chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Malaise, Positron emission tomogram abnormal
Clinical narrative: Diagnosed with Diffuse large B cell lymphoma January 2022.  Presented with constipation in December 2021; subsequently mass was found in abdomen.  Physicians estimated it had probably been there for 3-6 months at that time.   Note first covid vaccine 4/2/21, second 4/23/21, and third (booster) 11/10/21.   Treated with 6 rounds of R-CHOP chemotherapy with complete response.  Patient doing well currently, being monitored but unsure whether to receive further covid vaccinations. (Note: In May 2021 (just prior to final round of chemo), contracted covid illness.  Treated with Paxlovid, responded, but then had rebound sx.  Reported rebound to Pfizer and they responded by wanting to investigate possible relationship between vaccine and lymphoma.  Now reporting to VAERS as well. I am also a retired physician as well as being the patient.)
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer a day after the FDA approved the Pfizer Bivalent vaccine. Pharmacy did not have any bivalent vaccine yet and patient needed vaccination for travel purposes.
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site nodule
Clinical narrative: After I administered the flu shot, patient developed a quarter size knot near injection site. Monitored patient and notified him of the reaction. Patient stated he felt fine. Gave patient Benadryl and counseled him to take it before bedtime to help with the swelling.  Counseled patient on what to look for if reaction worsened. After several minutes, the swelling did not worsen so I let the patient leave. Patient said he felt fine to leave.
Age: 44.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Conjunctival haemorrhage
Clinical narrative: Conjuntival hemorrhage
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient should have received Fluzone Quad due to being 64, but received FluzoneHD.  Patient will be 65 in less than 2 months. Spoke with patient and no reaction.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient received 2 Bivalent Covid vaccines at the time of vaccination. Received on dose in left deltoid and one dose in right deltoid.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Patient's wife called to report pt. had hives all over his body.  Not blistering or oozing.  We recommended that he notify his provider and go to an urgent care.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Erythema, Palpitations
Clinical narrative: Patient began to feel light headed and was moved to the floor to sit down. Patient complained of some difficulty with catching breath and heart racing. I did notice some redness around the chest and neck area. I was informed that this was already present and not it was not thought to be an allergic/anaphylactic reaction. Patient was unable to relax and due to this EMS was contacted and came to the store. Patient remained stable and did not worsen during the time it took EMS to arrive, about 30 minutes since vaccination at this time. Patient was taken out by EMS and offered to be taken to the hospital but this was refused. Patient was able to come into the store and was back to baseline and went home.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: tested + for covid on   9-24-22 and     deceased 10-6-22  at Hospice.
Age: 77.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Injection site pain, Sleep disorder, Tenderness
Clinical narrative: Patient described a sharp intense pain that occurred in the middle of the night following vaccination in the left arm where she received the fluzone HD vaccine. Patient denies having this feeling before and felt the need to call. Patient reported that it did not continue to feel that intense and got better, but was still more tender in the left arm compared to the right. Upon follow up, patient denied any further pain. It was thought that the pain might have likely been from sleeping on the affected arm during the night time.
Age: 68.0
Sex: F
Vaccine: FLUA4
Symptoms: Hypertension
Clinical narrative: Before vaccine my blood pressure averaged 125/82 and I was not on meds. After vaccine it was 155/85 ave. My dr started me on bp meds. The meds did not seem to help. Even on meds bp shot up to 176/108. Dr doubled my bp meds. Still High now but not as high.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea, vomiting
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site urticaria
Clinical narrative: Hives at location  of injection
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Hypersensitivity, Pain in extremity, Palpitations, Rash
Clinical narrative: Heart palpitations, Throat closing up, Sore arm Took Benadryl to manage allergic reaction.   Red, hot rash on arm that is still ongoing (10/22/2022)
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin warm, Throat tightness
Clinical narrative: Heart palpitations, Throat closing up, Sore arm Took Benadryl to manage allergic reaction.   Red, hot rash on arm that is still ongoing (10/22/2022)
Age: 62.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Presyncope, Syncope
Clinical narrative: Patient experienced a near syncope / fainting episode minutes after a flu and Pfizer Bivalent Booster vaccines co-administration. Patient recovered right away.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy skin abnormal, Purpura, Vasculitis
Clinical narrative: I got Vasculitis, which was diagnosed a year later after running around but the day I got home from my first dose of COVID 19 I had purpura on my legs.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Patient verbalized feeling "fast heartbeats and tingling in the feet" immediately after receiving the vaccine. Patient denied experiencing similar reaction to previous doses of COVID vaccine. Patient's vitals checked, BP=140/64, HR=79, SPO2=99%, RR=18 non-labored. Patient was advised to relax, take deep breaths and take her time until she feels better. Anaphylactic shock kit was brought near the patient. Team lead and managers attended to the patient. Patient verbalized feeling better after a few minutes, was able to walk independently to the post vax observation area, accompanied by manager.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Contusion
Clinical narrative: patient states that about 2 days after shot bruising occurred on the lower part of the upper arm (not at or around injection site )
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Headache, Myalgia, Restlessness
Clinical narrative: Woke up what 4am with restlessness, severe headache, myalgias, arthralgias. Not as bad as last booster.   Still present.
Age: 62.0
Sex: F
Vaccine: FLUX, UNK
Symptoms: Herpes zoster, Injection site reaction
Clinical narrative: PT STATES THAT SHORTLY AFTER RECEIVING SHOT HAD A SHINGLES FLARE IN SAME AREA THAT SHOT WAS ADMINISTERED. TREATED WITH MEDICATION THAT SHE HAS AT HOME.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt called 10/21/2022 to discuss adverse effect that start on 10/19/2022 after receiving moderna bivalent booster. Pt states arm is red, swollen and warm to the touch. Pharmacist counseled that local injection site reaction is reported as a possible side effect for the vaccine. Pt should monitor the site for any additional changes in size, color or temperature and to follow up with their PCP for additional evaluation if needed. Pt was informed VAERS report would be filed for the reaction.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Vaccination site rash
Clinical narrative: Rash at vaccine site
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia
Clinical narrative: PATIENT IS 14 YEARS OLD GIRL WHO CAME IN FOR HER COVID PFIZER VACCINE WITH HER DAD WHO ALSO WANTED A PFIZER SHOT. The nurse acciedntly gave the 14 years old girl 2 shots of the pfizer vaccine. we kept the patient for 0 min for observation ,patient reposrted her arms are numb but was doing ok
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Feeling abnormal, Nasopharyngitis
Clinical narrative: That evening he started feeling "lousy" and proceeded into a really bad cold. As of today, 10;22.22 , it has only gotten a little better. He states he was not around anyone else that could have just given him a cold, without getting the flu shot.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Diarrhoea, Fatigue, Nausea
Clinical narrative: Prolonged chills, nausea, diarrhea, fatigue.  Still present after 5 days.  I had covid 8 weeks ago.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site mass, Injection site warmth
Clinical narrative: Localized red lump at the injection site.  Hot to the touch.  No other reaction present except at the injection site.  Advised mother to give a dose of oral benadryl.  Seek medical attention if no improvement or if symptoms worsen.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Rash on wrist that spread up arm.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site macule, Injection site swelling
Clinical narrative: immediately after vaccination the injection site became red and swollen. patient advised to wait in store for 15 minutes. after 15minutes the site decreased in swelling but still remained very red and blotchy. patient stated she felt fine and would continue to watch site. advised tylenol and to continue to watch.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Magnetic resonance imaging head normal, Trigeminal neuralgia
Clinical narrative: I developed a headache that became increasingly worse over several weeks The headache did not respond to the usual interventions. Dr. ordered an MRI of my head which did ot show anything awry. Based on he symptoms she diagnosed Trigeminal neuralgia and prescribed carbamazepine.  The intensity of the headaches have lessened but still have headaches.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Rash
Clinical narrative: Terrible rash and bumps all over my neck. Chills and achy body, headache for 2 days.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: The patient was supposed to receive the Moderna Bival Booster but instead received the Fluzone HD. The patient is aware and no reactions occurred.
Age: 96.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site bruising, Injection site haematoma, Injection site pain, Injection site pruritus
Clinical narrative: Patient's daughter reported 3 days after vaccination that the patient has extensive bruising at the injection site indicative of a hematoma as well as itching at the site of injection. Patient reports have pain and issues with the itching around the injection site also. Advised patient's daughter to take OTC medication appropriate for her elderly age as well as to be cautious when taking Benadryl for itching  (potentially harmful drug for elderly patients per List) and to monitor for side effects. Patient's daughter will monitor the situation and will report back if things do not improve within two days or a week time interval.
Age: 16.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood glucose normal, Feeling abnormal, Hyperhidrosis, Hypotension, Pallor
Clinical narrative: After having the vaccine, she felt not good but still able to stand up and move to other chair. After a couples of minutes, she turned pale, sweating, no difficulty breathing, closed her eyes but still answer to question and order. After  about 10 minutes, she's getting better . BP 80/45 (normal BP 85/55), normal HR. Emergency personnel confirmed her BP 80/45, normal HR and low BG 70
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: Patient has no adverse effects or s/s
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dermatitis acneiform, Rash vesicular
Clinical narrative: Pt developed a blistery rash on the chest 5 days after the vaccine. It started on 10/21/2022 at night. Described them as 10-12 pimples grouped together on chest, 1 blister on palm of hand, a few on the chin and neck areas as well. The pt has not changed laundry detergent, soap, perfume and did not eat anything unusual. Pt asked whether you can get shingles after being vaccinated with the shingles shot. I explained that infection with shingles is still a possibility even after being vaccinated for it. The rash/pimples are not painful. I suggested trying benadryl and contacting her primary Dr. to follow-up. She will be calling the Dr on Monday.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Exercise tolerance decreased, Inflammation, Injected limb mobility decreased, Loss of personal independence in daily activities
Clinical narrative: As soon as my booster shot was administered I felt a lot of pain in my left arm.   The soreness and pain never went away.  Then a couple of months later I started to lose the mobility in my left shoulder and arm.  I have experienced constant pain and it has disrupted my sleep and daily tasks.  In July I went to an Orthopedic Surgeon, and he ordered xrays and an MRI.  The MRI showed Adhesive Capsulitis .  I was given a cortisone shot in my shoulder and started physical therapy.  The cortisone shot is slowly reducing the inflammation but I am still experiencing pain.  My range of motion is slowly improving but there are some exercises and stretches that I cannot do and they bring me to tears.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging joint, Pain, Pain in extremity, Periarthritis, Sleep disorder
Clinical narrative: As soon as my booster shot was administered I felt a lot of pain in my left arm.   The soreness and pain never went away.  Then a couple of months later I started to lose the mobility in my left shoulder and arm.  I have experienced constant pain and it has disrupted my sleep and daily tasks.  In July I went to an Orthopedic Surgeon, and he ordered xrays and an MRI.  The MRI showed Adhesive Capsulitis .  I was given a cortisone shot in my shoulder and started physical therapy.  The cortisone shot is slowly reducing the inflammation but I am still experiencing pain.  My range of motion is slowly improving but there are some exercises and stretches that I cannot do and they bring me to tears.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: As soon as my booster shot was administered I felt a lot of pain in my left arm.   The soreness and pain never went away.  Then a couple of months later I started to lose the mobility in my left shoulder and arm.  I have experienced constant pain and it has disrupted my sleep and daily tasks.  In July I went to an Orthopedic Surgeon, and he ordered xrays and an MRI.  The MRI showed Adhesive Capsulitis .  I was given a cortisone shot in my shoulder and started physical therapy.  The cortisone shot is slowly reducing the inflammation but I am still experiencing pain.  My range of motion is slowly improving but there are some exercises and stretches that I cannot do and they bring me to tears.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Adverse event did not occur.  Reporting incident per company protocol.  Patient request bivalent covid vaccine and received monovalent covid vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Adverse event did not occur.  Reporting incident per company protocol.  Patient request bivalent covid vaccine and received monovalent covid vaccine.
Age: 31.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Joint stiffness, Pain, Pruritus
Clinical narrative: Redness and swelling at injection site approx 1 week after vaccine, worsening with increasingly spreading welts all over body. Itching, joint stiffness, pain
Age: 31.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Urticaria
Clinical narrative: Redness and swelling at injection site approx 1 week after vaccine, worsening with increasingly spreading welts all over body. Itching, joint stiffness, pain
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Head injury, Loss of consciousness
Clinical narrative: Client passed out after receiving vaccine.  Stated ? I felt weird and than blacked out?.  Client hit head on floor when passed out
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dysarthria, Feeling abnormal, Mobility decreased
Clinical narrative: Per the husband, the patient was walking and suddenly said she didn't feel good. Her speech became slurred and she nearly fell down but her husband caught her. He laid her down in bed and she could not move her arms or legs. Her speech remained slurred and gradually improved over the course of about 10 hours. The episode lasted about 10 hours and she feels fine now.
Age: 12.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Recognized Flublok inadvertently given to patient under 18 years of age. No side effects noted per mom
Age: 29.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Pt was supposed to receive her last dose of hep A, instead, pt received Heplisav-b by mistake. She already finished her Hep B series with Engerix 2 months ago. Followed up with patient 2 days later, pt did not present any harm or adverse effect
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial septal defect, Bradycardia, Cardiac monitoring abnormal, Dizziness, Echocardiogram abnormal
Clinical narrative: Symptomatic Bradycardia with fatigue and dizziness with near syncope: several echo cardiograms, several visits to cardiologist; several zip patches. Magnesium recommended. Continues to wake and wane.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Fatigue, Laboratory test normal, Presyncope, Ventricular extrasystoles
Clinical narrative: Symptomatic Bradycardia with fatigue and dizziness with near syncope: several echo cardiograms, several visits to cardiologist; several zip patches. Magnesium recommended. Continues to wake and wane.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Shoulder in pain and cannot use
Age: 26.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Aggression, Agitation, Anxiety, Blood pressure increased, Constipation
Clinical narrative: Severe agitation, complete inability to sleep, dry mouth, elevated heart rate, elevated blood pressure, severe anxiety, constipation, difficulty urinating, violent behavior
Age: 26.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Dry mouth, Dysuria, Heart rate increased, Sleep disorder
Clinical narrative: Severe agitation, complete inability to sleep, dry mouth, elevated heart rate, elevated blood pressure, severe anxiety, constipation, difficulty urinating, violent behavior
Age: 48.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Deafness, Tinnitus
Clinical narrative: I developed tinnitus ~2 weeks after receiving my influenza and Covid19 (Moderna) vaccination.  Constant high-pitched ringing.
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea
Clinical narrative: PATIENT SAID SHE FELT DIZZY AND  HAD SHORTNESS OF  BREATH THE DAY AFTER SHE GOT THE FLU VACCINE. PT WAS ADVISED TO SEEK MEDICAL ATTENTION TO GET IT CHECKED OUT AND POSSIBLY GET MEDICATIONS TO HELP WITH THE SYMPTOMS, SHE SAID SHE WANTED TO WAIT IT OUT TO SEE IF HER SYMPTOMS IMPROVE.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose increased
Clinical narrative: Elevated blood sugar for 40 hrs post injection
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Headache fever nausea fatigue  in bed for 18 hours
Age: 31.0
Sex: M
Vaccine: FLUC4
Symptoms: Body temperature decreased, Dizziness, Head injury, Hypotension, Syncope
Clinical narrative: around 2:45pm, patient received flucelvax. pt was standing and waiting for proof of vaccine and started complaining of lighthead. Pt sit down on a chair and 2-3 mins later, pt fainted and hit head on the ground. 2 other people helped him sit back on a chair. patient was conscious, able to talk and laugh. called 911 and while waiting, I got his blood pressure and temperature. Pt had low blood pressure 80/60. Had to checked blood pressure twice. temperature was 35.5 celcius. gave him cold bottle of water. 911 arrived and checked him and his Vital signs. Everything was okay. Patient stayed in pharmacy 20 more mins and said feeling ok to drive back home. called 4 pm to follow up. he was okay.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for "updated" pfizer covid vaccination booster for child.  The new vaccination is not at this facility yet, the patient received the regular old pfizer covid vaccination.  Patient advised to come back in 2 months for the Omnicron variant
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient came in for "updated" pfizer booster and received regular booster; pt advised to come back in 2 months for correct booster.  The new booster is not available at this facility at this time.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Feeling abnormal, Hypoaesthesia
Clinical narrative: diarhea, foggy and dizzy, numbness on right side including hand and foot. Started about 4 hours after shot.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site swelling, Injection site warmth
Clinical narrative: Large hard, red lump that is warm to the touch appeared at the site of the injection. Bump is about the size of a golf ball.  Symptoms began appearing a little over 24 hours after receiving the vaccine.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pyrexia, Rash
Clinical narrative: Rash on torso, back, arms, and legs. Also sore throat, fever, cough, tired. Treatment ok
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chest X-ray normal, Dyspnoea, Influenza virus test negative, Respiratory syncytial virus test negative
Clinical narrative: Patient woke up the night after vaccination struggling to breath. We went to the ER, her oxygen saturation was 86% and her heart rate was 170, temp 101. It took nearly 12 hours for her to stabilize. We ended up back at the ER the following night. They ruled out RSV, flu, and covid. Her chest X-ray was clear. She never had an episode like this before and the doctors had no explanation. She still occasionally has difficulty breathing, esp if asked to wear a mask, which never happened before
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: Patient woke up the night after vaccination struggling to breath. We went to the ER, her oxygen saturation was 86% and her heart rate was 170, temp 101. It took nearly 12 hours for her to stabilize. We ended up back at the ER the following night. They ruled out RSV, flu, and covid. Her chest X-ray was clear. She never had an episode like this before and the doctors had no explanation. She still occasionally has difficulty breathing, esp if asked to wear a mask, which never happened before
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma exercise induced, Blood cholesterol increased, Blood test, Hypertension
Clinical narrative: Shortly after my vaccine I developed  exercise induced asthma .  It seemed to get better until  I had my booster and then I developed high blood pressure and high cholesterol.   My cholesterol went form 160 to 207.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: 4 hrs post vaccine. - mild headache 6 hrs post vaccine- muscle ache left arm  - Tylenol ; some relief 12 hrs post vaccine- muscle ache left arm and left shoulder across shoulder blade to right arm - pain level 6/10- Advil plus heating pad on shoulder-  relief 24 hrs post vaccine - muscle ache continued in same area - pain level 6/10- Tylenol plus heating pad - relief 36 hrs post vaccine - muscle ache continued in same area - pain level 3/10. Tylenol - relief
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Contusion
Clinical narrative: right shoulder pain, bruising
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Tinnitus
Clinical narrative: I have had extreme ringing in the ears. This began one hour after the vaccination.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Unevaluable event
Clinical narrative: History of forming Keloid
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lip pruritus, Lip swelling, Loss of consciousness, Mouth swelling, Oral pruritus
Clinical narrative: I received my fourth vaccine shot in my right arm and the flu vaccine in my left arm. My fiancé and I went to dinner. Each of us had approximately three drinks (which is not unusual). As was true with the three previous doses, I felt feverish within a few hours, but instead of a slow progression, I lost consciousness by 10 pm. I was totally unresponsive for approximately one hour, although I was breathing. My fiancé considered taking me to the emergency room but decided against it after he was able to drag me inside our home. When I woke up, my mouth and lips were extremely itchy and puffy and I was still feverish. The fever broke approximately 36 hours after the shot. I have mostly recovered now.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Unresponsive to stimuli
Clinical narrative: I received my fourth vaccine shot in my right arm and the flu vaccine in my left arm. My fiancé and I went to dinner. Each of us had approximately three drinks (which is not unusual). As was true with the three previous doses, I felt feverish within a few hours, but instead of a slow progression, I lost consciousness by 10 pm. I was totally unresponsive for approximately one hour, although I was breathing. My fiancé considered taking me to the emergency room but decided against it after he was able to drag me inside our home. When I woke up, my mouth and lips were extremely itchy and puffy and I was still feverish. The fever broke approximately 36 hours after the shot. I have mostly recovered now.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event
Clinical narrative: Person to be vaccinated reported to have a history or forming keloid scars. No symptoms reported within 15 minutes of observation.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: + L arm swelling from shoulder to elbow red, warm to touch
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient identified "NO" to having had reaction to vax. Syncopal episode x 60 seconds. 911 called ~ 1033 & arrive 1044. Repeat syncopal episode x 30 seconds 1055. EMS staff assessed VS x 2. discharged to auto by EMS 1110.  Patient reported after her syncopal episode that she had passed out from a venipuncture earlier this year while in the clinic. Advised to not receive vax in a retail setting for future - only in a clinic.   Patient refused transport to ER & signed off with EMS.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Blood test normal, Gastrointestinal disorder, Impaired work ability, Sleep disorder
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tinnitus, Ultrasound abdomen normal
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Blood test, Depression, Tinnitus, Weight decreased
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Blood bilirubin increased, Blood test, Cognitive disorder, Coordination abnormal
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Depression, Disturbance in attention, Dysgraphia, Fatigue, Magnetic resonance imaging
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Memory impairment, Pain in extremity, Sleep disorder, Tinnitus, Ultrasound abdomen
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ultrasound liver, Weight decreased
Clinical narrative: Began that night with tinnitus (has not ceased),  impacted sleep (unable to sleep more than 2 hours per night, treated and resolved), significant weight loss (50 lbs lost, regained after sleep deprivation was treated), anxiety, depression,  decrease in cognitive efficiency (continues, but different. now looks like switching of words in sentences when writing, difficulty recalling words, issues with memory and attention that mimic ADD),  loss of coordination, pain in right foot (for the last month), fatigue
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Asthenia, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Cellulitis-Medium
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Cellulitis-Medium
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cellulitis, Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Cellulitis-Medium
Age: 30.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site joint pain
Clinical narrative: Join pain in the left shoulder
Age: 38.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Abdominal pain upper, Condition aggravated, Decreased appetite, Diarrhoea, Myalgia
Clinical narrative: Fever over 100 degrees lasting over 12h. Nausea, diarrhea, stomach pain for 12h. Body aches and muscle pain for over 24 hours at this point. Fever at approx 99.5 when fever reducers wear off. Loss of appetite. These were relatively expected reactions due to my reaction from previous Covid vax doses, however, I missed my v-safe check in and the pharmacist who did my shot said that reporting side effects after the bivalent was important.
Age: 38.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fever over 100 degrees lasting over 12h. Nausea, diarrhea, stomach pain for 12h. Body aches and muscle pain for over 24 hours at this point. Fever at approx 99.5 when fever reducers wear off. Loss of appetite. These were relatively expected reactions due to my reaction from previous Covid vax doses, however, I missed my v-safe check in and the pharmacist who did my shot said that reporting side effects after the bivalent was important.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Induration, Pain, Pain in extremity, Pruritus
Clinical narrative: Erythema- painful, swollen area; hard bump; very itchy and red;
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin warm, Swelling
Clinical narrative: Erythema- painful, swollen area; hard bump; very itchy and red;
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Tinitus
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster instead of Bivalent Pfizer
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Hypertension
Clinical narrative: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypertension-Medium, Additional Details: Approximately 10 minutes after vaccination patient reported feeling shortness of breath and lightheadedness. Blood pressure was checked and was 172/100. After 5 minutes blood pressure was checked again and it was 145/95. Patient reported symptoms were dissapating. Blood pressure continued to go down over the next 30 minutes. Patient stated this has happened one other time and she has been working with a doctor in relation to it. She had no other symptoms. I encouraged her to continue to monitor.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syringe issue
Clinical narrative: Error: Leaking from Syringe-
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising
Clinical narrative: Site: Bruising at Injection Site-Mild, Systemic: entire deltoid region has a large bruise. it is not hot nor painful.-Mild
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Severe
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Pain
Clinical narrative: Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Severe
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Condition aggravated, Seizure
Clinical narrative: Systemic: Seizure-Severe, Additional Details: Pt had vaccine at 12p and 3 hours later at a family gathering, stated she was talking to others and then awoke to paramedics. She was informed she had had a seizure and was convulsing. She states she is recovered and is unsure if vaccine was the cause. She did have tumor removed years ago but hadnt had seizure since.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent Pfizer as a booster dose instead of bivalent Pfizer
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Injection site erythema, Injection site swelling, Pain, Rash
Clinical narrative: Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Body Aches Generalized-Mild, Additional Details: patient just felt under the weather adn achy on weekend and arm became red and slighley swollen, after several days she went to urgent care because red area got larger. was bout 4-5 inches long and 3-4 inches wide. urgent care prescribed oral and topical steroid and said it was an allergic response
Age: 68.0
Sex: F
Vaccine: FLUA4
Symptoms: Dizziness, Dysphonia, Oral mucosal blistering, Rash
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: throat hoarseness, blister on mouth-Medium
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Malaise, Syncope
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received a flu vaccine and reported it was her first one. She was counseled to remain near the pharmacy for 15 minutes after the vaccine. A customer near her reported she felt ill. I asked her if she was having difficulty breathing and she said maybe, but not sure. Patient then fainted. I went to grab an Epipen and had another customer call EMS. When I returned the patient was conscious and reported no difficulty breathing so no Epipen was used. EMS arrived and confirmed syncope.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Unresponsive to stimuli
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received a flu vaccine and reported it was her first one. She was counseled to remain near the pharmacy for 15 minutes after the vaccine. A customer near her reported she felt ill. I asked her if she was having difficulty breathing and she said maybe, but not sure. Patient then fainted. I went to grab an Epipen and had another customer call EMS. When I returned the patient was conscious and reported no difficulty breathing so no Epipen was used. EMS arrived and confirmed syncope.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient has difficulty lifting are past chest level. Suggest ice and heat andapplication of diclofenac gel
Age: 64.0
Sex: F
Vaccine: PNC20
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Pruritus
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: patient came by pharmacy and I informed her to take benadryl and then call the rph if better or just to let us know how she is.  I followed up with her on 10/19/2022 and left a voicemail asking if she was doing ok and if the benadryl helped.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Patient came in 3 days after vaccination complaining of numbness in left thumb and index finger. She is still able to ambulate all her fingers. Patient stated that she is going to follow up with her Dr if numbness does not improve but wanted to bring situation to our attention.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 29.0
Sex: M
Vaccine: FLU4
Symptoms: Confusional state, Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Joint injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Systemic: Diarrhea-Medium, Systemic: Fever-Medium, Systemic: Vomiting-Medium
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Eye swelling, Injection site erythema, Injection site pruritus, Injection site swelling, Mouth swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: Patient said on 10/17 he had itching and hives that began in the axillary region of injected arm that eventually spread down and across his entire body. He said he experienced swelling of hands and hives all over trunk of body and into the inguinal area which prompted him to seek care at an urgent care. Within the next day it was flaring up again and he went to the emergency room on 10/19/22. He received additional care and the hospital doctors advised him to call us.
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Peripheral swelling, Pruritus, Rash, Swelling face, Swollen tongue
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: Patient said on 10/17 he had itching and hives that began in the axillary region of injected arm that eventually spread down and across his entire body. He said he experienced swelling of hands and hives all over trunk of body and into the inguinal area which prompted him to seek care at an urgent care. Within the next day it was flaring up again and he went to the emergency room on 10/19/22. He received additional care and the hospital doctors advised him to call us.
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: Patient said on 10/17 he had itching and hives that began in the axillary region of injected arm that eventually spread down and across his entire body. He said he experienced swelling of hands and hives all over trunk of body and into the inguinal area which prompted him to seek care at an urgent care. Within the next day it was flaring up again and he went to the emergency room on 10/19/22. He received additional care and the hospital doctors advised him to call us.
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Purulent discharge
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: pus & posible infection on injection site-Severe, Additional Details: pt called pharmacy to complain of swelling and pus on the injection site. No fever or any other symptoms. Pt will follow up with urgent care asap.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Adverse reaction, Anaphylactic reaction, Dysphagia, Eye swelling, Hypersensitivity
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Pt. came to get flu shot. Wrote on consent form allergic to eggs. signed up for FLUAD as pharmacist thought only FLUZONE HIGH DOSE was made from eggs. Pt's daughter reported to pharmacist on 10/19 regarding adverse reaction stated pt's face swelled up over night, and was still having face swelling and some tingling on face. Told patient's daughter to seek medical attention immediately, give pt. Benadryl ASAP. Only had claritin, told to take and purchase benadryl.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Mouth swelling, Paraesthesia, Pruritus, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Pt. came to get flu shot. Wrote on consent form allergic to eggs. signed up for FLUAD as pharmacist thought only FLUZONE HIGH DOSE was made from eggs. Pt's daughter reported to pharmacist on 10/19 regarding adverse reaction stated pt's face swelled up over night, and was still having face swelling and some tingling on face. Told patient's daughter to seek medical attention immediately, give pt. Benadryl ASAP. Only had claritin, told to take and purchase benadryl.