chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: lump the size of golf ball on left deltoid/tricep area. redness, warm to touch, pain.
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: no symptoms or adverse reactions noted. Vaccine was administered prematurely.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 65.0
Sex: F
Vaccine: FLUR4, FLUR4
Symptoms: Contusion, Rash
Clinical narrative: Patient described having a rash and then a bruise running down her arm starting two days following the injection. The actual injection site was not affected. The bruising is almost resolved 4 days later.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Exposure during pregnancy, Postpartum haemorrhage
Clinical narrative: Normal pregnancy other than hemorrhage after birth. Child was diagnosed with Autism June 3, 2018. Birth weight was 8.8lbs. Child had not reached most of the developmental milestones . He did meet  milestones in the gross motor area.  No family history of autism. I was vaccinated for flu recommended by my ob doctor in the first trimester.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 48.0
Sex: F
Vaccine: YF
Symptoms: Fatigue, Headache, Neck pain, Night sweats, Pyrexia
Clinical narrative: Patient developed fever, headache, neck pain, night sweats and fatigue.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Muscle twitching
Clinical narrative: Pain, redness and swelling at injections site, fever, body aches, headache for up to 48hrs. Muscle tremors and muscle twitches in both right and left hands have been continuous for over 13 months with no improvement.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia, Tremor
Clinical narrative: Pain, redness and swelling at injections site, fever, body aches, headache for up to 48hrs. Muscle tremors and muscle twitches in both right and left hands have been continuous for over 13 months with no improvement.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic, Skin swelling, Skin warm
Clinical narrative: Warm, red, puffy rash, about 3 inch diameter.  Reported as itchy as well. no systemic effects.
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Back pain, Chills, Hot flush, Limb discomfort, Mobility decreased
Clinical narrative: Severe chills and pain in arms, shoulders, back, butt, legs.  Difficult to move arms and legs. Felt very heavy and painful to move.  Fell asleep around 6:00 p.m., waking occasionally.   These symptoms started around 4:00 p.m. and lasted through the night.  By 7:00 a.m. the symptoms had lessened.  Throughout the next 2 days I had soreness in thighs, butt, and arms, a few hot flashes and mild chills. It's now the fourth day after the vaccine was administered and I'm much better: no chills, no hot flashes, no hurting (except for right upper arm) and I'm off the couch.
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Severe chills and pain in arms, shoulders, back, butt, legs.  Difficult to move arms and legs. Felt very heavy and painful to move.  Fell asleep around 6:00 p.m., waking occasionally.   These symptoms started around 4:00 p.m. and lasted through the night.  By 7:00 a.m. the symptoms had lessened.  Throughout the next 2 days I had soreness in thighs, butt, and arms, a few hot flashes and mild chills. It's now the fourth day after the vaccine was administered and I'm much better: no chills, no hot flashes, no hurting (except for right upper arm) and I'm off the couch.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Decreased appetite, Dizziness, Headache, Lethargy, Pyrexia
Clinical narrative: After the administration of flu vaccine, pt had a 15-20 second fainting spell. Pt was brought down to the floor safely, head protected on a  sweater, legs elevated, and arms/legs massaged to increase cerebral perfusion. During the episode, pt had a cervical pulse and was clear air entry throughout the lungs. Vital signs during the episode (BP: 117/88, pulse:50, RR 18, 02 sats 97% on room air. Post episode, pt was alert and oriented X4. Mom was given supportive counselling re possible side effects and reactions to vaccines as part of the VIS information provided to mom.  Pt was observed for 15-20 minutes post episode. 5 minutes post episode Vital Signs (BP:113/82, Pulse:62, RR18, 02 sats 97% on room air, A&O X4) 10 minutes post episode Vital Signs (BP: 114/87, Pulse:65, RR: 19, 02 sats 98% on room air, A&O X4).  Plan to monitor for fever >100.4, poor appetite, headache, lethargy, vomiting, dizziness or worsening symptoms and go to nearest ER. RTC the next day for follow-up.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope, Vomiting
Clinical narrative: After the administration of flu vaccine, pt had a 15-20 second fainting spell. Pt was brought down to the floor safely, head protected on a  sweater, legs elevated, and arms/legs massaged to increase cerebral perfusion. During the episode, pt had a cervical pulse and was clear air entry throughout the lungs. Vital signs during the episode (BP: 117/88, pulse:50, RR 18, 02 sats 97% on room air. Post episode, pt was alert and oriented X4. Mom was given supportive counselling re possible side effects and reactions to vaccines as part of the VIS information provided to mom.  Pt was observed for 15-20 minutes post episode. 5 minutes post episode Vital Signs (BP:113/82, Pulse:62, RR18, 02 sats 97% on room air, A&O X4) 10 minutes post episode Vital Signs (BP: 114/87, Pulse:65, RR: 19, 02 sats 98% on room air, A&O X4).  Plan to monitor for fever >100.4, poor appetite, headache, lethargy, vomiting, dizziness or worsening symptoms and go to nearest ER. RTC the next day for follow-up.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt received a flu vaccine on 10/23/2019 at Flu event held at clinic. Lot # 3RL4J given in the left deltoid. Pt texted rn photos of progressive swelling at the injection site. Pt advised, per Clinical Director, to take Benadryl and follow up with PCP if symptoms persist or worsen. Spoke with client 10/28/2019 and swelling has resolved and pt states she still has some itching at the injection site. Pt denied any fever, chills or difficulty breathing. Pt did not need to seek any additional medical care or consult as swelling and redness resolved.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Periorbital swelling, Rash, Rash erythematous, Rash pruritic
Clinical narrative: On 10/28/19, patient stopped by pharmacy to inquire about a potential reaction to the Shingrix vaccine. She stated the right side of her scalp had small diffuse red bumps that itched and her skin around her right eye was visibly swollen and pink. Her eye appeared normal minus the swelling around it. She got her second Shingrix vaccine on 10/24 (Thursday), and on Friday she reported development of this itching and puffiness. She does not have any swelling of her face, tongue, throat, and no impeding of her breathing. She has taken 2 doses of Benadryl since the swelling started.  I advised her to continue Benadryl, and I also called her PCP to report these symptoms. Her PCP  advised the patient to go see an ophthalmologist due to eye involvement. I called patient advising her to see one as soon as possible and to update me/call with any questions. She stopped back in the store after visiting the eye doctor who reports her eye appears fine with no shingles involvement. She is following up with her PCP today  to check on the swelling and is going to take another Benadryl. I will follow up with her tomorrow, 10/29.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site pain, Insomnia
Clinical narrative: I received the first of two injections for the Shingles vaccine on March 28 2019.  That evening, as I was trying to sleep, I could not put any pressure on the left upper arm (site of injection) because of excruciating pain.  I awoke to the injection site being a hard, painful "ball" surrounded by a bright, red quarter size spot.  I was extremely lethargic throughout Friday.  The excruciating pain in my upper arm, which prevented me from sleeping on my side, would continue for 3 days.  Over this three day period, the red quarter size spot would spread across my entire upper arm but looked less red as it spread.  In the six months since my injection, the pain in my upper arm has not gone away. I am now limited in my movement with my left arm.  If I move my arm in certain ways or hold too much weight, I have extreme pain (even if I move slowly and don't continue when I begin to feel the pain starting,  it is like the muscle continues to "twist" in my upper arm and then slowly returns to no pain). I still have pain when I wake up if I have slept on my left side.  I am holding out hope that this condition corrects itself as time goes by but, only time will tell.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Pain, Weight bearing difficulty
Clinical narrative: I received the first of two injections for the Shingles vaccine on March 28 2019.  That evening, as I was trying to sleep, I could not put any pressure on the left upper arm (site of injection) because of excruciating pain.  I awoke to the injection site being a hard, painful "ball" surrounded by a bright, red quarter size spot.  I was extremely lethargic throughout Friday.  The excruciating pain in my upper arm, which prevented me from sleeping on my side, would continue for 3 days.  Over this three day period, the red quarter size spot would spread across my entire upper arm but looked less red as it spread.  In the six months since my injection, the pain in my upper arm has not gone away. I am now limited in my movement with my left arm.  If I move my arm in certain ways or hold too much weight, I have extreme pain (even if I move slowly and don't continue when I begin to feel the pain starting,  it is like the muscle continues to "twist" in my upper arm and then slowly returns to no pain). I still have pain when I wake up if I have slept on my left side.  I am holding out hope that this condition corrects itself as time goes by but, only time will tell.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain started immediately after injection of Shingrix on the left arm, and has continued since then, but has improved in the last day. Some swelling was noticeable on and around the injection site on the first day (10/24), and since then it has been progressing distally and medially. The injection site is not painful anymore but the area just distal and medial to it is red, warm and painful to the touch, and slightly swollen. Today (10/28), the redness extends for about 5 inches
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Immediate post-injection reaction, Mobility decreased, Musculoskeletal pain
Clinical narrative: immediate right shoulder pain and limited movement
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Sex: F
Vaccine: HPV4
Symptoms: Unevaluable event
Clinical narrative: suspected transmission of an infectious agent via product; abnormal pap tests; vaccination failure; cervical dysplasia; contamination; cervical cancer; cervix carcinoma in situ; cervix carcinoma stage I; cervix carcinoma stage III; high rates of autoimmune disorder; This non-valid spontaneous report was received from physicians in a form of video via social media via vendor and refers to multiple female patients of unknown age.   On an unknown dates, the patients were vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection for prophylaxis.         It was reported in a video that the pathologist was initially contracted to examine a single sample of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) for possible contamination. The sample (lot # was not specified) was tested positive for recombinant HPV-11 and HPV-18 residues both of which were firmly attached to aluminum adjuvant. It was also reported that high rates of autoimmune disorders, 380 reports of abnormal pap smears, 137 reports of cervical dysplasia, and 41 reports of cervical cancer including carcinoma in situ, cervix carcinoma or cervix carcinoma stage 0 or cervix carcinoma stage I or cervix carcinoma stage III warranted an immediate investigation of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) safety and efficacy.  Outcome of the events and the causality assessment were not specified.  Upon internal review, the events of autoimmune disorder, cervical cancer and suspected transmission of an infectious agent via product were considered to be medically significant.  This case is considered non-valid due to hearsay/ second hand information.
Sex: U
Vaccine: MMRV, UNK
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effects; An improperly stored dose was administered to a patient; This spontaneous report was received from a registered nurse concerning a patient of unknown age and gender. The patient's concurrent conditions and medical history, as well as concomitant medications, were not reported.  On 18-OCT-2019, the patient was vaccinated with an improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) lot # S007069 (albumin status: rHA), expiration date 06-SEP-2020, which was reconstituted with an improperly stored dose of sterile diluent (manufacturer unknown) (lot# and expiration date were unknown), both administered subcutaneously for prophylaxis (strength, dose, frequency and anatomical site were unknown for both products); the products had a temperature excursion of -11.5 Celsius degrees for 76 hours, which was detected by a data logger. The vaccines had no previous temperature excursions and no adverse effects were reported.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness
Clinical narrative: Patient received vaccine first before child. 5 mins after being administered the vaccine, mother verbally announced she was feeling slight dizzy. I had mother sit down on a chair slowly, I had applied a cold pack behind her neck. Mother had said she felt like she's about to fait, so I quickly but slowly had her get on the exam table to lay her down. After 2 mins a had taken her blood pressure, 106/71 pulse: 68- pt stated her reg BP was around 110/70. I had given her a juice for her to drink. She stated she only had coffee this morning a  bite of a cake. Mom was verbal the whole time with out fainting. Stayed in the office for about 25-30 mins to make sure she was still feeling good. Before leaving the office I retook her blood pressure, 101/67 Pulse 63, then I gave her a sucker for her to have. 5 mins later she felt way better and stated she was good to leave the office.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: None; however, the vaccine was pre-drawn the night before, which is not recommended.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site vesicles
Clinical narrative: bruise and blisters at injection site
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, X-ray
Clinical narrative: Left shoulder pain
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Epistaxis
Clinical narrative: Mom reports that after every flu vaccine, including H1N1 (which was that given on this date), the child had nose bleeds
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Blood thyroid stimulating hormone, Chills, Chromaturia, Duodenogastric reflux, Electrocardiogram normal
Clinical narrative: Patient states on night of 10/24/19 she started feeling very cold and then very hot. Temperature maximum of 99.7 degrees F. Also felt like her heart was racing. Increased gastric reflux symptoms. Felt very tired and fatigued all weekend. Went to the doctor on Friday. Had the chills again on Saturday and noticed her urine was very dark gold colored.  Symptoms began resolving on Sunday 10/27/19 and is feeling better today, 10/28/19. Prescribed Carafate on 10/25/19 for gastric refulx symptoms.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Fatigue, Feeling cold, Feeling hot, Full blood count, Metabolic function test
Clinical narrative: Patient states on night of 10/24/19 she started feeling very cold and then very hot. Temperature maximum of 99.7 degrees F. Also felt like her heart was racing. Increased gastric reflux symptoms. Felt very tired and fatigued all weekend. Went to the doctor on Friday. Had the chills again on Saturday and noticed her urine was very dark gold colored.  Symptoms began resolving on Sunday 10/27/19 and is feeling better today, 10/28/19. Prescribed Carafate on 10/25/19 for gastric refulx symptoms.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Palpitations, Troponin
Clinical narrative: Patient states on night of 10/24/19 she started feeling very cold and then very hot. Temperature maximum of 99.7 degrees F. Also felt like her heart was racing. Increased gastric reflux symptoms. Felt very tired and fatigued all weekend. Went to the doctor on Friday. Had the chills again on Saturday and noticed her urine was very dark gold colored.  Symptoms began resolving on Sunday 10/27/19 and is feeling better today, 10/28/19. Prescribed Carafate on 10/25/19 for gastric refulx symptoms.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Redness, pain and tenderness at the injection site, red area described as the size of a half dollar, or approximately 30mm with a smaller reddened area in the center of the larger one approximately 17mm with a hardened knot.  Complete area of redness painful to touch. Pain radiating up are and into shoulder.
Age: 82.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Patient came to the office today complaining of right upper arm itching/red after getting Pneumovax yesterday at office appt.  It started last PM and continue to get worse today. He used OTC itching cream with no help. Denies any resp distress.  Right upper arm red/swollen and warm to touch. He has a fine red rash over trunk of body but denies itching there.  Addressed with NP since couldn't get in contact with Dr. NP vorv Depo Medrol 80 mg IM now with a f/u appt and OTC Benadryl. Dr called into the office and notified of situation and NP orders. He agreed and vorv Xyzal one bid OTC for itching since Benadryl can be sedative. Injection given and instructed patient of OTC medications and appt date/time for Friday with NP.He verbalized understanding. Called staff  at Health Dept and had to leave a message to call the office on reaction.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Injection site rash, Malaise, Nausea, Pain
Clinical narrative: Patient fell ill w/ sx of Fever, chills, bodyaches, nausea the night after the vaccination. No other sx were noticed until 2 days after vaccination, which then patient began to notice a rash that spread from vaccine site, across chest and in to the left forearm. Patient was seen by physician on the 3rd day post vaccine. Patient was rx steroids (Prednisone) for the rash and Zyrtec.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Rash
Clinical narrative: Patient fell ill w/ sx of Fever, chills, bodyaches, nausea the night after the vaccination. No other sx were noticed until 2 days after vaccination, which then patient began to notice a rash that spread from vaccine site, across chest and in to the left forearm. Patient was seen by physician on the 3rd day post vaccine. Patient was rx steroids (Prednisone) for the rash and Zyrtec.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: Pain in left arm and shoulder, difficulty raising arm
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dyspnoea, Pyrexia, Vomiting
Clinical narrative: Patient started experiencing chills, fever, throwing up and difficulty breathing after 3 hours, around 2pm.  Went to hospital around 6pm, was admitted for treatment and observation for 3 days. Was given IV fluids and prednisone treatment.
Age: 7.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Decreased appetite, Erythema, Fatigue, Pyrexia, Vomiting
Clinical narrative: Happened at home per parent: Fever of 103 F, vomiting, loss of appetite, fatigue, facial redness. Gave Tylenol approximately 1-2 doses for her weight (per parent) and let her sleep. Seemed to improve more in the evening. Back to normal the next day.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Injury associated with device
Clinical narrative: MOther was holding son who was also getting flu shot.  Mother was holding son's sleeve up. Son was crying and scared.  After calming him down, proceeded with flu shot.  Just before injection, patient turned and looked at shot and moved arm.  Needle grazed mom's finger, did not realize it happened until after shot when mom stated "Oh, ya got me.".  I cleaned mother's finger with sterile alcohol pad, and gave mother bandaid to put on.
Age: 72.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site haemorrhage, Injection site irritation, Injection site pain, Injection site reaction, Muscular weakness
Clinical narrative: The patient stated she has a site reaction at the site of the injections. She has a wound that has not healed as of 10/28/19 and is painful and bleeds when irritated by clothing or other things. The patient also stated that she feels weakness and pain in the arm.
Age: 72.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Wound
Clinical narrative: The patient stated she has a site reaction at the site of the injections. She has a wound that has not healed as of 10/28/19 and is painful and bleeds when irritated by clothing or other things. The patient also stated that she feels weakness and pain in the arm.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: swelling of arm and very painful. patient went to the hospital and was treated
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Antinuclear antibody, C-reactive protein increased, Epstein-Barr virus test, Fatigue, Full blood count
Clinical narrative: 7 days after vaccine patient had headache, tired, 21 days after vaccine-still tired, swollen glands, labs showed increased WBC-neg for EBS, On day 39-Swollen knees. Blood test for Anti-Streptolycin-O and CRP  1197/8.1 respectively.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Headache, Joint swelling, Lymphadenopathy, Metabolic function test, Mononucleosis heterophile test
Clinical narrative: 7 days after vaccine patient had headache, tired, 21 days after vaccine-still tired, swollen glands, labs showed increased WBC-neg for EBS, On day 39-Swollen knees. Blood test for Anti-Streptolycin-O and CRP  1197/8.1 respectively.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Red blood cell sedimentation rate decreased, Rheumatoid factor, Streptococcus test positive, White blood cell count increased
Clinical narrative: 7 days after vaccine patient had headache, tired, 21 days after vaccine-still tired, swollen glands, labs showed increased WBC-neg for EBS, On day 39-Swollen knees. Blood test for Anti-Streptolycin-O and CRP  1197/8.1 respectively.
Age: 31.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Fatigue, Rash erythematous
Clinical narrative: Developed a ?rash? which started on the face, onto the neck and slightly on the torso. The rash was composed of tiny pink-red dots. They did not itch or ooze. After 3 days the rash subsided and the skin returned to normal. Felt generally run down.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Dry mouth, Lip swelling, Muscle spasms, Oral discomfort, Pruritus
Clinical narrative: PATIENT FELT CRAMPS IN LEGS AND FEET HER LIPS GOT SWOLLEN AND GOT BURNING AND DRY MOUTH ALSO NECKAND CHEST ITCHING
Age: 41.0
Sex: F
Vaccine: ANTH, FLUC4
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Reports swelling in left upper arm from elbow to shoulder with pain and itching at site. Went to ER and given steroids. No systemic or airway involvement.
Age: 65.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Chest discomfort, Cough, Mouth swelling, Respiratory tract congestion, Toothache
Clinical narrative: The patient's wife called around 4pm to notify me that her husband was experiencing reactions to the Prevnar shot that he received.  I went over the side effects from Prevnar and he really didn't have any effects like redness, soreness, swelling, arm immobility, fever, or anything like that.  She said that he was having chest tightness, chest congestion,  cough, swelling inside of his mouth, and his teeth hurt.  She also said that he temporarily had issues with his vision.
Age: 65.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Visual impairment
Clinical narrative: The patient's wife called around 4pm to notify me that her husband was experiencing reactions to the Prevnar shot that he received.  I went over the side effects from Prevnar and he really didn't have any effects like redness, soreness, swelling, arm immobility, fever, or anything like that.  She said that he was having chest tightness, chest congestion,  cough, swelling inside of his mouth, and his teeth hurt.  She also said that he temporarily had issues with his vision.
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ
Symptoms: Eyelid function disorder, Facial paralysis, Facial paresis, Hypogeusia
Clinical narrative: 10/24/2019 - Patient experienced  decrease in ability to taste food/drink  10/27/2019 Patient notified her mother that she was unable to blink with left eye  10/27/19 Patient mother takes her to local Emergency Department, patient was briefly evaluated and told to return if symptoms worsened  10/28/19 Patient was scheduled with provider in this clinic for facial weakness. When patient was in triage with nurse, the patient has difficulty blinking, uneven blinking, smiling and frowning. Patient denied pain or numbness  Patient evaluated by Dr. Patient was diagnosed with Bells Palsy and referral to Neurologist is being scheduled.
Age: 39.0
Sex: F
Vaccine: FLUR4
Symptoms: Abdominal discomfort, Dizziness, Paraesthesia
Clinical narrative: Dizziness worsening on looking up, tingling/ body buzzing, stomach upset
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient states he has a sore arm a month after the shot was given especially when he gets out of a chair.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Pyrexia
Clinical narrative: High fever and severe muscle weakness, lasting 48 hours
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Nausea, Pallor, Vomiting
Clinical narrative: nausea, emesis, and pallor
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient came to the pharmacy the next morning after receiving a pneumonia vaccine complaining of redness, tender to touch, swollen, and pain in the area of the vaccine as well as pain under her arms and the other side of her arms.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Very painful, unable to lift arm all the way above head for two weeks since shot
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Patient had red/swelling at site of injection and stated arm was very stiff
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Fall, Paralysis
Clinical narrative: Patient reported that a few hours after receiving the vaccine he began to feel weak and fell to the floor. He was then temporarily paralyzed for approximately 4 hours. Patient's wife called the patient's sons and they came and moved him into bed from the floor. EMS arrived and offered to transport to the hospital and patient declined. Patient states he has been weaker than baseline since this event occured.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Hypotonia, Pallor
Clinical narrative: 1531 -patient checked in 1540- taken to room and consent signed (Flu vaccine) 1542 - vaccine administered 1545- was sitting in teen waiting for the observation period. mother asked me for water -  patient given Gatorade. As mom was walking back to waiting area- CMA and another CMA saw that the child was pale. They helped support her to the treatment room to lay down. child went limp and diaphoretic. Child assisted to the ground. Pulse was 49 at time of event. 1547- patient moved to table with head elevated. pulse up to 66 1550- child alert and oriented to room- was able to drink most of the Gatorade. remembers event 1615- patient well enough to leave office. patient walked from office on her own.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Back pain, Feeling hot, Flushing
Clinical narrative: Pt given Pneumovax 23 first, as I was giving her the Fluzone HD in right arm pt stated she was feeling warm and appeared flush. Gave 1st IMZ at approx 2:30, and reaction started about 2:33-2:35. I stayed in the room with the pt and talked with her, she claimed no problem breathing or any adverse reaction in her left arm. Flushing was in face and neck, as this cleared pt complained of sharp stabbing pains in lower back area. We gave pt a Benadryl at 2:37, and called paramedics at 2:40 as pt was still in pain. Paramedics arrived 2:43 and pt said she was feeling better (pain level went from 10 to 5) and refused to go to hospital. She stayed in pharmacy area for next 5-10 min stating she was not in pain and wanted to go home. Pt called us at 3:42pm and stated she was home and better.
Age: 22.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site inflammation, Injection site pain, Pruritus
Clinical narrative: patient is complaining of pain and inflammation in the arm where the injection occurred. additionally, she states she is itchy all over
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Eye pain, Feeling cold, Headache, Pain
Clinical narrative: By 1pm patient had a bit of a headache that went away. About 6pm, patient started with chills, shaking, and cold.  Contacted doctor and recommended use of Tylenol and Ibuprofen. Took temperature around 7 and had about 102.8; fever stayed up all night and used Tylenol and Ibuprofen.  On Wednesday, slept all day and had fever of 101 all day, achy, eyeballs hurt because of headache.   Fever was gone after 2 days but headache persist and eyes hurt when moving.  Patient has not reach out to doctor again since out of town. Patient has received same vaccine in the past with no problems. Patient did not contact vaccine provider at any point.  Patient still taking Tylenol.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Tremor
Clinical narrative: By 1pm patient had a bit of a headache that went away. About 6pm, patient started with chills, shaking, and cold.  Contacted doctor and recommended use of Tylenol and Ibuprofen. Took temperature around 7 and had about 102.8; fever stayed up all night and used Tylenol and Ibuprofen.  On Wednesday, slept all day and had fever of 101 all day, achy, eyeballs hurt because of headache.   Fever was gone after 2 days but headache persist and eyes hurt when moving.  Patient has not reach out to doctor again since out of town. Patient has received same vaccine in the past with no problems. Patient did not contact vaccine provider at any point.  Patient still taking Tylenol.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported injection site is still red, swollen, hot and itching 3 days after injection
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Fatigue, Headache, Neck pain, Pain
Clinical narrative: Tues, day after injection, pt had severe fatigue.  Shooting pains up back and neck into head and right temple... opposite side of when she had shingles years ago.  Terrible itching on the back.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Tues, day after injection, pt had severe fatigue.  Shooting pains up back and neck into head and right temple... opposite side of when she had shingles years ago.  Terrible itching on the back.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Malaise, Pneumothorax, Weight decreased
Clinical narrative: Patient states that the evening after her vaccine, she began to feel ill.  She states that she was sick over the next week and did not feel like even getting out of bed to go to the bathroom, and states she lost 5 pounds despite already being very thin.  She states it worsened her lung condition and she almost went to the emergency room it was so bad.  It did resolve after about 7 days, but she strongly felt that this should be reported.
Age: 21.0
Sex: F
Vaccine: HPV9
Symptoms: Back pain, Hypoaesthesia, Immediate post-injection reaction, Musculoskeletal pain
Clinical narrative: Pt called reporting adverse reaction to HPV vaccine she received yesterday. Says her arm went completely numb immediately after the vaccine was given which she failed to report at the time. Says she went home and pain & numbness spread to her shoulder and back. She was seen at UC 10/25/19 and given prednisone & muscle relaxer which helped. I advised to continue monitoring and RTC or UC if symptoms persist beyond 3-5 days or worsen at any point. Says UC told her to check with us and see if our HPV vaccines are expired which they are not.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Big, red, warm swelling on arm where shot injected and severe fatigue.  Face and arm felt warm/feverish.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: Big, red, warm swelling on arm where shot injected and severe fatigue.  Face and arm felt warm/feverish.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Pain, Pain in extremity
Clinical narrative: Pt reported dizziness shortly after the injection. Monitored for a few minutes after which pt was willing to leave. Day afterwards arm pain, hurt to lift and per pt pain was "8/10" Pt declined provider visit. Followed up by phone again 10/25/19. Pain still present but pt wanted to waited a little longer before provider visit. Pharmacy faxed PCP about symptoms
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Neck pain
Clinical narrative: Patient received her HD flu vaccine and 6 hrs later had sharp shooting pain that began in her lower back and radiated up to her neck. She states that it started happening when she turned 65 and got the HD vaccines. She says that it happens every year around this time and that this was the first year that she associated it with her flu vaccine. She says that the pain is so bad that she has seen multiple doctors and gone to the ER in the past and no one can ever do anything for the pain. She states it lasts a few days after her flu vaccine is given.
Age: 27.0
Sex: M
Vaccine: FLUR4
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: Patient walked away from site of immunization and proceeded to slowly faint within 5 minutes following the shot, looked pale and white, felt dizzy.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Ear pain, Headache, Musculoskeletal stiffness, X-ray
Clinical narrative: stiff neck/ upper shoulder: describe as  pain shooting up to base of the head and ear.
Age: 68.0
Sex: F
Vaccine: FLUA3
Symptoms: Contusion, Hypoaesthesia
Clinical narrative: Beginning morning of 10/22 patient noticed bruising 2-3 inches below injection site which was large and rectangular in shape, the bruising has improved mildly as of 10/28/19 compared to an image the patient took of the bruising when it began. The patient also states she experiences numbness in the right thumb beginning the morning of 10/22 which has not improved.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Feeling of body temperature change, Flank pain
Clinical narrative: Terrible pains and/or aches in shins, calves, thighs, hamstrings, lower and upper arms, back , sides and headache.  I curled up in my bed in my flannel pajamas with my electric blanket on high.  I never felt sick to my stomach but  did feel hot and cold and shivery.  made it through the night and felt somewhat better in the AM but slept  all morning and most of the afternoon.  I have a bad knee and hip and was in much pain walking or doing much of anything..  Finally went to PA and Hospital a couple of weeks later as I could hardly walk because of pain in right leg and hip.  He ordered x rays and  apparently it didn't show anything different than what we already knew that I have arthritis in my knee and hip.  I am feeling better but plan to see and orthopedist soon to gather more information on the xrays.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Gait disturbance, Headache, Myalgia, Pain, Pain in extremity
Clinical narrative: Terrible pains and/or aches in shins, calves, thighs, hamstrings, lower and upper arms, back , sides and headache.  I curled up in my bed in my flannel pajamas with my electric blanket on high.  I never felt sick to my stomach but  did feel hot and cold and shivery.  made it through the night and felt somewhat better in the AM but slept  all morning and most of the afternoon.  I have a bad knee and hip and was in much pain walking or doing much of anything..  Finally went to PA and Hospital a couple of weeks later as I could hardly walk because of pain in right leg and hip.  He ordered x rays and  apparently it didn't show anything different than what we already knew that I have arthritis in my knee and hip.  I am feeling better but plan to see and orthopedist soon to gather more information on the xrays.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: X-ray normal
Clinical narrative: Terrible pains and/or aches in shins, calves, thighs, hamstrings, lower and upper arms, back , sides and headache.  I curled up in my bed in my flannel pajamas with my electric blanket on high.  I never felt sick to my stomach but  did feel hot and cold and shivery.  made it through the night and felt somewhat better in the AM but slept  all morning and most of the afternoon.  I have a bad knee and hip and was in much pain walking or doing much of anything..  Finally went to PA and Hospital a couple of weeks later as I could hardly walk because of pain in right leg and hip.  He ordered x rays and  apparently it didn't show anything different than what we already knew that I have arthritis in my knee and hip.  I am feeling better but plan to see and orthopedist soon to gather more information on the xrays.
Age: 79.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Induration, Rash erythematous, Skin warm
Clinical narrative: pt complained of red rash , uneven border  , hot and hard to touch  few days after shot
Age: 19.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Blindness, Dizziness, Nausea
Clinical narrative: Pt got light headed, nauseous, and lost vision. Cold compress applied.
Age: 71.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: PATIENT RECEIVED VACCINATIONS IN SAME ARM AND SAID ARM "LOCKED UP" THE NEXT DAY... WAS IN PAIN
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site mass
Clinical narrative: Patient had a lump at injection site. She put ice on it for few hours and stated the lump flattened to a 4 inch by 4 inch section.  I warned her about calling 911 if having any reaction associated with breathing or swelling of face tongue or throat over night. Patient is taking Benadryl and Tylenol and will call in morning.
Age: 67.0
Sex: F
Vaccine: FLUA3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: A few hours after vaccination pt began to have severe pain in entire left arm.  States that bandaid was literally up on the shoulder so thinks that the pharmacist may have administered too high and that is why she was in so much pain.  By the next morning she states that she was barely able to lift her arm.  She said it took about 3 days but here arm is back to normal now.
Age: 14.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Chiropractic, Gait disturbance, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: Approximately two weeks after patient received her first MMR vaccine, she began to complain vigorously of bilateral knee pain.  It became difficult for her to walk upstairs or for an extended period of time.  She has never had swelling but consistent pain and absolutely nothing helps. We have done two courses of physical therapy, seen a chiropractor, had an MRI, visited the pediatric orthopedist, seen a pediatric rheumatologist--all without answers or relief. Patient had to give up ballet (her passion) within one month of the vaccine and has been unable to return to date, sixteen months later.
Age: 14.0
Sex: F
Vaccine: MMR
Symptoms: Magnetic resonance imaging, X-ray
Clinical narrative: Approximately two weeks after patient received her first MMR vaccine, she began to complain vigorously of bilateral knee pain.  It became difficult for her to walk upstairs or for an extended period of time.  She has never had swelling but consistent pain and absolutely nothing helps. We have done two courses of physical therapy, seen a chiropractor, had an MRI, visited the pediatric orthopedist, seen a pediatric rheumatologist--all without answers or relief. Patient had to give up ballet (her passion) within one month of the vaccine and has been unable to return to date, sixteen months later.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Haemorrhage, Injection site reaction, Muscle twitching, Myalgia
Clinical narrative: Patient had a lot of bleeding on the day of immunization.  The bleeding did stop,  but patient said the pain is still after 9 days.  She said there were twitching  from injection site to her elbow and wrist.   There were bruising and muscle aches also.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Patient had a lot of bleeding on the day of immunization.  The bleeding did stop,  but patient said the pain is still after 9 days.  She said there were twitching  from injection site to her elbow and wrist.   There were bruising and muscle aches also.