chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: This spontaneous report was received from a physician (the patient's wife) and refers to a 50 year old male patient with multiple sclerosis (MS) from 2010 (reported as for 5 years). The patient's medical history included cerebrovascular accident (CVA) in 2014 (reported as 1 year ago) and unspecified morphine reaction. On 04-NOV-2015, the patient was vaccinated with a dose of PNEUMOVAX23 in the left upper deltoid (strength, dose, route of administration, lot # and expiration date were not provided). The patient was vaccinated at a military facility. Concomitant therapies included PLEGRIDY every 2 weeks, intravenously for multiple sclerosis (MS), gabapentin and baclofen. On 05-NOV-2015 (also reported as today), the patient experienced fever of 102.5 Fahrenheit degrees, was achy, had headache and had a localized reaction at the injection site of PNEUMOVAX23. The patient's left upper arm was red and hot, tender to touch. It was unspecified if the patient received any treatment or had diagnostic studies performed. The patient did not seek medical attention. The outcome of the events was unknown. The relatedness between the events and PNEUMOVAX23 was not reported. This is one of two reports concerning the same patient. Additional information has been requested.
Age: 4.0
Sex: U
Vaccine: MMRV
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to a 4-year-old patient of unknown gender. No concurrent conditions, medical history, concomitant medications and drug allergies were reported. On 19-AUG-2015, the patient was vaccinated with a dose of improperly stored PROQUAD (Merck) (lot number L005297, expiration date: 17-AUG-2016, albumin status HSA; dose and route not reported). No adverse effects were reported. This is one of several reports received from the same source. Additional information has been requested.
Age: 30.0
Sex: M
Vaccine: HPV4
Symptoms: Papilloma viral infection
Clinical narrative: This spontaneous report as received from a health care professional refers to a 30 year old male patient. No medical history and concurrent conditions reported. On an unknown date the patient was vaccinated with GARDASIL (GARDASIL quadrivalent of GARDASIL 9 could not be ruled out so event is being reported as GARDASIL quadrivalent) (dose, lot#, route, frequency not reported). No concomitant medications reported. On an unknown date the patient experienced human papilloma viral (HPV) infection in the throat after unspecified time after receiving GARDASIL. The outcome of human papilloma viral (HPV) infection in the throat was unknown. Additional information is not expected, since health care worker declined to provide any information as the information that was provided is all that is known.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to an unspecified number of patients of unknown age and gender. No information on patients' concurrent conditions, medical history or concomitant medications was provided. On an unknown dates since 14-SEP-2015, the patients were vaccinated with the doses of (Merck) VARIVAX injection, lot # L011084 with expiration date 01-APR-2017, lot# L019130 with expiration date 27-MAY-2017 and lot# L015047 with expiration date 29-APR-2017 (dose and route of administration were not reported), which had been exposed to temperatures outside of the recommended range. No adverse experiences were reported. Additional information has been requested.
Age: 4.0
Sex: U
Vaccine: MMRV
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant refers to a 4-year-old patient of unknown gender. No concurrent conditions, medical history, concomitant medications and drug allergies were reported. On 12-AUG-2015, the patient was vaccinated with a dose of improperly stored PROQUAD (Merck) (lot number L005297, expiration date: 17-AUG-2016, albumin status HSA; dose and route not reported). No adverse effects were reported. This is one of several reports received from the same source. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a healthcare worker and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, concomitant medication and drug reactions or allergies was reported. On an unknown date, the patient was vaccinated with an improperly stored dose of ZOSTAVAX lot # L028279, expiration date 28-OCT-2016 (strength, dose and route of administration were not provided. No adverse effects were reported. Additional information has been requested.
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pruritus
Clinical narrative: This spontaneous report as received from a pharmacist via a company representative refers to a male patient of unknown age. The patient's pertinent medical history and drug reactions or allergies were not reported. On an unknown date, the patient was vaccinated subcutaneously in the unspecified arm with the one vial of ZOSTAVAX (lot # and expiry date were not reported). Concomitant medications were not reported. On an unknown date, the patient experienced itchiness at the injection site. The patient did not seek medical attention and no treatment was given for the event. On an unknown date, the itchiness "went away" and the patient recovered. The relatedness between the event and the ZOSTAVAX was not reported. Additional information has been requested.
Age: 2.0
Sex: F
Vaccine: FLUN4
Symptoms: Croup infectious, Dyspnoea, Viral test, Wheezing
Clinical narrative: Croup like cough and severe wheezing, shortness of breath; took her to ER, administered 3 neb treatments, epi treatment, oral steroid, symptoms subsided, left ER without admittance at 3am.
Age: 75.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site swelling
Clinical narrative: Enlargement of left deltoid muscle extending around the arm.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Pain, Pain in extremity, Sensory disturbance
Clinical narrative: Reported to Employee Health on 10/22/15 of pain to left arm with abduction since receiving flu shot. Evalutated in Occupational Health. Neurologically refelxes intact, grip strong, but notes decreased pin prick sensation in anterior shoulder and mid deltoid. Prednisone taper pack. If not improved may be referred to neurology or EMG testing.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Severe arm pain, limited ability to move arm.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Arm pain in area of injection lasting 3 weeks. Limited ROM and lifting objects more then 5 lbs. Seen PCP 11/4/2015, was given prednisone.
Age: 0.67
Sex: M
Vaccine: HEP, HIBV, IPV, PNC13
Symptoms: Urticaria
Clinical narrative: Hives (urticaria) at 4 month vaccines and then again at 6 month vaccines (given at 8 months old). No problem at 2 months when all 6 vaccines given. At 4 months, he received DTaP, Hib, PCV13, IPV and Rotavirus vac. At 8 mos: Hib, PCV13, IPV, HepB given.
Age: 1.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient presented with pain, redness and warmth of left upper arm that started the evening after flu shot that was given in same arm. No evidence of wheezing, chest pain, shortness of breath or difficulty swallowing. Patient treated with supportive care including rest, cool compress and otc analgesics for comfort.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Chills, Decreased appetite, Feeling abnormal, Headache
Clinical narrative: During afternoon was a bit weak and arm sore, no big deal.  By 6:30, started having chills and feeling worse.  Started running fever which topped out at 102 as registered on two digital thermos by 1AM. Whole body ache and massive headache plus feeling nauseous. Fever came down to 101 by 6AM and stayed there all of 11/10 with all listed symptoms. On 11/11, fever 100.6 until about 3pm but headache gone and mild appetite returned. At bedtime, no fever. Today, back to normal with a bit of weakness. No mess taken throughout.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: During afternoon was a bit weak and arm sore, no big deal.  By 6:30, started having chills and feeling worse.  Started running fever which topped out at 102 as registered on two digital thermos by 1AM. Whole body ache and massive headache plus feeling nauseous. Fever came down to 101 by 6AM and stayed there all of 11/10 with all listed symptoms. On 11/11, fever 100.6 until about 3pm but headache gone and mild appetite returned. At bedtime, no fever. Today, back to normal with a bit of weakness. No mess taken throughout.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, headache, body ache, fever.  Prescribed Tamiflu.
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site reaction, Injection site swelling, Local reaction
Clinical narrative: C/O significant local reaction - swelling, redness and vesicular rash at site of injection - light ecchymosis at site of reaction
Age: 10.0
Sex: M
Vaccine: FLU3
Symptoms: Rash vesicular
Clinical narrative: C/O significant local reaction - swelling, redness and vesicular rash at site of injection - light ecchymosis at site of reaction
Age: 75.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Rash
Clinical narrative: Vaccination was administered on 10/20/2015. The patient noticed itching at the site of injection on 10/26/15 and called the pharmacy. She was told to take BENADRYL and apply BENADRYL cream. No fever. She stated it was going away but not completely. About a week later, site was sore, swelling at top of shoulder and elbow and back of her neck felt bumpy.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient stated her arm is sore and still could not lift up since vaccination. her doctor is ordering ultrasound to check out. Patient will notify pharmacy after getting result back.
Age: 9.0
Sex: M
Vaccine: FLU3, HEP
Symptoms: Erythema, Induration, Local swelling
Clinical narrative: Localized swelling, erythema, induration -> Treated with KEFLEX (to cover for infectious etiology) and BENADRYL.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Anticoagulant therapy, Loss of consciousness, Syncope
Clinical narrative: Patient received vaccination (FLUVIRIN from Novartis) on 11/5 9:15AM after 10 min he walked to his car with his son but blacked out and fainted. He states that he drove himself to hospital across the st. and was hospitalized 2 days. Pt would not provide details of treatment but stated that he received "blood thinner".
Age: 30.0
Sex: M
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Case number PHEH2015US022307, is an initial spontaneous report received from a health care professional on 29 Oct 2015. This report refers to a 31-year-old male patient. Medical history was not reported. Concomitant medication was not reported. The patient received FLUVIRIN (batch number: 158202) intramuscularly on 21 Oct 2015. On 23 Oct 2015, two days after vaccination, the patient experienced rash all over the body. The patient had seen an MD and was prescribed BENADRYL. The patient still has the rash. The outcome of the event was not recovered. Seriousness and causality was not reported. Seriousness of the event "rash generalized" was upgraded based on information available in the source document.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: VIIth nerve paralysis
Clinical narrative: Bell's palsy.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Fatigue, Hyperhidrosis, Oropharyngeal pain, Pain
Clinical narrative: Achy and sweaty after HPV9 vaccine fatigue. In office today with c/o sore throat no site soreness.
Sex: U
Vaccine: FLUX, VARZOS
Symptoms: Drug administered at inappropriate site, No adverse event
Clinical narrative: This spontaneous report was received from a registered nurse regarding a patient of unknown age and gender. The patient's medical history included breast cancer and lymph nodes removed. Patient's drug reactions or allergies were not provided. On 03-NOV-2015, the patient was vaccinated with an unspecified dose of ZOSTAVAX inadvertently in the abdominal instead of the recommended deltoid region (dose, route, lot number and expiration date were not provided). The patient also received an unspecified dose of Influenza virus vaccine (unspecified) in the deltoid in the right arm (dose, lot number and expiration date were not provided) administered on an unknown date and was unable to use the left arm as the patient had breast cancer and lymph nodes removed prior to receiving the 2 vaccines. No adverse effects were reported. At the time of the report, the patient's outcome was unknown. Causality was not provided. Additional information has been requested.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site irritation, Nodule, Pyrexia
Clinical narrative: This report was from Pfizer, Inc. and was assigned manufacturer report number 2015362785 for PREVNAR 13. This was originally reported by a pharmacist, concerning a female patient of unknown age. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unknown date in 2103 (reported as "2 yrs. Ago"), the patient was vaccinated with PNEUMOVAX 23 (dose, dose number, route, anatomical location, lot number and expiration date were unspecified). On an unknown date, the patient experienced fever, injected area was red and irritated (injection site erythema and injection site irritation), and she had a knot form under her arm (limb discomfort). The outcome of the events was unknown. The relatedness between the events and PNEUMOVAX 23 was not reported. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Peripheral swelling, Tenderness
Clinical narrative: Patient had extensive swelling in arm and tenderness. Dx with cellulitis tx with BACTRIM. Had large amt. of redness. Patient seen in ER prior to office visit.
Age: 63.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Starting 11-11-15 client developed pain, erythema and moderate swelling at the (L) lower deltoid site, client also reports fever of 100.0 F. Recommended 800mg Ibuprofen Q 8 hours x 24-48 hours and ice packs to site TID. Reevaluate on 11-13-15.
Sex: U
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: This spontaneous report was received from a pharmacist concerning a patient of unknown age and gender. The patient's pertinent medical history or concurrent conditions were not provided. On 09-NOV-2015, the patient was vaccinated with an expired dose of PNEUMOVAX 23 expiration date: 16-AUG-2015 (route, lot#, anatomical location and dose were not reported). Co-suspect therapies or concomitant medications were not provided. No adverse effect was reported. No product quality complaint was involved. Additional information has been requested.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Initially, localized, small red area where needle went in but two days later, area started getting more red, hot, itchy swollen and has been progressively worsening for 6 days currently 4" x 2 1/2" rash. Doesn't hurt, just itchy, elevated hot.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Lymph node pain
Clinical narrative: Malaise, fever (low level), left deltoid pain, swelling, firmness, slight erythema (site of injection); painful and swollen l-sided axillary-supraclavicular lymph nodes.
Age: 47.0
Sex: F
Vaccine: TD
Symptoms: Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Malaise, fever (low level), left deltoid pain, swelling, firmness, slight erythema (site of injection); painful and swollen l-sided axillary-supraclavicular lymph nodes.
Age: 3.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Vaccine given right deltoid on 10/19. In the evening of 10/20, mom noticed redness, swelling and lump at injection site. Used ice and Benadryl- was seen by doctor on 10/21.
Age: 50.0
Sex: M
Vaccine: FLU4
Symptoms: Pain in extremity, X-ray normal
Clinical narrative: My arm was sore for two days after shot in the area of the shot.  That didn't alarm me, seemed normal.  Two weeks later it was still sore at the infection point but the pain had increased.  I called the Dr. and they said to watch it and let them know in a week.  A week later I called and let them know it was still quite severe, and had spread.  It ranges from the shoulder to the elbow.  They had me come in.  They did an xRay and didn't see anything.  Today is 11/12 and the pain is still the same.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Urticaria
Clinical narrative: Rash/Hives.  Benadryl given in ER and discharge prescription of Benadryl and Prednisone (times 3 days) give.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: ARM IS RED, HOT AND SWOLLEN AROUND INJECTION SITE AREA.
Age: 49.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Atrophy, Burning sensation, Injection site pain, Injection site reaction, Muscle atrophy
Clinical narrative: Felt shock and pain when nurse injected high on the Deltoid of left shoulder, ping pong size knot developed. 10-16-15 significant pain in arm, muscle atrophy in deltoid, 11-11-15 noticed atrophy in shoulder blade. Constant burning in entire are, side of neck and shoulder blade. Pain medication for pain, physical therapy started 11-11-15.
Age: 49.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Nerve conduction studies, Nodule, Nuclear magnetic resonance imaging, Pain in extremity, Shock
Clinical narrative: Felt shock and pain when nurse injected high on the Deltoid of left shoulder, ping pong size knot developed. 10-16-15 significant pain in arm, muscle atrophy in deltoid, 11-11-15 noticed atrophy in shoulder blade. Constant burning in entire are, side of neck and shoulder blade. Pain medication for pain, physical therapy started 11-11-15.
Age: 49.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: X-ray
Clinical narrative: Felt shock and pain when nurse injected high on the Deltoid of left shoulder, ping pong size knot developed. 10-16-15 significant pain in arm, muscle atrophy in deltoid, 11-11-15 noticed atrophy in shoulder blade. Constant burning in entire are, side of neck and shoulder blade. Pain medication for pain, physical therapy started 11-11-15.
Age: 49.0
Sex: F
Vaccine: FLUX, FLU3
Symptoms: Injection site mass
Clinical narrative: Felt shock and pain when nurse injected high on the Deltoid of left shoulder, ping pong size knot developed. 10-16-15 significant pain in arm, muscle atrophy in deltoid, 11-11-15 noticed atrophy in shoulder blade. Constant burning in entire are, side of neck and shoulder blade. Pain medication for pain, physical therapy started 11-11-15.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Activities of daily living impaired, Arthralgia, Arthropathy, Asthenia
Clinical narrative: On 8/9 she had woken up with stiff muscles and achiness limited to the lower extremities. Between Tuesday and Monday noted to have increased soreness. The following Monday she had developed emesis and for the rest of the week she felt nauseated but all of her leg pain had resolved. There was no dysuria and no problems with stooling and also noted to have mild abdominal pain but no back pain at this time. She missed the rest of the week of school because of continued nausea. The following week of 8/24 she seemed fine and was back at school and she joined the cross-country team and was practicing with them. On 8/31 during practice she developed significant nausea with dry heaves and she describes severe abdominal pain. That night she describes the room spinning when she looked up- not sure if dizziness and vertigo. On 9/1 she developed headache and seemed to go away. Was noted to have some photosensitivity for a day to maybe 2 days and the sensation of 'vertigo' has lasted since then. Seen by ENT 2 days later and had an MRI which did not reveal any pathologic findings. On 9/7 went to the ED because of the dizziness was really bad. Thought not to be due to the inner ear. MRI was normal and noted to have a normal neuro exam. Nausea and photophobia had resolved, dizziness continued. She was seen in PT and seen 9/16 for PT for vertigo. Started developing twitching shortly after starting PT. Noted to have increased twitchiness while seeing the rheumatologist. She started twitching more frequently. Did the exercises for 3 days and she had problems with the right knee giving out. Seen by PCP in 9/23 and seen by ortho who did not demonstrate any pathology. Right knee was swollen and there was no swelling noted. Both knees are now painful. Last Monday developed temperatures of 100.8 to 101 throughout the day with increased perspiration. Today noted shin pain bilaterally- described as stabbing. Noted to have tingling of the hands and seemed to come and go. Twitching of the arms and legs has continued and become more progressive. She is unable to attend school and uses a wheelchair because she feels weak. Seen by Neuro who have not identified any abnormal pathology.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Body temperature increased, Dizziness, Headache, Hyperhidrosis, Joint swelling
Clinical narrative: On 8/9 she had woken up with stiff muscles and achiness limited to the lower extremities. Between Tuesday and Monday noted to have increased soreness. The following Monday she had developed emesis and for the rest of the week she felt nauseated but all of her leg pain had resolved. There was no dysuria and no problems with stooling and also noted to have mild abdominal pain but no back pain at this time. She missed the rest of the week of school because of continued nausea. The following week of 8/24 she seemed fine and was back at school and she joined the cross-country team and was practicing with them. On 8/31 during practice she developed significant nausea with dry heaves and she describes severe abdominal pain. That night she describes the room spinning when she looked up- not sure if dizziness and vertigo. On 9/1 she developed headache and seemed to go away. Was noted to have some photosensitivity for a day to maybe 2 days and the sensation of 'vertigo' has lasted since then. Seen by ENT 2 days later and had an MRI which did not reveal any pathologic findings. On 9/7 went to the ED because of the dizziness was really bad. Thought not to be due to the inner ear. MRI was normal and noted to have a normal neuro exam. Nausea and photophobia had resolved, dizziness continued. She was seen in PT and seen 9/16 for PT for vertigo. Started developing twitching shortly after starting PT. Noted to have increased twitchiness while seeing the rheumatologist. She started twitching more frequently. Did the exercises for 3 days and she had problems with the right knee giving out. Seen by PCP in 9/23 and seen by ortho who did not demonstrate any pathology. Right knee was swollen and there was no swelling noted. Both knees are now painful. Last Monday developed temperatures of 100.8 to 101 throughout the day with increased perspiration. Today noted shin pain bilaterally- described as stabbing. Noted to have tingling of the hands and seemed to come and go. Twitching of the arms and legs has continued and become more progressive. She is unable to attend school and uses a wheelchair because she feels weak. Seen by Neuro who have not identified any abnormal pathology.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Laboratory test normal, Lymphocyte count increased, Muscle enzyme, Muscle twitching, Musculoskeletal stiffness
Clinical narrative: On 8/9 she had woken up with stiff muscles and achiness limited to the lower extremities. Between Tuesday and Monday noted to have increased soreness. The following Monday she had developed emesis and for the rest of the week she felt nauseated but all of her leg pain had resolved. There was no dysuria and no problems with stooling and also noted to have mild abdominal pain but no back pain at this time. She missed the rest of the week of school because of continued nausea. The following week of 8/24 she seemed fine and was back at school and she joined the cross-country team and was practicing with them. On 8/31 during practice she developed significant nausea with dry heaves and she describes severe abdominal pain. That night she describes the room spinning when she looked up- not sure if dizziness and vertigo. On 9/1 she developed headache and seemed to go away. Was noted to have some photosensitivity for a day to maybe 2 days and the sensation of 'vertigo' has lasted since then. Seen by ENT 2 days later and had an MRI which did not reveal any pathologic findings. On 9/7 went to the ED because of the dizziness was really bad. Thought not to be due to the inner ear. MRI was normal and noted to have a normal neuro exam. Nausea and photophobia had resolved, dizziness continued. She was seen in PT and seen 9/16 for PT for vertigo. Started developing twitching shortly after starting PT. Noted to have increased twitchiness while seeing the rheumatologist. She started twitching more frequently. Did the exercises for 3 days and she had problems with the right knee giving out. Seen by PCP in 9/23 and seen by ortho who did not demonstrate any pathology. Right knee was swollen and there was no swelling noted. Both knees are now painful. Last Monday developed temperatures of 100.8 to 101 throughout the day with increased perspiration. Today noted shin pain bilaterally- described as stabbing. Noted to have tingling of the hands and seemed to come and go. Twitching of the arms and legs has continued and become more progressive. She is unable to attend school and uses a wheelchair because she feels weak. Seen by Neuro who have not identified any abnormal pathology.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Nausea, Neurological examination normal, Neutrophil count decreased, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal
Clinical narrative: On 8/9 she had woken up with stiff muscles and achiness limited to the lower extremities. Between Tuesday and Monday noted to have increased soreness. The following Monday she had developed emesis and for the rest of the week she felt nauseated but all of her leg pain had resolved. There was no dysuria and no problems with stooling and also noted to have mild abdominal pain but no back pain at this time. She missed the rest of the week of school because of continued nausea. The following week of 8/24 she seemed fine and was back at school and she joined the cross-country team and was practicing with them. On 8/31 during practice she developed significant nausea with dry heaves and she describes severe abdominal pain. That night she describes the room spinning when she looked up- not sure if dizziness and vertigo. On 9/1 she developed headache and seemed to go away. Was noted to have some photosensitivity for a day to maybe 2 days and the sensation of 'vertigo' has lasted since then. Seen by ENT 2 days later and had an MRI which did not reveal any pathologic findings. On 9/7 went to the ED because of the dizziness was really bad. Thought not to be due to the inner ear. MRI was normal and noted to have a normal neuro exam. Nausea and photophobia had resolved, dizziness continued. She was seen in PT and seen 9/16 for PT for vertigo. Started developing twitching shortly after starting PT. Noted to have increased twitchiness while seeing the rheumatologist. She started twitching more frequently. Did the exercises for 3 days and she had problems with the right knee giving out. Seen by PCP in 9/23 and seen by ortho who did not demonstrate any pathology. Right knee was swollen and there was no swelling noted. Both knees are now painful. Last Monday developed temperatures of 100.8 to 101 throughout the day with increased perspiration. Today noted shin pain bilaterally- described as stabbing. Noted to have tingling of the hands and seemed to come and go. Twitching of the arms and legs has continued and become more progressive. She is unable to attend school and uses a wheelchair because she feels weak. Seen by Neuro who have not identified any abnormal pathology.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Pain in extremity, Paraesthesia, Photophobia, Photosensitivity reaction, Retching
Clinical narrative: On 8/9 she had woken up with stiff muscles and achiness limited to the lower extremities. Between Tuesday and Monday noted to have increased soreness. The following Monday she had developed emesis and for the rest of the week she felt nauseated but all of her leg pain had resolved. There was no dysuria and no problems with stooling and also noted to have mild abdominal pain but no back pain at this time. She missed the rest of the week of school because of continued nausea. The following week of 8/24 she seemed fine and was back at school and she joined the cross-country team and was practicing with them. On 8/31 during practice she developed significant nausea with dry heaves and she describes severe abdominal pain. That night she describes the room spinning when she looked up- not sure if dizziness and vertigo. On 9/1 she developed headache and seemed to go away. Was noted to have some photosensitivity for a day to maybe 2 days and the sensation of 'vertigo' has lasted since then. Seen by ENT 2 days later and had an MRI which did not reveal any pathologic findings. On 9/7 went to the ED because of the dizziness was really bad. Thought not to be due to the inner ear. MRI was normal and noted to have a normal neuro exam. Nausea and photophobia had resolved, dizziness continued. She was seen in PT and seen 9/16 for PT for vertigo. Started developing twitching shortly after starting PT. Noted to have increased twitchiness while seeing the rheumatologist. She started twitching more frequently. Did the exercises for 3 days and she had problems with the right knee giving out. Seen by PCP in 9/23 and seen by ortho who did not demonstrate any pathology. Right knee was swollen and there was no swelling noted. Both knees are now painful. Last Monday developed temperatures of 100.8 to 101 throughout the day with increased perspiration. Today noted shin pain bilaterally- described as stabbing. Noted to have tingling of the hands and seemed to come and go. Twitching of the arms and legs has continued and become more progressive. She is unable to attend school and uses a wheelchair because she feels weak. Seen by Neuro who have not identified any abnormal pathology.
Age: 13.0
Sex: F
Vaccine: HPV4
Symptoms: Vertigo, Vomiting, Wheelchair user
Clinical narrative: On 8/9 she had woken up with stiff muscles and achiness limited to the lower extremities. Between Tuesday and Monday noted to have increased soreness. The following Monday she had developed emesis and for the rest of the week she felt nauseated but all of her leg pain had resolved. There was no dysuria and no problems with stooling and also noted to have mild abdominal pain but no back pain at this time. She missed the rest of the week of school because of continued nausea. The following week of 8/24 she seemed fine and was back at school and she joined the cross-country team and was practicing with them. On 8/31 during practice she developed significant nausea with dry heaves and she describes severe abdominal pain. That night she describes the room spinning when she looked up- not sure if dizziness and vertigo. On 9/1 she developed headache and seemed to go away. Was noted to have some photosensitivity for a day to maybe 2 days and the sensation of 'vertigo' has lasted since then. Seen by ENT 2 days later and had an MRI which did not reveal any pathologic findings. On 9/7 went to the ED because of the dizziness was really bad. Thought not to be due to the inner ear. MRI was normal and noted to have a normal neuro exam. Nausea and photophobia had resolved, dizziness continued. She was seen in PT and seen 9/16 for PT for vertigo. Started developing twitching shortly after starting PT. Noted to have increased twitchiness while seeing the rheumatologist. She started twitching more frequently. Did the exercises for 3 days and she had problems with the right knee giving out. Seen by PCP in 9/23 and seen by ortho who did not demonstrate any pathology. Right knee was swollen and there was no swelling noted. Both knees are now painful. Last Monday developed temperatures of 100.8 to 101 throughout the day with increased perspiration. Today noted shin pain bilaterally- described as stabbing. Noted to have tingling of the hands and seemed to come and go. Twitching of the arms and legs has continued and become more progressive. She is unable to attend school and uses a wheelchair because she feels weak. Seen by Neuro who have not identified any abnormal pathology.
Age: 52.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site warmth, Insomnia, Malaise
Clinical narrative: Didn't feel quite well, nor could I sleep.  Had put an ice pack on both arms and took Tylenol.  Upon waking up, noticed that my left arm (where I had received the pneumonia shot was given) had broken out in four different areas and was red and hot to touch). Three of the areas were large in size and the other was small in size.  Called the doctor's office, went in and saw the nursing assistant. It was determined that I had an allergic reaction to the injection and that my sites were hot to the touch.  An antibiotic was prescribed and I was told to continue with the ice pack, Tylenol and Benadryl if needed.  *On a separate note:  I was given a pneumonia shot in my left arm and a flu shot in my right arm*
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Delivery, Exposure during pregnancy, Gait disturbance, Guillain-Barre syndrome
Clinical narrative: Bottoms of feet started to become numb, overall weakness around 11/29/14. 11/30/14 hands started to become numb and numbness started ascending up legs. Admitted into hospital 12/1/14 unable to walk unassisted.  OBGYN and Neurologist decided to deliver baby at 38 weeks. Paralysis continued up to torso. Admitted into ICU for almost 2 weeks, Neurologist confirmed Guillain Barre Syndrome, moved to Intensive Rehab Unit on 12/15/14 - 3/20/15. Participated in physical, occupational, and speech therapy. Outpatient rehab until May 2015.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Intensive care, Paralysis
Clinical narrative: Bottoms of feet started to become numb, overall weakness around 11/29/14. 11/30/14 hands started to become numb and numbness started ascending up legs. Admitted into hospital 12/1/14 unable to walk unassisted.  OBGYN and Neurologist decided to deliver baby at 38 weeks. Paralysis continued up to torso. Admitted into ICU for almost 2 weeks, Neurologist confirmed Guillain Barre Syndrome, moved to Intensive Rehab Unit on 12/15/14 - 3/20/15. Participated in physical, occupational, and speech therapy. Outpatient rehab until May 2015.
Age: 5.0
Sex: F
Vaccine: FLUN4
Symptoms: Chills, Headache, Lethargy, Pyrexia
Clinical narrative: High Fever (102.8). Lethargy. Headache and Chills.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Feeling hot, Vision blurred, Vomiting
Clinical narrative: While patient was sitting in private room after administration, stated she felt hot and dizzy with blurry vision, and vomited in trash can in room.  Had been several since last flu shot.  MD from upstairs clinic escorted patient upstairs for further evaluation.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site joint erythema, Injection site warmth
Clinical narrative: Right arm erythematous and warm to touch. Redness noted to elbow joint. Afebrile.
Age: 16.0
Sex: F
Vaccine: FLUC3
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: None yet.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache
Clinical narrative: Headache.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Headache, Peripheral swelling, Pyrexia, Rash
Clinical narrative: When pt awoke the next morning, she was developing fever and headache.  Fever got to 102. Pt then developed rash on the underside of arm and some swelling.  She went to the ER and was given IV Benadryl to alleviate the symptoms.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Anxiety, Chills, Confusional state, Decreased appetite, Fatigue
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Feeling abnormal, Hyperhidrosis, Injection site pain, Malaise, Muscular weakness
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Pyrexia
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Anxiety, Blood test normal, Chills, Condition aggravated, Decreased appetite
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Depression, Dizziness, Dyspepsia, Dyspnoea, Ear congestion
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Gastroenteritis viral, Hyperhidrosis, Muscle tightness, Muscle twitching, Night sweats
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 27.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Pyrexia, Sinus disorder, Weight decreased
Clinical narrative: Started off with anxiety that gradually got worse. Along with fatigue, mild fever (99.7), sweats, chills, pain in my left arm where the shot was given, weakness in legs, general malaise, confusion, brain fog, loss of appetite.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event.  Parent reported no fever and child doing fine.
Age: 56.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Swelling
Clinical narrative: After 12 days area was still swollen and bruised.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event.  Parent reported child was doing fine and no fever.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Contusion, Pyrexia, Swelling
Clinical narrative: Fever, swelling, bruising of the arm.
Age: 2.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse event.  Parent reported child was doing fine and afebrile.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB, FLU3, PNC13, RV5
Symptoms: Dyspnoea
Clinical narrative: WAS LAYING ON BACK 5 HOURS AFTER SHOTS, SEEMED TO NOT BE ABLE TO CATCH BREATH, MOM SAT HER UP, SHE DID IT AGAIN X 5-10 SECONDS, THEN A THIRD TIME WITHIN 15 MINUTE PERIOD. NO CYANOSIS OR LOSS OF CONSCIOUSNESS. WENT TO ER, FINE AND ASYMPTOMATIC THERE AND EVER SINCE.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Mother states noted redness on thighs then rashes the following day.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm with increased redness and warmth at injection site which progressively got larger since time of injection. Seen in clinic on 11/12/2015 @3:45PM. Area measured 6.5cm x 7.5cm, was warm and red, slightly raised. MD prescribed Augmentin 875mg PO BID for 10 days.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ
Symptoms: Dizziness, Headache
Clinical narrative: Headache, dizziness.
Age: 63.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Expired product administered
Clinical narrative: Pt presented to the office for Hep A vaccine and Typhoid Vaccine. Both vaccines were given, and during documentation I noticed the exp date of the Typhoid vaccine was expired 11/3/2015.
Age: 63.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site discomfort, Injection site pain, Pain
Clinical narrative: Have severe pain in left shoulder where shot was given, can not lift my left arm, has shooting pain and at times feels like its going to" pop", I have a yearly physical on 11/20/2015 and I am going to request xrays.
Age: 82.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Localized area where injection was given had some swelling and redness to the area. Dr presribed a steroid pack and antibiotic for treatment due to patient reaction to the shot.
Age: 1.03
Sex: M
Vaccine: DTAP, FLUX, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Heart rate increased, Pyrexia, Rash
Clinical narrative: Baby taken to Emergency room after temperature was 105. ER temp was 104.8. Heart beat was 250. After IV fluids and Tylenol, fever and pulse lowered to 102. Rash followed 4 days later after fever gone.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Disturbance in attention, Impulsive behaviour, Laboratory test
Clinical narrative: Unable to focus. Unable to complete tasks. Impulsive behavior.
Age: 53.0
Sex: F
Vaccine: MMR
Symptoms: Activities of daily living impaired, Epistaxis
Clinical narrative: First thing in the morning, my nose began to bleed very heavily.  It took about a half an hour before it stopped, and I had to be lying down.  I had to call in sick to work.
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Head discomfort, Pyrexia, Rhinorrhoea
Clinical narrative: Patient reports head pressure, fever, and runny nose the evening after receiving the flu vaccine.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Nausea
Clinical narrative: Headache, chills, nausea, diarrhea.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Bone pain, Myalgia
Clinical narrative: Started having aches and pains in my muscles. The condition persists thru today, with aching in bones and joints.
Age: 60.0
Sex: M
Vaccine: PNC13, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Pt developed swelling and redness at injection site in the left arm where Zostavax administered along with report of a low grade fever in.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site warmth, Myalgia, Pyrexia
Clinical narrative: Low grade fever, tennis ball size soreness at the site of injection, warm to touch. Muscle ache.
Age: 12.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Local swelling, Mobility decreased, Tenderness
Clinical narrative: Swelling covering entire shoulder - redness, tenderness, decreased mobility.
Age: 71.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Blood test normal, Myalgia
Clinical narrative: The next morning after taking the shot, started having some minor aching in my arm muscles. To this day been having very severe pain in my arms muscles and joints.
Age: 16.0
Sex: F
Vaccine: FLUX, MNQ
Symptoms: Inflammation, Pruritus, Skin warm, Urticaria
Clinical narrative: Inflammation, urticaria, pruritis, increased skin temperature.
Age: 0.1
Sex: M
Vaccine: HEP
Symptoms: Hypophagia, Irritability, Screaming
Clinical narrative: Fussy and screaming, decreased feeding.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Very painful left arm and extreme swelling from shoulder to elbow; skin pink and somewhat warm.  By 3:00 a.m. on 11/10/15 got out of bed and called 24-hour pharmacy to ask what to do.  Pain was then excruciating whenever I moved it.  Pharmacist said to take ibuprofen and get to the doctor.  Next day went to work with extremely swollen and painful arm.  Could not get to doctor until visit to Sisters of Mercy Urgent Care Clinic in Asheville, NC, before work on 11/11/15.  Was prescribed Prednisone 20 mg. (total 8 tablets to be taken over 5 days), Tylenol, and use of ice pack 4X/day for 20 min. was recommended.
Age: 23.0
Sex: F
Vaccine: FLU4, TYP
Symptoms: Abdominal pain upper, Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Pt took 1st dose VIVOTIF 7 AM on 11/6. About 5 pm 11/6 developed stomach ache. Vomiting x 2 at 1-2 AM on 11/7 with stomach pain, muscle aches, HA and nausea. Able to resume eating by 11/7 pm sx all resolved by 11/8 pm. Only trt was ADVIL for HA 11/7 pm with improvement. Currently feels well, normal as before.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Blister, Pain in extremity, Rash, Skin tightness
Clinical narrative: Arm is sore, tight feeling, blistered rash on arm and body.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Rash, Skin warm, Swelling
Clinical narrative: Rash, swollen and itch. Hot to touch.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysgeusia, Loss of consciousness, Nausea, Vision blurred, Vomiting
Clinical narrative: Starting tasting metal, nausea blurred vision went home passed out at home 2 hours later threw up twice here at the store before he left. Go to Dr. on Thursday 11/12 if still reaction on arm. Has not called his Dr.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Erythema, induration, warmth right deltoid.
Age: 1.02
Sex: M
Vaccine: DTAPIPVHIB, FLU3, HEP, MMR, PNC13, VARCEL
Symptoms: Wrong drug administered
Clinical narrative: Gave Hep B immunization at 12 months well child visit. Mother authorized PENTACEL instead of routine Hep B vaccine. Pt asymptomatic at clinic. Pt on delayed immunization schedule. Mother aware of error. MD notified and spoke with mother.
Age: 78.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure decreased, Fatigue, Hypersomnia, Parkinsonism
Clinical narrative: Patient felt in the heart with symptoms. Had Parkinson like symptoms and blood pressure dropped from 110/70 to 70/50. He said he was tired and fell asleep for more than 12 hrs.
Age: 40.0
Sex: F
Vaccine: FLU3, HEP, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site rash, Injection site swelling
Clinical narrative: Pt. presented with rash, redness, swelling and induration in left deltoid area (area of vaccination). Vaccine PSV23 and flu shot given 3 days ago. Given cephalexin.
Age: 12.0
Sex: F
Vaccine: DTAP, HEPA, MNQ
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt. given DTaP instead of Tdap. No adverse reaction reported. RN tried to contact parents with info, but no answer. Family was traveling.
Age: 16.0
Sex: F
Vaccine: DTAP, HEPA, MNQ
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Pt. given DTaP instead of Tdap. No adverse reaction reported. RN tried to contact parents with info, but got no answer. Family was traveling.