chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain, Pain in extremity, Peripheral coldness
Clinical narrative: Pain in lt upper arm. Also shooting pain down arm and fingers feel cold. Lt radial pulse strong and hand slightly cool to touch. States at this time (2 hrs after vaccine) symptoms starting to subside. Puncture site appears in appropriate area. Advised to use Tylenol/Ibuprofen and ice and return to EHS if symptoms worsen or persist. All symptoms now resolved.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Axillary pain, Injection site erythema, Injection site reaction, Middle insomnia, Pain in extremity
Clinical narrative: Pt woke up middle of night the next day with significant r arm and axilla pain on side of vaccine despite adequate motrin. Pt cont to have pain and then 6.5cm red very swollen area size of golf ball just medial to vaccine site (not involving vaccine site). He was seen in my clinic 10/13 230pm but swelling had gone down during the day and light pink area of rash visible.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Rash erythematous, Vaccination site swelling
Clinical narrative: Pt woke up middle of night the next day with significant r arm and axilla pain on side of vaccine despite adequate motrin. Pt cont to have pain and then 6.5cm red very swollen area size of golf ball just medial to vaccine site (not involving vaccine site). He was seen in my clinic 10/13 230pm but swelling had gone down during the day and light pink area of rash visible.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: ITCHING, REDNESS, HIVES.
Age: 62.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Pain, Pruritus, Swelling
Clinical narrative: Received vaccine 10/12/17 began with redness, mild swelling, heat, mild pain and itching on 10/13/17. Has taken ibuprofen and BENADRYL. Sx still present today 10/18/17 but client able to work and do usual activities.
Age: 75.0
Sex: F
Vaccine: FLUA3
Symptoms: Asthenia, Gait disturbance, Pain in extremity
Clinical narrative: Approximately 7-10 days after the vaccine patient reported weakness and loss of strength in her hands, she was hardly able to walk in her right leg and left leg pain. These issues have still continued through today
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary mass, Swelling
Clinical narrative: Swelling, lump in Left armpit area, size is larger than golf ball smaller than a baseball. No other symptoms.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patients left arm has swelling, redness, and warm to touch.
Age: 11.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Lip swelling, Tremor
Clinical narrative: The mother came in today to the minute clinic to describe the event as starting with swollen lips around bedtime and then numbness and then shaking. Ambulance brought him to the hospital.
Age: 11.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Asthenia, Dizziness, Dyspnoea, Lip swelling, Tremor
Clinical narrative: The mother came in today to the minute clinic to describe the event as starting with swollen lips around bedtime and then numbness and then shaking. Ambulance brought him to the hospital.
Age: 0.17
Sex: F
Vaccine: DTAP
Symptoms: Decreased appetite, Hypersomnia
Clinical narrative: Patient slept a lot after vaccine for 24 hours & only ate 5 times instead of her normal 8-9 times.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood glucose normal, Blood test normal, Computerised tomogram normal, Dizziness, Malaise
Clinical narrative: 6 hours after administration of vaccine, quick onset of Extreme dizziness and general malaise, lasting approximately 6 hours, small dose VALIUM, and anti-dizziness drug in ER, rested through night and next day ...symptoms much relieved but not completely after 22 hours.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Nuclear magnetic resonance imaging normal, Urine analysis normal
Clinical narrative: 6 hours after administration of vaccine, quick onset of Extreme dizziness and general malaise, lasting approximately 6 hours, small dose VALIUM, and anti-dizziness drug in ER, rested through night and next day ...symptoms much relieved but not completely after 22 hours.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient received flu shot in the morning and returned to Health Services later in the day. Her arm was swollen about the size of a golf ball. She is a petite person. Health services used first aid treatment with ice and Motrin. She returned the following day and the arm was less swollen. She did have redness across her arm and band of redness about 2-3" wide.
Age: 82.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site rash
Clinical narrative: Rash started next day, was greater than 6 inches around injection site, progressed to most of upper arm.
Age: 82.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Rash started next day, was greater than 6 inches around injection site, progressed to most of upper arm.
Age: 82.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site rash
Clinical narrative: Red rash that was greater than 6 inches around injection site. Rash later spread to most of upper left arm.
Age: 82.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Red rash that was greater than 6 inches around injection site. Rash later spread to most of upper left arm.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Right arm red, painful, swollen, rash around injection site. Advised-hydrocortisone cream, apply ice.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Laboratory test, Muscle disorder, Syncope, X-ray
Clinical narrative: The patient was found collapsed in her home. Did not have any muscle function, but could talk and respond. Went to the emergency room and had lab work and X-rays done. Nothing was found to be wrong. Muscle function returned about an hour later so patient was discharged home.
Age: 65.0
Sex: F
Vaccine: PNC13, FLUX, PNC13
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Skin infection
Clinical narrative: Patient came in on 10/16/17 complaining of redness and swelling at injection site. Affected area was large and hot to touch. Suggested patient go see her doctor. She came back a few hours later with a prescription for KEFLEX and stated the doctor diagnosed her with an under the skin infection.
Age: 65.0
Sex: F
Vaccine: PNC13, FLUX, PNC13
Symptoms: Erythema, Peripheral swelling, Skin infection
Clinical narrative: Patient came in on 10/16/17 complaining of redness and swelling at injection site. Affected area was large and hot to touch. Suggested patient go see her doctor. She came back a few hours later with a prescription for KEFLEX and stated the doctor diagnosed her with an under the skin infection.
Age: 81.0
Sex: M
Vaccine: FLUA3
Symptoms: Asthenia, Chills, Pain in extremity
Clinical narrative: CHILLS, EXTREME ARM PAIN, NO ENERGY.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Evening of vaccine--upper arm red/warm/swollen; afebrile. Presented to Urgent care and started on Bactrim and oral prednisone for cellulitis. Followed up in our Clinic 10/16/17 as swelling was worse of right upper arm and extended to shoulder, new red streaking right forearm to wrist, itching w/intact skin. Stopped Bactrim, started Omnicef with follow up 10/17/2017 w/decreased swelling, no streaking. Remained itchy. Stopped oral prednisone. zyrtec 10 mg daily.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Evening of vaccine--upper arm red/warm/swollen; afebrile. Presented to Urgent care and started on Bactrim and oral prednisone for cellulitis. Followed up in our Clinic 10/16/17 as swelling was worse of right upper arm and extended to shoulder, new red streaking right forearm to wrist, itching w/intact skin. Stopped Bactrim, started Omnicef with follow up 10/17/2017 w/decreased swelling, no streaking. Remained itchy. Stopped oral prednisone. zyrtec 10 mg daily.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Upper left arm is red swollen and patient reports warm to touch.
Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Acne, Fatigue, Nausea
Clinical narrative: Acne flare, extreme fatigue, nauseous.
Age: 0.33
Sex: F
Vaccine: RV1
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received this dose of ROTARIX on 09/07/2017, 2 days after the listed expiration date. This was discovered when doing end of month inventory. Discussed with district immunization coordinator, Immunization Regional Consultant, and district health director. Recommendation from VFC program is to repeat dose after 28 days. No known adverse outcomes occurred with child. Currently trying to contact mother to notify of dose needing to be repeated.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Borrelia test, Facial paralysis
Clinical narrative: Pt given yearly flu shot by her PCP, developed left sided Bell's palsy about 3 weeks later. Of note she had Bell's palsy on the same side in 2014 so unclear if related to vaccine or not.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient reports having significant swelling and pain in the right arm after receiving the injection. The swelling went from deltoid down to forearm. Patient applied ice pack and since the time of the injection arm has improved daily. Patient was not seen by a doctor and was not evaluated in an emergency room.
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site discharge, Injection site irritation, Injection site pain, Injection site scab, Injection site swelling
Clinical narrative: Three days post injection (right upper arm) the area around the injection site became swollen, irritated and painful and measured approximately 2 inches in diameter. On the fourth day the skin surface broke open and clear fluid began weeping from the injection site. This continued for two more days and the affected area had to be bandaged to contain the fluid and prevent further irritation. The site eventually scabbed over, ceased weeping and healed over after another 5 days. There is no residual scarring or skin damage.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Heart rate increased, Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: I was awakened by profuse sweating, fever, muscle aches and a heartbeat of 102 bpm. When I went to bed my heart rate was 63. It is normally 57-70. I drank 40 ounces of water and went back to bed trying breathing techniques to reduce heart rate.  When I awakened, I had muscle aches and a cough. After eating lunch, I started to feel better around 2:00 p.m.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient reports right shoulder pain beginning 2 days after the vaccination that was given on 10/10 in that arm and continuing through today, 10/18.
Age: 18.0
Sex: F
Vaccine: FLUC4
Symptoms: Dyspnoea, Pruritus, Rash
Clinical narrative: Patient left pharmacy, she began experiencing itching, trouble breathing and a rash. Patient returned to pharmacy which was closed. She then went to the local ER and was admitted overnight.
Sex: M
Vaccine: HPV9
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a nurse and refers to her son, a male patient of unknown age. No information regarding the patient's pertinent medical history, concomitant medications and drug reactions or allergies was provided. In August 2017, the patient was vaccinated with his third dose of GARDASIL 9 injection (dose, route of administration, lot # and expiration date were not reported). The vaccine was exposed to unspecified temperatures that were too cold. The nurse received a letter from an unspecified local health department which stated that the patient needed to be revaccinated with GARDASIL 9. No adverse symptoms were reported.
Age: 16.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Fall, Loss of consciousness, Skin abrasion, Tonic clonic movements
Clinical narrative: This spontaneous report was received from a physician via a company representative referring to a 16 year old female patient. The patient had not medical history nor concurrent conditions. In approximately 2017 (reported as "within the last few weeks"), the patient was vaccinated with a dose of GARDASIL 9, 0.5 ml (lot # and expire date were not reported) for prevention of HPV. Concomitantly the patient was vaccinated with a dose of MENACTRA. In approximately 2017 (reported as "within the last few weeks"), as the patient was leaving the office, she passed out and made some tonic clonic movements, as a result, the patient had some abrasions (skin abrasion) from the fall. The outcome of the patient regarding the events of tonic clonic movements, skin abrasion and passed out was reported as recovered/resolved, on an unspecified day in 2017. The patient's mother told to the doctor that she was planning to take her to see a neurologist about this adverse events, but it was unknown if the patient had seen the neurologist at this time. The patient did not received any treatment for the adverse events. No causality assessment was provided by the physician. Upon internal review tonic clonic movements and passed out were considered to be a medically significant events. Additional information has been requested.
Sex: U
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: This is a spontaneous report based on information received by Pfizer from Merck & Co., Inc. Case Number: 00607615. A contactable pharmacist reported that patient of unspecified age ethnicity and gender received PREVNAR 13, lot number and expiration date not provided, via an unspecified route of administration on an unspecified date at single dose for immunisation. The patient medical history and concomitant medications were not reported. The patient experienced rash (non-serious) on an unspecified date with outcome of unknown. This information has not been reported to the FDA. No follow-up attempts are possible. No further information is expected.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Arm pain and limited ROM - Improving.
Age: 77.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Pain, Pain in extremity, Pain in jaw, Tenderness
Clinical narrative: Awaken with entire jaw pain/ache while pressure applied for 1 day. From site of administration to wrist experienced dull pain while laying on left side for 2 weeks and only while applying pressure.
Age: 81.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Patient complained of fever, chills, pain on immunized arm, and unable to hold food down the day after immunization.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Application site pain
Clinical narrative: Patient reported pain in site of application. Per patient, pain gets worse by the end of the day.
Age: 17.0
Sex: M
Vaccine: FLU4, HIBV
Symptoms: Wrong drug administered
Clinical narrative: No adverse reaction of the patient physically. Dr checked vaccination record at the end of work day and informed this nurse that vaccination was not correct one. Should have been MENACTRA given. Nurse contacted a nurse at the health department and she instructed first nurse to file report and contact patient and his mom. Nurse contacted patient and his mom. They state they understand situation. Will have patient come back to clinic and receive correct vaccine when the vaccine order is here at the clinic.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Induration, Peripheral swelling, Skin warm
Clinical narrative: Significant diffuse, raised, firm, erythemic area with increased warmth to touch. Area extended from deltoid to down lateral aspect of biceps area. Patient reported she noticed symptoms in the morning upon waking. She denied any swelling of mouth/throat/tongue, difficulty swallowing, dyspnea, nausea, vomiting, or abdominal symptoms.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Nuclear magnetic resonance imaging
Clinical narrative: Patient complaint that she started seeing a growing mass on the injection site approximately 45 days after receiving vaccine.
Age: 0.0
Sex: M
Vaccine: FLU4, HEP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: There was no adverse event. The adult dose of FLUZONE vaccine was given to a newborn child on the day of birth, inadvertently, instead of the Hepatitis B vaccine. We are reporting that  there have been no adverse reactions to the child 24 hours later. The hepatitis B vaccine was given to the child as well, when the mistake was realized.
Age: 13.0
Sex: M
Vaccine: FLUC4
Symptoms: Headache, Pyrexia
Clinical narrative: My son had a headache and began running a fever at school and was at 101.7 when he came home. The fever increased overnight peaking at 102.8. The fever broke approx. 12/13 hours after onset.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Swollen tongue, Vomiting
Clinical narrative: PT HAD SIGNIFICANT DIARRHEA AND VOMITING THE DAY AFTER RECEIVING THE VACCINE.  UNDERNEATH HER TONGUE WHERE IT CONNECTS TO THE MOUTH SEEMED A LITTLE SWOLLEN.
Age: 65.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Chills, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: On 10/11/17 patient states she started to feel shivering, body aches, fever, and some nausea/vomiting around 10:00pm. Patient then stated that on Sunday 10/15/17 symptoms began to subside but a red bump appeared on her left arm. Bump began to spread on her upper arm area. She has some difficulty moving her arm. Patient went to her primary care doctor on Monday 10/16/17 and was given clarithromycin 500mg for 10 days. Patient came to the pharmacy on 10/18/17 and notified us that she was has a reaction to the vaccine. Pharmacist recommended that she try Benadryl in case its an allergic reaction. Will continue to follow up with patient.
Age: 65.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: On 10/11/17 patient states she started to feel shivering, body aches, fever, and some nausea/vomiting around 10:00pm. Patient then stated that on Sunday 10/15/17 symptoms began to subside but a red bump appeared on her left arm. Bump began to spread on her upper arm area. She has some difficulty moving her arm. Patient went to her primary care doctor on Monday 10/16/17 and was given clarithromycin 500mg for 10 days. Patient came to the pharmacy on 10/18/17 and notified us that she was has a reaction to the vaccine. Pharmacist recommended that she try Benadryl in case its an allergic reaction. Will continue to follow up with patient.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site erythema
Clinical narrative: Patient noticed an area of redness that spanned from the injection site (left deltoid) down to the area below her elbow.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperaesthesia, Hypoaesthesia, Oropharyngeal pain, Pain in extremity, Pyrexia
Clinical narrative: Started experiencing pain, numbness, sensitivity in toes, began left foot first, then began in right toes.  Has occasional numbness right lateral calf. Symptoms worsened over 1 week's time. Developed sore throat and fever 1-2 days after receiving the flu vaccine. Was given antibiotic for strep.  Sore throat and fever resolved, but numbness and pain in toes have not.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Streptococcus test positive
Clinical narrative: Started experiencing pain, numbness, sensitivity in toes, began left foot first, then began in right toes.  Has occasional numbness right lateral calf. Symptoms worsened over 1 week's time. Developed sore throat and fever 1-2 days after receiving the flu vaccine. Was given antibiotic for strep.  Sore throat and fever resolved, but numbness and pain in toes have not.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Dysgeusia, Eye discharge, Facial paralysis, Mobility decreased, Tongue blistering
Clinical narrative: BEGINNING OF SEPTEMBER HAD EPISODES OF VOMITING ON AND OFF. DEVELOPED A BLISTER ON HER TONGUE AT THE END OF SEPTEMBER THAT MESSED UP HER TASTE BUDS. RIGHT EYE STARTED DRAINING ABOUT 2 WEEKS AGO AND THEN RIGHT SIDE OF FACE SEEMED HARD TO MOVE SO WENT TO URGENT CARE WHERE SHE WAS DXED WITH BELL'S PALSY.
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Vomiting
Clinical narrative: BEGINNING OF SEPTEMBER HAD EPISODES OF VOMITING ON AND OFF. DEVELOPED A BLISTER ON HER TONGUE AT THE END OF SEPTEMBER THAT MESSED UP HER TASTE BUDS. RIGHT EYE STARTED DRAINING ABOUT 2 WEEKS AGO AND THEN RIGHT SIDE OF FACE SEEMED HARD TO MOVE SO WENT TO URGENT CARE WHERE SHE WAS DXED WITH BELL'S PALSY.
Age: 69.0
Sex: F
Vaccine: FLU3, TDAP
Symptoms: Injection site pain, Insomnia, Neck pain, Pain in extremity
Clinical narrative: Patient states that pain began in her right arm shortly after the shot was given and is still hurtful days later. States pain is radiating up arm, into the neck area, and down the back of shoulder. Hurts to sleep on right side.
Age: 1.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Abnormal behaviour, Anger, Confusional state, Cough, Crying
Clinical narrative: Ever since my child has had those 3 vaccines her behavior is like night and day. A drastic change in behavior almost bipolar it seems. Normally she is a happy upbeat child, suddenly she literally goes from Angry, to sad, to outbursts every few minutes, it is weird and scary. This is an absolute drastic turn in her behavior. She will just walk around and out of nowhere stop and get angry, or she will stop and cry, I mean literally every few minutes. She cries for no reason or gets angry. This is NOT her normal behavior at all, she does it as if she is confused. Then she will just have a random outburst of rolling around and twisting her body all over like she is very frustrated and irritated at random points. And when I hold her and look at her trying to understand what is going on to hug her and kiss her, she has this confused look at me and doesn't want to be bothered. This is very scary and this is not how my child behaves, this literally occurred once she got those vaccines. I tried to capture her sporadic behavior on video but it is literally so random that I can't catch it right when it begins! Please, please have this looked into something is really not right with the vaccines for it to cause this side effect. She has also had on and off fever and running nose, serious congestion & cough, up until today she had a fever, so I have called her doctor today and made an appointment for her to be seen tomorrow since the fever and cold symptoms should've worn off by now.
Age: 1.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Depressed mood, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Ever since my child has had those 3 vaccines her behavior is like night and day. A drastic change in behavior almost bipolar it seems. Normally she is a happy upbeat child, suddenly she literally goes from Angry, to sad, to outbursts every few minutes, it is weird and scary. This is an absolute drastic turn in her behavior. She will just walk around and out of nowhere stop and get angry, or she will stop and cry, I mean literally every few minutes. She cries for no reason or gets angry. This is NOT her normal behavior at all, she does it as if she is confused. Then she will just have a random outburst of rolling around and twisting her body all over like she is very frustrated and irritated at random points. And when I hold her and look at her trying to understand what is going on to hug her and kiss her, she has this confused look at me and doesn't want to be bothered. This is very scary and this is not how my child behaves, this literally occurred once she got those vaccines. I tried to capture her sporadic behavior on video but it is literally so random that I can't catch it right when it begins! Please, please have this looked into something is really not right with the vaccines for it to cause this side effect. She has also had on and off fever and running nose, serious congestion & cough, up until today she had a fever, so I have called her doctor today and made an appointment for her to be seen tomorrow since the fever and cold symptoms should've worn off by now.
Age: 57.0
Sex: M
Vaccine: FLUC4
Symptoms: Arthralgia, Polymyalgia rheumatica, Rheumatoid factor negative
Clinical narrative: Eventual polymyalgia rheumatica diagnosed 9/2017. Started with site arm arthralgia then spread to both arms and then global over time. No official notification to Employee Health until 10/17/17 when he came to sign a declination for this year's vaccine.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Urticaria
Clinical narrative: Pt was given flu vaccines and a few minutes later developed rash/ hives. No angioedema, no respiratory distress or wheezing. Pt given Benadryl and Prednisolone. Pt observed for 1 hr sx did not evolve or worsen. Pt d/c home with rx for Benadryl and Prednisolone. Dr. spoke with mother on 10/13/17 and rash resolved after office visit on 10/12/17 no further sx.
Age: 20.0
Sex: F
Vaccine: FLUC4, HEP, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Erythema and pruritus of injection site the following day after.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test normal, Chest X-ray normal, Fatigue, Lacrimation increased, Pyrexia
Clinical narrative: Patient received vaccine at 10:50am on 10/11/2017. He stated he started to get watery eyes and sinus issues around 8:00pm that evening. Between 9pm-10pm he started to experience blurred vision, tremors, shakes, fatigue, and needed assistance walking. He went to a local Emergency Department around 11pm. He stated that upon arrival he had a 102.1 fever. He had a chest x-ray done to rule out pneumonia which was negative. He also had blood work drawn which he stated was all within normal limits.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Sinus disorder, Tremor, Vision blurred, Walking aid user
Clinical narrative: Patient received vaccine at 10:50am on 10/11/2017. He stated he started to get watery eyes and sinus issues around 8:00pm that evening. Between 9pm-10pm he started to experience blurred vision, tremors, shakes, fatigue, and needed assistance walking. He went to a local Emergency Department around 11pm. He stated that upon arrival he had a 102.1 fever. He had a chest x-ray done to rule out pneumonia which was negative. He also had blood work drawn which he stated was all within normal limits.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Pruritus, Swelling, Vaccination site swelling
Clinical narrative: Gave patient flu shot yesterday. Patient said a little bit of swelling showed up last night. Patient came in to pharmacy today 10/18/17 around 1 pm, and showed her arm. Area of vaccination is red, swollen (size of a palm). She reports no pain, slight itchiness. Contacted DPM and referred patient to nearby walk in clinic today.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient reported redness and swelling of the arm radiating from shoulder to elbow. Patient did hot and cold compress and kept her arms elevated. She stated her arm is now fine with no current adverse problem.
Age: 22.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Red tender and swelling around injection site. No medication.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Severe left shoulder pain, with severe limitation to range of motion that lasted from Oct 12 around 10 am until Oct 15. Unable to raise left arm higher than 3 inches from side without severe pain. No tenderness at site of injection. No redness. No swelling. Nov fever. Ibuprofen 400 mg taken twice on Oct 13 with no affect on pain. Ibuprofen 400 mg taken 3x/day on Oct 14 resulted in decrease in pain and return of 50% of range of motion.
Age: 69.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient called into the pharmacy today 10/18/17 stating that she was experiencing a possible adverse reaction to the PREVNAR 13 vaccination that she had received the previous week. Patient complained of itching, swelling the size of a golf/softball, redness, and heat at the injection site. The patient stated that she had first felt itchiness and minor swelling the day before on 10/17/2017. She is not feeling any other symptoms.
Age: 69.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Injection site pruritus, Vaccination site swelling
Clinical narrative: Patient called into the pharmacy today 10/18/17 stating that she was experiencing a possible adverse reaction to the PREVNAR 13 vaccination that she had received the previous week. Patient complained of itching, swelling the size of a golf/softball, redness, and heat at the injection site. The patient stated that she had first felt itchiness and minor swelling the day before on 10/17/2017. She is not feeling any other symptoms.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient said she had a huge fear of needles and after both shots were given when she got up she became high headed and passed out. She became alert within a few seconds.
Age: 23.0
Sex: M
Vaccine: RAB
Symptoms: Allergy test, Hypoaesthesia, Muscular weakness, Myalgia, Pruritus generalised
Clinical narrative: Pt. advised 2 days after he received the injection he started to have "muscle pains to his lower back and legs, with numbness and weakness to his left leg". Pt. also advised at the same time he developed itching and hives all over his entire body.
Age: 23.0
Sex: M
Vaccine: RAB
Symptoms: Urticaria
Clinical narrative: Pt. advised 2 days after he received the injection he started to have "muscle pains to his lower back and legs, with numbness and weakness to his left leg". Pt. also advised at the same time he developed itching and hives all over his entire body.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Hypersomnia, Impaired driving ability, Injection site erythema, Injection site inflammation
Clinical narrative: WHEN PHARMACIST ATTEMPTED TO INJECT PNEUMOVAX THE NEEDLE DETACHED OR SOME OTHER DEFECT OCCURRED AND THE DOSE WAS NOT ADMINISTERED. THE PHARMACIST THEN ADMINISTERED A PNEUMOVAX FROM A NEW PREFILLED SYRINGE. THE PATIENT STATES THAT STARTING THE EVENING AFTER THE VACCINATION, SHE EXPERIENCED EXTREME TIREDNESS THAT SHE DESCRIBES AS WORSE THAN A FATIGUE. SHE STATES THAT SHE WAS SO TIRED THAT SHE ALMOST FELL ASLEEP DRIVING AND HAD TO CALL HER HUSBAND TO PICK HER UP. WHEN SHE GOT HOME, SHE STATES THAT SHE SLEPT FOR 26 HOURS STRAIGHT. THE INJECTION SITE IS STILL INFLAMED TODAY (10/18/17). THE INFLAMED AREA IS VERY RED AND COVERS AN AREA OF CLOSE TO 5 INCHES IN DIAMETER. THE PATIENT HAS BEEN PUTTING ICE ON THE INJECTION SITE AND TAKING ALEVE. SHE WAS ADVISED TO WATCH IT AND MAKE SURE IT DOES NOT WORSEN AND CONTACT HER DOCTOR IF HER CONDITION WORSENS.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Needle issue, Somnolence
Clinical narrative: WHEN PHARMACIST ATTEMPTED TO INJECT PNEUMOVAX THE NEEDLE DETACHED OR SOME OTHER DEFECT OCCURRED AND THE DOSE WAS NOT ADMINISTERED. THE PHARMACIST THEN ADMINISTERED A PNEUMOVAX FROM A NEW PREFILLED SYRINGE. THE PATIENT STATES THAT STARTING THE EVENING AFTER THE VACCINATION, SHE EXPERIENCED EXTREME TIREDNESS THAT SHE DESCRIBES AS WORSE THAN A FATIGUE. SHE STATES THAT SHE WAS SO TIRED THAT SHE ALMOST FELL ASLEEP DRIVING AND HAD TO CALL HER HUSBAND TO PICK HER UP. WHEN SHE GOT HOME, SHE STATES THAT SHE SLEPT FOR 26 HOURS STRAIGHT. THE INJECTION SITE IS STILL INFLAMED TODAY (10/18/17). THE INFLAMED AREA IS VERY RED AND COVERS AN AREA OF CLOSE TO 5 INCHES IN DIAMETER. THE PATIENT HAS BEEN PUTTING ICE ON THE INJECTION SITE AND TAKING ALEVE. SHE WAS ADVISED TO WATCH IT AND MAKE SURE IT DOES NOT WORSEN AND CONTACT HER DOCTOR IF HER CONDITION WORSENS.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Severe injection site reaction, ranging from injection site up to shoulder and below elbow. Redness, swelling, pain w/ZOSTAVAX injection.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Pt states she developed itching about a week after receiving her flu vaccine. The itching was on her upper arm, lower arm, and one finger. Pt stated she did not notice any raised bumps in a line or anything resembling a bite. Pt started using benadryl on 10/16 to help with itching and states she has used 3 total doses as of this morning. Pt does not otherwise feel sick or have any problems.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Pain in extremity
Clinical narrative: Patient has continued pain and now numbness and tingling down entire right arm after injection which has not gotten better.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia
Clinical narrative: Patient has continued pain and now numbness and tingling down entire right arm after injection which has not gotten better.
Age: 66.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Loss of personal independence in daily activities
Clinical narrative: Pain in left elbow and left wrist has continued for a month. The pain seems to be getting better--I still cannot do the gutter cleaning and landscape pruning that needs to done at home.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Pyrexia
Clinical narrative: Erythema, localized pyrexia, and localized pain.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Injected limb mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: I don't know which name to choose since your list showed 2 pneumonia vaccines. I know this was my 2nd pneumonia vaccine. No reaction at all at the site. But left arm started hurting several hours later. Then a couple of hours after that it was excruciating pain to the point where I could not use my left arm. Then I seemed the suddenly get fever: chills, teeth chattering. Fever varied from 99.5 to 100.8 over the next 36 hours or so. My arm hurt like hell for about the same amount of time. It still hurts but is partially useable now.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Insomnia, Pain in extremity
Clinical narrative: Patient started having severe soreness in left arm, radiating from shoulder through wrist. This started the morning after administration and is persisting 5 days post-administration, however it is starting to lessen. He states that he was unable to lift his arm because the soreness has been so severe. The pain has also impacted his sleep.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash, Rash erythematous, Vomiting
Clinical narrative: Patient had vomiting once she got home after vaccines given on 10/10 and resolved on the same day; then on 10/15 she began with red rash on legs but none on arms.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Patient reports severe arm soreness radiating from her left shoulder through her left wrist. The soreness started the morning after administration and has not yet subsided. She states she could not lift her arm or use her arm to open her car door.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus generalised
Clinical narrative: Full body itching. No hives, redness, warmth, or rash. 25mg PO Benadryl administered. Pt educated on the need to emergently come to emergency department if there is any noticeable change in status . Specifically: If patient starts to experience any respiratory issues, peri-oral itching or tingling, throat tingling, or if Benadryl does not alleviate itching.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV, VARZOS
Symptoms: Headache, Injection site swelling, Pyrexia
Clinical narrative: Pt developed headache on Sunday 7pm and developed mild fever on Monday morning. Pt took Tylenol but the fever gradually got worse. His fever was so high and pt went to see Dr and Dr prescribed Percocet. Pt's spouse reported to pharmacy on Tuesday afternoon (Pt's fever was still high). On Wednesday 10/18/17, pt's fever went down and he's having little swelling where he got PNEUMOVAX.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Came to Clinic 18Oct17. Rt. upper arm had 11x7cm reddened, swollen, hot, painful, slightly itchy area where Flu shot was given 16Oct17. "It hurt 7/10 last night and I couldn't sleep."  Ice to area and recommended OTC pain reliever/anti-inflammatory, and anti-itch remedy to site.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Insomnia
Clinical narrative: Came to Clinic 18Oct17. Rt. upper arm had 11x7cm reddened, swollen, hot, painful, slightly itchy area where Flu shot was given 16Oct17. "It hurt 7/10 last night and I couldn't sleep."  Ice to area and recommended OTC pain reliever/anti-inflammatory, and anti-itch remedy to site.
Age: 89.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: The patient presented a day or two after receiving the vaccine with injection site reactions - warmth, redness, pain, swelling past the injection site, almost looked like hives.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Swollen, warm arm within an hour of administration. Came back to clinic the next day, advised to ice, take benadryl, and follow up with PCP.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Gait inability, Injection site erythema, Injection site pain, Muscle spasms, Pain
Clinical narrative: Patient said the right side of her body was cramping and said that she couldn't walk for a while because she was hurting so bad from it. I dont know if this is really a direct effect of taking the flu shot. She said she was fine now except her right calf muscle was still cramping. Patient said that the area of injection was red and achy the day after the flu shot was given.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Bipolar disorder, Chills, Condition aggravated, Delusion, Fatigue
Clinical narrative: Patient came back on 10/18/17 and informed us that she fell sick with a fever of 101 degrees a day after getting the shot. She complained of body aches, chills, panic attacks, mental delusion, exhaustion, near suicidal, feeling hopeless and like she was drowning. She complained that this was a relapse since she has Bipolar and had not had these symptoms in years.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Malaise, Pain, Panic attack, Pyrexia
Clinical narrative: Patient came back on 10/18/17 and informed us that she fell sick with a fever of 101 degrees a day after getting the shot. She complained of body aches, chills, panic attacks, mental delusion, exhaustion, near suicidal, feeling hopeless and like she was drowning. She complained that this was a relapse since she has Bipolar and had not had these symptoms in years.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Suicidal ideation
Clinical narrative: Patient came back on 10/18/17 and informed us that she fell sick with a fever of 101 degrees a day after getting the shot. She complained of body aches, chills, panic attacks, mental delusion, exhaustion, near suicidal, feeling hopeless and like she was drowning. She complained that this was a relapse since she has Bipolar and had not had these symptoms in years.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Red, swollen bump that is warm to the touch and migrating down arm.
Age: 0.25
Sex: F
Vaccine: HEP
Symptoms: Urticaria
Clinical narrative: Generalized hives all over body 24 hours after vaccination.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Patient received vaccination at approximately 10:30am, she said she had a feeling of itching without hives about 2 hours later. She took BENADRYL and itching subsided, she called pharmacy to advise of reaction.
Age: 3.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered
Clinical narrative: My child had already received three Hep B vaccinations on 8/27/14, 12/30/15 and 3/02/16. During her 3-year-old well-child check, she was given a 4th Hep B vaccination on 10/13/17. Dr. indicated that she was still in need of one shot to complete the series, but when I read the record after the appointment, I saw that it was actually the 4th shot, not the 3rd. My child received an additional dose of the Hep B vaccine, which I believe was done in error.
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia
Clinical narrative: Joint pain at approx 36 hours after injection, hands wrists, elbows, hips, feet, ankles.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling abnormal, Feeling hot
Clinical narrative: The patient left pharmacy area after getting immunization. She came back a few minutes later stating she didn't feel good and her face was red. We went out and had her sit down. She said she just felt hot and "not right".  We gave her some water to drink and ice packs and took her bp and pulse which were normal. We asked her if she would like us to call 911. She said yes just to be safe. The emergency worker came and took over. She was feeling better, but they went ahead and took her in the ambulance.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt presents with swelling redness and warmth to L deltoid area. Ice packs were applied, and was prescribed KEFLEX for cellulitis.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: The patient stated she started experiencing pain in her arm at the site of injection of the pneumonia vaccination. She also stated she has difficulty moving her arm when she tries to reach up high. These effects occurred the evening of receiving the immunization on 10/17/17.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Asthenia, Dizziness, Joint swelling, Migraine, Pain
Clinical narrative: 9/28/17 The 2nd rabies vaccine was given in the left arm, the reaction gave me a very bad migraine, fever, joint swelling, body aches, dizziness, and weakness. 9/29/17 6:60am I went to the ER and was seen, given MOTRIN and monitored for fever and joint swelling to resolve. I went home and slept, took that whole day off work. By 9/30/17 I was feeling better.
Age: 27.0
Sex: F
Vaccine: RAB
Symptoms: Pyrexia
Clinical narrative: 9/28/17 The 2nd rabies vaccine was given in the left arm, the reaction gave me a very bad migraine, fever, joint swelling, body aches, dizziness, and weakness. 9/29/17 6:60am I went to the ER and was seen, given MOTRIN and monitored for fever and joint swelling to resolve. I went home and slept, took that whole day off work. By 9/30/17 I was feeling better.
Age: 59.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Arm Red, Warm and Swollen from arm pit to elbow. Significant pain with any movement.
Age: 65.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Injection site pain, Injection site reaction, Musculoskeletal stiffness, Pain
Clinical narrative: Patient is reporting pain in her right arm where the TDAP was given for 10 weeks. She did report prolonged pain 16 days after the injection in the left arm. She call in 8/17/2017 with complaint of "no swelling, redness or pain at the site of the tetanus injection the only thing is she is still having pain when she lifts her arm above her head, pt says it feels like she was hit with a baseball bat.' She then contacted the office again today with minimal pain and stiffness to the left deltoid now 10 weeks after the injection.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient complains of upper left arm pain, inability to move arm, and weakness. Its been about 2 weeks since the vaccination took place.
Age: 17.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Headache
Clinical narrative: Severe headache, seen in the ER, improved after treatment with Ibuprofen.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Exposure during pregnancy, Headache, Hypoaesthesia, Oedema, Pain in extremity
Clinical narrative: Patient reports that the symptoms started within 30 minutes of receiving the vaccine on 10/11/2017.  She reports that the vaccine was given in a good location. She is an RN. She reports swelling (2+ pitting edema) in the left arm and that it became numb down to the middle and ring fingers of that arm. She feels the numbness was because of the swelling. She reports that she developed a heavy tongue, along with a headache and vomiting. She also developed 2+ pitting edema in her legs. She reports that at the time of the vaccination she was 28 weeks and 5 days pregnant. She reports that she had a 10 pound plus weight gain associated with the event. She notes that she also has a splotchy rash on her chest, arms and legs. She reports that she took Benadryl and this helped with the symptoms. As of today, 10/18/2017 she reports that she has lost 6 of the pounds that she gained. She reports that swelling has resolved, though her arm is still slightly sore. She still gets the rash intermittently. She reports that she has told her Midwife about this event and she states that they did do an ultrasound and the baby is fine.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Rash, Rash macular, Tongue discomfort, Ultrasound antenatal screen normal
Clinical narrative: Patient reports that the symptoms started within 30 minutes of receiving the vaccine on 10/11/2017.  She reports that the vaccine was given in a good location. She is an RN. She reports swelling (2+ pitting edema) in the left arm and that it became numb down to the middle and ring fingers of that arm. She feels the numbness was because of the swelling. She reports that she developed a heavy tongue, along with a headache and vomiting. She also developed 2+ pitting edema in her legs. She reports that at the time of the vaccination she was 28 weeks and 5 days pregnant. She reports that she had a 10 pound plus weight gain associated with the event. She notes that she also has a splotchy rash on her chest, arms and legs. She reports that she took Benadryl and this helped with the symptoms. As of today, 10/18/2017 she reports that she has lost 6 of the pounds that she gained. She reports that swelling has resolved, though her arm is still slightly sore. She still gets the rash intermittently. She reports that she has told her Midwife about this event and she states that they did do an ultrasound and the baby is fine.