chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Skin warm
Clinical narrative: IN CHRONOLOGICAL ORDER: HEADACHE, DIZZINESS, NAUSEA, FEELING OF WEAKNESS, INJECTION SITE PAIN AND REDNESS, MYALGIA, ARTHRALGIA.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Asthenia, Blood test, Bronchitis, Cough
Clinical narrative: This is a spontaneous case, initially received on 22-May-2018, reported by a 50-year-old, adult, female patient. The patient's current condition included minor heart problem (since an unspecified date) and was allergic to penicillin (since an unspecified date). The patient's concomitant medication included unspecified blood pressure medication. On an unspecified date in Dec-2013 (reported as around Christmas), the patient was administered with influenza vaccine, (route of administration: injection (as reported), dose, batch number, expiry date, trade name and manufacturer: not reported). It was reported that, patient received multiple injections flu vaccines. On an unspecified date in 2014 (reported as in the month of January or February), the patient experienced flu like symptoms, bronchitis, hacking cough, cold, ear symptoms (unspecified), muscle degradation, strength (as reported), knee pain, rhinorrhoea and weight loss. On an unspecified date, the patient's blood was drawn, and scans (unspecified) were performed, results were not reported (reported that, patient was not sure, if these tests were performed before or after the influenza vaccination). No product quality complain was reported. On an unspecified date in 2014, the patient was hospitalized for the events and treatment (unspecified) was given. On an unspecified date, the patient had recovered from the event bronchitis (reported as 2 to 3 years ago) and rhinorrhoea (reported as a few days ago). The outcome of the events (flu like symptoms, cough, ear discomfort, muscle degeneration, strength loss of, weight loss, cold and knee pain) was unknown. The reporter assessed the case as serious due to hospitalization and causality of the events as related to suspect vaccine.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Ear disorder, Influenza like illness, Muscle atrophy, Nasopharyngitis, Rhinorrhoea
Clinical narrative: This is a spontaneous case, initially received on 22-May-2018, reported by a 50-year-old, adult, female patient. The patient's current condition included minor heart problem (since an unspecified date) and was allergic to penicillin (since an unspecified date). The patient's concomitant medication included unspecified blood pressure medication. On an unspecified date in Dec-2013 (reported as around Christmas), the patient was administered with influenza vaccine, (route of administration: injection (as reported), dose, batch number, expiry date, trade name and manufacturer: not reported). It was reported that, patient received multiple injections flu vaccines. On an unspecified date in 2014 (reported as in the month of January or February), the patient experienced flu like symptoms, bronchitis, hacking cough, cold, ear symptoms (unspecified), muscle degradation, strength (as reported), knee pain, rhinorrhoea and weight loss. On an unspecified date, the patient's blood was drawn, and scans (unspecified) were performed, results were not reported (reported that, patient was not sure, if these tests were performed before or after the influenza vaccination). No product quality complain was reported. On an unspecified date in 2014, the patient was hospitalized for the events and treatment (unspecified) was given. On an unspecified date, the patient had recovered from the event bronchitis (reported as 2 to 3 years ago) and rhinorrhoea (reported as a few days ago). The outcome of the events (flu like symptoms, cough, ear discomfort, muscle degeneration, strength loss of, weight loss, cold and knee pain) was unknown. The reporter assessed the case as serious due to hospitalization and causality of the events as related to suspect vaccine.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Scan, Weight decreased
Clinical narrative: This is a spontaneous case, initially received on 22-May-2018, reported by a 50-year-old, adult, female patient. The patient's current condition included minor heart problem (since an unspecified date) and was allergic to penicillin (since an unspecified date). The patient's concomitant medication included unspecified blood pressure medication. On an unspecified date in Dec-2013 (reported as around Christmas), the patient was administered with influenza vaccine, (route of administration: injection (as reported), dose, batch number, expiry date, trade name and manufacturer: not reported). It was reported that, patient received multiple injections flu vaccines. On an unspecified date in 2014 (reported as in the month of January or February), the patient experienced flu like symptoms, bronchitis, hacking cough, cold, ear symptoms (unspecified), muscle degradation, strength (as reported), knee pain, rhinorrhoea and weight loss. On an unspecified date, the patient's blood was drawn, and scans (unspecified) were performed, results were not reported (reported that, patient was not sure, if these tests were performed before or after the influenza vaccination). No product quality complain was reported. On an unspecified date in 2014, the patient was hospitalized for the events and treatment (unspecified) was given. On an unspecified date, the patient had recovered from the event bronchitis (reported as 2 to 3 years ago) and rhinorrhoea (reported as a few days ago). The outcome of the events (flu like symptoms, cough, ear discomfort, muscle degeneration, strength loss of, weight loss, cold and knee pain) was unknown. The reporter assessed the case as serious due to hospitalization and causality of the events as related to suspect vaccine.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Joint swelling, Rash, Skin discolouration
Clinical narrative: On November 27, 2017 the day following the vaccine, woke up with a rash on arm. Called the pharmacy and was advised it would get a little red where the injection was. On November 28, 2017 called primary care physician and was instructed to get an MRI immediately. While walking to get the MRI, the ankle swelled up and starting turning black and blue. Admitted to Medical Center on November 29, 2017 and discharged on December 22, 2017. Returned back to the hospital on December 29, 2017 and was admitted again until January 8, 2018.
Age: 3.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Febrile convulsion
Clinical narrative: ER records indicate that child had a possible febrile seizure on 4/26/18 the day after receiving Dtap and hep A vaccines. Upon arrival to the ER child's temp was 102.4.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Balance disorder, Blood test, Cerebellar ataxia, Dizziness, Gait disturbance
Clinical narrative: On 5/24- She reported: Gait abnormality Unsteady on feet, starts to wobble, mostly to the right. Does it when sitting up as well as when walking. Started this morning only. C/O dizziness two days ago also.  Patient says the room is moving, and she said that at home too. - referred to ER for eval- Working diagnosis is acute cerebellar ataxia. Neurology consulted, had extensive workup including LP, MRI, hospitalized for a few days. Onset of ataxia sudden, had been to gymnastics the night before and done well. Onset also approx 10 days post varicella vaccine. On re-check on 5/30/18- was totally fine, went to daycare on this date, feeling much better, participated fully in water play, running with classmates. No further complaints of dizziness.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Lumbar puncture, Nuclear magnetic resonance imaging, Vertigo
Clinical narrative: On 5/24- She reported: Gait abnormality Unsteady on feet, starts to wobble, mostly to the right. Does it when sitting up as well as when walking. Started this morning only. C/O dizziness two days ago also.  Patient says the room is moving, and she said that at home too. - referred to ER for eval- Working diagnosis is acute cerebellar ataxia. Neurology consulted, had extensive workup including LP, MRI, hospitalized for a few days. Onset of ataxia sudden, had been to gymnastics the night before and done well. Onset also approx 10 days post varicella vaccine. On re-check on 5/30/18- was totally fine, went to daycare on this date, feeling much better, participated fully in water play, running with classmates. No further complaints of dizziness.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Cold sweat, Dizziness, Malaise, Nausea, Pallor
Clinical narrative: Fainted approx. 2-5 minutes after the injection. Patient was sitting on a chair and the nurse caught him before he fell off. Patient came to quickly and was then nauseous and vomited stomach bile a few times. Patient exhibited cold sweats, dizziness, shakiness, and was faint and pale for approx. 15 minutes. Nurses gave him juice and observed until he could speak and stand up for five minutes. Mother took patient home, where he drank water and ate some toast and crackers. He still felt nauseous and unwell, and fell asleep about two hours after the injection.
Age: 16.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Syncope, Tremor, Vomiting
Clinical narrative: Fainted approx. 2-5 minutes after the injection. Patient was sitting on a chair and the nurse caught him before he fell off. Patient came to quickly and was then nauseous and vomited stomach bile a few times. Patient exhibited cold sweats, dizziness, shakiness, and was faint and pale for approx. 15 minutes. Nurses gave him juice and observed until he could speak and stand up for five minutes. Mother took patient home, where he drank water and ate some toast and crackers. He still felt nauseous and unwell, and fell asleep about two hours after the injection.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Rash
Clinical narrative: Patient reported chills (no fever) and rash in groin area. Abdomen, under breasts, and back the evening she received the vaccination.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Redness/swelling approximately 6 inches below the injection site without pain/itching/discomfort lasting approximately 7 days.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Pt states her arm was hurt/swollen the day after vaccination. She said the swelling continued to decrease up until Friday. Swelling gone on Saturday. Then reddness reappeared Monday am around 11a.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Cellulitis, Chills, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient reports she had chills and body aches several hours after receiving the PREVNAR 13 vaccine. The next day (6/5/18) she noticed redness at the injection site. The chills and body aches dissipated but she later developed a rash. No OTC medications were taken by the patient. Patient was seen again in our office on 6/2/2018. Her right arm was swollen and warm to touch with pruritic rash.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Pain, Rash, Rash pruritic
Clinical narrative: Patient reports she had chills and body aches several hours after receiving the PREVNAR 13 vaccine. The next day (6/5/18) she noticed redness at the injection site. The chills and body aches dissipated but she later developed a rash. No OTC medications were taken by the patient. Patient was seen again in our office on 6/2/2018. Her right arm was swollen and warm to touch with pruritic rash.
Age: 5.0
Sex: M
Vaccine: HIBV, PPV
Symptoms: Erythema, Skin reaction
Clinical narrative: Right thigh with local reaction, erythema 7cm x 7cm.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Urticaria
Clinical narrative: The patient developed welts/hives 24 hours after receiving immunizations. They started on the left upper arm at the site of vaccines. The injection site of the anterior part of the arm welted. The injection site towards the posterior side of the arm was just a little red. It then progressed to any part of her skin that would be touched, it would then welt up once touched all over her body. These symptoms continued for 7 days. The patient's mother spoke with the on call doctor at the onset of her symptoms and was advised to give BENADRYL. The patient's mother did not seek any additional medical care or advice. The symptoms resolved after 7 days. The patient's mother just informed us of this reaction today, 6/4/18.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Limb discomfort, Tremor
Clinical narrative: Patient received vaccine on 06/01/18 around 3pm. She started to experience a sore arm and later in the day some flu like symptoms but she did not report this to the pharmacy until 06/04/18 around 11am. On 06/04, patient also started to experience tremor of the thumb on the left hand. Sent patient to urgent care clinic and patient will contact primary care doctor as well.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient developed a painful rash that went down her whole arm. She is being treated with acyclovir for 7 days. Patient had received Stelara the same week as the vaccination.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, HEP, HIBV, PPV
Symptoms: Abnormal behaviour, Choking, Cough, Crying, Decreased eye contact
Clinical narrative: Patient appeared to be in pain for nearly a week after his vaccines. He didn't look at me/us as often, he cried when we picked him up or moved him at all. His sleeping schedule was changed dramatically, he had bruising at injection site. He was unusually fussy. It seemed like he was in pain when he moved/when I picked him up or moved him (I called the Dr and they said it's "normal" after vaccinations). He's normally very on the go, after the vaccines he wanted to sit and cuddle, or sleep. He'd crawl around some, shortly after he cried and came to me and wanted comforted. He cried loudly instantly when he woke up as if he was having a bad dream or something. He didn't look at me as much, didn't seem as happy, and didn't seem to respond the same way he used to. It's like he was in a fog or something. He woke up as if he was choking, gasping and he woke up coughing. He didn't seem like himself and it was heartbreaking.
Age: 0.75
Sex: M
Vaccine: DTAPHEPBIP, HEP, HIBV, PPV
Symptoms: Dyspnoea, Injection site bruising, Irritability, Pain, Sleep disorder
Clinical narrative: Patient appeared to be in pain for nearly a week after his vaccines. He didn't look at me/us as often, he cried when we picked him up or moved him at all. His sleeping schedule was changed dramatically, he had bruising at injection site. He was unusually fussy. It seemed like he was in pain when he moved/when I picked him up or moved him (I called the Dr and they said it's "normal" after vaccinations). He's normally very on the go, after the vaccines he wanted to sit and cuddle, or sleep. He'd crawl around some, shortly after he cried and came to me and wanted comforted. He cried loudly instantly when he woke up as if he was having a bad dream or something. He didn't look at me as much, didn't seem as happy, and didn't seem to respond the same way he used to. It's like he was in a fog or something. He woke up as if he was choking, gasping and he woke up coughing. He didn't seem like himself and it was heartbreaking.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Pain
Clinical narrative: Immediate pain & redness at injection site, worsening over 48 hours; body aches and fatigue within 24 hours; fever and headache within 36 hours and other symptoms persisted. Patient saw doctor at Clinic on 6/3/18...prescribed ibuprofen, fluids, rest. Symptoms persisted through 6/3/18 and patient woke much better on 6/4/18. Possible cellulitis at injection site and headache are still persistent.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Pyrexia
Clinical narrative: Immediate pain & redness at injection site, worsening over 48 hours; body aches and fatigue within 24 hours; fever and headache within 36 hours and other symptoms persisted. Patient saw doctor at Clinic on 6/3/18...prescribed ibuprofen, fluids, rest. Symptoms persisted through 6/3/18 and patient woke much better on 6/4/18. Possible cellulitis at injection site and headache are still persistent.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Pyrexia, Tenderness
Clinical narrative: 24 hours post vaccination - low grade fever, chills, tenderness in arm vaccinated. Hospitalized for 2 days afterwards with cellulitis.
Sex: U
Vaccine: HPV9, MMR, PPV, RV5, VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a nurse, reporting on multiple unspecified patients of unknown age and gender. No information was provided regarding the patients' medical history, concurrent conditions or concomitant medications. On unknown dates, the unspecified patients received unspecified doses of improperly stored VARIVAX lot # N012134 and expiration date 17-APR-2019, lot # N002204 with expiration date 19-JAN-2019, for prophylaxis; GARDASIL 9, lot # N022584 with expiration date 15-JUN-2020, lot # N020353 with expiration date 28-APR-2020, lot # N019103 with expiration date 03-FEB-2020 and lot # N021732 with expiration date 01-FEB-2020, for prophylaxis; M-M-R II albumin status of rHA (recombinant human albumin), lot # N023153 with expiration date 24-AUG-2019 and lot # M039914 with expiration date 26-SEP-2018, for prophylaxis; PNEUMOVAX 23 lot # R002085 with expiration date 26-OCT-2019; and ROTATEQ lot # N013989 with expiration date 30-JAN-2019 and lot #  M041184 with expiration date 31-MAY-2018 for prophylaxis (the dose and route of administration on any of the vaccines were not reported). Sterile diluent that was properly stored was reported to have been used to reconstitute VARIVAX or M-M-R II albumin status of rHA. No adverse effects were reported. The data logger registered the following temperatures: VARIVAX was stored at a temperature ranging from -14 Celsius degrees to -10 Celsius degrees, for 1723 minutes (28 hours 43 minutes). Then, M-M-R II albumin status of rHA, GARDASIL 9, PNEUMOVAX 23 and ROTATEQ were stored at a temperature ranging from 9 Celsius degrees to 25 Celsius degrees for 4 hours 22 minutes.
Sex: F
Vaccine: PNC13
Symptoms: Asthenia, Chills, Fatigue, Pyrexia, Rash
Clinical narrative: This is a spontaneous report from a contactable consumer (medical assistant) via a Pfizer sales representative. A female patient of an unspecified age received PREVNAR 13, (lot number and expiration date unknown) via an unspecified route of administration on 26May2018 at single dose for immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient reported that she had a rash under both arms, fever of 100.5 degrees, fatigue, chills, and weakness. The reporter stated that the symptoms lasted for 36 hours, but she is unsure if the patient has recovered completely. The outcome of rash under both arms, fever of 100.5 degrees, fatigue, chills, and weakness was unknown. The following information on the batch number has been requested.
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site erythema
Clinical narrative: This is a spontaneous report from a contactable pharmacist. A 68-year-old female patient of an unspecified ethnicity received first dose of PREVNAR 13, via an unspecified route of administration on an unspecified date at single dose for immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced redness at site injection and beneath arm on an unspecified date after first dose. The outcome of events was unknown. The reporter enquired should patient not receive a second dose, or should she be administered BENADRYL or a steroid before her 2nd dose.
Sex: M
Vaccine: MENB
Symptoms: Headache
Clinical narrative: This is a spontaneous report from a contactable physician via a Pfizer sales representative. This physician reported for two patients. This is the first of two reports. A male patient of an unspecified age received TRUMENBA, via an unspecified route of administration on an unspecified date at single dose for immunization. The patient's medical history and concomitant medications were not reported. The patient experienced headache on an unspecified date. The outcome of the event was unknown. The information on the batch/lot number has been requested. Sender's Comments: Linked Report(s): PFIZER INC-2018224839 Same reporter, drug, event; different patient
Sex: F
Vaccine: MENB
Symptoms: Decreased appetite, Feeling abnormal, Headache, Peripheral swelling, Syncope
Clinical narrative: This is a spontaneous report from a contactable Nurse received via a sales representative. A 18-year-old female patient received 2nd dose of TRUMENBA, via an unspecified route of administration on 23May2018 for immunization. The patient medical history and concomitant medications were not reported. The patient previously took first dose TRUMENBA for immunization on 14Nov2017. She had her 2nd dose of meningococcal group B rlp2086 on 23May2018 approximately 6 months later at around 9 AM. Later in the day on 23May2018, she got a headache and didn't feel great so she took ADVIL and went to sleep, she had no appetite. When she woke up she had severe swelling of her arm and fainted. She was taken to the ER where she was checked out and given a diagnosis of syncope. The outcome of the event was unknown.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash papular, Scab
Clinical narrative: Called the patient about getting the second vaccine in the SHINGRIX series. Patient reported feeling fine after the injection but went to the urgent care a month later, 4/17/2018,  to get a cut and rash on his leg checked out. Patient has a history of MRSA and wanted to get the lesions under control as it seemed to be growing. The doctor identified the lesions as a rash consistent with zoster. At the time of the appointment, just under two weeks after the initial lesions, they appeared to be resolving papulovesicular lesions that are now crusted. Plan was to let the rash heal on its own as the course of shingles seemed to be resolving itself. Too late for VALTREX and was not prescribed. MD mentioned the rash being a lesser rash due to the immunization.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Right upper arm redness, swelling and tenderness
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysgeusia, Headache, Nausea, Rash, Vision blurred
Clinical narrative: Per patient she got a rash on her face, shoulder, chest and arm after vaccination. She also had nausea and a severe sour taste in her mouth. She also had a severe headache with blurry vision.
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Electromyogram abnormal, Nuclear magnetic resonance imaging abnormal, Peripheral motor neuropathy, Radiculitis brachial
Clinical narrative: Brachial neuritis in left shoulder, improving with therapy and time, still ongoing residuals.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Large red, swollen, painful spot on arm, 4" in diameter and lasting 6 days.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Fatigue, Headache, Loss of personal independence in daily activities, Malaise
Clinical narrative: Large red, swollen, painful spot on arm, 4" in diameter and lasting 6 days.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Large red, swollen, painful spot on arm, 4" in diameter and lasting 6 days.
Age: 75.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Within 18 hours ran 100.8 degree fever (unrelieved by acetominophen), had headache and general malaise. This lasted approx. 48 hours. Experienced general tiredness and weakness interfering with my ability to do normal activities of daily living. Did not experience sore arm as I had with the first in the series!
Age: 75.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Fatigue, Headache, Loss of personal independence in daily activities, Malaise
Clinical narrative: Within 18 hours ran 100.8 degree fever (unrelieved by acetominophen), had headache and general malaise. This lasted approx. 48 hours. Experienced general tiredness and weakness interfering with my ability to do normal activities of daily living. Did not experience sore arm as I had with the first in the series!
Age: 75.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Within 18 hours ran 100.8 degree fever (unrelieved by acetominophen), had headache and general malaise. This lasted approx. 48 hours. Experienced general tiredness and weakness interfering with my ability to do normal activities of daily living. Did not experience sore arm as I had with the first in the series!
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Contusion, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Vaccines were given on 5/14/18 and mom called on 5/16 to state that pt's right leg is red, hardish, tender and has a bit of swelling. Informed mom a side effect to DTaP after 3 or 4 doses is swelling to arm or leg for 1-7 days. Mom denied pt being fussy or having fever. Informed mom to give it one more day, if symptoms get worse for her to bring in pt. Gave mom home care instructions of Ibuprofen or Acetaminophen for tenderness, and cool pack for leg. Advised mom of risk for infections so to monitor site and if worse to bring her in for evaluation. Mom verbalized understanding. Attempted several days in last weeks to f/u on pt, no answer, and unable to leave vm. On 6/4/18 Mom returned call and stated pt is doing better. Mom stated rash/swelling lasted about 5 days then it bruised for 2 more days. Mom stated she used ibuprofen and ice pack on leg.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Rash
Clinical narrative: Vaccines were given on 5/14/18 and mom called on 5/16 to state that pt's right leg is red, hardish, tender and has a bit of swelling. Informed mom a side effect to DTaP after 3 or 4 doses is swelling to arm or leg for 1-7 days. Mom denied pt being fussy or having fever. Informed mom to give it one more day, if symptoms get worse for her to bring in pt. Gave mom home care instructions of Ibuprofen or Acetaminophen for tenderness, and cool pack for leg. Advised mom of risk for infections so to monitor site and if worse to bring her in for evaluation. Mom verbalized understanding. Attempted several days in last weeks to f/u on pt, no answer, and unable to leave vm. On 6/4/18 Mom returned call and stated pt is doing better. Mom stated rash/swelling lasted about 5 days then it bruised for 2 more days. Mom stated she used ibuprofen and ice pack on leg.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: When pt came in for his PPD reading, I noticed the patient favoring right arm. He was given DTaP and HAV in the deltoid several days before the SX. The area was hot, indurated 50x50 with erythema. MOC denied he had any other SX. He was given a MMRV SQ in the left upper arm which had no visible reaction.
Age: 15.0
Sex: F
Vaccine: MENB
Symptoms: Dyspnoea, Heart rate increased
Clinical narrative: Patient went for morning jog on 06/04/2018 (2 days after injection). She experienced SOB, and fast heart rate which never happened before.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Rash
Clinical narrative: Patient has been complaining of arm pain that extends beyond the injection site. She has also complained of a rash appearing on the upper shoulder of arm that received the injection, 3 days after she received the immunization. She was advised to watch to make sure that pain and rash do not spread and trouble breathing does not occur. Patient was told to contact doctor and inform if reaction worsens.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Ophthalmic herpes zoster
Clinical narrative: Herpes zoster ophthalmicus, which started within 7 days after administration of the vaccine. Prior to lesion outbreak, pt had significant redness and swelling at injection site. She had not had shingles previously. Please contact pharmacy directly for lot and manufacturer number. She DOES  have a history of chickenpox.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Dyspnoea, Fatigue, Injection site pain
Clinical narrative: Shivering, upset stomach, tiredness, muscle ache, pain and swelling at injection site. Shortness of breathe. Within 12 hrs (2 pm) most symptoms were greatly diminished.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling, Myalgia
Clinical narrative: Shivering, upset stomach, tiredness, muscle ache, pain and swelling at injection site. Shortness of breathe. Within 12 hrs (2 pm) most symptoms were greatly diminished.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Left arm with large round induration with increased redness, swelling and pain.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Discomfort, Influenza like illness, Injection site discolouration, Injection site erythema, Injection site inflammation
Clinical narrative: Upper arm at injection site become swollen and red: center of medial deltoid was inflamed and elevated approximately 3cm in height x4cm w and 3cm long, elevated area was the center of a 6x7cm red- dark red circular area with undefined edges, distal to injection sight appeared. This area progressed from red to almost Burgundy before fading by day 5. Area was hot and extremely painful. Left axilla was hot, painful on gentle palpation, lymph nodes were swollen and pain was diffuse into left pectoral area. She had general malaise, mild flu like symptoms and discomfort for 5 days. Area returned to normal around June 2. Treated discomfort with 7.5ml ibuprofen Q 4 hours and topical cortisone cream.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy, Malaise
Clinical narrative: Upper arm at injection site become swollen and red: center of medial deltoid was inflamed and elevated approximately 3cm in height x4cm w and 3cm long, elevated area was the center of a 6x7cm red- dark red circular area with undefined edges, distal to injection sight appeared. This area progressed from red to almost Burgundy before fading by day 5. Area was hot and extremely painful. Left axilla was hot, painful on gentle palpation, lymph nodes were swollen and pain was diffuse into left pectoral area. She had general malaise, mild flu like symptoms and discomfort for 5 days. Area returned to normal around June 2. Treated discomfort with 7.5ml ibuprofen Q 4 hours and topical cortisone cream.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Pain, Skin warm
Clinical narrative: Upper arm at injection site become swollen and red: center of medial deltoid was inflamed and elevated approximately 3cm in height x4cm w and 3cm long, elevated area was the center of a 6x7cm red- dark red circular area with undefined edges, distal to injection sight appeared. This area progressed from red to almost Burgundy before fading by day 5. Area was hot and extremely painful. Left axilla was hot, painful on gentle palpation, lymph nodes were swollen and pain was diffuse into left pectoral area. She had general malaise, mild flu like symptoms and discomfort for 5 days. Area returned to normal around June 2. Treated discomfort with 7.5ml ibuprofen Q 4 hours and topical cortisone cream.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: No reaction the day of the vaccination. Day two (36 hours later) Fever that put me to bed (Unknown temperature), took 2 TYLENOL around 7:00 PM, woke up in the morning and fever was gone. At that time, there was a fist size red area on the left upper arm. It took about two days to disappear.
Age: 15.0
Sex: M
Vaccine: HPV9
Symptoms: Headache
Clinical narrative: HEADACHE.
Age: 40.0
Sex: F
Vaccine: HEPA
Symptoms: Adverse reaction
Clinical narrative: Patient experienced adverse reaction to Hep A vaccine lot number 7439F EXP: 02/20/20, 1100 vitals BP:171/95 P:129, 1102 vitals BP:179/80 P:115 Note: Patient started feeling better, 1104 vitals SPO2: 100% Note: EPI PEN given 1104. EMS called 1104 C/O CP, 1106 vitals BP:166/73 P:110 RESP:20 SPO2:99% Note: Patient's chest feels better, 1110 vitals BP:172/104 P:96 SPO2:100%, 1112 NOTE: EMS arrived, 1113 NOTE: Patient transferred to emergency room.
Age: 84.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Blood pressure increased, Injection site swelling, Insomnia, Pain in extremity, Peripheral swelling
Clinical narrative: Patient wife called 6/04/2018 to report that her husband had a swollen arm after getting PNEUMOVAX 23 vaccine on 6/03/2018. She said he also had a hard time sleeping because it was very sore afterwards. She states that there is a bump around the injection site. She also states that it might be unrelated but his blood pressure has also been up since yesterday after getting the vaccine.
Age: 84.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Myalgia, Rash
Clinical narrative: Patient wife called 6/04/2018 to report that her husband had a swollen arm after getting PNEUMOVAX 23 vaccine on 6/03/2018. She said he also had a hard time sleeping because it was very sore afterwards. She states that there is a bump around the injection site. She also states that it might be unrelated but his blood pressure has also been up since yesterday after getting the vaccine.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Decreased appetite, Erythema, Injection site erythema, Lethargy, Oedema
Clinical narrative: High fever x2 days. Extreme redness at injection site, spreading to entire upper arm. Swelling for several days, with pitting for 36 hours. Lethargy, loss of appetite. Day five showed some improvement but still red and moving but resolved in some areas.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: High fever x2 days. Extreme redness at injection site, spreading to entire upper arm. Swelling for several days, with pitting for 36 hours. Lethargy, loss of appetite. Day five showed some improvement but still red and moving but resolved in some areas.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Decreased appetite, Erythema, Fatigue, Headache
Clinical narrative: High fever x2 days. Extreme redness at injection site, spreading to entire upper arm. Swelling for several days, with pitting for 36 hours. Lethargy, loss of appetite. Day five showed some improvement but still red and moving but resolved in some areas.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lethargy, Nausea, Pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: High fever x2 days. Extreme redness at injection site, spreading to entire upper arm. Swelling for several days, with pitting for 36 hours. Lethargy, loss of appetite. Day five showed some improvement but still red and moving but resolved in some areas.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pruritus, Pyrexia, Skin warm, Swelling, Wrong technique in product usage process
Clinical narrative: High fever x2 days. Extreme redness at injection site, spreading to entire upper arm. Swelling for several days, with pitting for 36 hours. Lethargy, loss of appetite. Day five showed some improvement but still red and moving but resolved in some areas.
Age: 66.0
Sex: M
Vaccine: PNC13
Symptoms: Influenza like illness, Respiratory tract congestion
Clinical narrative: Flu like symptoms (chest congestion) after receiving PREVNAR 13.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Nausea
Clinical narrative: Patient developed redness, itching, and pain at injection site on the afternoon of the vaccine (6/1/18). She also developed a fever that was controlled with antipyretics. On 6/4/18, she reports nausea and she still has pain at the injection site. Injection site was warm, but redness was gone.  She used ice and cold water to help with the pain and itching at injection site. Recommended to follow up with provider if symptoms to do not improve or get worse.
Age: 28.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Patient developed redness, itching, and pain at injection site on the afternoon of the vaccine (6/1/18). She also developed a fever that was controlled with antipyretics. On 6/4/18, she reports nausea and she still has pain at the injection site. Injection site was warm, but redness was gone.  She used ice and cold water to help with the pain and itching at injection site. Recommended to follow up with provider if symptoms to do not improve or get worse.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site rash, Pain in extremity, Rash
Clinical narrative: Patient reported soreness of arm and injection site. He indicated no fever. He stated a rash had started to develop from the site of the reaction and spread down his arms and towards his chest. Patient had taken ibuprofen for pain relief which did lessen his discomfort. He also took diphenhydramine which did not seem to help. I advised the patient follow-up with his PCP and/or go to a urgent care for follow-up.
Age: 1.83
Sex: F
Vaccine: DTAP, HEPA, MMR, VARCEL
Symptoms: Body temperature decreased, Rash generalised
Clinical narrative: Mom reports child developed a rash "head to toe" about 4 days after receiving vaccines. Had a low temperature but none since. Does not act if it itches her or makes her uncomfortable. No treatments at this time.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Loss of personal independence in daily activities, Pain, Pyrexia
Clinical narrative: Body aches, pain at injection site, fever, chills. Unable to engage in normal daily activities for about 12 hours. Did not feel 100% during the next 48 hours, although symptoms improved and ibuprofen lessened the severity. I did not have these symptoms with the 1st dose with the exception of pain at the injection site.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Similar reaction on previous exposure to drug
Clinical narrative: Body aches, pain at injection site, fever, chills. Unable to engage in normal daily activities for about 12 hours. Did not feel 100% during the next 48 hours, although symptoms improved and ibuprofen lessened the severity. I did not have these symptoms with the 1st dose with the exception of pain at the injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site infection
Clinical narrative: Patient states that she developed an infection at the site of injection.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of drug administration
Clinical narrative: SHINGRIX was administered at Pharmacy on 6/1. By location of the reaction, and by pt report the area in which it was administered is in the posterior mid-third of the left arm. At this site, it would be a subcutaneous injection.
Age: 31.0
Sex: M
Vaccine: TD
Symptoms: Chills, Pyrexia
Clinical narrative: Developed fever and chills.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chest discomfort, Headache, Hypopnoea, Lethargy
Clinical narrative: Patient woke up about 36-48 hours after receiving vaccine aching head to toe- no fever- heavy feeling on chest but no change in heart rate- shallow breathing- headache- stomach muscle pain and extremely lethargic. The next day brought left knee pain so severe that she was not able to put weight on it. Through all of this there was no injection site redness or pain; this lasted a total of 3 days / and resolved after 5 days.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain, Weight bearing difficulty
Clinical narrative: Patient woke up about 36-48 hours after receiving vaccine aching head to toe- no fever- heavy feeling on chest but no change in heart rate- shallow breathing- headache- stomach muscle pain and extremely lethargic. The next day brought left knee pain so severe that she was not able to put weight on it. Through all of this there was no injection site redness or pain; this lasted a total of 3 days / and resolved after 5 days.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Muscular weakness, Pruritus, Swelling face
Clinical narrative: She had the itch around her left arm and her whole chest for 2 weeks, swollen left side of her face and the injection area for 1 week. Also muscle weakness for one week with difficult sleeping. She emphasized that the swollen on her left face was very severe.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Acupuncture, Cardiac stress test, Chest discomfort, Chills, Colonoscopy
Clinical narrative: First night (and next 5 days) - fever, chills, extreme pain at injection site. After 5 days, left with feeling of pressure in throat head and chest (like being strangled). This lasted unabated, 24/7 for three months. With acupuncture, is slowly getting better now.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Ear, nose and throat examination, Echocardiogram, Electrocardiogram, Endoscopy
Clinical narrative: First night (and next 5 days) - fever, chills, extreme pain at injection site. After 5 days, left with feeling of pressure in throat head and chest (like being strangled). This lasted unabated, 24/7 for three months. With acupuncture, is slowly getting better now.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Head discomfort, Injection site pain, Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal, Oesophagram
Clinical narrative: First night (and next 5 days) - fever, chills, extreme pain at injection site. After 5 days, left with feeling of pressure in throat head and chest (like being strangled). This lasted unabated, 24/7 for three months. With acupuncture, is slowly getting better now.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Ultrasound Doppler
Clinical narrative: First night (and next 5 days) - fever, chills, extreme pain at injection site. After 5 days, left with feeling of pressure in throat head and chest (like being strangled). This lasted unabated, 24/7 for three months. With acupuncture, is slowly getting better now.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Injection site rash, Pyrexia
Clinical narrative: Patient received SHINGRIX vaccine on Wednesday, 5/16 and soon thereafter developed mild fevers on and off, pain in right upper arm at the injection site and a red "rash" over the area. Notes area is itchy and painful to the touch. Has not taken an medications or applied anything topically. Area was worsening for a few days but now staying the same. 5/21/18 seen in office w/ NP: Injection site reaction, initial encounter. Advised warm compresses and diphenhydramine 25 mg q 6 hours. Follow-up visit scheduled with NP on Wednesday to ensure improvement/resolution. BENADRYL allergy 25mg Cap; Take 1 Cap by mouth every 6 hours as needed Dispense: 30 Cap; Refill: 0. Seen 5/23/18 for f/u: Area much improved.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site rash, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Left arm swelling and pain as well as pruritus. Rash present overlying injection site.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Swollen, red sore arm at injection; headache, muscle aches, fever, chills/shivers, fatigue but could not sleep; queasy/upset stomach; could not do daily exercising; started last night, Sunday, 6/3/2018, about 11 pm continuing as of now Monday, 6/4/2018, 6pm.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Insomnia, Loss of personal independence in daily activities, Myalgia, Nausea
Clinical narrative: Swollen, red sore arm at injection; headache, muscle aches, fever, chills/shivers, fatigue but could not sleep; queasy/upset stomach; could not do daily exercising; started last night, Sunday, 6/3/2018, about 11 pm continuing as of now Monday, 6/4/2018, 6pm.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Swollen, red sore arm at injection; headache, muscle aches, fever, chills/shivers, fatigue but could not sleep; queasy/upset stomach; could not do daily exercising; started last night, Sunday, 6/3/2018, about 11 pm continuing as of now Monday, 6/4/2018, 6pm.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Chest pain, Computerised tomogram thorax, Erythema, Fibrin D dimer, Oedema
Clinical narrative: Localized pain, edema, redness 1 wk following vaccine, chest pain, pleurisy 1-2 wks following vaccine.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pleurisy, Troponin
Clinical narrative: Localized pain, edema, redness 1 wk following vaccine, chest pain, pleurisy 1-2 wks following vaccine.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Crying, Decreased appetite, Dyspnoea, Irritability, Pyrexia
Clinical narrative: Evening of 5/29/18, patient presented with rash, shortness of breath, fussiness, crying, decreased appetite, vomiting, and fever. Parents took patient to local Emergency Room.
Age: 0.25
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Rash, Rhinovirus infection, Vomiting
Clinical narrative: Evening of 5/29/18, patient presented with rash, shortness of breath, fussiness, crying, decreased appetite, vomiting, and fever. Parents took patient to local Emergency Room.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Swelling, redness, fever, pain...a period of 5 or 6 days.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Angiogram normal, Blood test normal, Computerised tomogram normal, Electroencephalogram abnormal, Generalised tonic-clonic seizure
Clinical narrative: The shot was given on the evening of the 26th and on Monday the 30th, patient had a grand mal seizure as he was entering his school. He was rushed to the Hospital by ambulance. He did not regain consciousness until he was half way to the hospital. We estimate he was unconscious for about 10-15 minutes. He was given a CAT scan, blood was taken, and an appointment at Medical Center was made for the same day. We met with the neurologist at 1:00 on the same day as the seizure. An EEG was ordered and found to be abnormal. He was then given an MRI and MRA with contrast. These tests were normal. He is now on Ethosuximide twice a day.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Loss of consciousness, Nuclear magnetic resonance imaging normal, Scan with contrast
Clinical narrative: The shot was given on the evening of the 26th and on Monday the 30th, patient had a grand mal seizure as he was entering his school. He was rushed to the Hospital by ambulance. He did not regain consciousness until he was half way to the hospital. We estimate he was unconscious for about 10-15 minutes. He was given a CAT scan, blood was taken, and an appointment at Medical Center was made for the same day. We met with the neurologist at 1:00 on the same day as the seizure. An EEG was ordered and found to be abnormal. He was then given an MRI and MRA with contrast. These tests were normal. He is now on Ethosuximide twice a day.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Loss of personal independence in daily activities, Pain
Clinical narrative: Patient felt very tired, weak, extreme fatigue, needs assistance for her normal daily function and body pain for 1 day and the weakness feeling for 2 day.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Malaise
Clinical narrative: Patient returned to the pharmacy 2 days after receiving her first dose of SHINGRIX and had a red area on her arm where the shot had been given (about 2-3 inches in diameter). Patient also reported having felt a bit sick to her stomach after receiving the shot.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pyrexia, Tremor
Clinical narrative: Patient reported that a couple hours after her immunization she felt exhausted and had to go home and go to bed where she proceeded to get a fever and had chills/shakes all night. The adverse event was over by morning.