chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 7.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Electrocardiogram normal, Immediate post-injection reaction, Syncope
Clinical narrative: ED MD note: The patient is a 7 year old who presents with syncope that occurred right after he had immunizations in clinic today. No palpitations, chest pain. No abnormal movements to suggest seizure. No fever.  On my physical exam, the patient is quite well appearing, interactive and appropriate for age, and developmentally normal. The patient is well hydrated, and has no pallor or conjunctival paleness. The HEENT exam reveals moist mucous membranes and no oropharyngeal pathology. The neck is rangeable. The lungs sound clear without focal findings, and the patient is breathing comfortably. The heart has a regular rate and rhythm. Distal perfusion is good, with 2+ cap refill in the feet and 2+ DP pulses. The abdomen is soft, nontender, and nondistended. The musculoskeletal exam reveals no bony tenderness or joint swelling/tenderness. Neurologic exam is unremarkable.  EKG revealed normal sinus rhythm with sinus arrhythmia, no delta wave, no Brugada pattern, no strain/hypertrophy, and no block or abnormal intervals.  My assessment is that the patient's differential includes vasovagal syncope, cardiac, and neuro causes. Based on the history and physical, cardiac causes are quite unlikely. Additionally, the history and physical do not support a neurologic cause. I think that vasovagal syncope is most likely, because of the occurrence right after immunizations, normal EKG, and epidemiology of syncope. We observed the patient for an hour without any events or abnormal rhythm. I reviewed the last set of vital signs and I am comfortable with the discharge heart rate, respiratory rate, and blood pressure. We gave instructions for home care. We gave strict followup guidance with PCP and reasons to return here.
Age: 90.0
Sex: F
Vaccine: PNC
Symptoms: Asthenia, Malaise, Oxygen saturation decreased, Pyrexia, Tachycardia
Clinical narrative: This is a spontaneous report based on information received by Pfizer from Merck & Co., Inc (Case Number: 00255117). Description: The primary reporter is Merck & Co., Inc. field representative, (Name), who is reporting AE information provided by nurse practitioner, (Name). The nurse practitioner reported a 90 year old patient experienced tachycardia, weakness, and feeling ill a few hours after administration of PREVNAR on an unspecified date. The patient's oxygen level decreased and she started to develop a fever. The patient subsequently recovered. No further details were provided. Physician Information: Product: PREVNAR. Product Circular#: NA. Lot Number: unknown by reporter. Expiration Date: unknown by reporter. Dose/Frequency: unknown by reporter. Please note that this information has not been reported to the FDA. No follow up attempts are possible. No further information is expected.
Sex: M
Vaccine: PNC13
Symptoms: Pain in extremity
Clinical narrative: This is a spontaneous report from a contactable consumer reported for himself. A 65-year-old male patient of an unspecified ethnicity received PREVNAR 13, via an unspecified route of administration in the arm, on an unspecified date (2 years ago) at single dose for immunisation. The patient received also PNEUMOVAX 23 at the end of Sep2016 and influenza vaccine on unknown date. On unknown date the patient experienced that his arm was very sore.
Age: 17.0
Sex: M
Vaccine: FLU4, MENB, FLU4, MENB, FLU4, MENB
Symptoms: Chills, Eye swelling, Fatigue, Pyrexia
Clinical narrative: This is a spontaneous report obtained from a contactable nurse. A 17 year old male patient (ethnicity: other) received, on 08Nov2016, the first dose of TRUMENBA; (Lot. R65027, Expiration date: 30Sep2017, NDC number: 00050100-01) at 10:21 AM, intramuscularly, in the left deltoid, at 0.5 ml, single dose and the fifth dose of FLUZONE, (Lot. UT5598JA, Expiration date: 30Jun2017, NDC number: 49281-416-88) intramuscularly, in the right deltoid, at 0.5 ml, single dose, both for immunization. Relevant medical history includes seasonal allergy. The patient had previously received multiple flu shots and two doses of FLUMIST with no reaction. Family history included high cholesterol (father). Concomitant medications were unknown. On 08Nov2016, mother noticed notable swelling to both eyes, particularly the right eye. The patient also experienced high fever for 3 days accompanied by fatigue for 4 days with chills. Mother assumed it was an allergy and gave patient Claritin and treated fever with OTC medication, Tylenol. Nurse reported a possible allergic reaction to TRUMENBA. The patient recovered from the adverse events on an unspecified date, in Nov2016.
Age: 17.0
Sex: M
Vaccine: FLU4, MENB, FLU4, MENB, FLU4, MENB
Symptoms: Activities of daily living impaired, Chills, Eye swelling, Fatigue, Pyrexia
Clinical narrative: This is a spontaneous report obtained from a contactable nurse. A 17 year old male patient (ethnicity: other) received, on 08Nov2016, the first dose of TRUMENBA; (Lot. R65027, Expiration date: 30Sep2017, NDC number: 00050100-01) at 10:21 AM, intramuscularly, in the left deltoid, at 0.5 ml, single dose and the fifth dose of FLUZONE, (Lot. UT5598JA, Expiration date: 30Jun2017, NDC number: 49281-416-88) intramuscularly, in the right deltoid, at 0.5 ml, single dose, both for immunization. Relevant medical history includes seasonal allergy. The patient had previously received multiple flu shots and two doses of FLUMIST with no reaction. Family history included high cholesterol (father). Concomitant medications were unknown. On 08Nov2016, mother noticed notable swelling to both eyes, particularly the right eye. The patient also experienced high fever for 3 days accompanied by fatigue for 4 days with chills. Mother assumed it was an allergy and gave patient Claritin and treated fever with OTC medication, Tylenol. Nurse reported a possible allergic reaction to TRUMENBA. The patient recovered from the adverse events on an unspecified date, in Nov2016.
Age: 17.0
Sex: M
Vaccine: FLU4, MENB, FLU4, MENB, FLU4, MENB
Symptoms: Throat irritation
Clinical narrative: This is a spontaneous report obtained from a contactable nurse. A 17 year old male patient (ethnicity: other) received, on 08Nov2016, the first dose of TRUMENBA; (Lot. R65027, Expiration date: 30Sep2017, NDC number: 00050100-01) at 10:21 AM, intramuscularly, in the left deltoid, at 0.5 ml, single dose and the fifth dose of FLUZONE, (Lot. UT5598JA, Expiration date: 30Jun2017, NDC number: 49281-416-88) intramuscularly, in the right deltoid, at 0.5 ml, single dose, both for immunization. Relevant medical history includes seasonal allergy. The patient had previously received multiple flu shots and two doses of FLUMIST with no reaction. Family history included high cholesterol (father). Concomitant medications were unknown. On 08Nov2016, mother noticed notable swelling to both eyes, particularly the right eye. The patient also experienced high fever for 3 days accompanied by fatigue for 4 days with chills. Mother assumed it was an allergy and gave patient Claritin and treated fever with OTC medication, Tylenol. Nurse reported a possible allergic reaction to TRUMENBA. The patient recovered from the adverse events on an unspecified date, in Nov2016.
Age: 17.0
Sex: M
Vaccine: FLU4, MENB, FLU4, MENB, FLU4, MENB
Symptoms: Eye swelling, Fatigue, Pyrexia, Throat irritation
Clinical narrative: This is a spontaneous report obtained from a contactable nurse. A 17 year old male patient (ethnicity: other) received, on 08Nov2016, the first dose of TRUMENBA; (Lot. R65027, Expiration date: 30Sep2017, NDC number: 00050100-01) at 10:21 AM, intramuscularly, in the left deltoid, at 0.5 ml, single dose and the fifth dose of FLUZONE, (Lot. UT5598JA, Expiration date: 30Jun2017, NDC number: 49281-416-88) intramuscularly, in the right deltoid, at 0.5 ml, single dose, both for immunization. Relevant medical history includes seasonal allergy. The patient had previously received multiple flu shots and two doses of FLUMIST with no reaction. Family history included high cholesterol (father). Concomitant medications were unknown. On 08Nov2016, mother noticed notable swelling to both eyes, particularly the right eye. The patient also experienced high fever for 3 days accompanied by fatigue for 4 days with chills. Mother assumed it was an allergy and gave patient Claritin and treated fever with OTC medication, Tylenol. Nurse reported a possible allergic reaction to TRUMENBA. The patient recovered from the adverse events on an unspecified date, in Nov2016.
Age: 87.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Hypersensitivity
Clinical narrative: This is a spontaneous report from a contactable Pharmacist.  An 87-years-old female patient received PREVNAR 13 Histamine related reactions, intramuscular in  right deltoid on 09Nov2016 at 0.5 ml, single for immunisation , influenza vaccine (FLU SHOT) LOT #: A3AD2, Exp date: Sep2018, intramuscular in left arm on 09Nov2016  at 1 DF, single for an unspecified indication.  Medical history included hypoacusis (the patient was extremely hard of hearing) and breast cancer from an unknown date and unknown if ongoing. The patient had histamine related reactions for ZOSTAVAX and had allergy to certain things but not to any latex or egg or protein derivatives. The patient's concomitant medications were not reported.  The patient experienced histamine reaction/allergic reaction (drug hypersensitivity) (non-serious) on an unspecified date in Nov2016 with outcome of not recovered. The reaction came up be a day or few hour after the vaccinations, she did not know exactly. However the exact start date of reaction not known by pharmacist. The patient was advised to get some Cortisol cream or to do some ice pack. The event did not require an emergency room or doctor visit.
Age: 17.0
Sex: F
Vaccine: FLU4, MENB, MNQ, TD
Symptoms: Drug administered at inappropriate site, Injection site erythema, Injection site swelling, Injection site warmth, Labelled drug-drug interaction medication error
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of injection site swelling in a 17-year-old female patient who received BEXSERO (batch number 156801A, expiry date 31st August 2017). Co-suspect products included FLUARIX QUADRIVALENT (batch number 5255R, expiry date 11th May 2017). Concomitant products included MENACTRA, TENIVAC and norgestimate and ethinyl estradiol. On 8th November 2016, the patient received the 1st dose of BEXSERO .5 ml and the 1st dose of FLUARIX QUADRIVALENT .5 ml. On 8th November 2016, an unknown time after receiving BEXSERO and FLUARIX QUADRIVALENT, the patient experienced vaccine administered at inappropriate site and labeled drug-drug interaction medication error. In November 2016, the patient experienced injection site swelling, injection site erythema and injection site warmth. On an unknown date, the outcome of the injection site swelling, injection site erythema and injection site warmth were recovering/resolving and the outcome of the vaccine administered at inappropriate site and labeled drug-drug interaction medication error were unknown. The reporter considered the injection site swelling, injection site erythema and injection site warmth to be probably related to BEXSERO and FLUARIX QUADRIVALENT. Additional details were provided as follows: On 8th November 2016, at 9:15, the patient received BEXSERO and FLUARIX QUADRIVALENT in left deltoid, which led to vaccine administered at inappropriate site and labeled drug-drug interaction medication error. On the same day, the patient received MENACTRA (batch number U5415AA, expiry date 16th October 2017) and TENIVAC (batch number U5526AA, expiry date 15th December 2018) on right deltoid. Two days after multiple vaccines, the patient experienced swelling of the left arm below the injection site and it was injection site redness and warm to touch above the elbow. The patient required emergency room visit and then physician diagnosed a localized site reaction.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Chills, Erythema, Hypersensitivity, Nightmare, Nocturia
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 73 year old female patient. The patient's historical drug included PREVNAR 13 administered in approximately November 2015 (reported as "about a year ago") with no reaction. The patient was pretty active, healthy and tough. The patient's concomitant medications, drug reactions, allergies and pertinent medical history was not reported. On 14-NOV-2016, the patient was vaccinated intramuscularly with a dose of PNEUMOVAX 23 in arm, lot # M032635 and expiry date: 05-MAY-2018. On the same day, in the same arm as the PNEUMOVAX 23, the patient received a dose of unspecified high-dose influenza vaccine. Later, on the same day, the patient began to experience excessive chills and tremors, and when she went to bed that night was up every two hours urinating and experienced severe nightmares what really laid her out for about two days. On an unknown date in November 2016, the patient also experienced soreness in the injection arm and a severe allergic response in her arm, which involved swelling, redness, warmth to the touch on the top of her arm, and it "looked like there were worms in the top of her arm." The patient returned to the pharmacy on 16-NOV-2016, and stated that she was experiencing less soreness in her arm and the swelling had gone down, but it was now also swollen underneath her arm. The only treatment that was given was BENADRYL on 15-NOV-2016 (reported as "last night"). No lab diagnostic studies were performed. On 16-NOV-2016, the patient recovered from the event of laying out. The outcome of the other events was reported as recovering. The relatedness between the events and PNEUMOVAX 23 was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Pain in extremity, Peripheral swelling, Pollakiuria, Skin warm, Swelling
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 73 year old female patient. The patient's historical drug included PREVNAR 13 administered in approximately November 2015 (reported as "about a year ago") with no reaction. The patient was pretty active, healthy and tough. The patient's concomitant medications, drug reactions, allergies and pertinent medical history was not reported. On 14-NOV-2016, the patient was vaccinated intramuscularly with a dose of PNEUMOVAX 23 in arm, lot # M032635 and expiry date: 05-MAY-2018. On the same day, in the same arm as the PNEUMOVAX 23, the patient received a dose of unspecified high-dose influenza vaccine. Later, on the same day, the patient began to experience excessive chills and tremors, and when she went to bed that night was up every two hours urinating and experienced severe nightmares what really laid her out for about two days. On an unknown date in November 2016, the patient also experienced soreness in the injection arm and a severe allergic response in her arm, which involved swelling, redness, warmth to the touch on the top of her arm, and it "looked like there were worms in the top of her arm." The patient returned to the pharmacy on 16-NOV-2016, and stated that she was experiencing less soreness in her arm and the swelling had gone down, but it was now also swollen underneath her arm. The only treatment that was given was BENADRYL on 15-NOV-2016 (reported as "last night"). No lab diagnostic studies were performed. On 16-NOV-2016, the patient recovered from the event of laying out. The outcome of the other events was reported as recovering. The relatedness between the events and PNEUMOVAX 23 was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Tremor
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 73 year old female patient. The patient's historical drug included PREVNAR 13 administered in approximately November 2015 (reported as "about a year ago") with no reaction. The patient was pretty active, healthy and tough. The patient's concomitant medications, drug reactions, allergies and pertinent medical history was not reported. On 14-NOV-2016, the patient was vaccinated intramuscularly with a dose of PNEUMOVAX 23 in arm, lot # M032635 and expiry date: 05-MAY-2018. On the same day, in the same arm as the PNEUMOVAX 23, the patient received a dose of unspecified high-dose influenza vaccine. Later, on the same day, the patient began to experience excessive chills and tremors, and when she went to bed that night was up every two hours urinating and experienced severe nightmares what really laid her out for about two days. On an unknown date in November 2016, the patient also experienced soreness in the injection arm and a severe allergic response in her arm, which involved swelling, redness, warmth to the touch on the top of her arm, and it "looked like there were worms in the top of her arm." The patient returned to the pharmacy on 16-NOV-2016, and stated that she was experiencing less soreness in her arm and the swelling had gone down, but it was now also swollen underneath her arm. The only treatment that was given was BENADRYL on 15-NOV-2016 (reported as "last night"). No lab diagnostic studies were performed. On 16-NOV-2016, the patient recovered from the event of laying out. The outcome of the other events was reported as recovering. The relatedness between the events and PNEUMOVAX 23 was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Chills, Erythema, Nightmare, Peripheral swelling, Pollakiuria
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 73 year old female patient. The patient's historical drug included PREVNAR 13 administered in approximately November 2015 (reported as "about a year ago") with no reaction. The patient was pretty active, healthy and tough. The patient's concomitant medications, drug reactions, allergies and pertinent medical history was not reported. On 14-NOV-2016, the patient was vaccinated intramuscularly with a dose of PNEUMOVAX 23 in arm, lot # M032635 and expiry date: 05-MAY-2018. On the same day, in the same arm as the PNEUMOVAX 23, the patient received a dose of unspecified high-dose influenza vaccine. Later, on the same day, the patient began to experience excessive chills and tremors, and when she went to bed that night was up every two hours urinating and experienced severe nightmares what really laid her out for about two days. On an unknown date in November 2016, the patient also experienced soreness in the injection arm and a severe allergic response in her arm, which involved swelling, redness, warmth to the touch on the top of her arm, and it "looked like there were worms in the top of her arm." The patient returned to the pharmacy on 16-NOV-2016, and stated that she was experiencing less soreness in her arm and the swelling had gone down, but it was now also swollen underneath her arm. The only treatment that was given was BENADRYL on 15-NOV-2016 (reported as "last night"). No lab diagnostic studies were performed. On 16-NOV-2016, the patient recovered from the event of laying out. The outcome of the other events was reported as recovering. The relatedness between the events and PNEUMOVAX 23 was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Skin warm
Clinical narrative: This spontaneous report as received from a pharmacist refers to a 73 year old female patient. The patient's historical drug included PREVNAR 13 administered in approximately November 2015 (reported as "about a year ago") with no reaction. The patient was pretty active, healthy and tough. The patient's concomitant medications, drug reactions, allergies and pertinent medical history was not reported. On 14-NOV-2016, the patient was vaccinated intramuscularly with a dose of PNEUMOVAX 23 in arm, lot # M032635 and expiry date: 05-MAY-2018. On the same day, in the same arm as the PNEUMOVAX 23, the patient received a dose of unspecified high-dose influenza vaccine. Later, on the same day, the patient began to experience excessive chills and tremors, and when she went to bed that night was up every two hours urinating and experienced severe nightmares what really laid her out for about two days. On an unknown date in November 2016, the patient also experienced soreness in the injection arm and a severe allergic response in her arm, which involved swelling, redness, warmth to the touch on the top of her arm, and it "looked like there were worms in the top of her arm." The patient returned to the pharmacy on 16-NOV-2016, and stated that she was experiencing less soreness in her arm and the swelling had gone down, but it was now also swollen underneath her arm. The only treatment that was given was BENADRYL on 15-NOV-2016 (reported as "last night"). No lab diagnostic studies were performed. On 16-NOV-2016, the patient recovered from the event of laying out. The outcome of the other events was reported as recovering. The relatedness between the events and PNEUMOVAX 23 was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Chills, Erythema, Hypersensitivity, Nightmare, Nocturia
Clinical narrative: Arm swollen x 3 days - under arm - red and hot, excessive chills, nightmares, excessive urination. Stayed in bed for 2 days. 11/16/16 - suggested BENADRYL for arm.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Pain in extremity, Peripheral swelling, Pollakiuria, Skin warm, Swelling
Clinical narrative: Arm swollen x 3 days - under arm - red and hot, excessive chills, nightmares, excessive urination. Stayed in bed for 2 days. 11/16/16 - suggested BENADRYL for arm.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Tremor
Clinical narrative: Arm swollen x 3 days - under arm - red and hot, excessive chills, nightmares, excessive urination. Stayed in bed for 2 days. 11/16/16 - suggested BENADRYL for arm.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Chills, Erythema, Nightmare, Peripheral swelling, Pollakiuria
Clinical narrative: Arm swollen x 3 days - under arm - red and hot, excessive chills, nightmares, excessive urination. Stayed in bed for 2 days. 11/16/16 - suggested BENADRYL for arm.
Age: 73.0
Sex: F
Vaccine: FLU4, PPV, FLU3, PPV
Symptoms: Skin warm
Clinical narrative: Arm swollen x 3 days - under arm - red and hot, excessive chills, nightmares, excessive urination. Stayed in bed for 2 days. 11/16/16 - suggested BENADRYL for arm.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Pneumococcal polysaccharide 23-valent vaccine given on 11/17/16.  On 11/19/16, patient went to ED with c/o Right arm swelling and pain in R upper arm and shoulder.  Swelling has urticarial appearance with sharp border, mild redness overlying swelling; injection over proximal shoulder and without erythema or warmth.  Some pan with movement of R shoulder but good ROM.  No swelling of shoulder joint.  Pt has no fevers.  Reaction favors inflammatory reaction to vaccine, rather than cellulitis.  Treated with NSAIDS and antihistamines.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site swelling
Clinical narrative: Swelling of right deltoid (site of vaccine administration).
Age: 4.0
Sex: M
Vaccine: DTAP, FLUX, MMR
Symptoms: External ear pain, Local swelling, Oropharyngeal pain
Clinical narrative: Right neck swollen, complaining of pain in his ear and throat.
Age: 30.0
Sex: M
Vaccine: ANTH, FLU4, TYP
Symptoms: Dizziness, Tinnitus
Clinical narrative: Patient felt lightheaded and needed to lay down. Patient laid down and stated he had a little ringing in his ears. After a few minutes the patient announced he felt better, sat up, then stood up.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient states injection site has become red and warm to the touch. She also says it has developed some swelling.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus
Clinical narrative: Patient entire deltoid was red and itchy. Follow up on Nov 18. Deltoid is still red and itchy.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Chills, Nightmare, Pain in extremity, Pollakiuria
Clinical narrative: Excessive chills, nightmares chills excessive urination, arm very sore stayed in bed for 2 days.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Chills, Nightmare, Nocturia, Pain in extremity, Pollakiuria
Clinical narrative: Excessive chills, nightmares chills excessive urination, arm very sore stayed in bed for 2 days.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Tremor
Clinical narrative: Excessive chills, nightmares chills excessive urination, arm very sore stayed in bed for 2 days.
Sex: U
Vaccine: PPV
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report was received from a physician via an unspecified reporter referring to a patient of unknown age and gender. The patient's concurrent conditions and medical history were not reported. On 14-DEC-2015, the patient was vaccinated with a dose of improperly stored PNEUMOVAX 23 and lot number L014876 with expiration date of 13-JAN-2017 (route of administration and anatomical location were not reported), which was stored at a lowest recorded temperature of 27F (-2.777777778 Celsius) for 1008 hours. The vaccine status was reported as excursion and the storage criteria and the vaccine excursion were reported as "Refrigerator(R)". No concomitant therapies nor adverse effect were reported. No product quality complaint was involved. This is one of several cases from the same reporter. Additional information has been requested.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Influenza like illness, Malaise, Pyrexia, Urticaria
Clinical narrative: Patient called and said he got very sick from the vaccine. Said he got some hives a few days after the vaccine was administered. Said high fever, very tired flu like symptoms.
Age: 56.0
Sex: F
Vaccine: FLU3, HEPA, PPV
Symptoms: Influenza like illness, Nausea, Pruritus generalised, Rash generalised
Clinical narrative: Pt received Flu, Pneumonia and Hep A vaccines yesterday. Developed generalized pruritus rash about 1 hour after vaccine. Nausea, flu like symptoms. No throat swelling, no SOB, no stomach pain.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Pyrexia
Clinical narrative: There were many of us that has same complaint. Fever for 1-3 days post flu shot injection but the main complaint is the upper (in my case, left deltoid) where I had my intramuscular injection that is current until now. I can hardly lift my arm and I have to take 800 mg MOTRIN in order to work. Changing clothes was difficult.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Left upper arm edematous, erythematous to upper portion of arm above elbow. Dr. evaluated on 11/1/2016 - ordered BENADRYL 25 mg q 6 hours. Pt returned on 11/2/16 - given BACTRIM DS bid x 7 days - Prednisone 20 mg q d x 5 days.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Adverse reaction, Blood test normal, Diarrhoea, Epstein-Barr virus test, Gastroenteritis viral
Clinical narrative: Vomiting, high temperature of 103. Loose stools. Went to doctors office on 11/10/16 and was told stomach virus. High temp continued off and on until 11/12/2016. 11/12/16 rash broke out on child's trunk, from groin all the way to neck, was not on ANY extremities, covered his back as well. Never continued to vomit. Called pediatric office again, they said it could be a viral roseola, if it came back to bring him in. 11/17/2016 PM, another rash broke out, same areas, however different appearance. Almost looked like chicken pox but had no "head" on the red bumps all over him. Called pediatric office again, took him in 11/18/16 at 8:30 AM, was told it was a reaction to "something" but maybe foods. He has not had ANY new foods, nor have we changed anything else around the house. Rash has continued to date. Pediatric office advised Claritin and oral steroids on 11/18/16, said if it was not better to return to them Monday 11/21/16 and they would do bloodwork. Was advised this morning all bloodwork is normal. Rash still remains.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Mononucleosis heterophile test negative, Pyrexia, Rash, Rash erythematous, Streptococcus test negative
Clinical narrative: Vomiting, high temperature of 103. Loose stools. Went to doctors office on 11/10/16 and was told stomach virus. High temp continued off and on until 11/12/2016. 11/12/16 rash broke out on child's trunk, from groin all the way to neck, was not on ANY extremities, covered his back as well. Never continued to vomit. Called pediatric office again, they said it could be a viral roseola, if it came back to bring him in. 11/17/2016 PM, another rash broke out, same areas, however different appearance. Almost looked like chicken pox but had no "head" on the red bumps all over him. Called pediatric office again, took him in 11/18/16 at 8:30 AM, was told it was a reaction to "something" but maybe foods. He has not had ANY new foods, nor have we changed anything else around the house. Rash has continued to date. Pediatric office advised Claritin and oral steroids on 11/18/16, said if it was not better to return to them Monday 11/21/16 and they would do bloodwork. Was advised this morning all bloodwork is normal. Rash still remains.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Vomiting, high temperature of 103. Loose stools. Went to doctors office on 11/10/16 and was told stomach virus. High temp continued off and on until 11/12/2016. 11/12/16 rash broke out on child's trunk, from groin all the way to neck, was not on ANY extremities, covered his back as well. Never continued to vomit. Called pediatric office again, they said it could be a viral roseola, if it came back to bring him in. 11/17/2016 PM, another rash broke out, same areas, however different appearance. Almost looked like chicken pox but had no "head" on the red bumps all over him. Called pediatric office again, took him in 11/18/16 at 8:30 AM, was told it was a reaction to "something" but maybe foods. He has not had ANY new foods, nor have we changed anything else around the house. Rash has continued to date. Pediatric office advised Claritin and oral steroids on 11/18/16, said if it was not better to return to them Monday 11/21/16 and they would do bloodwork. Was advised this morning all bloodwork is normal. Rash still remains.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Induration, Swelling
Clinical narrative: Swelling, redness, hardness, diagnosed with cellulitis.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: More pain than normal when administered. Felt sore for 1 week like expected. Tapered off. On November 10th the pain came back and is now in the bicep/full upper arm.  Rates pain a 6-7 on a regular basis.  No other known cause, no injury, no illnesses. Advised on November 22 to see Primary Care Physician.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injection site pain, Musculoskeletal stiffness, Pain, X-ray normal
Clinical narrative: At onset-vaccine shot hurt. 15 minutes-red and hurt. Continued to get stiff. Followed up with dr for an xray which didn't show anything. Followed up with another dr and he gave a cortizone shot but it didn't help. Went to the chiropractor today and he said it seems to be frozen. He's going to send her on to a specialist.
Age: 27.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Myalgia
Clinical narrative: No problems at initial time of administration. 46 hours after, patient reported muscle pain at the injection site that reaches in her neck.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect route of drug administration, Musculoskeletal pain, X-ray
Clinical narrative: Left shoulder pain, xray ordered, cortisone injections. Physical therapy ordered. Patient reports injection given quite high near the subacromial area.
Age: 88.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Local swelling, Pyrexia, Rash
Clinical narrative: Fever up to 102 degrees. Localized rash and swelling.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Rash, Swelling
Clinical narrative: Patient reported a rash broke out on left-hand side of back. It is raised, red, itchy, and 6in in diameter. Pt took a CLARITIN and will put BENADRYL cream on it.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Received shot 11/6/16. Came into RX Dept 11/8 - red, warm raised area on bicep area (not deltoid where shot given). After consideration advised doc visit who diagnosed cellulitis + 8 and pt antibiotic.
Age: 62.0
Sex: M
Vaccine: FLU4, HEPA, IPV, PPV, TYP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm subcutaneous injection site became painful, swollen, and red.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Insomnia, Pain in extremity, Peripheral swelling
Clinical narrative: Pt developed pain/swelling along the length of arm to the fingertips over the course of a couple days. The pain was causing difficulty sleeping on affected arm, and it made it difficult for her to drive/lift her arm. She began taking Benadryl and Motrin which resolved the issue.  She returned to the pharmacy on 11/21/16 to inform us of what happened and said that the  pain/swelling has resolved.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Fall, Fatigue, Feeling abnormal, Head injury
Clinical narrative: Woke up 11/16/16 (the next morning) with every joint in body hurting and very tired so went back to sleep which is very unusual. Woke up about 11:00 am and made breakfast.  Felt awful when sat down to eat, so just sat there looking at the food feeling awful.  Passed out and fell off chair hitting head (now sore around left temple).  Family woke me up, had to go to the bathroom immediately to relieve bowels, and immediately began to sweat profusely for 5 or 10 minutes.  Went back to bed and slept until 2:00 pm.  Around 9 pm, by right ring finger joint began to swell and it was very difficult to close and up hand.  That lasted all day 11/17/16 (the next day), but was better by Saturday 11/18/16.  I feel like I am back to "square 1" trying to rid my body of things my antibodies are attacking.  I really don't know what the long term effect of this Pneumococcal polysaccharide vaccine #23 will be.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Hyperhidrosis, Joint swelling, Loss of consciousness, Mobility decreased
Clinical narrative: Woke up 11/16/16 (the next morning) with every joint in body hurting and very tired so went back to sleep which is very unusual. Woke up about 11:00 am and made breakfast.  Felt awful when sat down to eat, so just sat there looking at the food feeling awful.  Passed out and fell off chair hitting head (now sore around left temple).  Family woke me up, had to go to the bathroom immediately to relieve bowels, and immediately began to sweat profusely for 5 or 10 minutes.  Went back to bed and slept until 2:00 pm.  Around 9 pm, by right ring finger joint began to swell and it was very difficult to close and up hand.  That lasted all day 11/17/16 (the next day), but was better by Saturday 11/18/16.  I feel like I am back to "square 1" trying to rid my body of things my antibodies are attacking.  I really don't know what the long term effect of this Pneumococcal polysaccharide vaccine #23 will be.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Received flu vaccine 11/21/2016, began having fever, aches, chills, severe nausea and vomiting in the evening. Still has some of these symptoms in the morning of 11/22/2016.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Neuralgia, Sensory disturbance
Clinical narrative: Patient claims that he has a sensation or a sense of awareness of where the flu shot was given in his left arm. When he pushes on the spot of his arm he feels a weird sensation, almost like a nerve tingling. He says sometimes he feels the same sensation further down on his forearm, almost like a nerve pain. He is concerned since its been about 5 weeks since the shot. He is also a side sleeper, but doesn't feel that its that, because he notices it daily.
Age: 24.0
Sex: M
Vaccine: FLUC4
Symptoms: Influenza A virus test, Viral infection
Clinical narrative: ER visit on 10/20/2016. Diagnosed with viral syndrome discharged the same day. Cleared to return to work on 10/23/2016 by physician.
Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Musculoskeletal pain, Neck pain, Pain
Clinical narrative: Soreness in shoulder, cannot pick up anything. Pain when driving that shoots up to my neck. Pain when moving my arm in certain positions.
Age: 21.0
Sex: M
Vaccine: FLU3, HEP, HPV9, VARCEL
Symptoms: Asthenia, Fatigue, Injection site pain
Clinical narrative: Pain in entire upper R arm, body weakness, fatigue.
Age: 74.0
Sex: F
Vaccine: PNC13
Symptoms: Infection, Peripheral swelling, Skin warm
Clinical narrative: Patient arm is swollen and warm to the touch. Dr said she has an infection.
Age: 66.0
Sex: M
Vaccine: TDAP
Symptoms: Muscle twitching
Clinical narrative: Twitch in right thumb. Received shot in left arm.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Headache, Lip swelling, Mouth swelling
Clinical narrative: Patient had a headache at 5pm. Experienced swelling of mouth and lips at 8pm. Developed anxiety at 8:30pm. Took BENADRYL at 8pm. Went to emergency room and was administered an EPIPEN and prednisone.
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Cellulitis, Decreased appetite, Erythema, Fatigue, Feeling cold
Clinical narrative: Pt had a PREVNAR vaccine on 11/15/16 in her left arm and flu shot in her right arm. She had chills, and fatigue for 2 days after the injections. She feels better today, she has less fatigue and chills. She had less of an appetite. This is little bit better today. Her left upper arm started with a small amount of redness the day after she received the PREVNAR vaccine, then the redness spread down her left arm to just above her elbow yesterday. Dx with cellulitis, ordered for cephalexin 500 mg po tid x 10 days.
Age: 65.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient says her arms is red and swollen around the injection site.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Contusion, Skin reaction, Skin warm
Clinical narrative: There is redness that extends more than half the upper arm. She first noticed it on the 19th, but it has increased since then. There is a bruise, also, but it was noted on the consent from that a vein may have been punctured upon administration. There is no swelling/itching/pain to the area; however, it did seem warm to the touch. The patient also stated her arm was very sore and she could barely lift it for a couple days following administration. It is now 7 days post-vaccination and she can still feel slight soreness.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Nuclear magnetic resonance imaging
Clinical narrative: Shoulder pain at the joint. MRI given and MD determined related to vaccine. Anti-inflammatories prescribed and physical therapy initiated.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Immediate post-injection reaction, Middle insomnia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Immediate pain shooting through the arm and emmense throbbing it was also given to high up in the arm.. After 4 days the pain was so bad went to the walk in clinic was given ibuprophen 800mg. After 2 weeks in dire pain went to the ER and was give steroid shots. 1 shot start immediately the other to last 2 weeks..felt better then after the pain is back it hurts to lift arm tingling in fingers and the pain wakes me up at night it is so intense.
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Computerised tomogram abnormal, Haematoma, Mobility decreased, Musculoskeletal pain, Ultrasound scan abnormal
Clinical narrative: Pain in right shoulder, difficulty in movement, patient stated significant amount of pain notified pharmacy 11/18/2016 was going to try heat therapy to improve, patient talked his doctor 11/19/2016 had ultrasound and CT scan showed a hematoma diagnosis was told to pharmacy 11/22/2016 patient stated that issue was improving and range of movement improving continue using heat and massage therapy patient confident will get back to normal.
Age: 11.0
Sex: M
Vaccine: HPV4, MNQ
Symptoms: Blister, Peripheral swelling
Clinical narrative: Patient had blisters and swelling on Left arm the day after vaccine administration.
Age: 1.0
Sex: M
Vaccine: FLUX, HEPA, MMRV
Symptoms: Febrile convulsion
Clinical narrative: Febrile seizure occurred about 80 hours post-vaccination.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Fever, body aches, chills, swelling of arm and redness that was spreading.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Headache, Musculoskeletal pain, Nerve compression
Clinical narrative: C/o upper back/shoulder pain, headache and "pinched nerve" following vaccine. Said felt sharp pinch across upper back with injection. Has not seen the doctor and is taking Advil, Excedrin and aleeve for back and head pain.
Age: 11.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Symptoms were noticed after school the day after vaccine administration; left arm was red from the shoulder to the elbow, the area was warm to the touch, and reported pain with pressure.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Slight redness and swelling at injection site, pt saw nurse practioner and circled redness area pt came to pharmacy 4 days later swelling and redness gone still complained of pain.  return to pharmacy 11-22-2016 and said still pain at injection site however  not shoulder or elbow.
Age: 16.0
Sex: M
Vaccine: FLU4, HEP, HPV9, IPV, MENB, MMR, TD, VARCEL
Symptoms: Injection site cyst, Injection site erythema, Injection site pustule
Clinical narrative: 5 CM ERYTHEMATOUS CYST TO THE UPPER DELTOID REGION OF THE LEFT ARM AND A 3 CM PUSTULE TO THE LEFT ANTECUBITAL AREA. BOTH DEVELOPED ON DAY 2 AND PROGRESSED UNTIL REPORTED ON 11/22/2016 (DAY 13). MOM HAD NOT TAKEN CHILD TO SEE A PHYSICIAN, BUT REPORTED CONDITION HAS GOTTEN WORSE EACH DAY.  ADVISED TO PLACE HOT COMPRESS ON AFFECTED AREAS AND SEEK MEDICAL ATTENTION.
Age: 57.0
Sex: M
Vaccine: ANTH
Symptoms: Bronchitis
Clinical narrative: Patient was seen at Urgent Care clinic. Patient stated he was released and treated for bronchitis. Pending additional documentation from the facility.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Unevaluable event
Clinical narrative: NONE.
Age: 65.0
Sex: M
Vaccine: FLU3, HEPA, PNC13, VARZOS
Symptoms: Chills, Headache
Clinical narrative: Chills and headache.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Patient had a fever and a rash the spread from injection site to elbow.
Age: 36.0
Sex: M
Vaccine: FLU3, FLU4
Symptoms: Cervical radiculopathy, Electromyogram abnormal, Muscular weakness, Musculoskeletal pain, Neuralgic amyotrophy
Clinical narrative: I woke up on morning of January 23 with severe left sided pain in left arm and shoulder.  4 days later developed gradual onset left hand weakness.   EMG revealed pattern consistent with either Parsons Turner Syndrome of C8/T1 Radiculopathy.   Hand strength has slowly returned over subsequent 10 months.  My left hand is still slightly weaker than I believe it once was, though it is almost normal.
Age: 36.0
Sex: M
Vaccine: FLU3, FLU4
Symptoms: Pain in extremity, Radiculopathy
Clinical narrative: I woke up on morning of January 23 with severe left sided pain in left arm and shoulder.  4 days later developed gradual onset left hand weakness.   EMG revealed pattern consistent with either Parsons Turner Syndrome of C8/T1 Radiculopathy.   Hand strength has slowly returned over subsequent 10 months.  My left hand is still slightly weaker than I believe it once was, though it is almost normal.
Age: 36.0
Sex: M
Vaccine: FLU3, FLU4
Symptoms: Electromyogram, Muscular weakness, Neuralgic amyotrophy, Neuropathy peripheral, Nuclear magnetic resonance imaging spinal
Clinical narrative: I woke up on morning of January 23 with severe left sided pain in left arm and shoulder.  4 days later developed gradual onset left hand weakness.   EMG revealed pattern consistent with either Parsons Turner Syndrome of C8/T1 Radiculopathy.   Hand strength has slowly returned over subsequent 10 months.  My left hand is still slightly weaker than I believe it once was, though it is almost normal.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity
Clinical narrative: Administered FLUVIRIN vaccine around 12:30pm. Patient experienced numbness on the palm of her hand and top of forearm, pain at injection site. Verified injection site not too high. Amount of bleeding was not abnormal. Patient was not dizzy nor light-headed. Gave patient ice pack to apply to injection site. Observed full 20 minutes. Gave my business card and asked that if numbness persists to follow up with physician and notify pharmacy. Phoned patient at 3pm to inquire if numbness continued. Per patient, numbness has gone away, the arm is still sore. I advised that if the patient would like to take some Tylenol to help with the pain, that would be ok. If the numbness returns (not expected) to please be sure to follow up with doctor.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling, Tenderness
Clinical narrative: PATIENT HAS SWELLING BETWEEN SHOULD AND NECK ON THE ARM OF INJECTION. TENDER BUT DOES NOT HURT.
Age: 61.0
Sex: M
Vaccine: FLUC4
Symptoms: Back pain, Erythema, Herpes zoster, Insomnia, Pain in extremity
Clinical narrative: I was administered the 2016 flu vaccine Friday, November 11, 2016 around Noon (Pharmacy).  About an hour later I developed the anticipated mild pain in my right arm.  I also developed pain in the left side of my back.  This pain grew and was persistent, keeping me awake at night. I also noticed a few minor red marks on the left hand side of my back and inner left thigh.  I went to the doctor November 17.  The doctor was unsure of a diagnosis at that time.  The doctor thought that I might have a urinary tract infection.  He prescribed an antibiotic and sent my urine specimen to be tested by a lab.  On Friday November 18, I developed a painful rash on the left side of my body. On Monday, November 21, I returned to my primary care physician's office. Dr.  diagnosed my illness as Shingles and prescribed Gabapentin and Valacyclovir HCL 1. Dr. stated that my urine specimen was negative, and that I did not need to continue with the antibiotic.  I have been in significant pain which began about an hour after the flu vaccine. Unfortunately the Valacyclovir HCL 1 and the Gabapentin have done little to reduce the pain which continues to grow.  I realize that the 2016 flu vaccine did not give me Shingles, however, I do believe that it triggered the virus.