chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria, Pyrexia
Clinical narrative: Patient reported low-grade fever within hours after vaccination, as well as itchy skin around the site of injection and a few hives and redness.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Musculoskeletal stiffness, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Pt has swollen and stiff left shoulder and arm; it is hot to touch; later she developed left side headache and left leg soreness (she is not sure whether is related to the vaccine or not). I reported it to her doctor's office and they made an appt for the afternoon. Pt later decicded not to go in today. I spoke to pt's daughter this evening and she said they will observe her over the weekend.  She will go in if it doesn't get better by Mon.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Asthenia, Back pain, Chills, Disorientation
Clinical narrative: Fever, chills, weakness, wet cough, mucus, headache, difficulty breathing, crackling  in lungs, thick green vaginal discharge, muscle aches, joint pain, stiffness, increased skin sensitivity, irritability, fatigue, back pain, soar throat, dizziness/disorientation, brain fog. All symptoms lasting 7+ days with no relief.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Headache
Clinical narrative: Fever, chills, weakness, wet cough, mucus, headache, difficulty breathing, crackling  in lungs, thick green vaginal discharge, muscle aches, joint pain, stiffness, increased skin sensitivity, irritability, fatigue, back pain, soar throat, dizziness/disorientation, brain fog. All symptoms lasting 7+ days with no relief.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperaesthesia, Irritability, Joint stiffness, Myalgia, Oropharyngeal pain
Clinical narrative: Fever, chills, weakness, wet cough, mucus, headache, difficulty breathing, crackling  in lungs, thick green vaginal discharge, muscle aches, joint pain, stiffness, increased skin sensitivity, irritability, fatigue, back pain, soar throat, dizziness/disorientation, brain fog. All symptoms lasting 7+ days with no relief.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Productive cough, Pyrexia, Rales, Rhinorrhoea, Vaginal discharge
Clinical narrative: Fever, chills, weakness, wet cough, mucus, headache, difficulty breathing, crackling  in lungs, thick green vaginal discharge, muscle aches, joint pain, stiffness, increased skin sensitivity, irritability, fatigue, back pain, soar throat, dizziness/disorientation, brain fog. All symptoms lasting 7+ days with no relief.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Nodule
Clinical narrative: Heavy bruising and almost 1 month bruised and has still a circular bump.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood test, Feeling cold, Nausea, Tremor, Vomiting
Clinical narrative: Patient reported that about 3 hours following the vaccine, she started to feel nauseous while driving home. She had nausea and vomiting and when I talked to her she was in the ER to see if they could determine the cause or help with her symptoms. She said she felt very cold and shaky.
Age: 52.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: When the patient arrived for the second dose of SHINGRIX, he mentioned that he had a fever after the first dose that lasted about 3 days as well as swelling in the lymph node under his right arm.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Headache, Swelling face
Clinical narrative: Patient went to emergency room complaining of headache and swelling of face and eyes. Patient was treated and released same day.
Age: 1.75
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Rash
Clinical narrative: Patient got rash hypersensitivity patient's mother was instructed to take BENADRYL and use ice to affected area.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient reports left arm pain ongoing since April 2018, starting with the Pneumonia shot. Patient reports left arm continues to ache, worse with movement. Patient notes pain feels like a pulled muscle-not electric like a nerve pain. No better with taking meloxicam. Provider has started patient on orphenadrine for possible muscle spasm and lidocaine topical to the area.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Sleep disorder
Clinical narrative: Left arm pain/shoulder pain since SHINGRIX shot 5/2018, sore first several days; seemed to have gotten better slowly but never resolved, but then over the last couple of weeks, unable to move arm at all, worse last Thurs. night where she could not sleep due to pain. Tried ibuprofen 600 mg OTC, ICY HOT. No arm or shoulder injuries, not red or swollen, no numbness/tingling; no new activities/exercises. Hard to drive or take care of cat. No fevers. Denies neck pain. No issues with right arm/shoulder.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Rash
Clinical narrative: Patient received vaccine on Monday 9/17/18. Started on Thursday night 9/20/18, patient had a rash on chest. Site is itchy and red. Patient was at doctor's office on 9/21/18 and the nurse reported the reaction to pharmacy.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV4, MNQ, TDAP
Symptoms: Injection site rash
Clinical narrative: Rash at all sites 2 days after administration.
Age: 24.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Received vaccine 9/17/18 at 1055. Noticed rash starting under (L) arm that evening. Rash also appeared on chest and then right clavicle area. C/o itching.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Musculoskeletal stiffness, Ultrasound scan
Clinical narrative: Stiff neck.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Headache, Injection site pain, Injection site vesicles, Injection site warmth
Clinical narrative: Left arm redness and swelling with small blisters at shoulder (administration site). Patient indicates headache, pain and warm to touch at site. Cannot lift arm over head. Recommended BENADRYL, IBU and APAP. Also contact PCP.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Peripheral swelling
Clinical narrative: Left arm redness and swelling with small blisters at shoulder (administration site). Patient indicates headache, pain and warm to touch at site. Cannot lift arm over head. Recommended BENADRYL, IBU and APAP. Also contact PCP.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Haemorrhage, Injection site swelling, Urticaria
Clinical narrative: 9/19/18 at 7:49 PM - received call from pt mother. Child received vaccine 2 days ago and today both thighs are swollen with multiple hives. Child scratching and causing some bleeding. No meds given. Provider discussed with mom, could be a vaccine reaction. Suggested giving BENADRYL/MOTRIN as needed for comfort. If more symptoms present or worsen come to office.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Grip strength decreased, Joint swelling, Mobility decreased, Pain
Clinical narrative: Patient received vaccine on the 17th and called the pharmacy on the 21st, complaining of symptoms beginning the night before (the 20th). Symptoms included difficulty moving/lifting arm and grasping objects in hand, painful (takes her 'breath away' when she tries to move arm), bruise, swollen elbow, possible bump on arm.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient received vaccine on the 17th and called the pharmacy on the 21st, complaining of symptoms beginning the night before (the 20th). Symptoms included difficulty moving/lifting arm and grasping objects in hand, painful (takes her 'breath away' when she tries to move arm), bruise, swollen elbow, possible bump on arm.
Age: 73.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Asthenia, Chest X-ray abnormal, Erythema, Full blood count, Headache
Clinical narrative: Right arm swelling, redness, pain, fever, headaches, weakness.
Age: 73.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Lung infiltration, Pain, Peripheral swelling, Pyrexia, White blood cell count increased
Clinical narrative: Right arm swelling, redness, pain, fever, headaches, weakness.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Pyrexia, Syncope
Clinical narrative: Fever, faint, lethargic.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Pt developed a thick shingles like rash on left side that went from sternum to backbone about 6 inches in width.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging, Optic neuritis
Clinical narrative: Patient indicated about a week after the vaccine her optic nerve became inflamed, resulting in MRI and steroids for 4 weeks.  MD advised that it could be related to the vaccine and to hold off on getting second dose.  Patient did not notify me of the AE until I called to schedule her second dose.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Pyrexia, Vaccination site swelling
Clinical narrative: Patient seen 9/21/18, the day after getting vaccines. She complains of adverse reaction to pneumococcal vaccine, which she received yesterday morning. By yesterday evening, she had a swelling "the size of a potato" at the vaccine site, left upper arm. Today the red area is flatter but involves a larger area, most of upper arm, with redness nearly circumferential, and she is feverish and achy. Painful but not at all itchy.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Some swelling and red at injection area. Patient's MD told to report.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Skin warm
Clinical narrative: Patient called on 9/18 to report what she believed was an adverse reaction to the Shingrix vaccination she received on 9/14/18. She reported having developed a rash on the inside of both thighs on the night of 9/17/18. Per patient, the rash felt hot to the touch but was not itchy or painful. She did not have any reaction, including this one, the first time she received the first dose of Shingrix on 4/24/18.  Informed patient to call back the pharmacy or doctor's office if rash worsened or other symptoms developed.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Musculoskeletal pain, Nausea, Neck pain
Clinical narrative: A short while (20 minutes) after the flu shot (high dose FLUZONE 2018-19 SYR) was administered I experienced strange pain sensation in my hip joints, back of my neck, and shoulders. Within an hour I experienced extreme chills and nausea. This led to rounds of vomiting over the next 2 hours. At the end I fell asleep and slept for close to 10 hours.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: A short while (20 minutes) after the flu shot (high dose FLUZONE 2018-19 SYR) was administered I experienced strange pain sensation in my hip joints, back of my neck, and shoulders. Within an hour I experienced extreme chills and nausea. This led to rounds of vomiting over the next 2 hours. At the end I fell asleep and slept for close to 10 hours.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site.
Age: 72.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Anal incontinence, Antinuclear antibody, Asthenia, Borrelia test negative, CSF oligoclonal band absent
Clinical narrative: Patient presented with weakness, and eventually Lhermitte's sign - She soon developed bilateral lower extremity sensory loss from T10 dermatome down. Gait instability has continued, as well as stool incontinence.
Age: 72.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Full blood count normal, Gait disturbance, Lhermitte's sign, Myelitis transverse, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: Patient presented with weakness, and eventually Lhermitte's sign - She soon developed bilateral lower extremity sensory loss from T10 dermatome down. Gait instability has continued, as well as stool incontinence.
Age: 72.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Nuclear magnetic resonance imaging spinal abnormal, Rheumatoid factor negative, Sensory loss, West Nile virus test
Clinical narrative: Patient presented with weakness, and eventually Lhermitte's sign - She soon developed bilateral lower extremity sensory loss from T10 dermatome down. Gait instability has continued, as well as stool incontinence.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Pain from Elbow to upper shoulder in Left arm.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Nausea, Vomiting
Clinical narrative: Patient said that she was nauseous a couple of hours after getting the shot and threw up. Symptoms resolved quickly.
Age: 5.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Cough, Injection site erythema, Vaccination site swelling, Wheezing
Clinical narrative: Patient started coughing a few minutes after getting the flu shot. His breathing quickly became wheezy and the coughing grew worse. He had reacted to previous years flu shots with swelling and redness at the vaccination site. The nurse practitioner that administered the vaccine said that he was having a reaction and asked if we had epinephrine. She gave him oral Benadryl and I administered an Auviq auto injector at 1033 am. His coughing slowed as we rushed him to the er where they gave him oral steroids and a breathing treatment. He also developed a rash on his back and neck. His coughing resolved and he was kept for observation.
Age: 5.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Anaphylactic reaction, Cough, Lethargy, Nausea, Throat tightness
Clinical narrative: Patient started coughing a few minutes after getting the flu shot. His breathing quickly became wheezy and the coughing grew worse. He had reacted to previous years flu shots with swelling and redness at the vaccination site. The nurse practitioner that administered the vaccine said that he was having a reaction and asked if we had epinephrine. She gave him oral Benadryl and I administered an Auviq auto injector at 1033 am. His coughing slowed as we rushed him to the er where they gave him oral steroids and a breathing treatment. He also developed a rash on his back and neck. His coughing resolved and he was kept for observation.
Age: 5.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Urticaria
Clinical narrative: Patient started coughing a few minutes after getting the flu shot. His breathing quickly became wheezy and the coughing grew worse. He had reacted to previous years flu shots with swelling and redness at the vaccination site. The nurse practitioner that administered the vaccine said that he was having a reaction and asked if we had epinephrine. She gave him oral Benadryl and I administered an Auviq auto injector at 1033 am. His coughing slowed as we rushed him to the er where they gave him oral steroids and a breathing treatment. He also developed a rash on his back and neck. His coughing resolved and he was kept for observation.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Condition aggravated, Rash
Clinical narrative: Rash and blisters on hands, rash on back.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Decreased appetite, Injection site swelling, Lethargy, Malaise
Clinical narrative: Swollen at injection site for days, extremely lethargic, malaise, loss of appetite.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Angioedema, Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site urticaria
Clinical narrative: Nurse squeezed arm while giving the injection, I think maybe some of it may have been subcutaneous. Within 2-3 hours I had a huge Hive that covered the injection site and well under it and it itches. Today (9/22/2018) my arm is hot and there is a clear red area, the size of the welt yesterday and it is hot. Been taking Benadryl around the clock to help with the inflammation and itchiness.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Nurse squeezed arm while giving the injection, I think maybe some of it may have been subcutaneous. Within 2-3 hours I had a huge Hive that covered the injection site and well under it and it itches. Today (9/22/2018) my arm is hot and there is a clear red area, the size of the welt yesterday and it is hot. Been taking Benadryl around the clock to help with the inflammation and itchiness.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Head injury, Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted immediately after receiving vaccine. Patient regained consciousness immediately, he said was feeling ok but paramedics were called due to patient hitting head on door during faint. The paramedics opted to take him rather than let him leave and drive home.
Age: 70.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient could not lift arm. Felt as if shoulder was frozen and burning.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Hypoaesthesia, Localised oedema, Nasopharyngitis, Pain in extremity, Paraesthesia
Clinical narrative: I've received flu shots for years, with minimal side effects. Around October 2017, I received a flu shot at work. It was administered more in the tricep than on the side of the arm. I mention it, because it was unusual. Over the first week, moderate localized soreness diminished, but crept down my left arm, almost to my hand. Over the 2nd week, the soreness gradually diminished, changing to a numbness & tingling the crept further down, into my pinky & ring fingers. One day, I felt the same numbness & tingling radiate up to the left side of my face, but that lasted less than a day. Now, September 2018, I still have the numbness & tingling down my arm into the pinky & ring fingers. It varies from day to day. The range is from mild to barely noticeable. Today, it is on the upper end of my normal range, and I'm noticing a very mild numbness on the left side of my face as well. As I'm writing, I'm even noticing a tingle in my other two fingers. I'm hyper-aware today or just an unusually "tingly" day. I don't know. Note - last night & today, I am experiencing symptoms of a head cold that has run through my office. In general the impact has not gone beyond the numbness & tingling. Other than the first two weeks, I feel that my range of motion, strength and grip are nearly normal. p.s. I have a cyst in my left arm which I always point out when receiving a shot.  They usually just move a bit to the side.  This person went more 'under' the arm - thus the tricep location.  I often wonder if that was related to the adverse reaction.  Not criticizing - seemed like a good idea at the time.  p.p.s.  Thinking I'll skip the shot this year, and go back to it in 2019, depending on how this progresses, but my mom is 90, and my granddaughter is 2, so I might get it this year. undecided.
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Product administered at inappropriate site
Clinical narrative: I've received flu shots for years, with minimal side effects. Around October 2017, I received a flu shot at work. It was administered more in the tricep than on the side of the arm. I mention it, because it was unusual. Over the first week, moderate localized soreness diminished, but crept down my left arm, almost to my hand. Over the 2nd week, the soreness gradually diminished, changing to a numbness & tingling the crept further down, into my pinky & ring fingers. One day, I felt the same numbness & tingling radiate up to the left side of my face, but that lasted less than a day. Now, September 2018, I still have the numbness & tingling down my arm into the pinky & ring fingers. It varies from day to day. The range is from mild to barely noticeable. Today, it is on the upper end of my normal range, and I'm noticing a very mild numbness on the left side of my face as well. As I'm writing, I'm even noticing a tingle in my other two fingers. I'm hyper-aware today or just an unusually "tingly" day. I don't know. Note - last night & today, I am experiencing symptoms of a head cold that has run through my office. In general the impact has not gone beyond the numbness & tingling. Other than the first two weeks, I feel that my range of motion, strength and grip are nearly normal. p.s. I have a cyst in my left arm which I always point out when receiving a shot.  They usually just move a bit to the side.  This person went more 'under' the arm - thus the tricep location.  I often wonder if that was related to the adverse reaction.  Not criticizing - seemed like a good idea at the time.  p.p.s.  Thinking I'll skip the shot this year, and go back to it in 2019, depending on how this progresses, but my mom is 90, and my granddaughter is 2, so I might get it this year. undecided.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes, Oral pain, Toothache
Clinical narrative: Cold sore outbreak and sores inside the mouth as well. Pain (including tooth pain) for a few days. Took acyclovir for cold sores, just barely going away now.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient said that she feels like she has shingles again where she had them in January started this morning.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Body temperature increased, Dizziness, Feeling cold, Immediate post-injection reaction, Pyrexia
Clinical narrative: Patient got dizzy right after he received the shot, nurse checked his bp and he was given water to drink, that evening his temp spiked to 103.8 and he felt chlilled all evening and night, fever continued through the night but patient did not go to ER and he does not have a PCP either. Patient reported feeling better 1 day after the shot.
Age: 28.0
Sex: F
Vaccine: DTAP, FLU3
Symptoms: Exposure during pregnancy, Heart rate increased, Pre-eclampsia
Clinical narrative: Adverse event - heart rate 198 for 60 seconds. 27 weeks pregnant with di/di twin pregnancy. Mild preeclampsia. EDD 12/3/18.
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Joint range of motion decreased, Myalgia
Clinical narrative: PT JUST CALLED AND COMPLAINED OF MUSCULAR PAIN TRAVELING TO HER NECK AND HAND AFTER THIS FLU SHOT. SAID SHE WAS IN AN ABNORMAL AMOUNT OF PAIN COMPARED TO WHEN SHE NORMALLY HAS RECEIVED FLU SHOTS AND TETANUS SHOTS. ALSO, SHE IS A NURSE AND UNDERSTANDS THAT SOME PAIN AND TENDERNESS IS NORMAL. SAYS HAS LIMITED RANGE OF MOTION. HAS TRIED TYLENOL AND ADVIL. SHE WILL KEEP AN EYE ON IT OVER THE NEXT FEW DAYS. SHE SAID ON DAY 5, THEY RESOLVED ON THEIR OWN.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: RASH AND SWOLLEN AROUND INJECTION AREA. EXPERIENCE PAIN BUT SEEMS LIKE GETTING BETTER ON 4TH DAYS AFTER RECEIVED.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site extravasation, Injection site pruritus
Clinical narrative: Patient came to me two weeks after the vaccination and complained that at the same day after she got her shot, she came back home and noticed from what she described: "the vaccine  drained off my arm". She said she noticed some drops of uncolored liquid on her arm and it started itching really bad. She applied some cold to the arm which helped her a little. She had the itchie feeling for the next couple days. She also spoke to her physician a couple days later and he recommended her to revaccinate the same strain over again. Right now patient is ok, she has no bruises or rashes at this moment. She will come back to the pharmacy in couple weeks to have another flu shot.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyspnoea, Eye swelling, Pyrexia, Throat tightness
Clinical narrative: Tightening of airways, shortness of breath, cough, swollen eyes, fever.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Patient received flu shot at 330pm. Felt nauseous on the way home. Vomited in the evening. Felt better right after. No further remedy needed.
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Fatigue, Muscle rigidity, Nausea, Posture abnormal
Clinical narrative: Pt received the BOOSTRIX vaccine in the left arm, then pt switched chairs so that I could give him the flu shot in the right arm, about 30 seconds after sitting down I had wiped his arm with alcohol and picked up the flu shot and pt informed me he felt dizzy and tired then he tilted his head to the left and seemed to go unconscious, his head fell backwards and I grabbed his head and neck to support him and avoid him from hitting his head, I kept asking him if he was alright and if he was ok, I checked his pulse and he had a pulse and was breathing, then his neck went completely rigid, he sat up and starting shaking as if he was seizing, I told my technician to call 911 immediately, he seemed to come to and asked to lay down, I grabbed his jacket and my jacket and put it under his head and elevated both feet on a chair for him. I told my technician to grab the blood pressure cuff for me and to take his pulse. He was conscious and talking at this time but still very woozy and nauseous. The paramedics arrived at this point while I was just squeezing the blood pressure cuff. Pt informed me that he was jetlagged and had low blood sugar. He at this point told me of the previous fainting episodes.
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Syncope, Tremor
Clinical narrative: Pt received the BOOSTRIX vaccine in the left arm, then pt switched chairs so that I could give him the flu shot in the right arm, about 30 seconds after sitting down I had wiped his arm with alcohol and picked up the flu shot and pt informed me he felt dizzy and tired then he tilted his head to the left and seemed to go unconscious, his head fell backwards and I grabbed his head and neck to support him and avoid him from hitting his head, I kept asking him if he was alright and if he was ok, I checked his pulse and he had a pulse and was breathing, then his neck went completely rigid, he sat up and starting shaking as if he was seizing, I told my technician to call 911 immediately, he seemed to come to and asked to lay down, I grabbed his jacket and my jacket and put it under his head and elevated both feet on a chair for him. I told my technician to grab the blood pressure cuff for me and to take his pulse. He was conscious and talking at this time but still very woozy and nauseous. The paramedics arrived at this point while I was just squeezing the blood pressure cuff. Pt informed me that he was jetlagged and had low blood sugar. He at this point told me of the previous fainting episodes.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: Patient received flu shot at 3:30 pm. Felt nauseous on the ride home. Vomited at 8:00pm. Felt better right after.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Rash
Clinical narrative: PATIENT HAD VACCINE 9/13/2018 AND REPORTS THAT ON 9/19/218 SHE STARTED TO BREAK OUT IN A RASH AND RED BLISTERS ON HER LEFT SIDE OF HER NECK. THIS WAS THE SAME SIDE THAT SHE RECIEVED HER VACCINE IN.
Age: 93.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Rash erythematous, Skin warm, Tenderness
Clinical narrative: Presented to clinic of 2 days of red, flat, warm, tender rash. Treated for minor cellulitis with Keflex Q6H X10 days. Discussed treatment and follow up.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Chills, Erythema, Impaired work ability, Pyrexia, Skin warm
Clinical narrative: She reported having chills and fever. When she arrived to clinic she had no fever. Area was swollen, red, and warm to touch. Cold pack placed on arm and was given off 3 days off work.
Age: 65.0
Sex: F
Vaccine: TD
Symptoms: Swelling
Clinical narrative: She reported having chills and fever. When she arrived to clinic she had no fever. Area was swollen, red, and warm to touch. Cold pack placed on arm and was given off 3 days off work.
Age: 45.0
Sex: M
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: Patient received vaccine at 3:30 PM. Felt nauseous on the ride home. Vomited later that night. Felt better right after.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Dysgeusia, Immediate post-injection reaction, Petit mal epilepsy, Staring
Clinical narrative: Immediately after the shot administration, patient had a "bad taste" in her mouth. She was given water. She was anxious and started to have tunnel vision. Patient had a blank stare, which was probably an absence seizure. This lasted roughly 2-3 minutes. She was able to come out of the seizure and started talking to the pharmacists. She stood up after about 40 minutes, then sat down and had another seizure. Patient came back after about a minute, and was able to stand and leave pharmacy after 30 minutes.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Tunnel vision
Clinical narrative: Immediately after the shot administration, patient had a "bad taste" in her mouth. She was given water. She was anxious and started to have tunnel vision. Patient had a blank stare, which was probably an absence seizure. This lasted roughly 2-3 minutes. She was able to come out of the seizure and started talking to the pharmacists. She stood up after about 40 minutes, then sat down and had another seizure. Patient came back after about a minute, and was able to stand and leave pharmacy after 30 minutes.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure decreased, Chills, Heart rate increased, Musculoskeletal pain
Clinical narrative: Temperature Plus 1.5 degrees. Chills. Swelling under arm of injection site. Heart rate increase 20 BPM.  Drop in blood pressure to 80/50 with normal  120/70. Weakness. Stayed in bed 35 hours, After waking up only symptoms remaining was sore shoulder and swelling under arm.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Temperature Plus 1.5 degrees. Chills. Swelling under arm of injection site. Heart rate increase 20 BPM.  Drop in blood pressure to 80/50 with normal  120/70. Weakness. Stayed in bed 35 hours, After waking up only symptoms remaining was sore shoulder and swelling under arm.
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Decreased appetite, Fatigue, Feeling of body temperature change, Headache, Lethargy
Clinical narrative: When woke up felt sore, tired, lethargic, slight headache. While driving to work neoticed felt alternating cold and hot and realized might have a fever. All day felt rundown, little appetite. By that evening (24 hours after vaccine) took temperature and had a slight fever 99 degrees and then every half hour was going up approximate half a degree until about 7 p.m. I took ibuprofen when fever reached 101.4. Felt like I could barely move and went to sleep. Fever gone in a.m. and felt progressively better throughout nexy day although took ibuprofen for headache during work.
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: When woke up felt sore, tired, lethargic, slight headache. While driving to work neoticed felt alternating cold and hot and realized might have a fever. All day felt rundown, little appetite. By that evening (24 hours after vaccine) took temperature and had a slight fever 99 degrees and then every half hour was going up approximate half a degree until about 7 p.m. I took ibuprofen when fever reached 101.4. Felt like I could barely move and went to sleep. Fever gone in a.m. and felt progressively better throughout nexy day although took ibuprofen for headache during work.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: PREVNAR 13 was given instead of PNEUMOVAX. The 2 doses of PREVNAR were given over 1 year apart.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states she is experiencing a sore arm, and arm hurts when she moves it. She stated her arm is feeling a little bit better today.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Blood uric acid normal, Ear pain, Headache
Clinical narrative: Patient had a shingles vaccine on Saturday 9/15/18. On Sunday he had a upset stomach, ear ache and a headache. By 6pm on Sunday his knee was hurting and his left foot was hurting from the ball of his foot to the toe. Monday morning both of his feet hurt from heel to toe, he did not have any swelling. He went to see his PCP and thought maybe it was gout. His uric acid level was tested and it was normal. His feet were still hurting from heel to big toe on Thursday 9/20/18. Dr. thinks that it must be a nerve reaction to the shingles vaccine.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient had a shingles vaccine on Saturday 9/15/18. On Sunday he had a upset stomach, ear ache and a headache. By 6pm on Sunday his knee was hurting and his left foot was hurting from the ball of his foot to the toe. Monday morning both of his feet hurt from heel to toe, he did not have any swelling. He went to see his PCP and thought maybe it was gout. His uric acid level was tested and it was normal. His feet were still hurting from heel to big toe on Thursday 9/20/18. Dr. thinks that it must be a nerve reaction to the shingles vaccine.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Peripheral swelling
Clinical narrative: Patient states that a few hours after she received the shot, she noticed a bump on her arm. As the night went on, it continued to get worse and ended up swelling from her shoulder to elbow. Patient called her primary doctor who called in an antibiotic for her thinking that it could have been an infection starting. Patient contacting pharmacy the next morning to explain what had happened, but stated that she was on her way to urgent care to actually have a doctor look at the arm, being it's the weekend and her primary doctor did not actually see her. Patient stopped into the store after the urgent care visit and was told by md at urgent care to purchase over the counter cetirizine and take that for a few days along with icing the area.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Migraine
Clinical narrative: Patient stated that around 6 pm the same day of vaccination, she started experiencing shivering, teeth chattering, and a migraine-like headache. The symptoms had resolved when she woke up the following morning.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Erythema, Headache, Swelling
Clinical narrative: Uncontrollable shivering, headache, upset stomach, throwing up, red swollen neck on same side as the injection.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Uncontrollable shivering, headache, upset stomach, throwing up, red swollen neck on same side as the injection.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling face
Clinical narrative: PT reported left side of her face around the eye area (sinuses) was swollen the next morning and took aout 12 hours to go away.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Immediate post-injection reaction, Lethargy
Clinical narrative: Immediate headache, 101 fever, chills, profuse sweating, lethargy.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Immediate headache, 101 fever, chills, profuse sweating, lethargy.
Age: 55.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Chills, Fatigue, Heart rate increased
Clinical narrative: Fast heartbeat for about 15 minutes, chills/shivering for about 10 minutes, and fatigue after that lasting the rest of the evening.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Pain of skin
Clinical narrative: Patient said his skin on his entire torso and back "hurts". Also, he mentioned that the back of both upper arms he is experiencing a burning sensation.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Myalgia
Clinical narrative: Pt. reports fatigue, headache, chills, nausea, decreased appetite, and generalized muscle pain.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Nausea
Clinical narrative: Pt. reports fatigue, headache, chills, nausea, decreased appetite, and generalized muscle pain.
Age: 35.0
Sex: M
Vaccine: FLUC4
Symptoms: Eye movement disorder, Immediate post-injection reaction, Vomiting
Clinical narrative: Pt was pale and little nervous before the shot. Immediately after the shot, patient shows facial twisting, (2 to3 times), rolling his eyes ( 2 to 3 times ), at times close his eyes, all lasting about 1 minute. He wants to lay down but no enough room on the bench, I told him to just sit up right and take a couple  deep breath. I also gave him 2 oz of water, then he asked for a garbage bin, full on vomitting  into the garbage bin. I told him just sit for 10 to 15 mins, gave him another 2 oz of water to just gargle his mouth. He eventually feel better and talk more to his wife ( all along his wife was watching, don't seem too concerned). I told him to just get up slowly, take a couple steps just to make sure he is fine, and go use the washroom (which is right by us) and he did walk into the washroom and come out . He seem fine as he leave the pharmacy. The entire event last about 20 mins.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Blood pressure increased, Dizziness, Flushing, Heart rate increased
Clinical narrative: Patient given injection, left pharmacy area to return about 20-30 minutes later complaining of flushing, and severe dizziness. NO complaints of rash, itching, swelling, wheezing. Patient heart rate and blood pressure was elevated. Patient was very anxious about possibility of allergic reaction and was given oral benadryl. Continued to monitor, patient had another bout with flushing, severe dizziness and complained that her tongue felt funny. We then called 911. 911 monitored and evaluated patient. Patient eventually calmed and left along with her husband with instructions from 911 that if situation changed for the worse to proceed to ER.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia oral
Clinical narrative: Patient given injection, left pharmacy area to return about 20-30 minutes later complaining of flushing, and severe dizziness. NO complaints of rash, itching, swelling, wheezing. Patient heart rate and blood pressure was elevated. Patient was very anxious about possibility of allergic reaction and was given oral benadryl. Continued to monitor, patient had another bout with flushing, severe dizziness and complained that her tongue felt funny. We then called 911. 911 monitored and evaluated patient. Patient eventually calmed and left along with her husband with instructions from 911 that if situation changed for the worse to proceed to ER.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, RV1
Symptoms: Blood test normal, Body temperature decreased, Facial paralysis, Heart rate increased, Hypotonia
Clinical narrative: Low body temp, high pulse, signs of stroke (droopy face). 3 days in hospital monitored for seizures      (no seizure activity found). Spinal tap performed and blood tests ran- All results came back negative. Severe loss of muscle tone- still in physical therapy to this date.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, RV1
Symptoms: Lumbar puncture normal
Clinical narrative: Low body temp, high pulse, signs of stroke (droopy face). 3 days in hospital monitored for seizures      (no seizure activity found). Spinal tap performed and blood tests ran- All results came back negative. Severe loss of muscle tone- still in physical therapy to this date.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever 99.7-100.5, chills, headache, aches.
Age: 76.0
Sex: F
Vaccine: FLUA3
Symptoms: Rash generalised, Rash pruritic, Rash vesicular
Clinical narrative: Patient says she got rash that's itchy on the legs the next morning, then it eventually spread to whole body rash that is itchy, and some were blistering. It went away by itself after around 4 days. She contacted the doctor and doctor said to see him if it gets worse, but it got better until it self resolved.
Age: 84.0
Sex: F
Vaccine: FLUR4
Symptoms: Contusion, Erythema, Joint deposit
Clinical narrative: Deposit developed at elbow on back side night after vaccine was received, bruising and redness on arm but not at injection site.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: Extreme shoulder pain affecting range of motion.
Age: 39.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Bone pain, Pain in extremity, Peripheral swelling, Urticaria
Clinical narrative: Patient stated pain upon initial administration of PNEUMOVAX, not with AFLURIA QUAD which was administered first. She called 1.5 days later complaining of pain all over right arm. Was instructed to take Tylenol and try applying heat and cold had already been tried with no success. Patient went to urgent care as arm had started to swell and felt like her bones were being crushed. She was prescribed acetaminophen 500, diphenhydramine 50, and methocarbamol 500. Patient then started developing large silver dollar sized hives all over body as well as swelling in extremities. Advised patient to double up on diphenhydramine and visit emergency room for possible steroid injection or further treatment and observation.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient reports on Monday evening 9-16-2018 around dinnertime that she started to experience nausea/vomiting/diarrhea and low grade fever x 3 days.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Choking, Dyspnoea, Pharyngeal oedema
Clinical narrative: Difficulty breathing, throat swelling, choking, very anxious.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Influenza like illness, Pyrexia
Clinical narrative: Pt received vaccine on 09/20/2018. On 9/21 pt woke up with a fever of 101. She had very bad chills, with dizziness, (flu like symptoms).
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient came into pharmacy 9/22/2018 with an area stretching from injection site to elbow on left arm that was red and itchy. This was the second day she has this reaction. Informed her to use hydrocortisone for itchiness, ice, NSAIDs/APAP if applicable. Local reactions like this commonly reported and can last up to 7 days. Informed her if still there or gets worse in 7 days, please report back and see doctor.
Age: 22.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Pt's girlfriend reported at time of flu shot whole body hives after he received flu shot last year on 9/28/17 but pt. did not report to pharmacy until his girlfriend told us this year. Pt. took BENADRYL for it.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Nausea, Pain, Vomiting
Clinical narrative: Severe abdominal pain. Nausea/vomiting. Severe left side body pain.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Pt reported itchy feeling at injection site, swelling, and hives. She took antihistamines and symptoms improved next morning.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 73.0
Sex: M
Vaccine: FLUA3, FLUA3
Symptoms: Asthenia, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal disorder, Pain
Clinical narrative: Four hours after the shot my left upper arm started becoming sore, by six hours after it was exceedingly painful to move, by 9 hours after the shot my arm could not be moved at all due to the severe pain. Tried taking two ADVIL then two more four hours later, but seemed to have little effect. After the first overnight the arm could be moved a little but not lifted above mid-chest. Now, 8 days later there is still a lot of pain when raising the arm. Definitely still not full mobile.
Age: 73.0
Sex: M
Vaccine: FLUA3, FLUA3
Symptoms: Tenderness
Clinical narrative: Four hours after the shot my left upper arm started becoming sore, by six hours after it was exceedingly painful to move, by 9 hours after the shot my arm could not be moved at all due to the severe pain. Tried taking two ADVIL then two more four hours later, but seemed to have little effect. After the first overnight the arm could be moved a little but not lifted above mid-chest. Now, 8 days later there is still a lot of pain when raising the arm. Definitely still not full mobile.
Age: 73.0
Sex: M
Vaccine: FLUA3, FLUA3
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity, Poor quality drug administered
Clinical narrative: Four hours after the shot my left upper arm started becoming sore, by six hours after it was exceedingly painful to move, by 9 hours after the shot my arm could not be moved at all due to the severe pain. Tried taking two ADVIL then two more four hours later, but seemed to have little effect. After the first overnight the arm could be moved a little but not lifted above mid-chest. Now, 8 days later there is still a lot of pain when raising the arm. Definitely still not full mobile.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Autoimmune disorder, Blood test, Laboratory test, Mitochondrial cytopathy, Nervous system disorder
Clinical narrative: Brain inflammation, mitochondrial dysfunction, autoimmune and neurological damage.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Noninfective encephalitis
Clinical narrative: Brain inflammation, mitochondrial dysfunction, autoimmune and neurological damage.
Age: 54.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Decreased appetite, Fatigue, Headache, Lethargy, Myalgia
Clinical narrative: Headache, muscle aches, exhaustion, lethargy, loss of appetite.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Arthralgia, Back pain, Diarrhoea, Headache, Neck pain
Clinical narrative: Diarrhea that started 4 days after vaccine, lasting 6 days then HA and neck pain starting 10 days after vaccine and neck pain and HA continued and lower back pain and knee joint pain started on day 11 after vaccine. Mom had tried TYLENOL and Ibuprofen with no improvement, seen in the PCP office and sent to the ED at Hospital for further evaluation.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Urine analysis normal
Clinical narrative: Diarrhea that started 4 days after vaccine, lasting 6 days then HA and neck pain starting 10 days after vaccine and neck pain and HA continued and lower back pain and knee joint pain started on day 11 after vaccine. Mom had tried TYLENOL and Ibuprofen with no improvement, seen in the PCP office and sent to the ED at Hospital for further evaluation.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Laboratory test normal, Migraine, Mobility decreased, Myalgia
Clinical narrative: Fever 100 degrees. Extreme muscle aches. Extreme joint pain. Blister on roof of mouth at back (it popped) yesterday... nausea/vomiting. Migraine headache for three days. Most significantly I was flat on my back for three days, could not move. I wish I had fully appreciated that there was a warning that I wouldn't be able to resume "normal activities" for three days. I literally was immobile.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Oral mucosal blistering, Pyrexia, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Fever 100 degrees. Extreme muscle aches. Extreme joint pain. Blister on roof of mouth at back (it popped) yesterday... nausea/vomiting. Migraine headache for three days. Most significantly I was flat on my back for three days, could not move. I wish I had fully appreciated that there was a warning that I wouldn't be able to resume "normal activities" for three days. I literally was immobile.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Fever 100 degrees. Extreme muscle aches. Extreme joint pain. Blister on roof of mouth at back (it popped) yesterday... nausea/vomiting. Migraine headache for three days. Most significantly I was flat on my back for three days, could not move. I wish I had fully appreciated that there was a warning that I wouldn't be able to resume "normal activities" for three days. I literally was immobile.
Age: 63.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Heart rate increased, Injection site pain
Clinical narrative: Starting at 11:30 pm, 9-22-2018: Fatigue, rapid heart rate, shortness of breath, tightness in chest, nausea, muscle pain where vaccines were administered, pain in both shins.