chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Vertigo
Clinical narrative: Initial information received on 29-Oct-2018 regarding an unsolicited valid non-serious case received from a consumer. This case involves female patient (age unknown) who experienced vertigo and dizzy, while she received vaccine INFLUENZA VACCINE. The patient's past vaccination- included Egg free flu vaccine with no adverse reaction. The patient's past medical history, concomitant medication and family history were not provided. On an unknown date, the patient received injection of suspect INFLUENZA VACCINE produced by unknown manufacturer lot number, expiry date and dose not reported via unknown route in unknown administration site. On an unknown date, the patient developed a non-serious vertigo with unknown latency following the administration of INFLUENZA VACCINE. On an unknown date, the patient developed a non-serious dizzy with unknown latency following the administration of INFLUENZA VACCINE. The patient referred repeatedly to HCP. Lab data was not provided. Final diagnosis was dizzy and vertigo. It was not reported if the patient received a corrective treatment. The patient outcome is reported as Unknown for vertigo and as Unknown for dizzy. List of documents held by sender- none.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis
Clinical narrative: On 11/2/18 at 11:05am, pt's wife called pharmacy to let us know that pt developed cellulitis after receiving PNEUMOVAX 23. Vaccine was given on 10/25/18 at 3:30pm. pt received antibiotics on 10/31/18. Wife did not say pt was having any other side effects from vaccine.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No Adverse event. Child received full 0.5 ml flu dose prior to 36 months of age. She was 35 months of age at the time the vaccine was given.
Age: 23.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Itchiness, Pain, Warmth, Tenderness, 12x6 cm red/rash area surrounding injection site, muscle pain throughout tricep.
Age: 78.0
Sex: F
Vaccine: FLUA3
Symptoms: Bone pain, Pain in extremity
Clinical narrative: Patient indicated that her arm/bone are painful from her immunization; she believes that the pain has lasted longer than it should. She indicated that at her regular medical appointment Dr. did check the imz. site. Patient indicates that the MD observed that she can lift her arm and that the site is not red.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Mumps
Clinical narrative: The patient was diagnosed with mumps on 10/25/2018 in the ER.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Blood test, Chest X-ray, Chest discomfort, Cough
Clinical narrative: Throat fullness, voice became hoarse, started coughing, and I became short of breath. Took 50 mg of Benadryl, but symptoms persisted and got worse. Went to the ER (in the same building) per the advice of a colleague that is a former ER doctor. Saw Dr. within the ER and received Epi, solumedrol, and nebulizer treatment and was monitored for about 4 hours to be sure there was no rebound effect. Had some left upper back pain post treatment and chest fullness so a chest xray was done. Voice returned to normal and the throat fullness had gotten better. I was given a script for Prednisone 60 mg for a four day course to complete. The last day to take this will be tomorrow.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphonia, Dyspnoea, Throat irritation
Clinical narrative: Throat fullness, voice became hoarse, started coughing, and I became short of breath. Took 50 mg of Benadryl, but symptoms persisted and got worse. Went to the ER (in the same building) per the advice of a colleague that is a former ER doctor. Saw Dr. within the ER and received Epi, solumedrol, and nebulizer treatment and was monitored for about 4 hours to be sure there was no rebound effect. Had some left upper back pain post treatment and chest fullness so a chest xray was done. Voice returned to normal and the throat fullness had gotten better. I was given a script for Prednisone 60 mg for a four day course to complete. The last day to take this will be tomorrow.
Age: 27.0
Sex: M
Vaccine: FLU4
Symptoms: Autoimmune disorder, Condition aggravated, Dyspnoea, Pain, Pruritus
Clinical narrative: Hives, itching, shortness of breath. Worsening of Psoriatic Arthritis pain and symptoms, skin warm to touch and painful all over body. Uveitis. Exacerbation of autoimmune symptoms.
Age: 27.0
Sex: M
Vaccine: FLU4
Symptoms: Psoriatic arthropathy, Skin warm, Urticaria, Uveitis
Clinical narrative: Hives, itching, shortness of breath. Worsening of Psoriatic Arthritis pain and symptoms, skin warm to touch and painful all over body. Uveitis. Exacerbation of autoimmune symptoms.
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Sore throat and mild fever -- ongoing right now.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Fatigue, Liver function test normal, Pain, Pruritus, Renal function test normal
Clinical narrative: The day after the flu shot (10/24/18), I developed extreme aches and exhaustion. These symptoms stayed until 10/27/18, when they abated following 13 hours of sleep. However, that same day (10/27/18), I developed extreme itchiness in my arms, legs, neck, and face (not trunk or hands and feet). I treated the itchiness with Eucerin lotion (thinking it was simple dry skin initially), and eventually with BENADRYL, but nothing helped. Because I was being followed for possible autoimmune disease, I saw the rheumatologist 10/31/18 to see if the itchiness might be a symptom related to autoimmune disease. There's no rash, so the doctor ordered liver and kidney labs, which turned out normal, and recommended I add ZANTAC to the BENADRYL to cover all of the histamine receptors. There has been no reduction in itching since adding in the ZANTAC. Because the itching came on suddenly, doesn't have a rash, and seems unrelated to anything else, the doctor's best guess is that it may be related to the flu shot I received the previous week. He mentioned that because there had been a progression of symptoms following the flu shot from aches to exhaustion to itching, maybe they were all related? I decided to complete this form in case other people are experiencing similar symptoms post-flu shot. I also hope that you may have some suggestions for relieving the itching, which is unrelenting so far.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: At 21:00 patient began to experience a fever and body aches. The patient also developed a headache. The patient experienced the symptoms until they went to sleep. When awoken the next morning, symptoms were cleared.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Chills, Dizziness, Eye swelling
Clinical narrative: Redness/pain/itching at shot sight; rash on shoulder to elbow and 1/2 arm circumference; whole body joint/muscle pain, including neck muscles; headache; dizziness; shaking/pulse racing; shivering; fever; stomach issues and nausea; swollen eyes; and extremely tired.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Heart rate increased, Injection site erythema, Injection site pain
Clinical narrative: Redness/pain/itching at shot sight; rash on shoulder to elbow and 1/2 arm circumference; whole body joint/muscle pain, including neck muscles; headache; dizziness; shaking/pulse racing; shivering; fever; stomach issues and nausea; swollen eyes; and extremely tired.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site pruritus, Myalgia, Nausea, Pyrexia, Rash
Clinical narrative: Redness/pain/itching at shot sight; rash on shoulder to elbow and 1/2 arm circumference; whole body joint/muscle pain, including neck muscles; headache; dizziness; shaking/pulse racing; shivering; fever; stomach issues and nausea; swollen eyes; and extremely tired.
Age: 68.0
Sex: U
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Redness/pain/itching at shot sight; rash on shoulder to elbow and 1/2 arm circumference; whole body joint/muscle pain, including neck muscles; headache; dizziness; shaking/pulse racing; shivering; fever; stomach issues and nausea; swollen eyes; and extremely tired.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus generalised
Clinical narrative: -Significant itching over much of body, started later that evening and resolved after 48 hours. -Patient took Benadryl at home & never went to the doctor.
Age: 69.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Asthenia, Dizziness, Headache, Pain in extremity, Rash
Clinical narrative: Rash, headache, dizziness, no energy, Soreness in the arm, (rash and soreness in right arm).
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Pain in extremity, Skin warm
Clinical narrative: Red area extending down the right arm, warm to touch, sore to move arm, first day worse but now better movement.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Asthenia, Confusional state, Coordination abnormal, Laboratory test, Pyrexia
Clinical narrative: He developed a severe red raised rash around his neck, mild fever (no known temperature, he didn't take his temp), confused, lack of coordination, tightness on face and throat, and weakness.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Rash, Rash erythematous, Skin tightness, Throat tightness
Clinical narrative: He developed a severe red raised rash around his neck, mild fever (no known temperature, he didn't take his temp), confused, lack of coordination, tightness on face and throat, and weakness.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Neurological examination normal, Pallor, Syncope
Clinical narrative: MD was called to the room after child appeared to have fainted following administration of 11 year old shots (Tdap, Menactra, HPV, and Flu). I was in the room within seconds and patient was lying down on exam table in no distress. She was immediately responsive to verbal command and made eye contact with me. She appeared very pale. (MA stated that she thought she might have jerked 1-2x but wasn't sure if the movement was her falling back). Child had good peripheral pulses, PERLA, RRR, and CTAB. Within 1-2 minutes she regained her color and was taking sips of water. She denied any difficulty breathing. No post-ictal event. It appears that she had a syncopal/vasovagal rx, most likely due to stressful trigger of vaccine administration. She was monitored with continuous pulse ox for 1 hour and was sitting up talking about halloween. Normal vital signs throughout. I explained to father and aunt that she would need to be monitored for the rest of the day and if any changes occurred she would need to be evaluated in the ER immediately. However, I did not believe that she had a seizure. Father was comfortable with assuming care and demonstrated understanding of instructions. I completed another full exam which included complete neuro examination and was completely normal. Child left clinic in no distress.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Made appt with Dr., 2 weeks in advance, for 11/01/18 to. Imply with CDC guidelines for special populations of >50 and chronically immunosuppressed due to exogenous steroid injections. At the last minute Dr. refused care. Told me to go to Pharmacy. Pharmacy unable to administer vaccine due to medical complexity. Again requested treatment by my PCP, Dr.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right shoulder redness and swelling.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, swelling, redness. Pt being started on Kelfex and Bactroban. Will follow up with PCP on Monday.  Mark made around site and instructed mom to take pt to ER if swelling extends beyond mark.
Age: 2.0
Sex: M
Vaccine: FLU3
Symptoms: Ataxia, Diarrhoea, Encephalitis, Neurological examination normal
Clinical narrative: Patient received seasonal high-dose influenza vaccine on 10/23/18. On 10/31/18 patient presented to the Hospital Emergency Department due to diarrhea and 1-2 days history of ataxic gait. Patient was ultimately diagnosed by neurology via phone consult with post viral cerebellitis but given recent flu vaccine cannot R/O vaccine as cause to symptoms. Patient was then seen in our office 11/2/18 with noted improvement in ataxic gait but still with some ataxia. Patient otherwise well-appearing with non-focal neurologic exam.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Blood glucose normal, Chest discomfort, Dry throat, Electrocardiogram
Clinical narrative: PT stated she was feeling hot and shaky, as well as her tongue having a slight tingling sensation as well as her throat being dry, and a heavy feeling in her chest. PT was very anxious during the event. RN was notified immediately vitals were taken, and given Benadryl 25Mg IM in the R arm, EKG was performed and reviewed by a DR, and bedside glucose test was performed as well with normal results. EMS was called and the PT was transferred to the emergency room for further evaluation.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Nervousness, Paraesthesia oral
Clinical narrative: PT stated she was feeling hot and shaky, as well as her tongue having a slight tingling sensation as well as her throat being dry, and a heavy feeling in her chest. PT was very anxious during the event. RN was notified immediately vitals were taken, and given Benadryl 25Mg IM in the R arm, EKG was performed and reviewed by a DR, and bedside glucose test was performed as well with normal results. EMS was called and the PT was transferred to the emergency room for further evaluation.
Age: 26.0
Sex: F
Vaccine: FLU4, VARCEL
Symptoms: Injection site rash, Neuralgia, Paraesthesia
Clinical narrative: Patient stated that she developed a rash around the injection that has gotten bigger through out the week, she is also experiencing nerve pain, tingling, she has not taken anything for the symptoms. I suggested she continue to watch the area and if continues to get bigger she needs to go to her primary doctor and to also try putting a cold compress on the area.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Confusional state, Tic, Urine analysis
Clinical narrative: Confusion and bilateral hand tics.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Diarrhoea
Clinical narrative: Patient described that she had diarrhea 36 hrs after receiving the vaccination or the diarrhea lasted for 36 hrs. The details aren't very clear, but she claims it was massive diarrhea.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperaesthesia, Injection site bruising, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient experienced Swelling, Bruising, Warm to the Touch, Very Painful at site of injection. The symptoms started about 5 hours after the vaccine was administered and lasted about 48 hours. Still sensitive 3 days later. Patient took liquid BENADRYL and it helped.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse event
Clinical narrative: Patient filled out consent form. I asked her if she had flu shot before as she answered not known to question #5 to screen if the patient had Guillain-Barre syndrome. She said she had it before. I gave her FLUZONE HIGH DOSE 2018-2019 pre-filled syringe at about 4:55pm. I got a call from front store associate at 5:34 pm that the patient lying on the floor at the front store register with paramedic. She was taken to the hospital later on.
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Balance disorder, Dizziness, Head injury
Clinical narrative: PATIENT RECEIVED FLU VACCINE AND LOST BALANCE/FELT DIZZIY WHILE STEPPING OUT OF PATIENT CARE ROOM. PATIENT HIT HIS HEAD ON WALL AND PHARMACIST WITH AID OF MOTHER WALKED PATIENT OVER TO A CHAIR AND PROVIDED WATER AND ICE PACK. AFTER A FEW MINUTES PATIENT AND MOTHER LEFT AND PATIENT WAS FEELING BETTER BUT STULL A LITTLE LIGHT HEADED. FOLLOWED UP WITH PATIENT 2 HOURS LATERS AND MOTHER REPORTED PATIENT WAS DOING BETTER AND RESTING AT HOME NOW. ALSO CONTACTED DOCTOR OFFICE AND INFORMED THEM OF ADVERSE EVENT THAT OCCURRED
Age: 78.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Redness and swelling left arm.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue
Clinical narrative: Patient states that they felt very tired/ run down the day after getting vaccinated. Patient was told to contact physician about how they were feeling.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a patient of unknown age and gender. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. The patient's healthcare provider, a physician, recommended and or prescribed ZOSTAVAX to the patient for its intended purpose of permanent prevention and protection against shingles and zoster-related conditions. On or about 29-OCT-2013, a pharmacist administered the ZOSTAVAX (lot number, dosage and route of administration not provided) to the patient. Later in 2013, the patient was treated by a physician for shingles. The patient was diagnosed with shingles and/or other zoster-related injuries after and despite being inoculated with the ZOSTAVAX vaccine, and suffered serious physical, emotional, and economic damages as a result of the patient's injuries. As a direct and proximate result of the ZOSTAVAX vaccine, the patient has and will continue to suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; extensive medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs include care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; a diminished quality of life; increased risk of premature death, aggravation of preexisting conditions and activation of latent conditions (not further specified); lost wages; loss of earnings capacity; and other losses and damages as a result of shingles and other zoster-related injuries. The outcome of the events was considered to be not recovered. Additional information has been requested.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a male patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. The patient's healthcare provider, a physician, recommended and or prescribed ZOSTAVAX to the patient for its intended purpose of permanent prevention and protection against shingles and zoster-related conditions. On or about 25-JUL-2017, a pharmacist administered the ZOSTAVAX (lot number, dosage and route of administration not provided) to the patient. On or about 29-AUG-2017, the patient was treated by healthcare providers (unspecified healthcare professionals) for shingles. The patient was diagnosed with shingles and/or other zoster-related injuries after and despite being inoculated with the ZOSTAVAX vaccine, and suffered serious physical, emotional, and economic damages as a result of patient's injuries. As a direct and proximate result of the ZOSTAVAX vaccine, the patient has and will continue to suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; extensive medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs include care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; a diminished quality of life; increased risk of premature death, aggravation of preexisting conditions and activation of latent conditions (not further specified); lost wages; loss of earnings capacity; and other losses and damages as a result of shingles and other zoster-related injuries. The outcome of the events was considered to be not recovered. Additional information has been requested.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received on 31-OCT-2018 from a lawyer regarding a case in litigation concerning a male patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. The patient's healthcare provider recommended and/or prescribed ZOSTAVAX to the patient for its intended purpose of permanent prevention and protection against shingles and zoster-related conditions. On or about 09-DEC-2015, a pharmacist at a pharmacy administered the ZOSTAVAX to the patient (lot number, dosage and route of administration not provided). On or about 17-FEB-2016, the patient was treated by a physician at a clinic for shingles. The patient was diagnosed with shingles and/or other zoster-related injuries after and despite being inoculated with the ZOSTAVAX vaccine, and suffered serious physical, emotional, and economic damages as a result of the patient's injuries. As a direct and proximate result of the ZOSTAVAX vaccine, the patient has and will continue to suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; extensive medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs including care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; a diminished quality of life; increased risk of premature death; aggravation of preexisting conditions and activation of latent conditions (unspecified); lost wages; loss of earnings capacity; and other losses and damages. The outcome of the events was considered to be not recovered. Additional information has been requested.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received on 31-OCT-2018 from a lawyer regarding a case in litigation concerning a patient of unknown age and gender. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. The patient's healthcare provider recommended and/or prescribed ZOSTAVAX to the patient for its intended purpose of permanent prevention and protection against shingles and zoster-related conditions. On or about 30-APR-2012, a healthcare provider administered the ZOSTAVAX to the patient (lot number, dosage and route of administration not provided). On or about 04-OCT-2015, the patient was treated by a physician for shingles. The patient was diagnosed with shingles and/or other zoster-related injuries after and despite being inoculated with the ZOSTAVAX vaccine, and suffered serious physical, emotional, and economic damages as a result of the patient's injuries. As a direct and proximate result of the ZOSTAVAX vaccine, the patient has and will continue to suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; extensive medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs including care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; a diminished quality of life; increased risk of premature death; aggravation of preexisting conditions and activation of latent conditions (unspecified); lost wages; loss of earnings capacity; and other losses and damages. The outcome of the events was considered to be not recovered. Additional information has been requested.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a female patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. The patient's healthcare provider recommended and/or prescribed ZOSTAVAX to the patient for its intended purpose of permanent prevention and protection against shingles and zoster-related conditions. On or about 16-NOV-2014, a pharmacist at a pharmacy administered the ZOSTAVAX to the patient (lot number, dosage and route of administration not provided). On or about November 2016, the patient was treated by a physician for shingles. The patient was diagnosed with shingles and/or other zoster-related injuries after and despite being inoculated with the ZOSTAVAX vaccine, and suffered serious physical, emotional, and economic damages as a result of the patient's injuries. As a direct and proximate result of the ZOSTAVAX vaccine, the patient has and will continue to suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; extensive medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs including care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; a diminished quality of life; increased risk of premature death; aggravation of preexisting conditions and activation of latent conditions (unspecified); lost wages; loss of earnings capacity; and other losses and damages. The outcome of the events was considered to be not recovered. Additional information has been requested.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Redness and swelling to left arm.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site induration, Injection site pain, Injection site warmth, Musculoskeletal stiffness, Paraesthesia
Clinical narrative: The patient called the pharmacy the morning of November 2nd to report an adverse reaction to the first dose of the SHINGRIX shot that she had received on October 29th. The reaction began on the morning on October 30th. Her pointer finger on her left hand was swollen and felt tingly and stiff. The pain has not changed since October 30th; the patient states that it is persistent but not getting worse. She also reports that the injection site of the vaccine is tender, hard, and hot when touched. The patient had already contacted her doctor that had performed her hand surgery 5 weeks prior. The doctor informed the patient that it was a side effect of the vaccine and not from the surgery. The patient had not done anything to relieve her pain or discomfort. The patient was advised to use an over the counter pain medication and/or ice to help relieve her symptoms. She will be following up with her doctor on November 8th at her already scheduled doctor's appointment.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: The patient called the pharmacy the morning of November 2nd to report an adverse reaction to the first dose of the SHINGRIX shot that she had received on October 29th. The reaction began on the morning on October 30th. Her pointer finger on her left hand was swollen and felt tingly and stiff. The pain has not changed since October 30th; the patient states that it is persistent but not getting worse. She also reports that the injection site of the vaccine is tender, hard, and hot when touched. The patient had already contacted her doctor that had performed her hand surgery 5 weeks prior. The doctor informed the patient that it was a side effect of the vaccine and not from the surgery. The patient had not done anything to relieve her pain or discomfort. The patient was advised to use an over the counter pain medication and/or ice to help relieve her symptoms. She will be following up with her doctor on November 8th at her already scheduled doctor's appointment.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13, FLU3, PNC13
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Patient made an appointment with our clinic reporting left arm red, swollen, warm to the touch and itchy after getting 2 vaccinations in the same arm from Pharmacy.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13, FLU3, PNC13
Symptoms: Erythema, Local reaction, Peripheral swelling, Pruritus
Clinical narrative: Patient made an appointment with our clinic reporting left arm red, swollen, warm to the touch and itchy after getting 2 vaccinations in the same arm from Pharmacy.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain, Sleep disorder
Clinical narrative: Felt bad enough he had to go home from work at 2PM on 10/30/18. He was experiencing chills, aches, and a severe headache. The headache got better with ibuprofen, however when it wore off at 2AM, his severe headache woke him back up again. He finally felt better again at about 10:30 on the 31st.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Nausea
Clinical narrative: Experienced chills, joint pain, nausea, and headache.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash erythematous, Rash generalised
Clinical narrative: Within 20 mins of taking the shot, the patient complained of itch at injection site, slightly red - so we removed BAND-AID and cleaned area and patient stated it was better. Patient woke up this morning, covered in a rash from head to toe (BUE, BLE, Torso) Rash is reddened, and patient complains of itching. Mom states BENADRYL was given this morning. Shortness of Breath and difficulty breathing were both denied.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Peripheral swelling
Clinical narrative: Arm swelling, ice and MOTRIN, swelling significantly decreased by time pt left pharmacy (after 5 min).
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Hypoaesthesia, Neck pain, Pain, Pain in extremity
Clinical narrative: Arm sore, first day. Next day, started to radiate up neck and down arm x two weeks. At two weeks, numbness and tingling down your and into your fingertips, thumb and forefinger. Some wrist pain. No redness or swelling; no fever. Relief by taking ADVIL; however, did not affect the numbness and tingling. Range of motion is fine.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Arm sore, first day. Next day, started to radiate up neck and down arm x two weeks. At two weeks, numbness and tingling down your and into your fingertips, thumb and forefinger. Some wrist pain. No redness or swelling; no fever. Relief by taking ADVIL; however, did not affect the numbness and tingling. Range of motion is fine.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Cough, Urticaria
Clinical narrative: Patient was given VARIVAX in equally divided doses due to prior reaction to vaccines at 2 years of age, after second dose of VARIVAX patient started having coughing that became more persistant and developed hives on his back, patient was given BENADRYL and epinephrine with complete resolution of his symptoms.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Rotator cuff syndrome
Clinical narrative: Within a few days had an inflamed rotator cuff that took ~1.5 months to resolve.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Patient called this morning to report that she had a site reaction to the flu shot. She states it was perhaps misplaced too far back on her arm, the nurse pinched her skin (bunched it) and the needle used was too short. She had pain, redness, swelling, heat and a lump in the back of her arm where she states she received the flu shot. She came into the office and both nurse and I were able to evaluate the site. There was a hard lump in the back of her arm approx. 10-15 mm in size below the skin. I did not note any redness.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Patient called this morning to report that she had a site reaction to the flu shot. She states it was perhaps misplaced too far back on her arm, the nurse pinched her skin (bunched it) and the needle used was too short. She had pain, redness, swelling, heat and a lump in the back of her arm where she states she received the flu shot. She came into the office and both nurse and I were able to evaluate the site. There was a hard lump in the back of her arm approx. 10-15 mm in size below the skin. I did not note any redness.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Chills, Pain, Pyrexia, Rash
Clinical narrative: Pain, Rash, on left arm, fever, chills.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Dry eye, Fatigue, Feeling hot
Clinical narrative: First symptom was feeling of globus in her throat along with fatigue. Then she started having sensation of heat and dryness in the eyes, which later became bloodshot, and then headache and fever, which alternated between feeling hot and having chills, and excessive fatigue and hypersomnolence. She had blurriness of vision which has not completely resolved. The sublingual frenulum was swollen and tender. She is still having headaches, blurry vision, and swelling of the sublingual frenulum, nasal congestion, and cough today (day 3) but fever/chills/excessive sleepiness, and heat sensation in the eyes (but not the dryness) have resolved.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hypersomnia, Mouth swelling, Nasal congestion, Ocular hyperaemia
Clinical narrative: First symptom was feeling of globus in her throat along with fatigue. Then she started having sensation of heat and dryness in the eyes, which later became bloodshot, and then headache and fever, which alternated between feeling hot and having chills, and excessive fatigue and hypersomnolence. She had blurriness of vision which has not completely resolved. The sublingual frenulum was swollen and tender. She is still having headaches, blurry vision, and swelling of the sublingual frenulum, nasal congestion, and cough today (day 3) but fever/chills/excessive sleepiness, and heat sensation in the eyes (but not the dryness) have resolved.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Oral pain, Pyrexia, Scleral hyperaemia, Sensation of foreign body, Vision blurred
Clinical narrative: First symptom was feeling of globus in her throat along with fatigue. Then she started having sensation of heat and dryness in the eyes, which later became bloodshot, and then headache and fever, which alternated between feeling hot and having chills, and excessive fatigue and hypersomnolence. She had blurriness of vision which has not completely resolved. The sublingual frenulum was swollen and tender. She is still having headaches, blurry vision, and swelling of the sublingual frenulum, nasal congestion, and cough today (day 3) but fever/chills/excessive sleepiness, and heat sensation in the eyes (but not the dryness) have resolved.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: PATIENT REPORTED HIVES, ITCHING, RELIEVED BY BENADRYL.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus, Rash
Clinical narrative: Patient developed rash, swelling, itching in vaccinated arm. It lasted 3-4 days then resolved. Patient is currently having no reaction.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Altered state of consciousness, Anxiety, Presyncope, Tearfulness, Tunnel vision
Clinical narrative: While riding in the car, less than 15 minutes after receiving vaccination, my daughter became very anxious and tearful. For about 10 seconds, she was unable to communicate her distress. Eventually she reported having " sudden tunnel vision and feeling like she was going to pass out and die." Within minutes of the event, she returned to normal and there have been no complications since. Just prior to this episode, she was talking and laughing; perfectly fine. The onset was quite sudden. There was no anxiety related to the procedure either before or after the injection. I discussed with pediatric intensivist. He felt was likely a vagal response requiring no treatment. My daughter is not prone to dramatics, as some teen girls are. The reaction was frightening for her and her family that witnessed.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen, painful lymph nodes noted in left armpit and left neck approximately 2 hours after vaccination administered.
Age: 63.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site joint movement impairment, Injection site pain
Clinical narrative: Pain at injection site radiating to left shoulder. Lt shoulder ROM limited post vaccine.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site induration, Injection site swelling
Clinical narrative: Immediate swelling (as the needle was pulled out) at the injection site. Swelling was about 4 cm wide by 2 cm high, slightly hard, no redness. Applied ice to the site for a few minutes and the swelling gradually went down over the next few hours.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Insomnia, Pain in extremity
Clinical narrative: Patient says his arm aches especially at night. He is not able to sleep on his left side. He cannot lift his left arm above his shoulder. Patient is concerned that vaccine wasn't given in proper location or at the correct angle.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: ACUTE URTICARIA.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Blood creatine phosphokinase increased, Injection site swelling, Muscular weakness, Myositis, Pain in extremity
Clinical narrative: Myositis and severe swelling LUE (site of injection) with associated rhabdomyolysis left arm pain for 2 weeks - started after a flu shot which was very painful for a few days. Had achiness when arm was resting but then noticed weakness in left hand 2 days ago. No numbness in hand but does have a nerve like sensation in arm (not hand). Plus swelling left forearm/arm. No neck pain. Some weakness left hand particularly left index finger. Right handed. Did have an IV left dorsal hand. No left arm trauma.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Rhabdomyolysis, Sensory disturbance, Ultrasound Doppler normal
Clinical narrative: Myositis and severe swelling LUE (site of injection) with associated rhabdomyolysis left arm pain for 2 weeks - started after a flu shot which was very painful for a few days. Had achiness when arm was resting but then noticed weakness in left hand 2 days ago. No numbness in hand but does have a nerve like sensation in arm (not hand). Plus swelling left forearm/arm. No neck pain. Some weakness left hand particularly left index finger. Right handed. Did have an IV left dorsal hand. No left arm trauma.
Age: 27.0
Sex: M
Vaccine: TDAP, VARCEL
Symptoms: Blister, Erythema, Skin lesion
Clinical narrative: Right sided low back into hip area with unilateral dermatome appearance of erythematous and groups of vesicles. Probable Shingles: suspect secondary to varicella vaccine two weeks ago. Patient to cancel appointment for second varicella vaccine. Encouraged patient to keep lesions covered. Will treat with VALTREX 1 g PO TID times seven days. Advised 2 to 3 L of hydration daily.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: Patient called 11/2/18 to report to us that he experienced flu like symptoms that lasted for one week.
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, body ache, severe congestion, headache.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis
Clinical narrative: 2 days after receiving flu vaccine in clinic, pt developed cellulitis at site which was diagnosed by pt's PCP.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site warmth, Nausea, Pyrexia, Skin induration
Clinical narrative: Patient called to say her arm became very hot and hard and she had fever the evening of injection. Stated she felt nausea but did not get sick. She took 2 ibuprofen and went to bed and called the pharmacy this morning. She stated she felt better but her arm was still hot and hard at injection site but she did not want to go to Dr. just wanted to let us know and will take more ibuprofen. I told her to contact her Dr. if she felt worse. She stated she was better and no trouble breathing.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Patient called to say her arm became very hot and hard and she had fever the evening of injection. Stated she felt nausea but did not get sick. She took 2 ibuprofen and went to bed and called the pharmacy this morning. She stated she felt better but her arm was still hot and hard at injection site but she did not want to go to Dr. just wanted to let us know and will take more ibuprofen. I told her to contact her Dr. if she felt worse. She stated she was better and no trouble breathing.
Age: 14.0
Sex: M
Vaccine: FLUC4
Symptoms: Blood glucose normal, Confusional state, Dizziness, Syncope
Clinical narrative: Patient became light-headded and fainted shortly (5-10min) after flu vaccine was administered. HR was within normal limits, pt was confused when he first woke back up, continued to have spells of fainting.  Pt ate a banana and had some orange juice to eliminate low blood sugar for cause of fainting. 911 was called however on examination BP, HR, blood sugar all within normal limits.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Immediate post-injection reaction, Injection site pain, Pain in extremity
Clinical narrative: Patient described pain in left arm immediately after receiving injection. He continues to feel discomfort at injection site nearly 6 weeks after the injection was administered. On examination today, there is not any swelling, redness or palpable lesion at the site of the injection.  Neurovascular examination of the extremity is normal but he still feels pain at the site of the injection.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: 27 year old female fainted in the store after a flu shot.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Rash papular
Clinical narrative: Linear, erythemic papules located on neck bilaterally, sterum, thoratic and lumbar trunk, forearms, and thighs. No difficulty breathing. Treated with OTC Hydrocortisone and OTC Diphenhydramine 25 MG Tablets.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient stated soreness and can feel it down her arm.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site infection, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Patient states that her arm was sore after the injection. She states by the end of the evening she had a lot of redness and some inflammation. She went to the urgent care clinic on 10/29/18 because she experienced continued redness, swelling and warmth at and around the injection site and she became concerned because it was not getting better. The urgent care provider prescribed BACTRIM DS antiobiotic (1 BID x 7 days) and diagnosed her with an injection site infection.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: Urticarial started 7.5 hours after vaccine. Seen 24 plus hours after vaccination. No respiratory symptoms, nausea, vomiting, angioedema.
Age: 15.0
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Blindness, Nausea, Syncope
Clinical narrative: Patient was somewhat nervous during the immunization. Seemed ok when leaving the pharmacy, but started feeling nauseous and lost vision quickly after. Patient fainted, but immediately came to.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Dizziness, Headache, Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: Pain and swelling in the left arm started several hours after administration, as well as headache and lightheadedness. Patient reported little/minimal improvement of pain after taking TYLENOL, and felt faint due to intense sudden pain in the arm when her daughter accidentally grabbed her arm near injection site. Pain in the arm lasted 24-36 hours before beginning to improve. At time of reporting, patient still reports injection site is mildly tender.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Injection site erythema, Injection site swelling, Middle insomnia, Tremor
Clinical narrative: On 10/30/18 patient woke up in the middle of the night with chills/shaking. Didn't know if she had a fever. Went back to sleep. The next morning she noticed she had redness and some swelling above the right elbow, but not directly at the injection site. No pain in arm and still had full mobility. Redness and swelling persisted, moved around toward the back of her right arm. Came back to the pharmacy to report event on 11/2/18 after issue had not resolved.
Age: 48.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Injection site pain, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Pt reports pain at site of injection (left arm; PNEUMOVAX 23) that radiates down his arm and across his shoulder blades.
Age: 73.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site pain, Pain in extremity, Swelling
Clinical narrative: Pt reported to me today that she experienced a lot of swelling after the vaccines were administered and now over a month later still has pain in her arm going down the arm not just injection site.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Patient described reddish rash the started at injection site and ran down arm towards elbow but not all the way to the elbow. She stated that it did not itch or hurt and that it had begun to resolve without extra medication. Her son did take her to her doctor for him to make sure that everything was ok.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Feeling hot, Flushing, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Patient says she's experience fever-like symptoms, feeling warm and flushed. Arm is sore and is swelling that is a little bigger than a quarter-size. This happen about 12 hours after getting the PNEUMOVAX-23 vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Ear pain, Feeling cold, Headache, Nausea
Clinical narrative: Patient developed chills, no fever at 8pm 10/31/18, felt very cold. The next morning her ear hurts, with major headache, body ache and severe nausea. She called the pharmacy at 10:20 am to report events after vaccine received from previous day. Patient is resting at home.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Patient developed chills, no fever at 8pm 10/31/18, felt very cold. The next morning her ear hurts, with major headache, body ache and severe nausea. She called the pharmacy at 10:20 am to report events after vaccine received from previous day. Patient is resting at home.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: WIFE CALLED AND SAID HIS ARM WAS RED AND SLIGHTLY SWOLLEN FROM INJECTION SITE TO ELBOW. ADVISED HER TO HAVE HIM SEE A DR. ALSO ADVISED TO USE A COOL COMPRESS AND ADVIL/ALEVE,TYLENOL FOR PAIN/SWELLING.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Infection, Pain in extremity, Vaccination complication
Clinical narrative: Patient came to pharmacy on 11/02/18 to report she had cellulitis and her doctor told her it was an infection that could have been cause by a puncture. She received a PNEUMOVAX 23 on Oct 31, 2018. She woke up at 2am on 11/1/18 with a sore arm. She went to see her doctor on 11/2/18 and was told that her cellulitis was most likely from her vaccination.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure decreased, Body temperature decreased, Tremor, Vaccination complication
Clinical narrative: Patient called today 11/2/2018 at 6 pm telling us she had adverse reaction of the vaccine that she did not have before with the first dose.The reactions lasts for 2 hrs. it was drop in Blood pressure (80/47) and body temp 96.7. She was shaking for 2 hrs and then she get better. She did take any drugs or seek any medical attention. She said she is fine now with no problems.