chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Fatigue, Feeling abnormal, Headache, Hordeolum, Immunodeficiency
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of loss of consciousness in a 64-year-old female patient who received SHINGRIX for prophylaxis.  Co-suspect products included Influenza vaccine Quadrivalent 2018-2019 season for prophylaxis and valaciclovir hydrochloride (Valacyclovir) unknown for cold sores. On 13th September 2018, the patient received the 1st dose of SHINGRIX (intramuscular) and Influenza vaccine Quadrivalent 2018-2019 season. In March 2019, the patient started Valacyclovir at an unknown dose and frequency. On 13th September 2018, less than a day after receiving SHINGRIX and Influenza vaccine Quadrivalent 2018-2019 season and not applicable after starting Valacyclovir, the patient experienced loss of consciousness (serious criteria GSK medically significant), influenza-like symptoms and tiredness. In September 2018, the patient experienced pain, headache and feeling abnormal. On 11th March 2019, the patient experienced cold sores. On 13th March 2019, the patient experienced stye. On an unknown date, the patient experienced immunocompromised (serious criteria GSK medically significant). The action taken with Valacyclovir was unknown. On an unknown date, the outcome of the loss of consciousness, influenza-like symptoms, tiredness, pain and headache were recovered/resolved and the outcome of the immunocompromised, feeling abnormal, cold sores and stye were unknown. It was unknown if the reporter considered the loss of consciousness, immunocompromised, influenza-like symptoms, tiredness, pain, headache, feeling abnormal and cold sores to be related to SHINGRIX and Influenza vaccine Quadrivalent 2018-2019 season. The reporter considered the stye to be unrelated to SHINGRIX and Influenza vaccine Quadrivalent 2018-2019 season. It was unknown if the reporter considered the stye to be related to Valacyclovir. Additional details were provided as follows: The patient received the 1st dose of SHINGRIX on the left arm and Flu vaccine on the right arm. Within 12 to 24 hours after receiving SHINGRIX and Flu vaccine, the patient experienced flu like reaction which knocked her out and made her really tired. Less than a week after receiving SHINGRIX and Flu vaccine, the patient felt achy and had a headache and felt like she was hit by a truck. The patient felt really wiped out. All the symptoms were resolved with 3 days. On 11th March 2019, 179 days after receiving SHINGRIX and Flu vaccine, the patient also reported that she started to get a cold sore on Monday and she is taking Valacyclovir. One hundred and eight-one days after receiving SHINGRIX and Flu vaccine, the patient had a sty in her eye, which she was not relating to the vaccines but she might postpone getting the second shot because of her immune-compromised system. The reporter gave consent to call the physician for follow up.
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Influenza like illness, Loss of consciousness, Oral herpes, Pain
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of loss of consciousness in a 64-year-old female patient who received SHINGRIX for prophylaxis.  Co-suspect products included Influenza vaccine Quadrivalent 2018-2019 season for prophylaxis and valaciclovir hydrochloride (Valacyclovir) unknown for cold sores. On 13th September 2018, the patient received the 1st dose of SHINGRIX (intramuscular) and Influenza vaccine Quadrivalent 2018-2019 season. In March 2019, the patient started Valacyclovir at an unknown dose and frequency. On 13th September 2018, less than a day after receiving SHINGRIX and Influenza vaccine Quadrivalent 2018-2019 season and not applicable after starting Valacyclovir, the patient experienced loss of consciousness (serious criteria GSK medically significant), influenza-like symptoms and tiredness. In September 2018, the patient experienced pain, headache and feeling abnormal. On 11th March 2019, the patient experienced cold sores. On 13th March 2019, the patient experienced stye. On an unknown date, the patient experienced immunocompromised (serious criteria GSK medically significant). The action taken with Valacyclovir was unknown. On an unknown date, the outcome of the loss of consciousness, influenza-like symptoms, tiredness, pain and headache were recovered/resolved and the outcome of the immunocompromised, feeling abnormal, cold sores and stye were unknown. It was unknown if the reporter considered the loss of consciousness, immunocompromised, influenza-like symptoms, tiredness, pain, headache, feeling abnormal and cold sores to be related to SHINGRIX and Influenza vaccine Quadrivalent 2018-2019 season. The reporter considered the stye to be unrelated to SHINGRIX and Influenza vaccine Quadrivalent 2018-2019 season. It was unknown if the reporter considered the stye to be related to Valacyclovir. Additional details were provided as follows: The patient received the 1st dose of SHINGRIX on the left arm and Flu vaccine on the right arm. Within 12 to 24 hours after receiving SHINGRIX and Flu vaccine, the patient experienced flu like reaction which knocked her out and made her really tired. Less than a week after receiving SHINGRIX and Flu vaccine, the patient felt achy and had a headache and felt like she was hit by a truck. The patient felt really wiped out. All the symptoms were resolved with 3 days. On 11th March 2019, 179 days after receiving SHINGRIX and Flu vaccine, the patient also reported that she started to get a cold sore on Monday and she is taking Valacyclovir. One hundred and eight-one days after receiving SHINGRIX and Flu vaccine, the patient had a sty in her eye, which she was not relating to the vaccines but she might postpone getting the second shot because of her immune-compromised system. The reporter gave consent to call the physician for follow up.
Sex: F
Vaccine: VARZOS
Symptoms: Accidental exposure to product, Exposure via eye contact, Eyelid boil, Hordeolum, Periorbital swelling
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of eyelid boil in a female patient who received Shingrix for prophylaxis. In February 2019, the patient received Shingrix. In February 2019, less than a month after receiving Shingrix, the patient experienced eyelid boil, periocular swelling and stye. On an unknown date, the patient experienced inadvertent exposure to vaccine and exposure via eye contact. On an unknown date, the outcome of the eyelid boil, periocular swelling and stye were not reported and the outcome of the inadvertent exposure to vaccine and exposure via eye contact were unknown. It was unknown if the reporter considered the eyelid boil, periocular swelling and stye to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient reported that about one month ago, the patient was preparing a Shingrix dose and as she was removing air from the syringe some Shingrix squirted out  into her eye which led to inadvertent exposure to vaccine and exposure via eye contact. The patient had a bump on the eyelid and swelling around the eye. The patient consulted physician and ophthalmologist who thought it might be a stye. The reporter declined to provide address or date of birth and does not want follow up with her physician and did not consent to follow-up.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Erythema, Hypersensitivity, Local reaction, Peripheral swelling, Skin warm
Clinical narrative: This is a spontaneous report from a contactable pharmacist (patient's parent). A 17-year-old male patient receive the 1st dose of TRUMENBA, via an unspecified route of administration, on 04Mar2019, at single dose, for immunisation. Medical history and concomitant medications were none. The patient experienced left arm warm, swollen, and red in a circle on 04Mar2019 with outcome of not recovered and local allergic reaction with a  diameter around 3 inches by 5 inches on an unspecified date with outcome of unknown. The information on the lot number has been requested.
Sex: U
Vaccine: MENB, MNQ
Symptoms: Dyspnoea, Migraine, Pain
Clinical narrative: Initial information received on 18-Mar-2019 regarding an unsolicited valid non-serious case received from a physician via other company, Pfizer- 2018377136 on 18-Mar-2019. This case involves a patient of unknown demographics who experienced headache/migraine, body ache and labored breathing, while he/she received vaccines TRUMENBA and MENACTRA. The patient had no past medical history and concomitant therapy was unknown. On an unknown date, the patient received a single dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE lot U5984AC via intramuscular route in the left deltoid. On 06-Sep-2018 at 13:30, the patient received a single injection of suspect TRUMENBA not produced by Sanofi Pasteur lot T52806 via intramuscular route in the right arm. On 06-Sep-2018, The patient developed a non-serious headache/migraine, body ache, labored breathing same day following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE and TRUMENBA. Lab test not reported. Final diagnosis was labored breathing, body ache and headache/migraine.   The patient was treated with IBUPROFEN for Pyrexia and Pain, ZOFRAN for Nausea and SUMATRIPTAN for Migraine. (started from 06-Sep-2018, every 8 hours for Zofran and Ibuprofen). The patient outcome is reported as Recovered / Resolved on an unknown date for headache/migraine, as Recovered / Resolved on an unknown date for body ache and as Recovered / Resolved on an unknown date for labored breathing. The reporter assessed the causal relationship to Trumenba.
Sex: U
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 18-Mar-2019 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a four years old patient (gender not reported) who was vaccinated with a dose of vaccine ADACEL (lot U6104AA and exp. Date 02-Nov-2020) via unknown route in the left thigh on an unknown date. The patient's medical history included vaccine DAPTACEL received 4 doses in series at 2, 4, 6, and 17 months and no other vaccines were given concomitantly. It was an actual medication error case due to inappropriate age at vaccine administration. No adverse effects reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Sex: U
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 18-Mar-2019 regarding an unsolicited valid non-serious case received from a consumer/non-HCP. This case involves a 4.5 years old patient (unknown gender) for whom ADACEL was administered to a patient that is 4.5 years of age and also when dtap can be administered was reported, while he/she received vaccines ADACEL. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. The subject did not received other vaccines. On 28-Feb-2019, the patient received a 0.5 ml dose of suspect diphtheria-2/tetanus/5 ac pertussis vaccine lot U6069BA expiry date: 14-Sep-2020 via unknown route in the right arm. It was as an actual medication error case due inappropriate age at vaccine administration. It was reported ADACEL was administered to a patient that is 4.5 years of age and also when dtap can be administered and this would have been dose number 5. Lab data was not reported. Final diagnosis was ADACEL was administered to a patient that is 4.5 years of age and also when dtap can be administered. It was not reported if the patient received a corrective treatment. The outcome of event was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 1.92
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR
Symptoms: Expired product administered
Clinical narrative: Initial information received on 18-Mar-2019 regarding an unsolicited valid non-serious case received from a nurse. This case is linked with 2019SA079860 (same reporter). This case involves a 23 months old male patient who received expired dose of DAPTACEL. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HIB; Hepatitis A and MMR for Immunisation. On 18-Mar-2019, the patient received a 0.5 ml dose of suspect DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE lot C5157AA expiry date: 23-Feb-2019 via unknown route in the right leg. It was an actual medication error due to expired vaccine used. Nurse reported an expired dose of DAPTACEL was given to the patient. It was not reported whether the patient experienced any adverse event or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 0.5
Sex: M
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Initial information received on 18-Mar-2019 regarding an unsolicited valid non-serious case received from a physician. This case is linked to cases 2019SA077925 and 2019SA077920 (same reporter). This case involves a 6 months old male patient who received a dose of IPOL lot N1J451M, expiration date: 05-Oct-2019 via unknown route in unknown administration site on 29-Jan-2019. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. It was an actual medication error due to product storage error. IPOL vaccine that reached a temperature of 34-33 degrees F was administered to a 6 month old male patient on 29-Jan-2019. It was unknown whether patient experienced any adverse event following vaccination. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Muscle spasms, Pain in extremity
Clinical narrative: Patient came to present the reactions to me, 3/21/2019, about the terrible pain and muscle spasms he has at the back of his legs the following day he got the injections last 3/4/2019. He came the next day to get his other medications and when I asked how he felt about the injection site, he said it was sore. He never mentioned about the pain of the legs for he thought it might be caused by something else. As of 3/21, he said he was 90% ok. Today, he talked about his other medication atorvastatin but every now and then getting the pain.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Pyrexia
Clinical narrative: Low grade fever (101.5) and moderate abdominal cramping for five days. Resolved without treatment.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Dizziness, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Tenderness, redness, and swelling at the injection site, dizziness, headache; told to use cool compress on injection site and Tylenol for pain; headache and dizziness were resolved, tenderness, redness, and swelling were still present.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: PATIENT EXPERIENCED REDNESS/FEVER/SORE/ITCHY ON UPPER RIGHT ARM. PATIENT FELT COLD TOO. SYMPTOMS STARTED NEXT DAY AFTER RECEIVING VACCINE. PATIENT FELLS FINE TODAY (3/22/19).
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injected limb mobility decreased, Injection site pain, Insomnia, Pain
Clinical narrative: 3 hours after vaccination, I presented with excruciating pain in the right shoulder radiating down to Rt. elbow and into Rt. ring finger. I couldn't lift my arm at all, pain was so bad I was shaking, my teeth were chattering. I have never had pain at this level before, even broken bones didn't hurt this bad. I took BAYER aspirin every four hours starting around 1800 every four hours did not exceed 4 doses as per directions. Got little sleep, arm in horrible pain, this morning I now have terrible ringing in the ears. Today at 2:00 PM I am still in a good pain but able to move my arm more.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Tinnitus, Tremor
Clinical narrative: 3 hours after vaccination, I presented with excruciating pain in the right shoulder radiating down to Rt. elbow and into Rt. ring finger. I couldn't lift my arm at all, pain was so bad I was shaking, my teeth were chattering. I have never had pain at this level before, even broken bones didn't hurt this bad. I took BAYER aspirin every four hours starting around 1800 every four hours did not exceed 4 doses as per directions. Got little sleep, arm in horrible pain, this morning I now have terrible ringing in the ears. Today at 2:00 PM I am still in a good pain but able to move my arm more.
Age: 51.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema
Clinical narrative: Red injection site, measuring in 6cm.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills
Clinical narrative: Four hours of shivering.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test abnormal, Cough, Infectious mononucleosis, Oropharyngeal pain, Pain
Clinical narrative: The patient was given the shot on Tues 3/12.The patient felt achy weds night.  On Thur she went to clinic for cough, congestion, sore throat, and low grade fever. Monday at 1 am she went to emergency room because her heart was racing. A blood test revealed she had mono. She was not given an antibiotic on either visit. On 3/21 she developed a bumpy rash on back that it itchy and tender. The rash has spread to her stomach. She is worried it may be shingles. I advised her to return to her doctor for further evaluation.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Palpitations, Pyrexia, Rash papular, Rash pruritic, Respiratory tract congestion
Clinical narrative: The patient was given the shot on Tues 3/12.The patient felt achy weds night.  On Thur she went to clinic for cough, congestion, sore throat, and low grade fever. Monday at 1 am she went to emergency room because her heart was racing. A blood test revealed she had mono. She was not given an antibiotic on either visit. On 3/21 she developed a bumpy rash on back that it itchy and tender. The rash has spread to her stomach. She is worried it may be shingles. I advised her to return to her doctor for further evaluation.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: The patient was given the shot on Tues 3/12.The patient felt achy weds night.  On Thur she went to clinic for cough, congestion, sore throat, and low grade fever. Monday at 1 am she went to emergency room because her heart was racing. A blood test revealed she had mono. She was not given an antibiotic on either visit. On 3/21 she developed a bumpy rash on back that it itchy and tender. The rash has spread to her stomach. She is worried it may be shingles. I advised her to return to her doctor for further evaluation.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Syncope
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Urticaria
Clinical narrative: Patient developed hives on her feet after immunizations were given. She was then given the appropriate dose of BENADRYL and monitored.
Age: 53.0
Sex: M
Vaccine: PPV, TDAP, VARZOS
Symptoms: Erythema, Rash
Clinical narrative: Patient stated that he had right arm redness on the lower part of his arm (not at the injection site) and had the reaction a few days later. He also has a rash on top of his hands. It does not itch/hurt.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis of leg where vaccines were administered.
Age: 20.0
Sex: F
Vaccine: HEPA, HPV9, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Pt called today because in her right arm where she received a chicken pox vaccine it is swollen, red, warm to the touch, and has an itchy rash. Pt explained that it is localized to that area, is not spreading but has been getting worse over the last few days and started on Wednesday. Pt has not taken any medication and is concerned that it could get worse. ASSESSMENT/PLAN: RN advised pt to go to the ER if it continues to get worse, but to try some benedryl tonight to see if it improves tomorrow. RN explained the most serious reactions are typically shortly after the injection and it should be getting better. Pt declined coming to the clinic today, but will call the after hours line this weekend if she needs additional advise. Again pt will follow up at ER if needed.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient complained of severe pain in arm that lasted for a couple days after the vaccine. She still has a lot of pain up until today and feels like she can't move her arm.
Age: 1.58
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Large red lumps and pain and soreness upon touch at injection site. Both left and right thighs have these lumps and my son won't even let us touch them they hurt so bad.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Hypersomnia
Clinical narrative: Symptoms lasted two to three days after the vaccine. Chills, shivering, sweats, headache, nausea, muscle aches, severe pain and swelling at site of injection, swelling of face, extreme tiredness. Flu like symptoms. Slept two days straight. The injection was on Tuesday afternoon and today is Friday, which is the first time I've been awake and able to drink and eat.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site pain, Injection site swelling, Myalgia, Nausea
Clinical narrative: Symptoms lasted two to three days after the vaccine. Chills, shivering, sweats, headache, nausea, muscle aches, severe pain and swelling at site of injection, swelling of face, extreme tiredness. Flu like symptoms. Slept two days straight. The injection was on Tuesday afternoon and today is Friday, which is the first time I've been awake and able to drink and eat.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Swelling face
Clinical narrative: Symptoms lasted two to three days after the vaccine. Chills, shivering, sweats, headache, nausea, muscle aches, severe pain and swelling at site of injection, swelling of face, extreme tiredness. Flu like symptoms. Slept two days straight. The injection was on Tuesday afternoon and today is Friday, which is the first time I've been awake and able to drink and eat.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling, Pain
Clinical narrative: Patient said the morning after the vaccine she was having body aches and the next day a rash and swelling developed on the arm below the site of injection.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Headache, Hyperhidrosis, Malaise
Clinical narrative: Within an hour of receiving the vaccine, I began to feel ill. I went to bed around 9:00pm feeling quite ill. Around 2:30am I woke up and went to the bathroom and threw up. As I was walking out of the bathroom, I fainted. I hit the floor so hard that I woke up my husband. He came down the hall to help me. I was horribly sick all night: dizzy, nauseated, headache, fever, sweats, body sore from head to toe. I felt weak for several days. I will not be getting the second shot.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pyrexia, Syncope, Vomiting
Clinical narrative: Within an hour of receiving the vaccine, I began to feel ill. I went to bed around 9:00pm feeling quite ill. Around 2:30am I woke up and went to the bathroom and threw up. As I was walking out of the bathroom, I fainted. I hit the floor so hard that I woke up my husband. He came down the hall to help me. I was horribly sick all night: dizzy, nauseated, headache, fever, sweats, body sore from head to toe. I felt weak for several days. I will not be getting the second shot.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Cough, Neck pain, Pyrexia, Rash generalised, Rhinorrhoea
Clinical narrative: Rash all over body, fever, runny nose, cough. Friday the 8th he got 2 shots in his left arm. KINRIX and MMRV. He ended up getting a rash Friday (the 8th) night. I noticed it....called the on call doctor, she's was like ohhh it's probably just a reaction to the shots, keep an eye on him, look for swelling and whatnot. Ok....so I did. Monday the 11th rolls around.... he still has the rash and he tells me Monday night that his neck hurts. I go into full blown panic thinking meningitis or something awful, rush him to the peds urgent care, they say it's scarlet fever and give him amoxicillin. No strep swab, he was only examined. He's was done the antibiotic on the Thursday the 21st and the rash is back, full force as of Thursday (before the last dose of antibiotics) So, I called the nurse at his office, sent pics and they diagnosed it as a 'Non-Specific Viral Rash' she said since they didn't do a strep swab at urgent care she can't be sure that's what he had, but if he was on antibiotics it should have gone away if it was. So she basically said keep an eye on it and bring him in tomorrow or Saturday if it gets worse or if he gets a fever... I'm bringing him back to the doctor tomorrow, Saturday the 23rd. He has a runny nose, a cough and a rash now.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Decreased appetite, Fatigue, Headache, Night sweats, Oropharyngeal pain
Clinical narrative: Extreme fatigue (sleeping continually), poor appetite, high fever (up to 103.7), extreme shaking, headache, symptoms lasting 5+ days, sore throat, red rash on face, night sweats. Treated with rest, liquids, and TYLENOL.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Pyrexia, Rash erythematous, Tremor
Clinical narrative: Extreme fatigue (sleeping continually), poor appetite, high fever (up to 103.7), extreme shaking, headache, symptoms lasting 5+ days, sore throat, red rash on face, night sweats. Treated with rest, liquids, and TYLENOL.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, 100 degrees; Pain, right shoulder and arm; Bruising at injection site.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Chills, sweats, myalgia, headache, gastrointestinal upset, fatigue.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Chills, sweats, myalgia, headache, gastrointestinal upset, fatigue.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Condition aggravated, Decreased appetite, Fatigue
Clinical narrative: Extremely sore arm for 3 days, 4th day still hurts to the touch. Felt shaky and blood pressure became very high. Flu like symptoms, hot and cold, shivering, headache, achy inside, fatigue, nausea, loss of appetite for 2 days and stomach discomfort. Stayed home for 3 days slept a lot as I was exhausted and felt very sick. Wanted to call an ambulance go to ER but husband discouraged me. Today is the 4th day and still feel tired, arm is sore but bearable so I went about my day.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling of body temperature change, Headache, Hypertension, Influenza like illness, Malaise
Clinical narrative: Extremely sore arm for 3 days, 4th day still hurts to the touch. Felt shaky and blood pressure became very high. Flu like symptoms, hot and cold, shivering, headache, achy inside, fatigue, nausea, loss of appetite for 2 days and stomach discomfort. Stayed home for 3 days slept a lot as I was exhausted and felt very sick. Wanted to call an ambulance go to ER but husband discouraged me. Today is the 4th day and still feel tired, arm is sore but bearable so I went about my day.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pain in extremity, Tremor
Clinical narrative: Extremely sore arm for 3 days, 4th day still hurts to the touch. Felt shaky and blood pressure became very high. Flu like symptoms, hot and cold, shivering, headache, achy inside, fatigue, nausea, loss of appetite for 2 days and stomach discomfort. Stayed home for 3 days slept a lot as I was exhausted and felt very sick. Wanted to call an ambulance go to ER but husband discouraged me. Today is the 4th day and still feel tired, arm is sore but bearable so I went about my day.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ, TDAP
Symptoms: Injection site discolouration
Clinical narrative: During clinic visit on 3/18/19 mom stated patient had discoloration of (R) lateral arm (upper) that she noticed at an unspecified time after receiving vaccines. Denies pain or mobility issues.
Age: 72.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: Pain in injection area right arm.
Age: 50.0
Sex: F
Vaccine: FLU4, MMR, TDAP, VARCEL
Symptoms: Nodule, Pruritus
Clinical narrative: Patient presented with two dime sized nodules in left arm that she state "itch and hurt constantly". She says they have been there since 11/08/18.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Blood test normal, Hypoaesthesia, Peripheral swelling
Clinical narrative: Employee had swelling and numbness to left arm and hand on 03-19-19. Employee was seen at Hospital on 03-20-19. Employee was prescribed BACTRIM DS BID x 7 days. She started the BACTRIM on 03-22-19. She states today that the numbness is gone and that there is just a little swelling around the nail beds of the fingers of the left hand.
Age: 49.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Nodule, Pain in extremity, Peripheral swelling
Clinical narrative: The patient stated her right arm begin to hurt about 48 hours after receiving her vaccines while she was driving. She stated the underside of her arm and armpits were swollen. She stated she could feel a knot in her arm about the size of a small egg. She stated there was no redness or itchiness at the injection site, but the underside of the arm was very tender. She did not go to the doctor. I called and checked on her 48 hours later and she stated her arm felt much better and the swelling had gone down. She had taken diphenhydramine after her arm began to swell. The patient stated she was receiving these vaccines because she is preparing for surgery to remove her spleen.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Only immediate reaction was pain at the injection site and tingling in the fingers. However, when I awoke at 11:45p my upper arm (in the area surrounding the point of the injection) was itchy, swollen, hard, hot and red.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth, Paraesthesia
Clinical narrative: Only immediate reaction was pain at the injection site and tingling in the fingers. However, when I awoke at 11:45p my upper arm (in the area surrounding the point of the injection) was itchy, swollen, hard, hot and red.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Vomiting
Clinical narrative: Within 4 hours SEVERE stomach pain that continued for 12 hours and included 12 hours of vomiting and diarrhea. Chills off and on for 24 hours Stomach pain continued but more moderate for 48 hours
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Induration, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Arm is Swollen, hot to touch, rock hard and itches.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Patient had a PNEUMOVAX 23 vaccine administered around 1142am on Friday March 22, 2019.  Patient called Saturday March 23, 2019 around 930am to report that her arm was red, itching and slightly swollen. The symptoms started the previously night and she self-treated with BENADRYL and ibuprofen. I advised patient to continue taking the ibuprofen and BENADRYL as needed and if symptoms got any worse to go to a physician.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left upper arm pain, swelling, redness for 24 hours treated with rest, ice, NSAIDs, BENADRYL OTC.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Chills, Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: Pain, stiff arm, cannot move left arm, fever of 102, tenderness at injection site, chills.  Gave Childrens Motrin
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Pyrexia
Clinical narrative: Pain, stiff arm, cannot move left arm, fever of 102, tenderness at injection site, chills.  Gave Childrens Motrin
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Vertigo
Clinical narrative: Vertigo for 8 days following vaccination, sudden head movements induced head spinning. No nausea. Resolved spontaneously 8 days after vaccination. Red and swollen at site of injection approximately 2 days after vaccine, lasted for 2 days.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Insomnia, Pain in extremity, Pruritus
Clinical narrative: "The patient feels that her arm is on burning and itching, her arm is in pain. She couldn't sleep last night."
Age: 1.17
Sex: F
Vaccine: MMR, PNC13
Symptoms: Chills, Discomfort, Erythema, Fatigue, Injection site pain
Clinical narrative: Fever began before midnight and rose to over 102, child had rigors, severe irritability, severe pain at injection site, red arm, discomfort beyond the expected fatigue, inability to sleep due to rigors and fever and pain.
Age: 1.17
Sex: F
Vaccine: MMR, PNC13
Symptoms: Insomnia, Irritability, Pain, Pyrexia
Clinical narrative: Fever began before midnight and rose to over 102, child had rigors, severe irritability, severe pain at injection site, red arm, discomfort beyond the expected fatigue, inability to sleep due to rigors and fever and pain.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pyrexia, Rash, Urticaria
Clinical narrative: Patient complained of swollen arm, rash, hives, and fever. She is feeling better on 3/23/2019.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site inflammation, Injection site pain, Pyrexia
Clinical narrative: Pt complains of pain/inflammation in injection site, and she also started running fever on Thursday 3/21/19 at about 11:30 AM of about 101 degrees all day, and again on Friday 3/22/19 (fever slightly lower).
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Hyperventilation, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Severe excruciating pain in right arm, shoulder and hand. Swollen hand and fingers. Heart palpitations and hyperventilating. Unable to sleep. Loss of appetite. Unable to dress and undress self and perform daily personal hygiene.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Palpitations, Peripheral swelling
Clinical narrative: Severe excruciating pain in right arm, shoulder and hand. Swollen hand and fingers. Heart palpitations and hyperventilating. Unable to sleep. Loss of appetite. Unable to dress and undress self and perform daily personal hygiene.
Age: 59.0
Sex: M
Vaccine: HEPA, VARZOS
Symptoms: Back pain, Dyspnoea, Gait disturbance, Muscular weakness, Neck pain
Clinical narrative: PATIENT STATES THAT IN THE EVENING HE STARTED TO EXPERIENCE SHORTNESS OF BREATH. HE TRIED TO GET UP FROM A SEATED POSITION AND HAD WEAKNESS IN HIS LEG ALONG WITH A LOT OF PAIN AND COULD BARELY WALK. HE HAD TO HAVE HELP GETTING IN THE CAR. HE SAID HE EXPERIENCED EXTREME LEG PAIN, BACK PAIN AND NECK PAIN.
Age: 59.0
Sex: M
Vaccine: HEPA, VARZOS
Symptoms: Pain in extremity
Clinical narrative: PATIENT STATES THAT IN THE EVENING HE STARTED TO EXPERIENCE SHORTNESS OF BREATH. HE TRIED TO GET UP FROM A SEATED POSITION AND HAD WEAKNESS IN HIS LEG ALONG WITH A LOT OF PAIN AND COULD BARELY WALK. HE HAD TO HAVE HELP GETTING IN THE CAR. HE SAID HE EXPERIENCED EXTREME LEG PAIN, BACK PAIN AND NECK PAIN.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Acute respiratory failure, Apnoea, Blood culture negative, Bordetella test negative, CSF culture negative
Clinical narrative: Apnea noted at home by mother 3/18 afternoon brought to ER, apnea in ER leading to acute resp failure requiring intubation and transfer ICU - here he required mech ventilation, central line placement and blood transfusion. Treated empirically with meningitic antibiotic dosing. Requires vent support 4 days, now extubated and back to room air. Continuing to work on feeding and monitoring for apnea. No further apnea observed.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Central venous catheterisation, Computerised tomogram head normal, Computerised tomogram normal, Culture negative, Culture urine negative
Clinical narrative: Apnea noted at home by mother 3/18 afternoon brought to ER, apnea in ER leading to acute resp failure requiring intubation and transfer ICU - here he required mech ventilation, central line placement and blood transfusion. Treated empirically with meningitic antibiotic dosing. Requires vent support 4 days, now extubated and back to room air. Continuing to work on feeding and monitoring for apnea. No further apnea observed.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Electroencephalogram normal, Endotracheal intubation, Infantile apnoea, Influenza A virus test negative, Influenza virus test negative
Clinical narrative: Apnea noted at home by mother 3/18 afternoon brought to ER, apnea in ER leading to acute resp failure requiring intubation and transfer ICU - here he required mech ventilation, central line placement and blood transfusion. Treated empirically with meningitic antibiotic dosing. Requires vent support 4 days, now extubated and back to room air. Continuing to work on feeding and monitoring for apnea. No further apnea observed.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Intensive care, Mechanical ventilation, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Polymerase chain reaction
Clinical narrative: Apnea noted at home by mother 3/18 afternoon brought to ER, apnea in ER leading to acute resp failure requiring intubation and transfer ICU - here he required mech ventilation, central line placement and blood transfusion. Treated empirically with meningitic antibiotic dosing. Requires vent support 4 days, now extubated and back to room air. Continuing to work on feeding and monitoring for apnea. No further apnea observed.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Respiratory syncytial virus test negative, Respiratory viral panel, Sputum culture, Transfusion
Clinical narrative: Apnea noted at home by mother 3/18 afternoon brought to ER, apnea in ER leading to acute resp failure requiring intubation and transfer ICU - here he required mech ventilation, central line placement and blood transfusion. Treated empirically with meningitic antibiotic dosing. Requires vent support 4 days, now extubated and back to room air. Continuing to work on feeding and monitoring for apnea. No further apnea observed.
Age: 60.0
Sex: M
Vaccine: RV1
Symptoms: Chills, Dizziness, Headache, Pain in extremity, Poor quality sleep
Clinical narrative: Soreness in arm as expected. 3 hours of intense chills with headache followed by tossing and turning all night and still woosey until about noon on the 23rd.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site reaction: redness, warmth, swelling below injection site.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Malaise, Nausea
Clinical narrative: Approx. 9-10 hours after vaccination I began to experience nausea, severe chills/shakes, general body flu-like aches. It has now been 24 hours and I am experiencing extreme fatigue and malaise. I am able to control the chills with TYLENOL. My arm is quite sore but that's no big deal. The nausea and fatigue are annoying.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Tremor
Clinical narrative: Approx. 9-10 hours after vaccination I began to experience nausea, severe chills/shakes, general body flu-like aches. It has now been 24 hours and I am experiencing extreme fatigue and malaise. I am able to control the chills with TYLENOL. My arm is quite sore but that's no big deal. The nausea and fatigue are annoying.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Feeling of body temperature change, Malaise
Clinical narrative: Two hours after shot #2 of the two-part series, I experienced stomach cramping and diarrhea, which continued the following day also. I had malaise, body aches and pains (similar to flu), and a low-grade fever. I had chills and felt hot and cold intermittently.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Two hours after shot #2 of the two-part series, I experienced stomach cramping and diarrhea, which continued the following day also. I had malaise, body aches and pains (similar to flu), and a low-grade fever. I had chills and felt hot and cold intermittently.
Age: 27.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: After receiving a dose of HAVRIX and TYPHIM, the patient fainted in the chair for 2 to 3 minutes. She regained consciousness on her own. She was aware of her surroundings and was able to verify her name and date of birth and that she was getting vaccines. She stated she last ate at 1130am and had a few samples in the store warehouse prior to the vaccines. EMS were called and check the patient over and released her. No further complications were expected.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Soreness, redness, swelling at injection site; Fever 101.6 degrees on 3-22-2019 at 5:30 pm; Body aches, tiredness throughout 3-22-2019.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Soreness, redness, swelling at injection site; Fever 101.6 degrees on 3-22-2019 at 5:30 pm; Body aches, tiredness throughout 3-22-2019.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient has swollen injection site and warm to touch that lasted about a month.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Muscular weakness, Nausea
Clinical narrative: Severe headache for more than 12 hours; shaking chills for about 2 hours, nausea for about 6 hours, muscle weakness for 6 hours. Tenderness at site of injection for three days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Severe headache for more than 12 hours; shaking chills for about 2 hours, nausea for about 6 hours, muscle weakness for 6 hours. Tenderness at site of injection for three days.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Injection site rash, Leukocytosis, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever with T39.2, nausea/vomiting, rash over site of injection.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: White blood cell count increased
Clinical narrative: Fever with T39.2, nausea/vomiting, rash over site of injection.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Cough, Headache, Injection site pain, Micturition urgency
Clinical narrative: Initially wheezing and incessant coughing and severe headache lasting 12 hours. After 4 hours I had  1 hour of rigors with severe shaking followed by fever lasting 2 hours. Urinary frequency Q2hrs with urgency but without dysuria occurred from 10 PM to 6 AM. All cleared by 6 AM. Injection site tender but not red.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Pollakiuria, Pyrexia, Tremor, Wheezing
Clinical narrative: Initially wheezing and incessant coughing and severe headache lasting 12 hours. After 4 hours I had  1 hour of rigors with severe shaking followed by fever lasting 2 hours. Urinary frequency Q2hrs with urgency but without dysuria occurred from 10 PM to 6 AM. All cleared by 6 AM. Injection site tender but not red.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Pruritus, Pyrexia, Urticaria
Clinical narrative: Patient was experiencing fever, hives and Itching (allergy) was there for 2 days. Patient was fine after 2 days and she had her regular doctor visit on the 3rd day.
Sex: F
Vaccine: HEP
Symptoms: Blood count, C-reactive protein, Echocardiogram, Heart rate increased, Pneumothorax
Clinical narrative: Rapid respiratory and heart rate resulting in a pneumothorax.
Sex: F
Vaccine: HEP
Symptoms: Respiratory rate increased, X-ray
Clinical narrative: Rapid respiratory and heart rate resulting in a pneumothorax.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site induration, Injection site pain
Clinical narrative: The patient reported tightening/hardening/pain around the injection site, which started the night of vaccine administration on 3/19/19. He reported that a visible sac of fluid was developed above his right elbow. The patient did not seek medical care, but he took ALEVE over the counter to treat pain. The patient came by to the pharmacy on 3/23/19 (4 days after vaccine administration), and he claims that he is feeling better. No breathing issues or rash were reported.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HEP, HIBV, PNC13, RV5
Symptoms: Autopsy, Death, Decreased appetite, Infantile spitting up, Respiratory arrest
Clinical narrative: She began spitting up more than normal and would not eat like she normally would. She ran no fever though. On the 10th of January she stopped breathing in her sleep. I am not sure that the vaccines were the cause of her death.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes
Clinical narrative: Pt describes getting a fever blister in her nose about 2 weeks after the vaccine, then after that resolved, she immediately had a fever blister appear just outside her nostril at the base of the nose, and just after that resolved, she now has a fever blister that has appeared on her lip.