chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient is unsure about getting second vaccine and will talk to primary care before getting but she showed pharmacist photo of the vaccine site and it was extreamly red and swollen and brusing also present - more so than normal vacccine reaction site- Patient works at a doctor office and their MD (not her primary care) glanced at it when it occured and stated it looked like a cellilutis reaction due to infection at the site.  went away after 3 days though
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: cUSTOMER CAM INFOR VACCINES. aFTER ADMINISTERED CUSTOMER FELT FINE. wHEN GETTING UP CUSTOMER FAINTED I THEN CAUGHT HER. sHE HAD NO INJURIES AND EMS CHECKED HER OUT. CUSTOMER WAS FINE GOT UP AND LEFT. , Other Vaccines:  VaccineTypeBrand: BOOSTRIX; Manufacturer: GSK; LotNumber: 39LB7; Route: IM; BodySite: LEFT DELTOID; Dose: 1; VaxDate: 03/23/2025
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Injection site pain, Muscle spasms
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: muscle was spasming in right arm
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Medium, Other Vaccines:  VaccineTypeBrand: prevnar 20; Manufacturer: pfizer; LotNumber: lx4483; Route: im; BodySite: right detoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: fluzone trivalent 2024-2025; Manufacturer: sanofi; LotNumber: UT8485LA; Route: IM; BodySite: left detoid; Dose: ; VaxDate: UNKNOWN
Age: 64.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 60.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Additional Details: Unknown what medication was given in the ER -- pt did get medrol dosepak filled from pharmacy after ER visit
Age: 59.0
Sex: F
Vaccine: PNC21
Symptoms: Dermatitis allergic, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: area swollen and red, hot to the touch. Counselled to ice and start benadryl and discuss with dr if any further issues.
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt lightheaded/dizzy after receiving the vaccine. She felt faint but she was response and communicating with me the whole time. I offered to call 911 multiple times but patient insisted that she did not want us to call 911. She wanted to lie down for a few minutes. After a few minutes, she had some water and a granola bar and she felt better. I advised her to stay seated for a few more minutes which she did. She had indicated "no" on the fainting question on the consent form.
Age: 67.0
Sex: F
Vaccine: PNC21
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site pain, Lethargy
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Joint Pain-Medium, Additional Details: Patient presented back to the pharmacy 5 days after innoculation with Capvaxive with pain in shoulder and a 4 inch rash down her arm. I suggested she see her provider and take benadryl for the rash and advil/tylenol for the pain, Other Vaccines:  VaccineTypeBrand: Shingles- Shingrix; Manufacturer: Glaxosmithkline; LotNumber: 55th4; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 02/28/2025
Age: 67.0
Sex: F
Vaccine: PNC21
Symptoms: Rash
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Joint Pain-Medium, Additional Details: Patient presented back to the pharmacy 5 days after innoculation with Capvaxive with pain in shoulder and a 4 inch rash down her arm. I suggested she see her provider and take benadryl for the rash and advil/tylenol for the pain, Other Vaccines:  VaccineTypeBrand: Shingles- Shingrix; Manufacturer: Glaxosmithkline; LotNumber: 55th4; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 02/28/2025
Age: 40.0
Sex: F
Vaccine: FLU4, FLU3
Symptoms: Hypoaesthesia, Injection site bruising, Injection site erythema, Injection site haemorrhage, Injection site hypoaesthesia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient noticed excessive bleeding and numbness in the area, Other Vaccines:  VaccineTypeBrand: Fluzone; Manufacturer: sanofi; LotNumber: u8518ca; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
Age: 40.0
Sex: F
Vaccine: FLU4, FLU3
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient noticed excessive bleeding and numbness in the area, Other Vaccines:  VaccineTypeBrand: Fluzone; Manufacturer: sanofi; LotNumber: u8518ca; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
Age: 40.0
Sex: F
Vaccine: FLU4, FLU3
Symptoms: Hypoaesthesia, Injection site bruising, Injection site haemorrhage, Injection site hypoaesthesia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient noticed excessive bleeding and numbness in the area, Other Vaccines:  VaccineTypeBrand: Fluzone; Manufacturer: sanofi; LotNumber: u8518ca; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
Age: 49.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Flushing, Hyperhidrosis, Injection site bruising, Injection site erythema
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Mild, Systemic: Nausea-Mild
Age: 49.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site pain, Injection site swelling, Nausea
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Mild, Systemic: Nausea-Mild
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Additional Details: pt reports months later she just feels tender and still feels the spot and on occasion it still bothers her at the site of injection
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Hypoaesthesia, Hyporesponsive to stimuli, Muscular weakness, Speech disorder
Clinical narrative: Systemic: MUSCLE WEAKNESS, NUMBNESS OF ARMS-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Weakness-Severe, Additional Details: NUMBNESS OF ARM. WAS ABLE TO SIP WATER AND BREATH NORMALLY THROUGH NOSE. HAVING HARD TIME TO TALK. WAS CONSCIOUS AND ANSWERED SLOWLY. PT WAS ON WHEELCHAIR WHEN CAME IN BUT SHE WAS ABLE TO WALK TO VACCINE ROOM
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Peripheral swelling
Clinical narrative: Site: Swelling at Injection Site-Mild, Additional Details: patient had a swelling in arm. had patient wait for 20-25 minutes and ice the site. patient said the site recovered by time he got home (called at 5pm and got shot around noon)
Age: 35.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient called 3/26/2025 complaining that her injection arm was still swollen, red, hot and burning sensation that started later in the day after receiving her vaccine and has continued for 5 days so far and seems to be getting worse with no relief. She is following up with urgent care or her physician.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood disorder, Deep vein thrombosis, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Additional Details: dvt, Other Vaccines:  VaccineTypeBrand: abrysvo; Manufacturer: pfizer; LotNumber: kd0161; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
Age: 54.0
Sex: M
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
Age: 50.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Confusional state, Dizziness, Dyspnoea, Headache
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Other Vaccines:  VaccineTypeBrand: Boostrix; Manufacturer: Glaxosmith; LotNumber: Dy3K7; Route: im; BodySite: LEFT; Dose: 1; VaxDate: 03/26/2025, VaccineTypeBrand: Heplisav b; Manufacturer: Zb Dynavax; LotNumber: 945659; Route: im; BodySite: Right; Dose: 1; VaxDate: 03/26/2025, VaccineTypeBrand: Flucevax; Manufacturer: Zb Sequirus; LotNumber: 946636; Route: im; BodySite: Right; Dose: 1; VaxDate: 03/26/2025
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Other Vaccines:  VaccineTypeBrand: Boostrix; Manufacturer: Glaxosmith; LotNumber: Dy3K7; Route: im; BodySite: LEFT; Dose: 1; VaxDate: 03/26/2025, VaccineTypeBrand: Heplisav b; Manufacturer: Zb Dynavax; LotNumber: 945659; Route: im; BodySite: Right; Dose: 1; VaxDate: 03/26/2025, VaccineTypeBrand: Flucevax; Manufacturer: Zb Sequirus; LotNumber: 946636; Route: im; BodySite: Right; Dose: 1; VaxDate: 03/26/2025
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Dehydration, Fatigue, Influenza like illness, Lethargy
Clinical narrative: Systemic: Exhaustion / Lethargy-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: Mom of pt called complaining that pt had severe nausea/ vomiting and flu like symptoms.  Unable to keep down food/ liquids and so dehydrated and pt is a diabetic so had to end up going to the hospital
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Vomiting
Clinical narrative: Systemic: Exhaustion / Lethargy-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: Mom of pt called complaining that pt had severe nausea/ vomiting and flu like symptoms.  Unable to keep down food/ liquids and so dehydrated and pt is a diabetic so had to end up going to the hospital
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient experienced pain, redness and edema of right arm (down to elbow).  The arm was also hard to the touch.  , Other Vaccines:  VaccineTypeBrand: pneumo conjugate (Prevnar 20); Manufacturer: Pfizer; LotNumber: LJ5284; Route: intramuscular; BodySite: arm, side unknown; Dose: ; VaxDate: UNKNOWN
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient experienced pain, redness and edema of right arm (down to elbow).  The arm was also hard to the touch.  , Other Vaccines:  VaccineTypeBrand: pneumo conjugate (Prevnar 20); Manufacturer: Pfizer; LotNumber: LJ5284; Route: intramuscular; BodySite: arm, side unknown; Dose: ; VaxDate: UNKNOWN
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines:  VaccineTypeBrand: twinrx; Manufacturer: ; LotNumber: m4b34; Route: IM; BodySite: left delt; Dose: 1; VaxDate: 03/02/2025, VaccineTypeBrand: prevnar20; Manufacturer: ; LotNumber: lx2497; Route: IM; BodySite: right delt; Dose: 1; VaxDate: 03/02/2025
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Fear, Hallucination, Injection site pain, Insomnia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: hallucinations-Medium, Additional Details: patient stated he experienced hallucinations after receiving the vaccine- the vaccine was given 3-26-25 12:41pm and patient started hallucinations from 2am to 5am the next morning. He stated that they were very severe and he could not sleep and was terrified. Patient came in today 3-28-25 and stated that the hallucinations went away and only lasted for 3-4 hours and he was able to sleep last night 3-27-25.
Age: 77.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Wrong product administered
Clinical narrative: Pt given pentacel in error
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: About 3-4 weeks after Moderna booster for Covid,( J&J done in 2021 with no issues, I developed severe left ear tinnitus and moderate right ear tinnitus. It is acute and doesn?t ease up.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given 1 month expired vaccine. Scheduled for revaccination.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered expired vaccine (5 days). Provider will decide whether to revaccinate
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered 5 day expired vaccine. Revaccination to be determined by provider
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Euphoric mood, Fatigue, Flushing, Injection site discomfort
Clinical narrative: WAITED FOR 15 MINUTES IN CAR. RETURNED TO CLINIC SINCE EXPERIENCING SHORTNESS OF BREATH, FLUSHED FACE, FEELING LIKE HIGH. STATED ARM WITH VACCINATION FEELING TIGHT FROM INJECTION SITE TO FOREARM.  HAD CLIENT DRINK FLUID. OFFERED BENADRYL. DECLINED. BLOOD PRESSURE, PULSE, AND O2 SATS MONITORED FOR ABOUT 30 MINUTES. HAD CLIENT RECLINE AND REST IN A CHAIR IN ROOM. REASSURED.  ENCOURAGED TO SEE PCP OR GO TO URGENT CARE IF CONTINUE TO EXPERIENCE SYMPTOMS.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: WAITED FOR 15 MINUTES IN CAR. RETURNED TO CLINIC SINCE EXPERIENCING SHORTNESS OF BREATH, FLUSHED FACE, FEELING LIKE HIGH. STATED ARM WITH VACCINATION FEELING TIGHT FROM INJECTION SITE TO FOREARM.  HAD CLIENT DRINK FLUID. OFFERED BENADRYL. DECLINED. BLOOD PRESSURE, PULSE, AND O2 SATS MONITORED FOR ABOUT 30 MINUTES. HAD CLIENT RECLINE AND REST IN A CHAIR IN ROOM. REASSURED.  ENCOURAGED TO SEE PCP OR GO TO URGENT CARE IF CONTINUE TO EXPERIENCE SYMPTOMS.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered expired vaccine. Scheduled for revaccination
Age: 31.0
Sex: M
Vaccine: VARZOS
Symptoms: Wrong product administered
Clinical narrative: Incorrect vaccine administration
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine. Will revaccinate,
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV5
Symptoms: Eye movement disorder, Lethargy, Nausea, Somnolence, Vomiting projectile
Clinical narrative: She received four vaccinations at her six-month appointment, including the rotavirus vaccine, Pediarix (a combination of tetanus, hepatitis B, and polio), Hib for haemophilus influenza type B, and Prevnar for strep pneumo. Approximately four to five hours post-vaccination, she became lethargic, with her eyes rolling back and difficulty waking up, and experienced projectile vomiting. These symptoms persisted until about eight to twelve hours after the vaccinations. She was taken to the emergency room, where she received Zofran for nausea, and the vomiting subsided by the evening. There was no recollection of fever or diarrhea accompanying the vomiting, and she did not require IV fluids. The caregiver could not recall if she had a fever during the reaction, although she typically runs a low-grade fever after vaccinations.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine. Will reschedule for repeat dose.
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. (5 days expired) Provider to determine revaccination.
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given 5 day expired vaccine. Provider to determine revaccination
Age: 10.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient med record reviewed,  mom reports having additional documentation not presented. Vaccine dose given too soon. No adverse reaction noted. Discussed with mom to monitor for any adverse effects and follow up.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine. Revaccination scheduled
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine. Revaccination scheduled
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine. (7 days) Recommend revaccination.
Age: 8.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Not sufficient time between dose. No apparent Rx noted. immunization record reviewed, mom reports having additional documents not turned in for review. Dose administered and upon follow up noted patient already received the vaccine previously. Denies any symptoms at time of visit. Discussed with Mom. No treatment required at this time.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth, Rash, Rash papular, Skin warm
Clinical narrative: The day after the shot he had a red, warm area the size of a  baseball at the injection site. He also had a "rash" raised, warm area on his upper left chest area.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received expired vaccine. Provider to determine revaccination.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Photophobia, Pyrexia
Clinical narrative: Sensitive to light, fever, chills, body aches, headache
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: The vaccine was administered IM vs SQ
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Disturbance in attention, Pruritus, Rash, Skin irritation, Urticaria
Clinical narrative: Mother reports that student developed what appeared to be urticaria on the patient's arms the morning after the vaccine. Mother reports that student is consistently itching and complaining of irritation. School nurse contacted mother today because patient could not focus in class. Mother still reports that the rash is spreading. denies rash on face. denies SOB. denies facial swelling, trouble swallowing, or swelling of the tongue. denies nausea, diarrhea, or vomiting. mother reports that student was given "ointment" at school but was unaware. School nurse confirms urticaria and denies patient receiving ointment at school.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity
Clinical narrative: Per patient, she had pocking pain in her right arm and it shoots down all the way to fingers. She also stated, she can not raise her arm above 90 degrees due to lack of range of motion. She was referred to see her doctor.
Age: 32.0
Sex: F
Vaccine: HEPA
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No harm to the patient
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Blood pressure increased, Fear of injection, Heart rate increased, Hypotonia, Nervousness
Clinical narrative: approximately 5 minutes after vaccine administration, patient went limp but was alert. father picked him up and took him to an exam room where he was placed in trendelenburg position, remained awake, vitals measured - elevated BP and HR and pt stated he was nervous and doesn't like shots. monitored for at least a half hour and remained stable. vitals returned to normal. he asked for a snack and granola bar was given to him. he left clinic and felt normal.
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received MMRV instead of MMR.  No adverse reaction observed after vaccine administration. No treatment, patient to be monitored for febrile seizure.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Bacterial test negative, Headache, Neck pain, Pain, Respiratory symptom
Clinical narrative: Soreness, headache, neck pain, URI symptoms
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Viral test negative
Clinical narrative: Soreness, headache, neck pain, URI symptoms
Age: 31.0
Sex: M
Vaccine: HEPAB, HPV9, MNQ
Symptoms: Syncope
Clinical narrative: PATIENT FAINTED AFTER RECEIVING THE ABOVE VACCINES
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Blood glucose normal, Fatigue, Hypotonia, Tremor
Clinical narrative: Approximately 2-3 minutes after administration, patient stood up off exam table next to father. While speaking with father, she stated to him that she felt tired. Per father, patient then started shaking and went limp in his arms. He lifted her to lay her on the exam table and called for help. Clinic nurses responded and paged via the clinic overhead page for Stat evaluation. On arrival to exam room, patient was alert, completely oriented, laying on exam table with legs elevated. Initial vitals at 4:26pm, BP 110/64, HR 59, O2 96%, blood glucose 94mg/dL. She was able to recall all events leading up to event and moments after, matching her father's description. She was monitored for an additional 20 minutes in total. Repeat vitals at 4:33pm were BP 101/68, H 89, O2 100% while she was sat upright on the exam table. She was given sips of water and orange slices by her father under supervision and tolerated without concerns. Patient was monitored while standing and walking around clinic without any symptoms recurring. She was consistently able to state her full name, date of birth and history of events with no dizziness or unstable gait. Patient was discharged home with father.
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Urticaria
Clinical narrative: Hives on thighs began morning of 3/27/25. Spread to torso 3/29, tops of hands and toes 3/30, cheeks 3/31.
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Anxiety, Panic attack
Clinical narrative: acute complication or sequalae .  Patient was non-verbal and hearing impaired. After receiving vaccine, caregiver translated that she would have to wait for 15 minutes to monitor post vaccine observation. Patient began having anxiety and in the waiting area and escalated to a panic attack as deemed by the care giver. She did not show signs of allergic reaction but the caregiver wanted to administer children's liquid Benadryl that they use at home with she has a panic attack. She seemed to relax a little and in a few minutes her anxiety returned and the store manager called 911 .  Still no signs of an allergic reaction, the caregiver and mom on the phone wanted to administer her Epi-Pen that she filled at the pharmacy.  The caregiver administered the epi-pen which intensified the anxiety as paramedics arrived. Upon observation, Paramedics determined that it was NOT and allergic reaction to the vaccine but decided to take patient to hospital for observation.  The Pharmacist later called to check on the patient and the mother reported that she was home and fine without any concerns, The pharmacist also followed up today 03/31/25 and the mother again reported no concerns and patent was fine.  Our pharmacy supervisor requested that we report this as " acute complication or sequalae".
Age: 64.0
Sex: M
Vaccine: MMR
Symptoms: Injection site pain, Muscle spasms, Product preparation issue
Clinical narrative: Patient only receive diluent and cause patients arm to spasm and had muscle pain at injection site for about 36 hours
Age: 2.0
Sex: F
Vaccine: MMR
Symptoms: Immune thrombocytopenia, Platelet count decreased
Clinical narrative: ITP
Age: 55.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling , redness at the injection arm with irregular borders, Pt states it is progressve spreading or worsening.
Age: 52.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Induration, Mass, Pain, Pruritus
Clinical narrative: patient states on day 2 to 3 there was lump and itchy size of dim; day 5 bump raised hard painful bump no response to antihistamine and ice. next day ( 6) doubled in size. edges are red and swelling. after 2 doses of antibiotic bump fading
Age: 52.0
Sex: F
Vaccine: PNC20
Symptoms: Swelling
Clinical narrative: patient states on day 2 to 3 there was lump and itchy size of dim; day 5 bump raised hard painful bump no response to antihistamine and ice. next day ( 6) doubled in size. edges are red and swelling. after 2 doses of antibiotic bump fading
Age: 54.0
Sex: M
Vaccine: MMR
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: patient was vaccinated with priorix  on 3/29/25 by intramuscular route. I checked up on him on 3/31/25 and he was fine. He said he did not experience any adverse effects other the usual ones from his previous vaccinations.
Age: 25.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Itching and redness at injection site started today at 3pm and reported immediately to pharmacist.  Patient applied hydrocortisone cream at injection site and that has minimized the itching.  Patient did indicate she has been using fragranced soaps-- applied an exfoliator as well as a new lotion at the same site of reaction.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle swelling, Myalgia, Myosclerosis
Clinical narrative: Patient called today and reports she has developed a lump in her muscle that she describes "as a sausage that is hard as a rock" that expands expands across her neck, down her shoulder and on her arm on the right side of her body. She says it is swollen and painful.  Patient reports she has been experiencing this for about a month. Patient reports that she has seen 5 different providers and they are not sure what it is. One provider has suggested she get a procedure done.
Age: 36.0
Sex: F
Vaccine: HEPA
Symptoms: Arthralgia, Shoulder injury related to vaccine administration
Clinical narrative: Shoulder injury related to vaccine administration.  Ongoing left shoulder pain, not improving after several months.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after the BUD (Beyond use date)
Age: 0.5
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV5
Symptoms: Febrile convulsion, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: 16 hours after the vaccines, the next day, 8:30 am patient had 45 second seizure.  Went to the ED and she had a fever 102deg.  Otherwise was not ill.  Recovered quickly.  Diagnosed with febrile seizure.  Already followed by neurology due to history of another similar seizure 6 weeks prior.  EEG normal.  Neurology does not want to start medication.  patient fully recovered
Age: 3.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site cellulitis, Injection site pain, Injection site swelling, Injection site warmth, Magnetic resonance imaging joint
Clinical narrative: Acute worsening of right upper arm swelling, warmth, and pain. Admitted to the hospital with right upper arm cellulitis requiring IV antibiotics and MRI imaging to r/o septic arthritis.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Bell's palsy, Biopsy thyroid gland, Brain fog, Central nervous system lesion
Clinical narrative: TINNITIS, BUZZING IN EAR, HEARING LOSS, VASCULITIS, BELL'S PALSY, PERIPHERAL VISION DISTURBANCE, BRAIN LESIONS,VESTIBULAR DISEASE, NMO,SUSAC SYNDROME, STROKE, BALANCE ISSUEAS, VERTIGO, 3RD CRANIAL NERVE PALSY, BRAIN FOG, THYROID NODULES, EAR TUBE PLACEMENT, TRIGGER FINGER INJECTIONS, TRIGGER FINGER EMERGENCY SURGERIES, THYROID BIOPSIES, HOSPITALIZATIONS, IVIG TREATMENTS, HOSPITALIZATION STROKE, ETC
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Deafness, Ear tube insertion, IIIrd nerve paralysis, Immunoglobulin therapy
Clinical narrative: TINNITIS, BUZZING IN EAR, HEARING LOSS, VASCULITIS, BELL'S PALSY, PERIPHERAL VISION DISTURBANCE, BRAIN LESIONS,VESTIBULAR DISEASE, NMO,SUSAC SYNDROME, STROKE, BALANCE ISSUEAS, VERTIGO, 3RD CRANIAL NERVE PALSY, BRAIN FOG, THYROID NODULES, EAR TUBE PLACEMENT, TRIGGER FINGER INJECTIONS, TRIGGER FINGER EMERGENCY SURGERIES, THYROID BIOPSIES, HOSPITALIZATIONS, IVIG TREATMENTS, HOSPITALIZATION STROKE, ETC
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Neuromyelitis optica spectrum disorder, Susac's syndrome, Tenolysis, Thyroid mass
Clinical narrative: TINNITIS, BUZZING IN EAR, HEARING LOSS, VASCULITIS, BELL'S PALSY, PERIPHERAL VISION DISTURBANCE, BRAIN LESIONS,VESTIBULAR DISEASE, NMO,SUSAC SYNDROME, STROKE, BALANCE ISSUEAS, VERTIGO, 3RD CRANIAL NERVE PALSY, BRAIN FOG, THYROID NODULES, EAR TUBE PLACEMENT, TRIGGER FINGER INJECTIONS, TRIGGER FINGER EMERGENCY SURGERIES, THYROID BIOPSIES, HOSPITALIZATIONS, IVIG TREATMENTS, HOSPITALIZATION STROKE, ETC
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus, Trigger finger, Vasculitis, Vertigo, Vestibular disorder
Clinical narrative: TINNITIS, BUZZING IN EAR, HEARING LOSS, VASCULITIS, BELL'S PALSY, PERIPHERAL VISION DISTURBANCE, BRAIN LESIONS,VESTIBULAR DISEASE, NMO,SUSAC SYNDROME, STROKE, BALANCE ISSUEAS, VERTIGO, 3RD CRANIAL NERVE PALSY, BRAIN FOG, THYROID NODULES, EAR TUBE PLACEMENT, TRIGGER FINGER INJECTIONS, TRIGGER FINGER EMERGENCY SURGERIES, THYROID BIOPSIES, HOSPITALIZATIONS, IVIG TREATMENTS, HOSPITALIZATION STROKE, ETC
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual field defect
Clinical narrative: TINNITIS, BUZZING IN EAR, HEARING LOSS, VASCULITIS, BELL'S PALSY, PERIPHERAL VISION DISTURBANCE, BRAIN LESIONS,VESTIBULAR DISEASE, NMO,SUSAC SYNDROME, STROKE, BALANCE ISSUEAS, VERTIGO, 3RD CRANIAL NERVE PALSY, BRAIN FOG, THYROID NODULES, EAR TUBE PLACEMENT, TRIGGER FINGER INJECTIONS, TRIGGER FINGER EMERGENCY SURGERIES, THYROID BIOPSIES, HOSPITALIZATIONS, IVIG TREATMENTS, HOSPITALIZATION STROKE, ETC
Age: 53.0
Sex: F
Vaccine: PNC21, VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient said next day after she noticed arm was warm to touch and had a rectangular red area 3 in by 2 in seems to be growing, she did take ibuprofen and tylenol and did put a cool compress on site. She reported to pharmacist on 3-31-25 at approximately 6:00pm she feels she may have cellulitis she is following up with her physician on 4-1-25
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Catheterisation cardiac, Electrocardiogram, Fatigue, Sleep study
Clinical narrative: This was 4th COVID shot, all Moderna:  1/11/21 (027L20A), 2/10/21, (024M20A), 10/31/21 (058F31A), and 5/6/22 (057M21A).  Starting mid summer 2024, began feeling significantly  greater fatigue during mild-to-moderate exercise than usual.  This has continued to present.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: This was 4th COVID shot, all Moderna:  1/11/21 (027L20A), 2/10/21, (024M20A), 10/31/21 (058F31A), and 5/6/22 (057M21A).  Starting mid summer 2024, began feeling significantly  greater fatigue during mild-to-moderate exercise than usual.  This has continued to present.
Age: 61.0
Sex: M
Vaccine: TYP
Symptoms: Ear pain, Pain in jaw
Clinical narrative: Patient is experiencing jaw pain and some ear pain following taking the first dowse of oral vivotif.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Erythema
Clinical narrative: Patient has 3.5 x 3.5" redness.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Allergy test negative, Choking, Quality of life decreased, Skin test negative, Sleep disorder
Clinical narrative: I don?t have the exact flu shot on hand, it?s in my work record. Just not accessible at this time. Can provide at later date.Within one week of receiving the influenza vaccine, I began experiencing sudden episodes of choking and a sensation of throat constriction, particularly at night while lying on my back.  The feeling is intense and causes me to forcibly swallow and reposition my throat to regain normal breathing.  These symptoms have persisted for over 8 years and have significantly affected my sleep, stress levels, and quality of life.  Multiple ENT evaluations, allergy tests (both skin and blood), and sleep studies have failed to identify a mechanical cause.  No nasal polyps or sleep apnea were found. Sinus surgery was suggested without confidence of resolution.  No other changes in lifestyle, medication, or exposure occurred around the time of the vaccine.  This event remains unexplained by conventional testing and has not resolved since onset.
Age: 29.0
Sex: M
Vaccine: FLU3
Symptoms: Sleep study normal, Stress, Suffocation feeling, Throat clearing, Throat tightness
Clinical narrative: I don?t have the exact flu shot on hand, it?s in my work record. Just not accessible at this time. Can provide at later date.Within one week of receiving the influenza vaccine, I began experiencing sudden episodes of choking and a sensation of throat constriction, particularly at night while lying on my back.  The feeling is intense and causes me to forcibly swallow and reposition my throat to regain normal breathing.  These symptoms have persisted for over 8 years and have significantly affected my sleep, stress levels, and quality of life.  Multiple ENT evaluations, allergy tests (both skin and blood), and sleep studies have failed to identify a mechanical cause.  No nasal polyps or sleep apnea were found. Sinus surgery was suggested without confidence of resolution.  No other changes in lifestyle, medication, or exposure occurred around the time of the vaccine.  This event remains unexplained by conventional testing and has not resolved since onset.
Age: 1.08
Sex: F
Vaccine: MMRV
Symptoms: Pyrexia, Rash papular, Rhinorrhoea
Clinical narrative: Fever, runny nose, and raised rash. Child experienced symptoms over the course of a week.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: Reported Symptoms: 10024570:LIP SWELLING; Narrative: A 69 yo female whose PMH included sleep apnea, lipoma, chronic headache, memory impairment, chronic PTSD, DM, Chronic back pain, HTN, OA of knee, IBS, exposure to potentially hazardous substance, venous insufficiency of leg and asthma. On December 3, 2024, PCC physician reported the patient had a historical ADR of trivalent PF Influenza vaccine induced lower lip swelling for which she sought a non facility Emergency Room visit and received IV BENADRYL, famotidine and solumedrol treatment. No swelling of tongue and patient oropharynx with no difficulty breathing were documented per Dec 3, record summary. The patient was discharged with three days supply of oral prednisone, famotidine and benadryl. Other Relevant HX: Other: LIP SWELLING
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Hypersensitivity, Malaise, Tremor
Clinical narrative: Reported Symptoms: 10008531:CHILLS; 10013963:DYSPNEA; 10025482:MALAISE; Narrative: Per ADR entry: "Patient reports an allergic reaction to COVID-vaccine. Shaky slightly short of breath malaise and felt better after taking Benadryl and meloxicam." Patient reached out via secure messaging as noted 1/24/2025, "I had some kind of allergic reaction to the covid shot. it didn't happen until around 4am, so a 12 hour delay...I say allergic reaction because after about an hour and a half of this I took one Loratadine pill. it seemed to make it all go away." Other Relevant HX: Other chills, malaise, dyspnea
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Reported Symptoms: 10027091:MEDICATION ERROR; 10064366: EXTRA DOSE ADMINISTERED; Narrative: No adverse event occurred from patient receiving an extra vaccine of Shingrix in error. Patient was fully vaccinated (had received 2 doses of vaccine previously). Reporting to VAERS for information. Other Relevant HX: Other: EXTRA DOSE GIVEN IN ERROR
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Reported Symptoms: 10016558:Fever; 10037844:RASH;  Narrative: Pt is a 24 female with PMH of anxiety disorder, ovarian cysts, and vitamin b12 deficiency. Pt received both a Covid and influenza vaccine on 11/01/2024. Pt developed a rash and a fever that same night. Her right arm (where she received the Covid vaccine) was red, swollen, and warm to the touch. After four days of worsening symptoms, the patient went to the ER on 11/5/24 after a new lump developed at the sight and the sight was now itching. Patient received clindamycin for 5 days and the rash resolved. Other Relevant HX:  Pt is a 24 yo female with PMH of anxiety disorder, ovarian cysts, and vitamin b12 deficiency. Pt received both a Covid vaccine and influenza vaccine on 11/01/24. Pt developed a rash and a fever that same night. Her right arm (where she received the Covid vaccine) was red, swollen, and warm to the touch. After four days of worsening symptoms, the patient wen to the ER on 11/5/24 after a new lump developed at the sight and the sight was now itching. Patient received clindamycin for 5 days and the rash resolved. Other: RASH; FEVER
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: Reported Symptoms: 10016558:Fever; 10037844:RASH;  Narrative: Pt is a 24 female with PMH of anxiety disorder, ovarian cysts, and vitamin b12 deficiency. Pt received both a Covid and influenza vaccine on 11/01/2024. Pt developed a rash and a fever that same night. Her right arm (where she received the Covid vaccine) was red, swollen, and warm to the touch. After four days of worsening symptoms, the patient went to the ER on 11/5/24 after a new lump developed at the sight and the sight was now itching. Patient received clindamycin for 5 days and the rash resolved. Other Relevant HX:  Pt is a 24 yo female with PMH of anxiety disorder, ovarian cysts, and vitamin b12 deficiency. Pt received both a Covid vaccine and influenza vaccine on 11/01/24. Pt developed a rash and a fever that same night. Her right arm (where she received the Covid vaccine) was red, swollen, and warm to the touch. After four days of worsening symptoms, the patient wen to the ER on 11/5/24 after a new lump developed at the sight and the sight was now itching. Patient received clindamycin for 5 days and the rash resolved. Other: RASH; FEVER
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Somnolence
Clinical narrative: Reported Symptoms: 10013649:DROWSINESS; 10019211:HEADACHE; 10039897:SEDATION; Narrative: Patient is 67 YOM w/ PMH of bladder cancer, tobacco use, DM, and OSA received covid booster. Reported drowsiness and headache after vaccination that eventually subsided. Other Relevant HX: N/a Other: DROWSY; HEADACHE
Sex: M
Vaccine: COVID19
Symptoms: Eczema
Clinical narrative: Reported Symptoms: 10014184:ECZEMA; Narrative: A 44yo male with PMH which included Obesity, TBI, Tendonitis, PTSD, Lumbago, Herpes, Cervicalgia, Abnormal Liver Function test and Exposure to potentially hazardous substance. Per January 24, 2025, Nursing note, the patient presented alert and oriented x 3 for his annual appointment. During the visit the patient refused COVID-19 (MODERNA), MRNA, LNP-S, PF, 50 MCG/0.5ml, (Ages 12+ years). The patient refused all immunization(s) in the Covid-19 group due to hx of Covid-19 vaccine induced allergic reaction of Eczema on hands. Other Relevant HX: Other: ECZEMA.
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: The patient was newly started on escitalopram the day after the vaccine. When the rash occurred, the patient was told to stop the escitalopram. However, she later reported she never stopped escitalopram, and the rash went away. Thus she thinks the rash was due to the vaccine. Other:
Age: 69.0
Sex: M
Vaccine: MNQ, VARZOS
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Pyrexia, Tachycardia
Clinical narrative: Reported Symptoms: 10008493: CHEST TIGHTNESS OF; 10012703:DIAPHORESIS; 10013963:DYSPNEA; 10016558:FEVER; 10043071:TACHYCARDIA;  Narrative: Other Relevant HX: Evaluated in outside ED and felt not consistent with infectious or cardiac etiology. Resolved after a few days. Other: diaphoresis, dyspnea, chest tightness
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Fatigue, Headache, Insomnia, Myalgia
Clinical narrative: Reported Symptoms: 10016256:FATIGUE; 10019211:HEADACHE; 10022437:INSOMNIA; 10028411:MYALGIA; Narrative: Other Relevant HX: Other: Insomnia: Fatigue
Sex: M
Vaccine: FLUX
Symptoms: Asthma
Clinical narrative: Reported Symptoms: 10003553:ASTHMA; Narrative: A 72yo male whose PMH included Renal cancer, Goiter, Iron Deficiency Anemia, Dysphagia, OSA, Chronic Myeloid Leukemia, Malignant Tumor of Prostate, Adjustment Disorder with Depressed Mood, Chronic Pain post R. Hip Arthroplasty, CKD, OA of Knees,, ED, HTN, L. Renal Cyst, Hearing loss, Exposure to potentially Hazardous Substance, Acute PE, Long term current use of anticoagulant and back pain. On January 23, 2025, RN from CLINIC who did a post discharge f/u reported the patient had a historical ADR of influenza vaccine induced Asthma attack in 2018 and 2019, where he had to use nebulization treatment (which neb treatment patient received was not specified in the report). Other Relevant HX: Other: ASTHMA.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Blood lactic acid normal, Fatigue, Lethargy, Pain
Clinical narrative: Reported Symptoms: 10000424:ACHE; 10016256:FATIGUE; 10016558:FEVER; 10043071:TACHYCARDIA; 10047862:WEAKNESS; Narrative: Pt presented to the ER 2-3 hours after receiving COVID and flu vaccines. He presented with fever of 103.4, tachycardia, lethargy, body aches, and urinary incontinence. Pt was able to respond to RN's questions, but was falling asleep between questions and required loud verbal stimuli to emit response. He was found to have temp of 103.4 F, heart rate of 129 bpm, and WBC 11.9 on admission. Lactic acid normal, urinalysis unremarkable. He was given acetaminophen 1gm po for fever, IV fluids, and a dose of ceftriaxone IV 1gm in the ER. Temp came down to 100.3 ~1.5hr after acetaminophen. Pt was admitted overnight for observation. Pt was continued on IV fluids, acetaminophen PO prn, and ibuprofen x 1. No acute events overnight. Pt improved and plan is for pt to discharge home today. Other Relevant HX: Other: generalized weakness, fatigue, body aches
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Somnolence, Tachycardia, Urinary incontinence, Urine analysis normal
Clinical narrative: Reported Symptoms: 10000424:ACHE; 10016256:FATIGUE; 10016558:FEVER; 10043071:TACHYCARDIA; 10047862:WEAKNESS; Narrative: Pt presented to the ER 2-3 hours after receiving COVID and flu vaccines. He presented with fever of 103.4, tachycardia, lethargy, body aches, and urinary incontinence. Pt was able to respond to RN's questions, but was falling asleep between questions and required loud verbal stimuli to emit response. He was found to have temp of 103.4 F, heart rate of 129 bpm, and WBC 11.9 on admission. Lactic acid normal, urinalysis unremarkable. He was given acetaminophen 1gm po for fever, IV fluids, and a dose of ceftriaxone IV 1gm in the ER. Temp came down to 100.3 ~1.5hr after acetaminophen. Pt was admitted overnight for observation. Pt was continued on IV fluids, acetaminophen PO prn, and ibuprofen x 1. No acute events overnight. Pt improved and plan is for pt to discharge home today. Other Relevant HX: Other: generalized weakness, fatigue, body aches
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: White blood cell count increased
Clinical narrative: Reported Symptoms: 10000424:ACHE; 10016256:FATIGUE; 10016558:FEVER; 10043071:TACHYCARDIA; 10047862:WEAKNESS; Narrative: Pt presented to the ER 2-3 hours after receiving COVID and flu vaccines. He presented with fever of 103.4, tachycardia, lethargy, body aches, and urinary incontinence. Pt was able to respond to RN's questions, but was falling asleep between questions and required loud verbal stimuli to emit response. He was found to have temp of 103.4 F, heart rate of 129 bpm, and WBC 11.9 on admission. Lactic acid normal, urinalysis unremarkable. He was given acetaminophen 1gm po for fever, IV fluids, and a dose of ceftriaxone IV 1gm in the ER. Temp came down to 100.3 ~1.5hr after acetaminophen. Pt was admitted overnight for observation. Pt was continued on IV fluids, acetaminophen PO prn, and ibuprofen x 1. No acute events overnight. Pt improved and plan is for pt to discharge home today. Other Relevant HX: Other: generalized weakness, fatigue, body aches