia, Vertigo
Clinical narrative: Numbness at site and down left arm, then in tongue and one side of mouth. Also experienced vertigo. Symptoms subsided within 15 min, almost completely gone 2 hours later.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with shingles.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Death
Clinical narrative: Pt received flu shot approximately 1 pm 10/24/16 - seemed healthy. No adverse response reported. Pt found deceased in bed 10/25/16 am.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Chest pain, Dizziness, Feeling cold, Local swelling
Clinical narrative: I received the vaccine around 1400 and about 20 minutes later I started itching and wheezing and having stridor, my throat and neck visibly swelled and I had hives on my chin, neck, chest, armpits, and arms that started spreading from my scalp to my toes, and I had mid sternal chest pain and was dizzy and cold. I took 4 doses of my albuterol inhaler on the way to the ED, received IV SOLUMEDROL, BENADRYL and PEPCID at first and 500ml bolus of saline, then received VESTARIL and PEPCID prescriptions for the following week. I was diagnosed with anaphylaxis and systemic skin reaction and the MD in the emergency department believes it was an additive in the vaccine this year. The CDC stated the only change was the addition of gentamicin. I was not sick at the time, and am not symptomatic with my asthma as a baseline. I rarely use my rescue albuterol inhaler, maybe twice a month. Over a week later, I am still wheezing, using my inhaler more frequently and reactive to temperature and allergic stimuli, I have not returned back to my baseline. I have asthma and anaphylaxis as my only medical history. I am allergic to KEFLEX, codeine, SINGULAIR and red wine products (which causes the anaphylaxis previously). I have never had a reaction to any other vaccinations. I have my flu shot yearly for the past six years with no reactions or symptoms. Thank you and let me know if I can provide any more information . I hope by doing this I can prevent it from happening to someone else.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Pharyngeal oedema, Pruritus, Skin reaction, Stridor, Urticaria
Clinical narrative: I received the vaccine around 1400 and about 20 minutes later I started itching and wheezing and having stridor, my throat and neck visibly swelled and I had hives on my chin, neck, chest, armpits, and arms that started spreading from my scalp to my toes, and I had mid sternal chest pain and was dizzy and cold. I took 4 doses of my albuterol inhaler on the way to the ED, received IV SOLUMEDROL, BENADRYL and PEPCID at first and 500ml bolus of saline, then received VESTARIL and PEPCID prescriptions for the following week. I was diagnosed with anaphylaxis and systemic skin reaction and the MD in the emergency department believes it was an additive in the vaccine this year. The CDC stated the only change was the addition of gentamicin. I was not sick at the time, and am not symptomatic with my asthma as a baseline. I rarely use my rescue albuterol inhaler, maybe twice a month. Over a week later, I am still wheezing, using my inhaler more frequently and reactive to temperature and allergic stimuli, I have not returned back to my baseline. I have asthma and anaphylaxis as my only medical history. I am allergic to KEFLEX, codeine, SINGULAIR and red wine products (which causes the anaphylaxis previously). I have never had a reaction to any other vaccinations. I have my flu shot yearly for the past six years with no reactions or symptoms. Thank you and let me know if I can provide any more information . I hope by doing this I can prevent it from happening to someone else.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Wheezing
Clinical narrative: I received the vaccine around 1400 and about 20 minutes later I started itching and wheezing and having stridor, my throat and neck visibly swelled and I had hives on my chin, neck, chest, armpits, and arms that started spreading from my scalp to my toes, and I had mid sternal chest pain and was dizzy and cold. I took 4 doses of my albuterol inhaler on the way to the ED, received IV SOLUMEDROL, BENADRYL and PEPCID at first and 500ml bolus of saline, then received VESTARIL and PEPCID prescriptions for the following week. I was diagnosed with anaphylaxis and systemic skin reaction and the MD in the emergency department believes it was an additive in the vaccine this year. The CDC stated the only change was the addition of gentamicin. I was not sick at the time, and am not symptomatic with my asthma as a baseline. I rarely use my rescue albuterol inhaler, maybe twice a month. Over a week later, I am still wheezing, using my inhaler more frequently and reactive to temperature and allergic stimuli, I have not returned back to my baseline. I have asthma and anaphylaxis as my only medical history. I am allergic to KEFLEX, codeine, SINGULAIR and red wine products (which causes the anaphylaxis previously). I have never had a reaction to any other vaccinations. I have my flu shot yearly for the past six years with no reactions or symptoms. Thank you and let me know if I can provide any more information . I hope by doing this I can prevent it from happening to someone else.
Sex: U
Vaccine: FLU4
Symptoms: Hypoaesthesia oral
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of numb lips in a patient who received FLUARIX QUADRIVALENT. On an unknown date, the patient received FLUARIX QUADRIVALENT at an unknown dose. On an unknown date, less than a week after receiving FLUARIX QUADRIVALENT, the patient experienced numb lips. On an unknown date, the outcome of the numb lips was recovered/resolved. The reporter considered the numb lips to be possibly related to FLUARIX QUADRIVALENT. Additional details were provided as follows: The patient experienced numbness on the inside of the bottom lip. The health care professional had no patient or product information. The numbness resolved 3 to 4 days after receiving the vaccine. The health care professional called to ask if we have any other incidents of patients experiencing numbness on the inside of the bottom lip.
Age: 76.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Injection site cellulitis, Injection site warmth, Pain, Swelling
Clinical narrative: Patient had Cellulitis in the left upper am, hot to touch.  Redness and swelling (approximately 4cm)  Throbbing pain (6 out of 10 scale).
Age: 39.0
Sex: M
Vaccine: ANTH, FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient reported localized redness and warmth to right deltoid area where 2nd Anthrax vaccination was administered.
Age: 23.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Residual pain and reduced joint mobility of left shoulder where flu shot was administered. Ongoing as of 3 weeks after injection.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Herpes zoster, Pain
Clinical narrative: Shingles outbreak, redness, blisters, pain.
Age: 89.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Asthenia, Chest discomfort, Feeling cold
Clinical narrative: Chills and weakness accompanied by tightness in chest.
Age: 49.0
Sex: F
Vaccine: RAB
Symptoms: Myalgia
Clinical narrative: Muscle pain in left abductor thigh muscle and left quadriceps muscle.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Axillary pain, Dizziness, Erythema, Fatigue, Musculoskeletal pain
Clinical narrative: 3 hours after shot, sick to my stomach. Later in day arm red-swollen severe pain arm-hand-fingers and armpit-shoulder-neck. Severe fatigue, dizzy, etc. lasted 2 1/2 days.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: 3 hours after shot, sick to my stomach. Later in day arm red-swollen severe pain arm-hand-fingers and armpit-shoulder-neck. Severe fatigue, dizzy, etc. lasted 2 1/2 days.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Arthroscopy, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain in upper left arm, motion limited.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Patient experienced itching on chest, chin, lips, and arms. Suggestion was made to patient to seek advice of physician for follow up. At this point not sure if needed to follow up with physician.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Muscular weakness, Myalgia, Pain, Weight bearing difficulty
Clinical narrative: Severe muscle aches all over, muscle weakness in legs and numbness in legs and arms, pain with weight-bearing.
Age: 82.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: She woke up with an itchy red rash. It got bigger the next day. So far she has tried cortisone cream to relieve the itching.
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site rash, Rash, Swelling
Clinical narrative: Rash on arm of injection site, chest, neck and face with some swelling. Patient took 50mg of BENADRYL. No progression of symptoms, transferred to ER for assessment and evaluation.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: This morning when removed band aid on right arm noticed red/swollen lump with faded red dots surrounding it. The area only hurts with palpation, denies fever or any other symptoms. No treatment given. Advised to seek medical treatment if concerned. 10/12/16 Follow up phone call. Still red, warm and hard. Not complaining at all. No fever or pain. 10/13/16 VM left.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Rash erythematous, Skin warm
Clinical narrative: Patient had a six by six red rash, warm to touch. Patient is also experiencing chills.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Axillary pain, Breast pain, Feeling cold, Pain in extremity, Tremor
Clinical narrative: Patient reported pain in her (Left) arm that radiated to her breast and armpit region - subsided within 5 minutes. Patient was cold and could not get warm. Later patient experienced tremors/shaking. No redness, bruising or swelling at injection site. Still experiencing pain.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, Chest pain, Chills, Decreased appetite, Eye irritation
Clinical narrative: 10/17/16 12:30 Employee is here to report reaction from flu vaccine she received 10/12/16. 10/12/16 - Wednesday afternoon - sneezing, nose running and congestion. She also had headache, burning eyes, pain eyes, body ache, lack of appetite, felt feverish off and on, chills, scratchy throat, swollen lymph node jaw site under ear. She C/O sharp pain on her chest on and off. Following day 10/13/16 - shooting pain, RT rib pain and abdominal pain and fatigue. 10/17/16 - nasal drainage, fatigue, hot flashes, sinus pressure.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Eye pain, Fatigue, Headache, Hot flush, Lymphadenopathy
Clinical narrative: 10/17/16 12:30 Employee is here to report reaction from flu vaccine she received 10/12/16. 10/12/16 - Wednesday afternoon - sneezing, nose running and congestion. She also had headache, burning eyes, pain eyes, body ache, lack of appetite, felt feverish off and on, chills, scratchy throat, swollen lymph node jaw site under ear. She C/O sharp pain on her chest on and off. Following day 10/13/16 - shooting pain, RT rib pain and abdominal pain and fatigue. 10/17/16 - nasal drainage, fatigue, hot flashes, sinus pressure.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal chest pain, Pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion
Clinical narrative: 10/17/16 12:30 Employee is here to report reaction from flu vaccine she received 10/12/16. 10/12/16 - Wednesday afternoon - sneezing, nose running and congestion. She also had headache, burning eyes, pain eyes, body ache, lack of appetite, felt feverish off and on, chills, scratchy throat, swollen lymph node jaw site under ear. She C/O sharp pain on her chest on and off. Following day 10/13/16 - shooting pain, RT rib pain and abdominal pain and fatigue. 10/17/16 - nasal drainage, fatigue, hot flashes, sinus pressure.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Rhinorrhoea, Sneezing, Throat irritation
Clinical narrative: 10/17/16 12:30 Employee is here to report reaction from flu vaccine she received 10/12/16. 10/12/16 - Wednesday afternoon - sneezing, nose running and congestion. She also had headache, burning eyes, pain eyes, body ache, lack of appetite, felt feverish off and on, chills, scratchy throat, swollen lymph node jaw site under ear. She C/O sharp pain on her chest on and off. Following day 10/13/16 - shooting pain, RT rib pain and abdominal pain and fatigue. 10/17/16 - nasal drainage, fatigue, hot flashes, sinus pressure.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Fall, Mydriasis
Clinical narrative: Approx 10 min after receiving vaccine, pt fell forwards but father caught. 911 was called pupils dilated but returned to normal quickly. Family of 5 was in room at time of vaccine. Per EMS - vitals normal and parents will take child to ED.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Headache, Insomnia, Musculoskeletal pain
Clinical narrative: Redness, warmness, swelling, pain from shoulder - elbow. Pain (5 on scale 1-10), leading to trouble sleeping. Headache and chills 10/18/16 but most resolved by 10/19/16. Patient has been icing.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Redness, warmness, swelling, pain from shoulder - elbow. Pain (5 on scale 1-10), leading to trouble sleeping. Headache and chills 10/18/16 but most resolved by 10/19/16. Patient has been icing.
Age: 0.17
Sex: F
Vaccine: FLU4, MMR
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: May have been given MMR and flu shot at 2 months of age.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis
Clinical narrative: Cellulitis of the upper arm, went to urgent care and received antibiotic treatment approximately 2 weeks after receiving vaccination.
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Phlebitis, Pruritus
Clinical narrative: Patient got inflammation of the vein after receiving her ZOSTAVAX. Patient reported this diagnosis from her primary care doctor who prescribed triamcinolone for inflammation and itching.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Contusion, Erythema, Nausea, Pain
Clinical narrative: Pain, redness, bruise and nausea onset evening after shot was given. Patient reported to pharmacy two mornings later and redness/soreness still present.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Pain, Skin warm, Swelling
Clinical narrative: Approx. 5" x 4" swelling, redness and hard. Warm to touch and minor pain. Place cold pack on to reduce swelling. The evening of which seemed to help. Pt. came in Pharmacy 10-16-16 to show arm.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging brain normal, Seizure
Clinical narrative: 10/14/16 - received flu vaccine. 10/15/16 - otherwise doing well but while playing at a restaurant, had a seizure (self resolving within 1 min).
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Discomfort, Joint stiffness, Movement disorder, Pain in extremity
Clinical narrative: Awoke to sore, "hot," red arm (expected from previous years) and a swollen, "hot," extremely painful right knee replacement - latter unexpected. Couldn't bend leg at all. Treated with alternating heat/cold packs, compression knee brace, and low dose of Vicodin on night of 10/25/2016 for pain relief and sleep. Awoke at 6:00 AM on 10/26/2016 with no further arm soreness and greatly improved knee pain and stiffness...not entirely resolved, but I can bend my leg enough to sit comfortably and  the "heat" appears to have disappeared overnight. I expect the remaining discomfort and swelling to continue resolving itself within the next day or two.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Skin reaction, Skin warm
Clinical narrative: Awoke to sore, "hot," red arm (expected from previous years) and a swollen, "hot," extremely painful right knee replacement - latter unexpected. Couldn't bend leg at all. Treated with alternating heat/cold packs, compression knee brace, and low dose of Vicodin on night of 10/25/2016 for pain relief and sleep. Awoke at 6:00 AM on 10/26/2016 with no further arm soreness and greatly improved knee pain and stiffness...not entirely resolved, but I can bend my leg enough to sit comfortably and  the "heat" appears to have disappeared overnight. I expect the remaining discomfort and swelling to continue resolving itself within the next day or two.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Similar reaction on previous exposure to drug
Clinical narrative: Continued lightheadedness as if intoxicated.  occurs with every flu shot for the past 5 years, usually persists for 2 - 3 hours.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Itching after several minutes followed by difficulty breathing.
Age: 82.0
Sex: M
Vaccine: FLUX
Symptoms: Herpes zoster, Injection site rash, Musculoskeletal pain
Clinical narrative: Received augmented dose of flu vaccine, Developed severe shoulder pain that has persisted for 5 weeks; Next day, onset of a rash in arm below vaccination, later diagnosed by primary physician  as shingles.
Age: 62.0
Sex: M
Vaccine: FLUC4
Symptoms: Pruritus, Syncope
Clinical narrative: Itching on chest, syncopal.  Epi given by ED.
Age: 15.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Nausea, Pallor, Syncope, Vomiting
Clinical narrative: Syncope x3, vomiting, nausea, pale skin.
Age: 15.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Dizziness, Feeling cold, Headache, Hypotension, Immediate post-injection reaction
Clinical narrative: Syncope x3, vomiting, nausea, pale skin.
Age: 15.0
Sex: M
Vaccine: ANTH, ANTH
Symptoms: Injection site pain, Loss of consciousness, Nausea, Vomiting, Wrong drug administered
Clinical narrative: Syncope x3, vomiting, nausea, pale skin.
Age: 15.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Nausea, Pallor, Syncope, Vomiting
Clinical narrative: Went to clinic for TB test; accidental injection of Anthrax vax instead. Severe pain in the injection site immediately, passed out 3 times within 5-10 minutes of receiving, vomiting, low blood pressure, cold, headache, dizziness. 3 hours later, continued headache, nausea, and dizziness.
Age: 15.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Dizziness, Feeling cold, Headache, Hypotension, Immediate post-injection reaction
Clinical narrative: Went to clinic for TB test; accidental injection of Anthrax vax instead. Severe pain in the injection site immediately, passed out 3 times within 5-10 minutes of receiving, vomiting, low blood pressure, cold, headache, dizziness. 3 hours later, continued headache, nausea, and dizziness.
Age: 15.0
Sex: F
Vaccine: ANTH, ANTH
Symptoms: Injection site pain, Loss of consciousness, Nausea, Vomiting, Wrong drug administered
Clinical narrative: Went to clinic for TB test; accidental injection of Anthrax vax instead. Severe pain in the injection site immediately, passed out 3 times within 5-10 minutes of receiving, vomiting, low blood pressure, cold, headache, dizziness. 3 hours later, continued headache, nausea, and dizziness.
Age: 59.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Chills, Cough, Headache, Pain, Paranasal sinus hypersecretion
Clinical narrative: Began with chills, fever, headaches, body aches, sinus draining and cough.
Age: 59.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Pyrexia
Clinical narrative: Began with chills, fever, headaches, body aches, sinus draining and cough.
Age: 65.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Balance disorder, Brain injury, Dehydration, Disturbance in attention, Ear pain
Clinical narrative: Information has been received on 24-OCT-2016 from a lawyer regarding a case in litigation concerning a male patient of unknown age. The patient has a history of never having chicken pox or shingles prior to March 2014. In March 2014, the patient was vaccinated with ZOSTAVAX. On or about 23-JUL-2014, the patient began suffering fatigue and myalgia. The patient subsequently began to experience increasing pain in the right side of his body and dehydration. On 20-AUG-2014, the patient experienced a seizure and was hospitalized with the diagnosis of herpes encephalitis. A neurologist told the patient that he had suffered brain damage. Upon release from the hospital on 29-AUG-2014, the patient was experiencing loss of balance, difficulty speaking coherently, and loss of attention. The patient subsequently developed ear and head pain and is easily disturbed by loud noises. As a direct and proximate result of his vaccination with ZOSTAVAX, the patient continues to experience ongoing symptoms, including imbalance, incoherence, shortened attention span, ear and head pain, and noise disturbance, all of which are believed to be caused by encephalitis and/or damage to his central nervous system. The patient's symptoms had resulted in physical limitations not present prior to vaccination with ZOSTAVAX. The patient also experiences mental and emotional distress due to the resulting physical limitations and seriousness of his condition. The patient's fiancé has been the patient's primary caretaker since his illness began in 2014. As a result of his vaccination with ZOSTAVAX, the patient sustained severe and permanent personal injuries. The patient suffered serious, progressive, permanent, and incurable injuries as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. Upon internal review, herpes encephalitis, seizure, and brain damage were considered to be medically significant. Herpes encephalitis, seizure, brain damage, damage to his central nervous system, fatigue, increasing pain in the right side of his body, dehydration, loss of balance/imbalance, difficulty speaking coherently/incoherence, loss of attention, ear and head pain, easily disturbed by loud noises/noise disturbance, shortened attention span, and myalgia were considered to be disabling. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Emotional distress, Fatigue, Headache, Hyperacusis, Incoherent
Clinical narrative: Information has been received on 24-OCT-2016 from a lawyer regarding a case in litigation concerning a male patient of unknown age. The patient has a history of never having chicken pox or shingles prior to March 2014. In March 2014, the patient was vaccinated with ZOSTAVAX. On or about 23-JUL-2014, the patient began suffering fatigue and myalgia. The patient subsequently began to experience increasing pain in the right side of his body and dehydration. On 20-AUG-2014, the patient experienced a seizure and was hospitalized with the diagnosis of herpes encephalitis. A neurologist told the patient that he had suffered brain damage. Upon release from the hospital on 29-AUG-2014, the patient was experiencing loss of balance, difficulty speaking coherently, and loss of attention. The patient subsequently developed ear and head pain and is easily disturbed by loud noises. As a direct and proximate result of his vaccination with ZOSTAVAX, the patient continues to experience ongoing symptoms, including imbalance, incoherence, shortened attention span, ear and head pain, and noise disturbance, all of which are believed to be caused by encephalitis and/or damage to his central nervous system. The patient's symptoms had resulted in physical limitations not present prior to vaccination with ZOSTAVAX. The patient also experiences mental and emotional distress due to the resulting physical limitations and seriousness of his condition. The patient's fiancé has been the patient's primary caretaker since his illness began in 2014. As a result of his vaccination with ZOSTAVAX, the patient sustained severe and permanent personal injuries. The patient suffered serious, progressive, permanent, and incurable injuries as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. Upon internal review, herpes encephalitis, seizure, and brain damage were considered to be medically significant. Herpes encephalitis, seizure, brain damage, damage to his central nervous system, fatigue, increasing pain in the right side of his body, dehydration, loss of balance/imbalance, difficulty speaking coherently/incoherence, loss of attention, ear and head pain, easily disturbed by loud noises/noise disturbance, shortened attention span, and myalgia were considered to be disabling. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Injury, Meningoencephalitis herpetic, Myalgia, Pain, Physical disability
Clinical narrative: Information has been received on 24-OCT-2016 from a lawyer regarding a case in litigation concerning a male patient of unknown age. The patient has a history of never having chicken pox or shingles prior to March 2014. In March 2014, the patient was vaccinated with ZOSTAVAX. On or about 23-JUL-2014, the patient began suffering fatigue and myalgia. The patient subsequently began to experience increasing pain in the right side of his body and dehydration. On 20-AUG-2014, the patient experienced a seizure and was hospitalized with the diagnosis of herpes encephalitis. A neurologist told the patient that he had suffered brain damage. Upon release from the hospital on 29-AUG-2014, the patient was experiencing loss of balance, difficulty speaking coherently, and loss of attention. The patient subsequently developed ear and head pain and is easily disturbed by loud noises. As a direct and proximate result of his vaccination with ZOSTAVAX, the patient continues to experience ongoing symptoms, including imbalance, incoherence, shortened attention span, ear and head pain, and noise disturbance, all of which are believed to be caused by encephalitis and/or damage to his central nervous system. The patient's symptoms had resulted in physical limitations not present prior to vaccination with ZOSTAVAX. The patient also experiences mental and emotional distress due to the resulting physical limitations and seriousness of his condition. The patient's fiancé has been the patient's primary caretaker since his illness began in 2014. As a result of his vaccination with ZOSTAVAX, the patient sustained severe and permanent personal injuries. The patient suffered serious, progressive, permanent, and incurable injuries as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. Upon internal review, herpes encephalitis, seizure, and brain damage were considered to be medically significant. Herpes encephalitis, seizure, brain damage, damage to his central nervous system, fatigue, increasing pain in the right side of his body, dehydration, loss of balance/imbalance, difficulty speaking coherently/incoherence, loss of attention, ear and head pain, easily disturbed by loud noises/noise disturbance, shortened attention span, and myalgia were considered to be disabling. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: FLUX, VARZOS
Symptoms: Quality of life decreased, Seizure, Speech disorder
Clinical narrative: Information has been received on 24-OCT-2016 from a lawyer regarding a case in litigation concerning a male patient of unknown age. The patient has a history of never having chicken pox or shingles prior to March 2014. In March 2014, the patient was vaccinated with ZOSTAVAX. On or about 23-JUL-2014, the patient began suffering fatigue and myalgia. The patient subsequently began to experience increasing pain in the right side of his body and dehydration. On 20-AUG-2014, the patient experienced a seizure and was hospitalized with the diagnosis of herpes encephalitis. A neurologist told the patient that he had suffered brain damage. Upon release from the hospital on 29-AUG-2014, the patient was experiencing loss of balance, difficulty speaking coherently, and loss of attention. The patient subsequently developed ear and head pain and is easily disturbed by loud noises. As a direct and proximate result of his vaccination with ZOSTAVAX, the patient continues to experience ongoing symptoms, including imbalance, incoherence, shortened attention span, ear and head pain, and noise disturbance, all of which are believed to be caused by encephalitis and/or damage to his central nervous system. The patient's symptoms had resulted in physical limitations not present prior to vaccination with ZOSTAVAX. The patient also experiences mental and emotional distress due to the resulting physical limitations and seriousness of his condition. The patient's fiancé has been the patient's primary caretaker since his illness began in 2014. As a result of his vaccination with ZOSTAVAX, the patient sustained severe and permanent personal injuries. The patient suffered serious, progressive, permanent, and incurable injuries as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. Upon internal review, herpes encephalitis, seizure, and brain damage were considered to be medically significant. Herpes encephalitis, seizure, brain damage, damage to his central nervous system, fatigue, increasing pain in the right side of his body, dehydration, loss of balance/imbalance, difficulty speaking coherently/incoherence, loss of attention, ear and head pain, easily disturbed by loud noises/noise disturbance, shortened attention span, and myalgia were considered to be disabling. Additional information has been requested.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Bilevel positive airway pressure, CSF protein increased, Gastrostomy, Guillain-Barre syndrome
Clinical narrative: 9/20 onset of numbness, low back pain; 9/21 admission to hospital and start IVIG x 5 days; 9/27 start plasma exchange x 5 days; 9/26 BiPAP 9/27 mechanical ventilation x 16 days 10/13 PEG and trach for discharge to LTAC. Acute inflammatory demyelinating polyneuropathy/GBS. Office of vaccine administrator was contacted about reaction. Info about vaccine date of admin, type, lot, exp was provided. They gave no indication of plan to submit a VAERS report but they may.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Immunoglobulin therapy, Mechanical ventilation, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal normal
Clinical narrative: 9/20 onset of numbness, low back pain; 9/21 admission to hospital and start IVIG x 5 days; 9/27 start plasma exchange x 5 days; 9/26 BiPAP 9/27 mechanical ventilation x 16 days 10/13 PEG and trach for discharge to LTAC. Acute inflammatory demyelinating polyneuropathy/GBS. Office of vaccine administrator was contacted about reaction. Info about vaccine date of admin, type, lot, exp was provided. They gave no indication of plan to submit a VAERS report but they may.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Plasmapheresis, Tracheostomy
Clinical narrative: 9/20 onset of numbness, low back pain; 9/21 admission to hospital and start IVIG x 5 days; 9/27 start plasma exchange x 5 days; 9/26 BiPAP 9/27 mechanical ventilation x 16 days 10/13 PEG and trach for discharge to LTAC. Acute inflammatory demyelinating polyneuropathy/GBS. Office of vaccine administrator was contacted about reaction. Info about vaccine date of admin, type, lot, exp was provided. They gave no indication of plan to submit a VAERS report but they may.
Age: 73.0
Sex: M
Vaccine: FLUA3
Symptoms: Pain
Clinical narrative: Patient experienced shooting pain down arm soon after receiving vaccination. 10 minutes later, everything returned to normal.
Age: 11.0
Sex: F
Vaccine: HPV4
Symptoms: Head injury, Presyncope, Seizure, Syncope
Clinical narrative: Syncope, vasovagal. Seizure after head injury.
Age: 75.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Eczema, Rash
Clinical narrative: Rash on hands 5 days after - mild. Seen 2nd time - 10/25/16 - Eczematous rash, hands, arms, torso.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Aphthous ulcer, Chills, Dental examination, Headache, Pain
Clinical narrative: 10/7/16 6 p.m.-Bodyaches and low-grade fever. 10/4/16 8 p.m.-10/8/16 6 a.m.-Bodyaches, chills, high fever, headache. 10/13/16-Mouth full of canker sores developed.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: 10/7/16 6 p.m.-Bodyaches and low-grade fever. 10/4/16 8 p.m.-10/8/16 6 a.m.-Bodyaches, chills, high fever, headache. 10/13/16-Mouth full of canker sores developed.
Age: 51.0
Sex: F
Vaccine: FLUX
Symptoms: Drug administered at inappropriate site, Grip strength decreased, Injection site pain, Muscular weakness, Pain in extremity
Clinical narrative: At the time of my flu shot, I thought the nurse had injected it higher than usual and it stung more than I was used to. That evening after my flu shot, my upper left arm hurt worse than normal. Normal meaning, I get the flu shot every year with little pain. This was a Monday the shot was given. It hurt into the next few days and I just wrote it off, hoping it would go away on its own. As the weekend approached, the pain had moved down into my forearm and into my hand, excruciating pain and weakness where I could not pick up a cup of tea. I still thought it would go away on it's own, it didn't. October 13th, I filled out our workplace injury report to be submitted. My boss advised me to contact the Health Dept. to see what I should do or if there were any more complaints. There weren't at that time. But, they took notes in case other calls came in similar to mine. The yadvised me to contact employee who coordinated the shot. I contacted her who contacted company who told me to fill this sheet out. I had a doctor's appointment on October 21st and October 25th. I have been advised to give it a couple more weeks to see if it gets better on its own.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site mass, Mass, Tenderness
Clinical narrative: According to patient, soft lump developed on upper left arm at injection site and and moved down arm over the course of several days to below the elbow.  Tender but no heat or redness.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: PATIENT REPORTED THE FOLLOWING SYMPTOMS SORE THROAT, FEVER, BODYACHES, COUGH AND FATIGUE.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Headache, Rash, Vomiting
Clinical narrative: Headache, Vomiting, Chills, Rash on Face.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, X-ray normal
Clinical narrative: The day after the shot her left leg started hurting. Mainly in the knee and on down the leg. Feels like a "sledge hammer". After a couple of weeks, her right leg began hurting as well. And a week after that, her left arm began hurting.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Bronchitis chronic, Chills, Chronic respiratory disease, Dyspnoea, Malaise
Clinical narrative: Became very ill within hours of receiving Anthrax vaccine. Shortness of breath, achy, chills. Lasted for days afterwards. Still have chronic respiratory problems.
Age: 26.0
Sex: F
Vaccine: ANTH
Symptoms: Pain, Pyrexia
Clinical narrative: Became very ill within hours of receiving Anthrax vaccine. Shortness of breath, achy, chills. Lasted for days afterwards. Still have chronic respiratory problems.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMRV, PNC13
Symptoms: Immune thrombocytopenic purpura, Laboratory test normal, Metabolic function test normal, Petechiae, Platelet count decreased
Clinical narrative: Idiopathic thrombocytopenic purpura, platelet count- 3. Presented after develop diffuse petechiae that morning. Sent to hospital for admission when his platelet count was found to be 0 in his pediatrician's office that morning. No signs of active bleeding.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: REDNESS, TENDERNESS, WARM TO TOUCH AND SWELLING.
Age: 56.0
Sex: M
Vaccine: FLU4, PPV, VARZOS
Symptoms: Peripheral swelling, Rash
Clinical narrative: Swelling and rash on arm but not right at the vaccine site.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Insomnia, Pain in extremity
Clinical narrative: The night of the shot client's hand hurt/ached and she could not sleep. She used hot and cold water on it with no relief. Starting out the following day, she reports her hand was not better, but was a little better later in the day. Periodically, the joints in her hand ache at about a 5 on a scale of 0-10. This is something that never happened before and it hurts worse in the morning if it is going to hurt.
Age: 59.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Activities of daily living impaired, Headache, Injected limb mobility decreased, Injection site pain, Insomnia
Clinical narrative: Severe arm pain where injected. Hard to use my arm. Low grade fever. Headache. Nausea. Unable to do normal work or eat meals. Trouble sleeping at night after injection. Took Acetaminophen, used cold pack on arm.
Age: 59.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Nausea, Pyrexia
Clinical narrative: Severe arm pain where injected. Hard to use my arm. Low grade fever. Headache. Nausea. Unable to do normal work or eat meals. Trouble sleeping at night after injection. Took Acetaminophen, used cold pack on arm.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Decreased appetite, Dysphonia, Fatigue, Headache
Clinical narrative: After the flu shot (Monday morning), I developed typical flu symptoms the next day with hoarseness, sore throat. Wednesday, the symptoms were getting worse with cough and fatigue. I thought all these were just normal minor flu shot reactions and thought it would go away soon.  Thursday, it got worse, I had headache in addition to the previous symptoms, plus coughing. I somehow realized the flu shot had compromised my immunity. Starting from Friday until Sunday, for three days I had continuous headache, fatigue, severe cough and green mucus, kind of infection with streptococcus, which was very common when immunity compromised. I could not get up for these three days, headache without appetite. I took Azithromycin (to treat a potential streptococcus infection) as well as Tylenol. The eighth day (next Monday), my headache got better, I did not cough that much, but would have lots of thick mucus in the nose until now (the tenth day, Wednesday), it continues. I went back health unit, the physician was out of office, I talked to the nurse, who did not understand why but doubted it might be caused by a coincidental cold or flu not yet protected by the flu shot on time. I am not aware of any apparent catch of flu from my working or other environment the day got flu shot. Also I never had such a severe symptoms before, and I felt great the day I was taken the flu shot. As a doctor of medical science and an immunologist myself, I documented what has happened without going to a physician office during the weekend when I was most sick. I think the symptoms I reported are associated with the flu shot, but how exactly to interoperate it, I am not sure. Hope the report will add some information to any known adverse events who might be interested and looking for. Is the vaccine I received fully inactivated?I might got flu from the shot. Or does the flu shot compromise immunity in some degree or incur allergy in certain population?