chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Initial information received on 16-Oct-2018 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 13 years old female patient who experienced typical body aches and low grade fever, while she received vaccine FLUBLOK QIV at the inappropriate age. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication was not reported. Reported as no other vaccine was give. On 15-Oct-2018, the patient received a 0.5 ml dose of suspect Influenza Quadrivalent Recombinant Vaccine, lot QFAA1820 expiry date: 30-Jun-2019 via intramuscular route in left deltoid. On an unknown date (reported as last night), the patient developed a non-serious typical body aches (pain) following the administration of Influenza Quadrivalent Recombinant Vaccine. On an unknown date (reported as last night), the patient developed a non-serious low grade fever (pyrexia) following the administration of Influenza Quadrivalent Recombinant Vaccine. It was also a case of actual medication error due to inappropriate age at vaccine administration. (Other relevant tests included No lab data.) Final diagnosis was low grade fever and body aches. It was not reported if the patient received a corrective treatment. The patient outcome is reported as recovering. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 16-Oct-2018 regarding an unsolicited valid serious case received from a other health professional and live additional information received from same reporter on 17-Oct-2018. This case involves a 54 years old female patient who received 0.5 ml vaccine FLUZONE HIGH DOSE (lot UJ042AA and expiration date 19-May-2019) via unknown route in the right deltoid on 17-Oct-2018. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Patient had urinary tract infection. It was a case of actual medication error due to inappropriate age at vaccine administration. No side effects was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 5.0
Sex: U
Vaccine: DTAP, HEPA, IPV, MMRV
Symptoms: Product storage error
Clinical narrative: Initial information received on 16-Oct-2018 regarding an unsolicited valid non-serious case received from a nurse. This case is linked to cases 2018SA290124 (same reporter). This case involves a five-years-old patient of an unknown gender who received a 0.5 mL dose of IPOL lot P1A171M, expiry date: 30-Apr-2020 via intramuscular route in the right thigh on 03-Oct-2018. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included DTAP for Immunisation; HEPATITIS A VACCINE for Immunisation; and PROQUAD for Immunisation. It was a case of actual medication error due to incorrect product storage. It was reported that excursion was 51.8 degrees F for 1 Hour. 101-hours-worth of excursions since 18May - 15Oct. These excursions were not included on one vial of the Unopened and Opened IPOL. There were Two Injections given during the most recent Excursion of 51.8 degrees F. x 1 Hour of the Opened IPOL Vial. It was not reported if the patient experienced any administered or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. Documents held by sender: none.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 16-Oct-2018 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 61 years old male patient who was inadvertently administered a 0.5 mL dose of FLUZONE HIGH DOSE lot UI977AB, expiry date: 09-Mar-2019 via intramuscular route in the left deltoid on 11-Oct-2018. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. It was a case of actual medication error due to inappropriate age at vaccine administration and overdose. It was not reported if the patient experienced any administered or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. Documents held by sender: none.
Sex: F
Vaccine: FLU4
Symptoms: Allergy to metals, Condition aggravated
Clinical narrative: Initial information received on 16-Oct-2018 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case involves Adult female patient who experienced allergy to nickel, while she received vaccine FLUZONE QUADRIVALENT. The patient's past medical history included Allergy to metals and Fibromyalgia. The patient's past medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE lot number not reported via unknown route in unknown administration site. On an unknown date, the patient developed a non-serious allergy to nickel (allergy to metals) and it worsened her condition (Unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. (Other relevant tests included No lab data.) Final diagnosis was allergy to nickel. It was not reported if the patient received a corrective treatment. On an unknown date, the event outcome was reported as Unknown for allergy to nickel. List of documents held by sender: none.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Hyperhidrosis
Clinical narrative: Severe headache, severe body aches, intermittent nausea, loss of appetite, chills, sweats, weakness, lethargy, slight rash on 3rd day.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Nausea, Pain, Rash
Clinical narrative: Severe headache, severe body aches, intermittent nausea, loss of appetite, chills, sweats, weakness, lethargy, slight rash on 3rd day.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Nodule, Rash, Rash pruritic
Clinical narrative: Very itchy rash on lower abdomen and upper abdomen (under breasts). Continued to spread to inside upper arms and upper abdomen and buttocks area. Rash is small bumps of itchy nodules. The reaction is now continuing into it's third week post shot. Treated with aloe vera at first, then hydrocortisone cream 1%, then took oral BENADRYL tablets which seemed to make it recede a bit but switched to topical BENADRYL gel (all OTC drugs/treatments).
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site cellulitis, Injection site warmth, Skin warm
Clinical narrative: Patient developed a cellulitis reaction around the site of injection from the top of the arm to the wrist that was warm to the touch.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Large local reaction to left upper arm, below injection site. Patient reports that she began feeling pain and noticed redness and swelling starting the day after her influenza injection was given on Friday, October 19th. Area increased in size gradually from Saturday to Monday. Treatment included Rx triamcinolone 0.1% ointment BID and OTC ZYRTEC or BENADRYL, cool compresses.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Contusion, Discomfort, Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Within 24 hours of receiving the PNEUMOVAX 23 injection the patient experience a hot sensation, swelling, and redness radiating from the injection site. The redness expanded to encompass parts of shoulder, bicep and forearm. Evidence of bruising under the skin present as well. Patient denied itchiness, shortness of breath, elevated heart rate. He only reported discomfort and did state that the bruising and swelling had improved by the 48 hour mark. Patient was observed after 72 hours.
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Injection site warmth
Clinical narrative: Within 24 hours of receiving the PNEUMOVAX 23 injection the patient experience a hot sensation, swelling, and redness radiating from the injection site. The redness expanded to encompass parts of shoulder, bicep and forearm. Evidence of bruising under the skin present as well. Patient denied itchiness, shortness of breath, elevated heart rate. He only reported discomfort and did state that the bruising and swelling had improved by the 48 hour mark. Patient was observed after 72 hours.
Age: 0.83
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Mother presented to clinic with patient for 2nd flu vaccine this season. RN explained purpose of vaccine, mode of admin, and potential side effects. VIS given and explained as well. Verified no previous allergies to vaccine or its components. Mother verbalized understanding. RN administered 0.5 dose ml of FLUZONE. Pt tolerated injection well. RN realized that 0.5 ml FLUZONE dose was incorrect amount. No adverse reaction noted. RN notified nurse manager and provider. RN also notified parents.
Age: 1.0
Sex: M
Vaccine: RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given ROTATEQ virus past the maximum age allowed.
Age: 98.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient is complaining of soreness in her arm for several weeks after getting the flu shot.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Pain, Pruritus, Pyrexia, Swelling
Clinical narrative: SHINGRIX is the shingle shot if got (0.5 mg) I or 2. I got the shot at 2 PM started feeling fever at 4 PM which was told to take Tylenol. The welts started at the same time on my face in my eyes, on my arms and chest. told by pharmacist to take Benadryl two every 4 hours. For three weeks put up with it then went to the doctor. 10/2/18 went to Dr's. nurse she gave me a shot cortisone next day had an appointment with Dr. he said it was an allergic reaction to the Shingles shot he prescribed Dexamethasone 1mg 7 days. helped with the pain not swelling. Here I am still with the swelling and itching not going out because fabric touching it hurts and makes it worse.  I would rather have the shingles then this!
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness, Urticaria
Clinical narrative: SHINGRIX is the shingle shot if got (0.5 mg) I or 2. I got the shot at 2 PM started feeling fever at 4 PM which was told to take Tylenol. The welts started at the same time on my face in my eyes, on my arms and chest. told by pharmacist to take Benadryl two every 4 hours. For three weeks put up with it then went to the doctor. 10/2/18 went to Dr's. nurse she gave me a shot cortisone next day had an appointment with Dr. he said it was an allergic reaction to the Shingles shot he prescribed Dexamethasone 1mg 7 days. helped with the pain not swelling. Here I am still with the swelling and itching not going out because fabric touching it hurts and makes it worse.  I would rather have the shingles then this!
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Asthenia, Musculoskeletal pain, Pain in extremity, Rash
Clinical narrative: Pain began in shoulder and then travelled down the arm to debilitating pain in the elbow and growing now to the wrist. Rash around arm and on chest.
Age: 41.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Hypoaesthesia, Influenza like illness
Clinical narrative: Weakness, left arm numbness, severe flu like symptoms.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure increased, Chills, Dizziness, Headache
Clinical narrative: HIGH FEVER, INCREASED PULSE 90-100, DIZZINESS, WEAKNESS, CHILLS, VERY SEVERE HEADACHE AND INCREASED HIGH BLOOD PRESSURE 170/90. THE REACTION STARTED 3 AND 1/2 HOUR AFTER VACCINE.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Heart rate increased, Pyrexia
Clinical narrative: HIGH FEVER, INCREASED PULSE 90-100, DIZZINESS, WEAKNESS, CHILLS, VERY SEVERE HEADACHE AND INCREASED HIGH BLOOD PRESSURE 170/90. THE REACTION STARTED 3 AND 1/2 HOUR AFTER VACCINE.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Blood culture, Blood lactic acid decreased, Body temperature increased, Chills, Feeling cold
Clinical narrative: Within 4 hours after dose, patient started to experience head and neck ache, tremors, shaking due to feeling cold, wheezing for which patient had relief with albuterol inhaler.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Full blood count normal, Headache, Heart rate increased, Hypotension, Metabolic function test normal
Clinical narrative: Within 4 hours after dose, patient started to experience head and neck ache, tremors, shaking due to feeling cold, wheezing for which patient had relief with albuterol inhaler.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Neck pain, Tremor, Wheezing
Clinical narrative: Within 4 hours after dose, patient started to experience head and neck ache, tremors, shaking due to feeling cold, wheezing for which patient had relief with albuterol inhaler.
Age: 2.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Given wrong dose of FLUZONE.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye irritation, Eye swelling, Injection site erythema, Injection site swelling, Ocular hyperaemia
Clinical narrative: 10-17-18; 24 hours after receiving vaccine the patient experienced redness and swelling at injection site. She then felt feverish and experienced swollen, red eyes. She preceded to the ER and was confirmed to have a fever of 103 degree F. The ER doctor recommended taking diphenhydramine, ZYRTEC, and TYLENOL. The patient has been taking diphenhydramine and ZYRTEC for 5 days. The following day the patient reported to her eye doctor with concerns of shingles in her eyes. The eye doctor stated there was no signs of shingles and recommended using OTC eye drops and an eye pack for redness and irritation. Patient has been using eye drops for 4 days. On 10-22-18 the patient reports no swelling and only a light pink shade over the injection site. Her eyes are slightly irritated, but she reports improvement.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: 10-17-18; 24 hours after receiving vaccine the patient experienced redness and swelling at injection site. She then felt feverish and experienced swollen, red eyes. She preceded to the ER and was confirmed to have a fever of 103 degree F. The ER doctor recommended taking diphenhydramine, ZYRTEC, and TYLENOL. The patient has been taking diphenhydramine and ZYRTEC for 5 days. The following day the patient reported to her eye doctor with concerns of shingles in her eyes. The eye doctor stated there was no signs of shingles and recommended using OTC eye drops and an eye pack for redness and irritation. Patient has been using eye drops for 4 days. On 10-22-18 the patient reports no swelling and only a light pink shade over the injection site. Her eyes are slightly irritated, but she reports improvement.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal pain, Oedema peripheral
Clinical narrative: PATIENT HAD SWELLING UNDER THE ARMPIT AND PAIN IN THE SHOULDER BLADE FOR MORE THAN A WEEK. PATIENT TOOK IBUPROFEN 800MG OVER THE PERIOD AND SWELLING SLOWLY SUBSIDED.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: The patient says her arm still hurts up to her neck and she is having trouble moving her arm.
Age: 46.0
Sex: M
Vaccine: FLUX
Symptoms: Diarrhoea, Fatigue, Pyrexia, Vomiting
Clinical narrative: I went in for the flu shot I do not know which one they administer but the information can be provided by office. Within an hour I begin feeling very run down. I went to bed and woke up with a fever two hours later, within minutes I had severe vomiting and diarrhea, the vomiting persisted for one hour, the diarrhea for 12 hours. After about 24 hours my mild fever subsided and the symptoms started going away. After about 36 hours I felt comfortable enough to function lightly ...normally again.
Age: 41.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Patient had swelling, soreness, pain, redness, hot to touch. This happened fairly quick and patient went to urgent care. Patient was treated for possible cellulitis and given BACTRIM. Patient is doing much better and reports that reaction is getting much better.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Irritability, Poor quality sleep
Clinical narrative: Started with fever the day after shots, had fever for 3 days. Very miserable, not sleeping well, very fatigued, loss of appetite, very fussy. Rash appeared on stomach, back, groin area, neck, behind ears, some on face and head on the 4th morning after shots were given.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Started with fever the day after shots, had fever for 3 days. Very miserable, not sleeping well, very fatigued, loss of appetite, very fussy. Rash appeared on stomach, back, groin area, neck, behind ears, some on face and head on the 4th morning after shots were given.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came to pharmacy on 10/22/2018 with redness and swelling at injection site. Advised patient that this could happen with flu vaccine before vaccination and again at time of occurrence. Advised patient to apply cold compress and take OTC analgesic.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Muscular weakness, Pain
Clinical narrative: Patient came to pharmacy complaining that 5 days after shot her arm felt weak and she could not lift it above a certain point. It was not red or hot to touch. She said that it only hurt when she moved it a certain way. I told her to seek medical attention and have her doctor look at it and see what they think.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: He has had not treatment except to discuss with the pharmacist. He was thinking it would get better, but he, in fact, believes it to be worse. I as his wife know that it is at least no better. He has an ENT MD and that is who we will contact when he seeks treatment.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Immediate post-injection reaction, Influenza like illness, Injection site pain, Pyrexia
Clinical narrative: Immediate pain at injection site. Flu like (fever, chills, etc.) symptoms beginning about hour 12 after vaccine and lasting until hour 36 after vaccine.
Age: 55.0
Sex: M
Vaccine: FLUC4, PPV, VARZOS
Symptoms: Erythema, Peripheral swelling, Pyrexia, Skin tightness
Clinical narrative: The patient was given PNEUMOVAX and FLUCELVAX and developed fever 6 to 7 hours  later. He also reported swollen arm, redness and felt like compression.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Injection site pain, Injection site rash, Pain
Clinical narrative: Patient received vaccine 10/19/2018, was counseled on injection site reactions usually self resolving within 3 days time with SHINGRIX and given VIS prior to administration. Patient phoned pharmacy 10/20/2018 to inquire if the vaccine can cause shingles but not to report any reaction. Patient phoned pharmacy at 05:30 PM 10/21/2018 to report inject site pain and rash as well as a "burning" radiating throughout lower bilateral lumbar region. Advised to seek medical attention if OTC antihistamine/pain reliever were not working as patient was not present for consultation to see reaction. Attempted to phone her doctor, but was Sunday so office was closed. Patient went to Hospital 10/22/2018 - no intervention needed and no medications were prescribed. Patient reported to pharmacy afterward and showed reporting/administering pharmacist the injection site which looked to be consistent with detailing in VIS and manufacturer packaging. Lumbar pain had also resolved.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Lumbar puncture, Sensory loss
Clinical narrative: 12/11/2011- Recieved the Vaccine; 12/12/2011- lost feeling in face; 12/13/2011- lost feeling in whole body.
Age: 46.0
Sex: F
Vaccine: DTAP
Symptoms: Discomfort, Impaired work ability, Mobility decreased, Neuralgia, Pain in extremity
Clinical narrative: Severe nerve/arm pain, couldn't lift arm, uncomfortable at all times, and pain worsened in supine position. This continued at the severe level for approximately a couple months, then started to subside slowly month by month. Could not work for 3 months. Took a full year to return to mostly normal. Tried high dose prednisone for 5 days, but pain resumed immediately after course.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: PT IS STATING HAVING HIVES DEVELOPING FROM UNDER ARMPITS ALL THE WAY TO GROIN AREA.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Peripheral swelling
Clinical narrative: Swelling of arm and extreme pain.
Age: 12.0
Sex: F
Vaccine: FLUC4
Symptoms: Loss of consciousness
Clinical narrative: Within minutes of receiving flu shot, patient passed out.
Age: 72.0
Sex: F
Vaccine: FLU3, TDAP, VARZOS
Symptoms: Injection site mass, Injection site nodule
Clinical narrative: Patient called pharmacy 10/22/18 complaining of a lump/knot at site of injection. Our records indicate patient received vaccines in left arm but patient stated it was right arm that issue was in and that was arm that received vaccines. She was not sure exactly when this "knot" showed up but there was no heat or fever to the area and it was not painful or red.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site warmth, Peripheral swelling, Pruritus
Clinical narrative: Patient came to pharmacy complaining of itchy red swollen arm in the arm that rec'd PNEUMOVAX 23. Patient showed me his arm and it was bright red around the vaccination and around to the back side of the arm. Felt warm to the touch, red. Pt stated it was not getting worse.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: Arm felt heavy and more painful than usual.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia
Clinical narrative: Patient reported abnormally long period of muscle soreness after receiving influenza immunization that persisted for over 1 week. Patient said she saw her physician 1 week after the immunization and he said it may have been administered to being administered too high in the deltoid muscle.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Insomnia, Pruritus, Rash, Urticaria
Clinical narrative: Patient presented to my pharmacy tonight 10/22/18 complaining of itchiness and hives. She was in otherwise good health. Patient got a shot last week around 8PM on Monday night (10/15/18). She was reported no ill effect immediately after the vaccination but she started to notice some itchiness and some small raised bumps on her right arm after about 3 hours. She reported no other signs of an allergic reaction other than hives. Over the course of the last week the itchiness and the hives spread from her right arm to her left and the intensity of the itch increased as well to the point where she is having trouble sleeping. The patient has never had a problem with a flu shot before and reports no known allergies. She had only tried a single tablet of BENADRYL with no real effect. I suggested to try a higher dose and to see if an topical anti-itch cream on the affected area. I also instructed her to look for signs of an serious allergic reaction including difficulty breathing, swollen lips or tongue or any worsening of the hives, abdominal cramping or bronchospasms. The patient has no PCP at this time but I did instruct her to seek out medical care if there was still no relief or if there was any worsening of her symptoms.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site discolouration, Injection site swelling
Clinical narrative: Injection spot turned black and blue before the needle even left the arm. The about 2 inches diameter swelling.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Patient experienced redness and a raised bump on her arm at injection site. Expressed concern over the pain.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Cardiac flutter, Condition aggravated, Malaise
Clinical narrative: I gave 3 shots to a couple, I gave a FLUZONE HIGH dose to wife, then told her to sit down at pharmacy bench and I gave husband 2 shots of FLUZONE HIGH DOSE and PREVNAR 13. I told husband to wait 20 minutes before leaving, after 20 minutes, I went to the bench where couple sit and ask How are they doing? wife said I dont feel too well, she said her heart is fluttering. So I checked her blood pressure, it was 183/119, I freaked out; but wife said she can take her clonidine (in her purse). After 15 mins, I checked her blood pressure again, it was 172/138, I totally freaked out and I tell couple that I should call 911 but they said they wouldn't go to ER. So I came back to pharmacy, told pharmacist and lead tech. Lead tech called management, 2 male managers came but patient decline medical help (going to ER). After 30 mins, I think clonidine is kicked in by now, I checked her bp again, this time it was 168/90. The wife said she felt ok now and they want to go home. I asked them to stay but they said they would go home, so I told husband to watch his wife while driving home and told wife to check her blood pressure when she arrived and call me, but she didn't call. After 1 hour, after I came back from lunch, I called her and told her to check her blood pressure, it was 138/80, and patient said she felt ok now, no injection size reactions, and her heart is ok.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Had 2 doses: 4/27/18 & 10/19/18 - Experienced severe vomiting within about 12 hours of receiving the vaccines on both occasions. Could not stop vomiting for 9 - 12 hours after both doses. Never had a reaction to any other vaccines in the past.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash, Pain
Clinical narrative: Vaccine was given 10/16/18 intramuscularly. Starting 10/17, patient expierenced a diffuse erythematous rash around injection site that had traveled down the arm a few inches. Pharmacist recommended ibuprofen for the pain as the rash and to monitor the rash to see if it gets any worse and to report back. Patient did not report any worsening of symptoms and called on 10/22/18 stating her rash has cleared and is no longer symptomatic.
Age: 48.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Diarrhoea, Erythema, Peripheral swelling, Pyrexia
Clinical narrative: Looks like patient received shot at 1:40pm on 10/19/2018. Later that night 8:30pm-ish patient stated she experienced diarrhea, vomiting, fever, wheezing, chills, arm swelling, erythema, rash on localized area. She went to ER on 10/20/18 Saturday 6:30am and was discharged around 9-10am. Pt didn't complain about immunization adverse reactions.
Age: 48.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Rash, Vomiting, Wheezing
Clinical narrative: Looks like patient received shot at 1:40pm on 10/19/2018. Later that night 8:30pm-ish patient stated she experienced diarrhea, vomiting, fever, wheezing, chills, arm swelling, erythema, rash on localized area. She went to ER on 10/20/18 Saturday 6:30am and was discharged around 9-10am. Pt didn't complain about immunization adverse reactions.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Pain in extremity, Vomiting
Clinical narrative: 7am woke complaining of upset stomach and sore arm (normal for vaccine). Began vomiting, continued throughout entire day. Has never had a reaction to a flu vaccine before. Will be taking her to Doctor tomorrow, still vomiting as of 7pm.
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site scab, Injection site swelling, Injection site vesicles
Clinical narrative: PATIENT CAME  IN TODAY TO REPORT A VACCINE REACTION FROM HIS FLU VACCINE REDNESS AND A SMALL BLISTER AT INJECTION SITE. REDNESS LASTED 24 HOURS ALONG WITH SOME SWELLING AND A LITTLE SCAB FORMATION AT INJECTION SITE. REDNESS HAD RESOLVED BY TODAY 10/22 AND INJECTION SITE SHOWED SOME SMALL SCABBING. PATIENT RECEIVED SAME FLUCELVAX VACCINE LAST YEAR WITH NO ISSUE.
Age: 55.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Oropharyngeal pain
Clinical narrative: I got a flu shot (unknown type) and first of two shingles vaccines at same time. By mid afternoon the next day -26 hours later, I had a headache and profound fatigue which lasted about two days. I took over the counter pain meds, and skipped all non-work related activity in favor of sleeping. The injection site was also quite sore from 12 hours after shot to about 2 days out. Feeling much better by now (day5) but now I have a sore throat- most likely unrelated and just the start of a cold.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Paraesthesia
Clinical narrative: Tingling down right arm when given immunization (immediately), hurt immediately and worsened as day went on, range of motion decreased when she woke up on 10/21/18, patient went to  Dr. (pediatrician) at 2pm on 10/22/18 Dr. then referred patient to specialist in orthopedics.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Approx 6 hours after vaccination, patient started with swelling and redness at injection site. Area was hard and skin was hot to the touch. Mom applied ice packs and gave BENADRYL and called PCP who advised her to continue BENADRYL. Swelling lasted a few more days until resolving. Patient was informed to go see doctor if symptoms did not improve or worsened.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Influenza like illness, Muscular weakness, Myalgia
Clinical narrative: Several days after administration, patient states experienced flu-like symptoms including headache, fatigue, fever, muscle weakness and aches. States muscles in legs were very weak and had a difficult time getting out of bed.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Several days after administration, patient states experienced flu-like symptoms including headache, fatigue, fever, muscle weakness and aches. States muscles in legs were very weak and had a difficult time getting out of bed.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient reports severe pain in arm. She says she cannot lift up her stockings. This has been going on for 2 weeks since vaccination.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: The shot was very painful. I got it mid-afternoon. In the evening, I developed severe diarrhea which lasted all evening, the next morning my left arm at the injection site was red, swollen and painful. It was hot to the touch. The area of the shot that became elevated and red was approximately 3 inches in diameter. These symptoms lasted for 6 days. It took about 1 month for the redness to fade.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Shortly after receiving flu shot, patient started with itching and swelling at injection site that persisted, there was no redness and no systemic reaction. Nurse spoke with mom and she stated this happens whenever she gets a shot and she didn't want nurse to administer benadryl. School nurse administered ice to site. Mom was advised if symptoms persisted or worsened than we would need to administer benadryl. Follow up call to mom and she stated symptoms have resolved without any additional care.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Fatigue, Impaired work ability
Clinical narrative: Developed Human Metapneumonia virus exactly seven weeks later and had to be hospitalized for three nights. When home with homecare that involved PT, OT, ST, and nursing. Has been unable to work since becoming ill due to fatigue and shortness of breath. Was living independently in his own apartment and working part-time and is now in an assisted living due to illness.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Malaise, Metapneumovirus infection, Respiratory viral panel, X-ray
Clinical narrative: Developed Human Metapneumonia virus exactly seven weeks later and had to be hospitalized for three nights. When home with homecare that involved PT, OT, ST, and nursing. Has been unable to work since becoming ill due to fatigue and shortness of breath. Was living independently in his own apartment and working part-time and is now in an assisted living due to illness.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Cold sweat, Musculoskeletal pain, Nausea, Pallor
Clinical narrative: Pt says she experienced weakness, shakiness, nausea, paleness and cold sweats. The symptoms started the morning after and lasted one day. She said she also felt shoulder soreness. This is her second dose in the series and she recalls now that she felt this way after the first dose as well. She did not indicate any prior adverse reaction to a vaccine when she filled out the consent form for the second dose.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor, Vaccine positive rechallenge
Clinical narrative: Pt says she experienced weakness, shakiness, nausea, paleness and cold sweats. The symptoms started the morning after and lasted one day. She said she also felt shoulder soreness. This is her second dose in the series and she recalls now that she felt this way after the first dose as well. She did not indicate any prior adverse reaction to a vaccine when she filled out the consent form for the second dose.
Age: 60.0
Sex: F
Vaccine: FLUR4
Symptoms: Immediate post-injection reaction, Injection site discolouration, Injection site swelling
Clinical narrative: Immediately after injecting IM in patient's left deltoid, a slightly purplish bump appeared at the injection site. I applied ice to the area, and the swelling was slightly improved. I expensed an instant ice pack and directed her to apply 15 minutes on and 15 minutes off. This was an employee, so before she left at 3:00 pm, I checked with her, and she said the swelling was gone. We did let her know to contact a physician if the swelling did not improve or returned.
Age: 89.0
Sex: F
Vaccine: FLUA3
Symptoms: Blood glucose decreased, Calcinosis, Dizziness, Injection site pain, Nausea
Clinical narrative: On 10/21/2018 patient was experiencing extreme pain in right arm from her right shoulder to right hand. She went to her PCP to have it evaluated. MD said it may be one of "the ingredients in the vaccine this year" because her has had a few patient with these symptoms. She had not eaten for >24 hours because of the pain so she later became lightheaded and nauseous. She went to the hospital where she had x-rays of arm and blood sugar was checked (was extremely low). Low BS was corrected and hospital told patient Calcium deposits may have been aggravated by the immunization.
Age: 89.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain in extremity, X-ray limb
Clinical narrative: On 10/21/2018 patient was experiencing extreme pain in right arm from her right shoulder to right hand. She went to her PCP to have it evaluated. MD said it may be one of "the ingredients in the vaccine this year" because her has had a few patient with these symptoms. She had not eaten for >24 hours because of the pain so she later became lightheaded and nauseous. She went to the hospital where she had x-rays of arm and blood sugar was checked (was extremely low). Low BS was corrected and hospital told patient Calcium deposits may have been aggravated by the immunization.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Injected limb mobility decreased, Nausea, Pain in extremity
Clinical narrative: Left arm began to swell and become red and painful within a few minutes. The swelling eventually reached below the elbow and the patient had trouble moving the arm. The patient also developed headache, nausea and low-grade fever, but the time course is unclear.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Left arm began to swell and become red and painful within a few minutes. The swelling eventually reached below the elbow and the patient had trouble moving the arm. The patient also developed headache, nausea and low-grade fever, but the time course is unclear.
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Our patient came in to receive her second dose of SHINGRIX, and the vaccine was inadvertantly given SQ. Patient came in to show us her arm the next day. I first noticed of course it was done SQ and so her arm was extremely swollen, red and warm to the touch. I told her to take some Ibuprofen if she was able to too and maybe use some cool compresses to help with swelling and absolutely go to urgent care or ED if it became worse. I called to follow up to see if she did receive medical treatment or if the arm got worse and was not able to reach her.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient reported that her arm was very sore and it hurt to lift her arm, she reported no breathing issues, no redness or swelling on the arm, on arm weakness (just extremely sore).
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness
Clinical narrative: Gave FLUARIX shot at 7:50pm on 10/22. About 10-15 minutes later checked on the patient. She stated that she was feeling "tightness" in her throat. I gave her BENADRYL 25mg A (liquid)at 8:12pm and checked her blood pressure 151/77 pulse 82. Rechecked pt at 8:20pm BP 145/76 pulse 72 and gave another dose of BENADRYL 25 mg (liquid). Continued to monitor pt. At 8:50pm pt stated that she feels "at 75%". Under my direction she was going to Hospital with a friend driving her just to make sure everything was ok.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chills, Injection site warmth, Pain in extremity, Pyrexia
Clinical narrative: Patient reports getting the vaccine that morning and by 5pm that same day her arm was extremely sore and hurting and she began to have fever. Chills and by that evening a few hours later she was vomiting. She was in bed and felt very weak for about 2 1/2 days. Her arm was purple color and warm to touch where the injection was given and almost the entire circumference.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Skin discolouration, Vomiting
Clinical narrative: Patient reports getting the vaccine that morning and by 5pm that same day her arm was extremely sore and hurting and she began to have fever. Chills and by that evening a few hours later she was vomiting. She was in bed and felt very weak for about 2 1/2 days. Her arm was purple color and warm to touch where the injection was given and almost the entire circumference.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: The patient said she was allergic to thimerisol because she always had swelling and redness when she got the flu shot out of a multidose vial. She said last year she got the preservative free vaccine from a different store and did not have a reaction for the first time in her life so she wanted the preservative free vaccine. I asked her to call me if she had any reaction to the vaccine this year. She called the next day stating the same reaction was happening to her arm (swelling, redness, and hot to the touch). She said she wasn't worried because this is what always had happened to her in the past except for last year. She stated it usually takes her 48 to 72 hours for her arm to return to normal and she would be getting the vaccine again next year.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Rash erythematous, Rash macular, Skin warm
Clinical narrative: Patient's right arm began to get very sore within 8 hours and it hurt for 2 days. After 2 days the soreness began to subside but a red, blotchy rash approximately 2 x 3" appeared on the lower part of the upper arm below where the shot was given. The rash was warm but did not hurt or itch. Patient was advised to use some ice to help the redness to subside and potentially use hydrocortisone 1% cream or an antihistamine cream. She was also told that the rash could worsen slightly before it starts to improve and advised to notify us again if it gets much worse. Patient had her PREVNAR shot just over 1 year ago so this PNEUMOVAX completes her series.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Dry mouth, Headache, Nausea
Clinical narrative: Next morning, woke feeling severe joint pain, dry mouth which progressed to at noon, chills, fever, nausea, headache and severe joint pain.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Next morning, woke feeling severe joint pain, dry mouth which progressed to at noon, chills, fever, nausea, headache and severe joint pain.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint stiffness, Urticaria
Clinical narrative: Full body hives for more than 5 days, full body joint aches and stiffness. Treated with prednisone.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Influenza like illness, Pyrexia, Rash, Vasculitis
Clinical narrative: Four hours after dose pat had joint pain all over. That night 10/12/2018 pat had fever and flu like symptoms which she took TYLENOL for. Flu symptoms and fever lasted a day and half into 10/14/18. Pat then had rash develop on 10/20/18 on legs. Pat went to hospital and diagnosed with vasculitis. She had history of vasculitis but it was in remission for years. Was given 21 days of prednisone and pat will follow up with specialist next.
Age: 84.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Pruritus
Clinical narrative: Patient felt itchy and warm after getting her flu shot. But she is feeling better now.
Age: 56.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Pain, Urticaria
Clinical narrative: Redness, pain, hives (within 24h) (Treated with OTC BENADRYL) on right arm only.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Syncope. Pt. passed out after getting the flu shot. She woke up shortly after. (Stated she had a history of passing out with blood work).
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Eye pruritus, Heart rate increased, Nausea, Nervousness
Clinical narrative: Red itchy eyes, sore stomach, nauseous and shaky, increased heart rate.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Ocular hyperaemia
Clinical narrative: Red itchy eyes, sore stomach, nauseous and shaky, increased heart rate.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient stated that she experienced redness and swelling at injection site the same day she received the vaccine. Patient stated that redness and swelling escalated in addition to pain at the injection site on the evening of the following day upon receiving the vaccine.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Left top arm red, swollen and stiff. No reaction at site of injection; just swollen upper arm.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Inflammation, Injection site erythema, Injection site swelling
Clinical narrative: Fever, chills, muscle aches, headache, nausea, lots of inflammation, swelling hotness and redness at injection site.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Myalgia, Nausea, Pyrexia
Clinical narrative: Fever, chills, muscle aches, headache, nausea, lots of inflammation, swelling hotness and redness at injection site.
Age: 1.67
Sex: M
Vaccine: FLUN4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Child was given FLUMIST prior to 2 years of age. Parent has been contacted and provided with information on assessing for wheezing and/or signs of asthma.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Tremor
Clinical narrative: State uncontrollable shakes several hours after shot. States chills for 2 days.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Varicella diagnosed clinically today in office. Dad with shingles earlier this month. Patient S/P varicella vaccine x 1 (1-25-16).
Age: 23.0
Sex: M
Vaccine: FLU4, PNC13
Symptoms: Arrhythmia, Electrocardiogram, Laboratory test
Clinical narrative: Arrhythmia.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Pain, Tenderness
Clinical narrative: Right shoulder joint pain, especially with flexion/abduction greater than 80 degrees. (+) Acromio clavicular tender to palpation - possible bursitis/impingement syndrome.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Skin lesion, Varicella post vaccine
Clinical narrative: Patient had varicella diagnosed clinically today in our office (10/22/18) S/P 2 varicella vaccine on 8/29/14 and 2/28/18. About 50 lesions.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation
Clinical narrative: Inflamed, erythematous, no lymphangitic streaking ROCEPHIN 1 gm given 10/19/18, KEFLEX 500 mg one 2 x day - 10 days.
Age: 93.0
Sex: F
Vaccine: FLU3
Symptoms: Rash generalised
Clinical narrative: Pt got rashes on her body and per doctor not sure its because of flu shot or not.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Gait inability, Joint stiffness, Pain
Clinical narrative: Joints stiff on left and right hands the evening following vaccination. Patient wasn't able to walk due to severe pain. He made an appointment to see provided 3 days following reaction.
Age: 59.0
Sex: U
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, White blood cell count increased
Clinical narrative: After vaccination on Thursday 10/18/2018-the next day developed redness around the injection site and radiating down to the elbow.