chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19-2, COVID19, COVID19
Symptoms: Conjunctival haemorrhage, No reaction on previous exposure to drug
Clinical narrative: Patient stated that she woke up on 9/25/23 with a "subconjuctival hemmorhage" which was confirmed by the prescriber via a phone consultation.  Prescriber said it would self-resolve in approximately one week. No treatment recommended at this time.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Lethargy, Nausea
Clinical narrative: Booster shot - spike vax/moderna at CVS on 9/20/23 and work at 2 am with fever, aches, pains, sick nausea, stomach ache, lightheadedness / faint feeling and very tired/  only took Tylenol taken (1 full day of fever) then on Friday fever free but lethargic and very tired.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia
Clinical narrative: Booster shot - spike vax/moderna at CVS on 9/20/23 and work at 2 am with fever, aches, pains, sick nausea, stomach ache, lightheadedness / faint feeling and very tired/  only took Tylenol taken (1 full day of fever) then on Friday fever free but lethargic and very tired.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Patient received an authorized Pfizer COVID-19 bivalent vaccine
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Headache, Injection site pain, Pruritus
Clinical narrative: Teammate had vaccine on 9/21/23, initially site was sore and experienced bad headache. Whole Body redness reaction began couple hours after vaccine administration.Itchiness intially experienced. Does not feel needs to be seen at this time. Pt took Ibuprofen and relieved symptoms of headache.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypotension, Hypoxia, Systemic inflammatory response syndrome
Clinical narrative: I95.9 HYPOTENSION 6/11/2023 SIRS DUE TO NONINFECTIOUS PROCESS WO ACUTE ORGAN DYSFUNCTION J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 6/20/2023 SIRS DUE TO NONINFECTIOUS PROCESS WO ACUTE ORGAN DYSFUNCTION R09.02 HYPOXIA 6/12/2023 SIRS DUE TO NONINFECTIOUS PROCESS WO ACUTE ORGAN DYSFUNCTION
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain
Clinical narrative: Pt reported having pain, soreness and tenderness at the injection site. Reported symptoms last for 4 days since day of injection. pt deny any shortness of breath, chest pain.  Pt reports the tenderness reminding the same but getting better on soreness. having pt to monitor symptoms and checking with MD for further evaluation.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discharge
Clinical narrative: Patient said an unknown amount leaked down her arm and wanted to know if she needs revaccinated.
Age: 58.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Feeling hot, Flushing, Hyperhidrosis, Loss of consciousness, Nausea
Clinical narrative: 11:35 PREVNAR WAS ADMINISTERED (APPROX 2 TO 3 MINS AFTER AFLURIA) 11:36 PATIENT BEGAN COMPLAINING OF HOT ,FLUSHED SENSATION IMMEDIATELY FOLLOWING BY EXCESSIVE SWEATING 11:37 PATIENT BEGINS TO SLUMP IN CHAIR AND PASSES OUT, CONTINUED BREATHING BUT UNRESPONSIVE. COMES TO AFTER  ABOUT 20 SECONDS. THESE SYMPTOMS CONTINUED ALONG WITH NAUSEA/SLIGHT VOMITING FOR ABOUT 45 MINS. 11:55 PATIENT CALLS HUSBAND TO COME PICK HER UP AND EXPLAINS WHAT HAPPENED. 12:56 HUSBAND ARRIVES AND PATIENT IS TAKEN TO VEHICLE IN A WHEEL CHAIR. 3:20 FOLLOW UP CALL TO PATIENT AND SHE WAS MUCH BETTER AND MAKING PLANS TO PICK UP HER VEHICLE. 9-25-2023  10:50AM  FOLLOW UP CALL AND PATIENT TOLD ME WAS DOING FINE.
Age: 58.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: 11:35 PREVNAR WAS ADMINISTERED (APPROX 2 TO 3 MINS AFTER AFLURIA) 11:36 PATIENT BEGAN COMPLAINING OF HOT ,FLUSHED SENSATION IMMEDIATELY FOLLOWING BY EXCESSIVE SWEATING 11:37 PATIENT BEGINS TO SLUMP IN CHAIR AND PASSES OUT, CONTINUED BREATHING BUT UNRESPONSIVE. COMES TO AFTER  ABOUT 20 SECONDS. THESE SYMPTOMS CONTINUED ALONG WITH NAUSEA/SLIGHT VOMITING FOR ABOUT 45 MINS. 11:55 PATIENT CALLS HUSBAND TO COME PICK HER UP AND EXPLAINS WHAT HAPPENED. 12:56 HUSBAND ARRIVES AND PATIENT IS TAKEN TO VEHICLE IN A WHEEL CHAIR. 3:20 FOLLOW UP CALL TO PATIENT AND SHE WAS MUCH BETTER AND MAKING PLANS TO PICK UP HER VEHICLE. 9-25-2023  10:50AM  FOLLOW UP CALL AND PATIENT TOLD ME WAS DOING FINE.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anion gap increased, Anticoagulant therapy, COVID-19, Chest X-ray abnormal
Clinical narrative: Workup significant for acute respiratory failure with hypoxia, COVID-19 infection, increased anion gap metabolic acidosis, left lower lobe pneumonia noted on chest x-ray, soft blood pressures responsive to IV fluid hydration all present on admission.     -admit, inpatient -Rocephin and azithromycin for antibiotic coverage for community-acquired/lobar pneumonia  -IV fluid hydration  -systemic steroids initiated -Lovenox for anticoagulation  -patient is stable on 2 L oxygen via nasal cannula.  Wean as tolerated -remdesivir  -p.r.n. bronchodilators
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Metabolic acidosis, Pneumonia
Clinical narrative: Workup significant for acute respiratory failure with hypoxia, COVID-19 infection, increased anion gap metabolic acidosis, left lower lobe pneumonia noted on chest x-ray, soft blood pressures responsive to IV fluid hydration all present on admission.     -admit, inpatient -Rocephin and azithromycin for antibiotic coverage for community-acquired/lobar pneumonia  -IV fluid hydration  -systemic steroids initiated -Lovenox for anticoagulation  -patient is stable on 2 L oxygen via nasal cannula.  Wean as tolerated -remdesivir  -p.r.n. bronchodilators
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Amnesia, Chills, Delusion, Hyperhidrosis, Laboratory test normal
Clinical narrative: Headache, nausea,memory loss, delusional,chills,sweating,
Age: 85.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, SARS-CoV-2 test negative
Clinical narrative: Headache, nausea,memory loss, delusional,chills,sweating,
Age: 8.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Incorrect dose administered, Injection site bruising, Injection site reaction, Painful respiration
Clinical narrative: 9/23/23 1 pm at a Tent event in the parking lot at the front of the store.  Very busy event and did not just computers to double check ahead of the dose.  The Tech and this writer (RPh) veiwed the PCQF form and missed that this 8 year old 95 Lb child was incorrectly given the 12 years and older Spikevax vaccine and flu shot.  She was on the tail end of antibiotics for sinusitis and should note have been given a shot.  at 6:30 pm we realized there error because or computer/system would not allow the claim to even select due to the age of the patient.  at 6:35 PM this writer immediately called the grandmother to notify of this error. Patient had taken 480 mg of Acetaminophen at 5:30 pm and was sleeping.  Instructed grandma to give her fluids, Ibuprofen 200 mg at 8:30 pm and every 6 hours for inflammation , aches and fever, alternating with tylenol 3 hours later if needed.Instructed her that if any difficulty breathing (bluish finger tips, lips, high fever or non responsive to go to the ER or call 911.  On  Monday 9/25/23 called Provider to report what happened.  Called on 9/25/23 to Grandma to see how patient was doing.  Grandma shared that on Sunday 9/24 she alternated the ibuprofen and acetaminophen and the child was dizzy twice when she took a shower.  Her temperature was steady at 97.5 F and grandma's pulse oximeter showed 98-100%.  Patient reported on Sunday 9/24/23 it hurt to breathe but that she was able to breathe through the night. Grandma listened to her breathe all night and said it didn't sound bad and she did not feel the need to contact medical help.  On  Monday 9/25/23 at 10 AM, grandma said patient was doing better and had not had any tylenol since 8 PM last night.  It still hurt to breathe but that she was better.  Patient got on the phone and described that it hurt less today and "hurt where a necklace would be."  They were in the doctors office waiting room because Grandma just wanted to double check if she was doing OK. Shared that she could give another 200 mg of ibuprofen to help her feel comfortable or do what she thought was best.  Shared that I would use this information to the CDC VAERS program in case this error happened to someone else.  Grandma reported that the covid shot area had a 1 inche red itchy spot on her arm and the flu shot area had a 1 inch black and blue bruise.
Age: 8.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Vaccination error
Clinical narrative: 9/23/23 1 pm at a Tent event in the parking lot at the front of the store.  Very busy event and did not just computers to double check ahead of the dose.  The Tech and this writer (RPh) veiwed the PCQF form and missed that this 8 year old 95 Lb child was incorrectly given the 12 years and older Spikevax vaccine and flu shot.  She was on the tail end of antibiotics for sinusitis and should note have been given a shot.  at 6:30 pm we realized there error because or computer/system would not allow the claim to even select due to the age of the patient.  at 6:35 PM this writer immediately called the grandmother to notify of this error. Patient had taken 480 mg of Acetaminophen at 5:30 pm and was sleeping.  Instructed grandma to give her fluids, Ibuprofen 200 mg at 8:30 pm and every 6 hours for inflammation , aches and fever, alternating with tylenol 3 hours later if needed.Instructed her that if any difficulty breathing (bluish finger tips, lips, high fever or non responsive to go to the ER or call 911.  On  Monday 9/25/23 called Provider to report what happened.  Called on 9/25/23 to Grandma to see how patient was doing.  Grandma shared that on Sunday 9/24 she alternated the ibuprofen and acetaminophen and the child was dizzy twice when she took a shower.  Her temperature was steady at 97.5 F and grandma's pulse oximeter showed 98-100%.  Patient reported on Sunday 9/24/23 it hurt to breathe but that she was able to breathe through the night. Grandma listened to her breathe all night and said it didn't sound bad and she did not feel the need to contact medical help.  On  Monday 9/25/23 at 10 AM, grandma said patient was doing better and had not had any tylenol since 8 PM last night.  It still hurt to breathe but that she was better.  Patient got on the phone and described that it hurt less today and "hurt where a necklace would be."  They were in the doctors office waiting room because Grandma just wanted to double check if she was doing OK. Shared that she could give another 200 mg of ibuprofen to help her feel comfortable or do what she thought was best.  Shared that I would use this information to the CDC VAERS program in case this error happened to someone else.  Grandma reported that the covid shot area had a 1 inche red itchy spot on her arm and the flu shot area had a 1 inch black and blue bruise.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Fatigue, Headache
Clinical narrative: 15  hours of severe diarrhea, and headache and fatigue treated headache with Tylenol   Drank liquids to hydrate , No issues after the diarrhea stopped, other than being dehydrated
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Conjunctival haemorrhage
Clinical narrative: subconjunctival hemorrhage in left eye
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Pain, Palpitations, Pyrexia
Clinical narrative: Developed fever that evening that broke by morning, full body aches. Then Started feeling inflammation in my chest/sternum area frequently throughout next month or so. I also experienced random bouts of racing heart rate. I wore a fitbit at the time and my resting was high 60s on average, was randomly spiking to low 100s. Symptoms have subsided but still feel bouts of racing heart rate that I never dealt with prior. I switched my diet up to be more anti-inflammatory and that has helped a lot. I also have been exercising regularly which also seemed to help.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site joint pain, Injection site pain, Pain in extremity
Clinical narrative: 9/22/2023 ''I had a flu shot 2 weeks ago, and it was the  most painful shot I ever had. It was painful when she put the needle in and  then when she pushed the plunger it was very painful all the way from my shoulder to my hand.'' Patient states reports the pain as 4/10 constant, more so at night. In addition, ''If I touch at the joint at the top of my shoulder it is painful 4/10 tender.''  States no redness, no swelling, no swollen glands in the axilla. Reports he is  able to move the shoulder normally, but the pain is there and worsens after use during the day. I have tried to call him to f/u but cannot reach him.  Will try again.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Dermatitis
Clinical narrative: Dermatitis to right shoulder, 8in x 5in
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Disorientation, Feeling abnormal, Heart rate increased, Impaired driving ability, Loss of consciousness
Clinical narrative: PATIENT WAS AT WORK WHEN FEELING BAD, WAS CHECKED FOR VITALS WHERE HER PULSE WAS THE ONLY THING ABNORMAL. SHE STATES THAT IT WAS ELEVATED, BUT DID NOT PROVIDE  A LAB VALUE. PATIENT LEFT WORK AT 5PM DISORIENTED TO THE POINT OF MISLOCATING THE KEY SWITCH OF THE VEHICLE AND DRIVING THE WRONG WAY. PATIENT STATES TO HAVE NAUSEA AND VOMITING FOR 2 DAYS AND PASSED OUT TWICE. SHE STATES THAT SHE IS STILL NOT OVER IT 4 DAYS LATER.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Nausea, Pulse abnormal, Vomiting
Clinical narrative: PATIENT WAS AT WORK WHEN FEELING BAD, WAS CHECKED FOR VITALS WHERE HER PULSE WAS THE ONLY THING ABNORMAL. SHE STATES THAT IT WAS ELEVATED, BUT DID NOT PROVIDE  A LAB VALUE. PATIENT LEFT WORK AT 5PM DISORIENTED TO THE POINT OF MISLOCATING THE KEY SWITCH OF THE VEHICLE AND DRIVING THE WRONG WAY. PATIENT STATES TO HAVE NAUSEA AND VOMITING FOR 2 DAYS AND PASSED OUT TWICE. SHE STATES THAT SHE IS STILL NOT OVER IT 4 DAYS LATER.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Chest pain, Chills, Condition aggravated
Clinical narrative: Hypertension (140/95; normally 120s/70s), hyperglycemia (155; normally 90s), tachycardia (140s; normally 80s), short of breath, mild chest pain, generalized arthralgia and myalgia, alternating between chills and flushing, headaches and constant neck pain, anxiety, fatigue.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Flushing, Headache, Hyperglycaemia
Clinical narrative: Hypertension (140/95; normally 120s/70s), hyperglycemia (155; normally 90s), tachycardia (140s; normally 80s), short of breath, mild chest pain, generalized arthralgia and myalgia, alternating between chills and flushing, headaches and constant neck pain, anxiety, fatigue.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Myalgia, Neck pain, Tachycardia
Clinical narrative: Hypertension (140/95; normally 120s/70s), hyperglycemia (155; normally 90s), tachycardia (140s; normally 80s), short of breath, mild chest pain, generalized arthralgia and myalgia, alternating between chills and flushing, headaches and constant neck pain, anxiety, fatigue.
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bradycardia, Malaise, Neuropathy peripheral
Clinical narrative: Neuropathy in legs, bradycardia, malaise starting 24hrs later and continuing on day 4
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Pain, Pain in extremity
Clinical narrative: Pt received the vaccine on 9/21/23 at 0900 in the left deltoid and stated experiencing a reaction 30 minutes after vaccination.  Initially, she had pain, a burning sensation, and redness at the injection site and could not lift up her left arm. Pt  noticed that the injection site was right through the shoulder bone.  Applied ice and took Ibuprofen which relieved the pain for that day.  Pt stated there is an improvement in her range of motion and there is pain in the Left arm when lifting heavy objects. Denies discharges on the injection site. Denies shortness of breath. Denies swelling. No pain when L arm is not in use. Pt declined to follow up for evaluation.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Product administered at inappropriate site
Clinical narrative: Pt received the vaccine on 9/21/23 at 0900 in the left deltoid and stated experiencing a reaction 30 minutes after vaccination.  Initially, she had pain, a burning sensation, and redness at the injection site and could not lift up her left arm. Pt  noticed that the injection site was right through the shoulder bone.  Applied ice and took Ibuprofen which relieved the pain for that day.  Pt stated there is an improvement in her range of motion and there is pain in the Left arm when lifting heavy objects. Denies discharges on the injection site. Denies shortness of breath. Denies swelling. No pain when L arm is not in use. Pt declined to follow up for evaluation.
Age: 80.0
Sex: M
Vaccine: FLU4, RSV
Symptoms: Abdominal pain upper, Immunisation reaction, Tremor, Vomiting
Clinical narrative: Shaking, throwing up, pain in the stomach started several hours after vaccine administration.  Pt went to ED and got admitted.  Ran all tests.  No other problems of significance found.  ED conclusion was that it was an adverse event secondary to vaccine administration (likely RSV Abrysvo since patient has gotten Influenza Fluzone Quad HD in the past).  Discharged within 24 hours.  Pt stated all recovered as of 9/25/2023.
Age: 58.0
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under the age of 60 administered RSV
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: soreness of arm
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Vaccination site pain
Clinical narrative: site of vaccination in left arm is still sore after 2 weeks.  In addition to soreness it causes slight range of motion limitations.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Pulmonary embolism, Pulmonary pain
Clinical narrative: 8/23-I was diagnosed after entering ER for excruciating pain in left front lung area side lung and back area thought it was heart attack.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: 8/23-I was diagnosed after entering ER for excruciating pain in left front lung area side lung and back area thought it was heart attack.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Fatigue, Feeling cold, Injection site pain
Clinical narrative: 21 hours after vaccination: bruise, chills, fatigue, soreness at injection site, slight swelling at injection site.   56 hours after vaccination:  bruise now larger,  redness  still prevalent, itchiness has started near injection site.  Chilles and fatigue are gone.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: 21 hours after vaccination: bruise, chills, fatigue, soreness at injection site, slight swelling at injection site.   56 hours after vaccination:  bruise now larger,  redness  still prevalent, itchiness has started near injection site.  Chilles and fatigue are gone.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I reviewed safety report. Safety report included patient being seen in clinic and prescribed influenza vaccine however was administered Pneumovax instead. Patient and provider were both notified. No documentation of adverse events or symptoms.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE WAS STORED IN AS UNAPPROVED STORAGE UNIT
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient said 4 hours after the vaccine was given she had pain in her arm- pain to the touch, but she took over the counter pain med and applied Aspercream and it helped with the pain - then the next day she had pain also and again applied the topical cream and it seemed to help.  She also had noticed some swelling in the legs from her knees to her ankles.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Brain operation, Cerebral haemorrhage
Clinical narrative: Brain surgery due to bleeding between my brain and scull
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Anxiety, Arthralgia, Back pain, Discomfort, Dyspnoea
Clinical narrative: 2 minutes after administration, patient was standing and suddenly experienced acute pain shooting down her spine into the back, hip and legs. She sat down and winced in pain. She experienced extreme discomfort which led to temporary shortness of breath, which resolved after 1 minute. The patient's husband and I helped the patient feel less anxious and then the patient's breathing improved. After 5 minutes of staying seated, the patient said her muscle pain in back/hip/legs was improved but pain still present. The patient was monitored for 15 minutes and displayed no further signs of shortness of breath. No medication treatment was administered. After monitoring, the patient and her husband were able to walk out of the pharmacy. The patient reported never having experiencing symptoms like these in the past.
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain, Pain in extremity, Spinal pain
Clinical narrative: 2 minutes after administration, patient was standing and suddenly experienced acute pain shooting down her spine into the back, hip and legs. She sat down and winced in pain. She experienced extreme discomfort which led to temporary shortness of breath, which resolved after 1 minute. The patient's husband and I helped the patient feel less anxious and then the patient's breathing improved. After 5 minutes of staying seated, the patient said her muscle pain in back/hip/legs was improved but pain still present. The patient was monitored for 15 minutes and displayed no further signs of shortness of breath. No medication treatment was administered. After monitoring, the patient and her husband were able to walk out of the pharmacy. The patient reported never having experiencing symptoms like these in the past.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Lip swelling
Clinical narrative: Top lip swelling
Age: 67.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Erythema, No reaction on previous exposure to drug, Pain in extremity, Pyrexia
Clinical narrative: Had a high fever the next day, went down. But arm is very painful/red and sore. Has tried taking benadryl to help. Redness was brought down a little but still pretty red and sore.  Patient states she has never had a reaction to a vaccine before this.
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Asthenia, Dyspnoea, Fatigue, Feeling abnormal, Hyperhidrosis
Clinical narrative: She got her vaccine, was feeling fine when she walked out of the office and they were sore.  She got home and was doing her normal routine, went to work Saturday.  She felt tired and weak, drowsiness.  She worked 8 hours, went home, ate and laid down.  She got back, got some water and said it was time to go to bed around 8-9:00 PM.  She took her medicine and went to bed.  Around 1:30 she woke up in sweat, gasping for air, and sweating like she was going crazy.  She made it up the store and went to the bathroom, and felt like she needed to throw up, and felt like she was going to fall out.  She knew she could not make it back down to stairs, and laid down on the couch.  Her daughter woke up, asked her if she was OK, told her she was nauseous, feeling bad.  She wanted to call 911 but she calmed down and everything working out for her.  She was still tired, nauseous and got up around 5:30 and went downstairs to her bed.  She called her work and told them that she was not feeling well, and was scaring the whole family and was trembling like she was going to faint and fall out.  She got to use the bathroom and laid down as she was very weak and tired.  She was scared to take anything for it other than her high BP medicine, and her regular medicines.    Today, she is feeling much better, she is very tired like she needs to take a nap.  The nausea is gone, and can finally eat something and does not feel like she is going to throw up.  She has made an appointment for her to see her doctor tomorrow.  She is not breaking out into a sweat, just hot.
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Nausea, Somnolence, Tremor
Clinical narrative: She got her vaccine, was feeling fine when she walked out of the office and they were sore.  She got home and was doing her normal routine, went to work Saturday.  She felt tired and weak, drowsiness.  She worked 8 hours, went home, ate and laid down.  She got back, got some water and said it was time to go to bed around 8-9:00 PM.  She took her medicine and went to bed.  Around 1:30 she woke up in sweat, gasping for air, and sweating like she was going crazy.  She made it up the store and went to the bathroom, and felt like she needed to throw up, and felt like she was going to fall out.  She knew she could not make it back down to stairs, and laid down on the couch.  Her daughter woke up, asked her if she was OK, told her she was nauseous, feeling bad.  She wanted to call 911 but she calmed down and everything working out for her.  She was still tired, nauseous and got up around 5:30 and went downstairs to her bed.  She called her work and told them that she was not feeling well, and was scaring the whole family and was trembling like she was going to faint and fall out.  She got to use the bathroom and laid down as she was very weak and tired.  She was scared to take anything for it other than her high BP medicine, and her regular medicines.    Today, she is feeling much better, she is very tired like she needs to take a nap.  The nausea is gone, and can finally eat something and does not feel like she is going to throw up.  She has made an appointment for her to see her doctor tomorrow.  She is not breaking out into a sweat, just hot.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain
Clinical narrative: Vaccine received 9/22/23 at 1500 to Right arm.  Initially site sore, but when arrived home Around 1700, site was swollen, hot, red and painful. Also developed red raised rash/hives over whole body with itchiness, low grade fever, scratchy throat, body aches. Reports all weekend took an antihistamine she has at home that she got while in another country previously (unsure on name) and used body lotion to help with itch.  By Sunday, 9/24/23, site still sore, swollen and warm but improved some. Now whole body rash mostly gone, but still itchy all over. Does not feel needs medical attention at this time.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Vaccine received 9/22/23 at 1500 to Right arm.  Initially site sore, but when arrived home Around 1700, site was swollen, hot, red and painful. Also developed red raised rash/hives over whole body with itchiness, low grade fever, scratchy throat, body aches. Reports all weekend took an antihistamine she has at home that she got while in another country previously (unsure on name) and used body lotion to help with itch.  By Sunday, 9/24/23, site still sore, swollen and warm but improved some. Now whole body rash mostly gone, but still itchy all over. Does not feel needs medical attention at this time.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Throat irritation, Urticaria
Clinical narrative: Vaccine received 9/22/23 at 1500 to Right arm.  Initially site sore, but when arrived home Around 1700, site was swollen, hot, red and painful. Also developed red raised rash/hives over whole body with itchiness, low grade fever, scratchy throat, body aches. Reports all weekend took an antihistamine she has at home that she got while in another country previously (unsure on name) and used body lotion to help with itch.  By Sunday, 9/24/23, site still sore, swollen and warm but improved some. Now whole body rash mostly gone, but still itchy all over. Does not feel needs medical attention at this time.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Dizziness, Fatigue, Oropharyngeal pain, Pain in extremity
Clinical narrative: sore throat, brown and excess sputum, cough, feverish and slight fever of 99.F (usually 97F), woozy, fatigue,  ongoing. Today still have cough, sore throat, feverish.  I am not absolutely certain of the type of flu shot and RSV shot that I received, but I did get both in the right arm.   Sore arm, to be expected
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Sputum discoloured, Sputum increased
Clinical narrative: sore throat, brown and excess sputum, cough, feverish and slight fever of 99.F (usually 97F), woozy, fatigue,  ongoing. Today still have cough, sore throat, feverish.  I am not absolutely certain of the type of flu shot and RSV shot that I received, but I did get both in the right arm.   Sore arm, to be expected
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling face
Clinical narrative: Facial swelling , went to urgent care and given steroids and recommended to not receive flu vaccine again
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dyskinesia, Muscular weakness, Myalgia, Nausea
Clinical narrative: Chills, nausea, vomiting, shaking, body aches, muscle pain/weakness, low-grade fever, teeth chattering, uncontrolled body movements; acetaminophen, Nauzene, gas-x, heating pad, ice pack; treatments didn't work; symptoms went away on their own (more or less) after about 10 hours.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, Tremor, Vomiting
Clinical narrative: Chills, nausea, vomiting, shaking, body aches, muscle pain/weakness, low-grade fever, teeth chattering, uncontrolled body movements; acetaminophen, Nauzene, gas-x, heating pad, ice pack; treatments didn't work; symptoms went away on their own (more or less) after about 10 hours.
Age: 13.0
Sex: M
Vaccine: FLU4, HEPA, MNQ, TDAP, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Patient experienced syncope after receiving Hep A, influenza, MenACWY, Tdap, and varicella vaccines. Briefly unresponsive, pale complexion. Recovered quickly; monitored for almost 1 hour.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Activated partial thromboplastin time normal, Aldolase normal, Antinuclear antibody negative, Aphasia, Blood creatine phosphokinase normal
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood glucose normal, Blood homocysteine normal, Blood magnesium normal, Blood potassium decreased, Blood thyroid stimulating hormone normal
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Borrelia test negative, Burning sensation, C-reactive protein normal, Computerised tomogram head normal, Decreased activity
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Electric shock sensation, Electrocardiogram normal, Electroencephalogram normal, Electromyogram normal, Electrophoresis protein normal
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Full blood count normal, Gait disturbance, Gait inability, Glycosylated haemoglobin normal, Hypoaesthesia
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Immunology test, International normalised ratio normal, Laboratory test normal, Limb discomfort, Magnetic resonance imaging head normal
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Magnetic resonance imaging neck, Magnetic resonance imaging normal, Magnetic resonance imaging spinal normal, Metabolic function test normal, Muscle contractions involuntary
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Muscle spasms, Muscle twitching, Muscular weakness, Neuralgia, Pain
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Paraesthesia, Protein total normal, Prothrombin time normal, Red blood cell sedimentation rate normal, Scan normal
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Streptococcus test negative, Thyroxine normal, Toxicologic test normal, Tremor, Tri-iodothyronine normal
Clinical narrative: 8/31/2023 developed right sided lower extremity weakness, numbness to bilateral lower extremities, muscle contractions, and inability to walk dragging right leg and left leg feeling heavy- admitted to hospital for evaluation and treatment . Took Medrol dose pack, Ibuprofen and started Baclofen 10 mg for muscle spasms.  9/7/2023- fasciculation's and tremors began in bilateral lower and upper extremities with intentional movement, difficulty with gait, right leg locking out. .  9/8/2023- follow up with neurology for symptoms, Dr- more extensive lab testing ordered at this time 9/10/2023- numbness and tingling in ascending fashion, extended to right side up body up to the scapular on the back- went back to ER for evaluation and neurological consultation started with tremors. Home on motrin and baclofen and no explanation still.  09/13/2023 1700- lost ability to speak clearly- difficulty getting words out although thoughts were clear, EMS called to my house transported to ED and stroke code activated for speech and gait changes Scans negative but extensive nerve pain and burning in bilateral feet began making it hard to ambulate with shocking and shooting fashion. Only lab abnormality low potassium- supplemented  09/17/2023- speech normalized bilateral lower extremity weakness and activity intolerance persisted.  09/18/2023- EMG completed showed no sign of large skeletal muscle disease but did not exclude a small fiber neuropathy. physical therapy consultation for neurological rehabilitation 09/25/2023- symptoms improving aside from shocks remaining in left foot and occasional twitching of muscles in back arms and legs.