chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site warmth
Clinical narrative: 8/21 Pt. mother called stating pt. C/O hard, red, warm, and pain (R) thigh. Told to ice, BENADRYL, TYLENOL/ibuprofen for pain. 8/22 Pt. mother called, pt. seen in ER night before, redness worse line drawn around redness, called today redness outside outline from night before. 8/22 Seen in office redness/swelling in (R) thigh worse. Dx cellulitis (R) lower limb given sulfamethoxazole 200 mg - trimethoprim 40 mg/mL. pt. to take 10 mL BID for 7 days. 8/23 seen in office, area of redness increase erythema 16 x 12 cm and induration 9 x 7 cm pt. ask to follow up w/provider next day. 8/24 Pt. into office for F/U visit no change to treatment. Continue BACTRIM, BENADRYL, and warm compresses. Pt. asymptomatic other than local reaction. Pt. father states area not as dark and not painful. Pt's. father told to follow up if any new persistent or worsening symptoms.
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, MMRV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: On Monday, 8/27/18, at 9:00 AM I spoke with the child's grandmother, who had left 2 voicemails on our clinic phone over the weekend. She told me the child was found to have a red and swollen right upper arm on Saturday. She stated that the child complained of his right arm feeling hot and having rash on the entire right upper arm with a large water filled blister. She stated that she had been giving the child children's ibuprofen and applying Calamine lotion to his right upper arm. She stated the child had remained afebrile all weekend, and that the child had gone to school today. His right upper arm remained red and swollen, but was no longer hot to the touch. I told her I would call her back after speaking with my nursing supervisor. Around 9:15 AM I spoke with my nursing supervisor who advised me to tell the grandmother to take the child to an urgent care clinic or his pediatrician today if his arm continues to be red and swollen. At 9:30 and 9:45 am I left 2 voicemails for the grandmother and still awaiting her call back.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Dyspnoea, Gait disturbance, Pain in extremity, Painful respiration
Clinical narrative: Mom called to say that after patient's shot yesterday, he is c/o leg pain and can barely walk. Also c/o hurting to breath. Mom gave patient Tylenol for the pain. Encourage mom to take patient to the ER if he is having a hard time breathing. Mom refused the ER stating that ER is not equip for pediatric patients.  Mom stated that patient is actually not having a hard time breathing. He is only breathing heavy due to the pain.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Patient stated she awoke the next morning with elbow discomfort. Did not indicate any trauma to the elbow area. Patient has not self-treated discomfort.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Muscle spasms, Pain in extremity
Clinical narrative: Per the patient he is experiencing muscle cramping / spasm in the right upper arm/deltoid region. Also reports some pain and limited range of motion when lifting arm above head. Pt could not specify exactly when this reaction started but through conversation it was approximately 1 week after SHINGRIX injection. Has been ongoing "for the last 2 weeks" (reported 8/19/18 but was attempting to follow up with pt to determine answers for pt information section of this form). Pt was taking ibuprofen (200mg per day) at the time. Recommended increasing dose of ibuprofen to no more than 1,200 mg per 24 hours and use of topical BENGAY along with rotating ice and heat. Pt also told if symptoms continue with new treatment that he needs to follow up with his primary care physician. Pt verbalized understanding. Unknown what outcome is as pt is not returning pharmacy calls and voicemails.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Flu like: muscle pain throughout body, pain at injection site, and low grade fever for about 36 hours.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Local reaction
Clinical narrative: Patient received PNEUMOVAX as ordered and had a local reaction (cellulitis), called to report next day.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: The patient developed a diffuse reaction/hives all over 5 days after the shot and had to go to the ER for treatment. She has received a DEPO-MEDROL 80mg shot and has been prescribed Prednisone.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Decreased appetite, Dizziness, Feeling cold, Hyperhidrosis
Clinical narrative: Freezing, chills, sweats, nausea, dizziness, loss of appetite, tremors, extreme drowsiness. Patient stated they have never had a vaccine reaction this bad previously. They took Ibuprofen and it helped minimally but they had these symptoms for 3 days and on day 4 he still has them but they have lessened in severity.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Somnolence, Tremor
Clinical narrative: Freezing, chills, sweats, nausea, dizziness, loss of appetite, tremors, extreme drowsiness. Patient stated they have never had a vaccine reaction this bad previously. They took Ibuprofen and it helped minimally but they had these symptoms for 3 days and on day 4 he still has them but they have lessened in severity.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received PNEUMOVAX, had reaction of hot redness with swelling at injection site.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient received PNEUMOVAX, next day reported reaction of swelling, heat and redness at injection site. Appt made for follow up.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Feeling hot, Headache, Hypoaesthesia
Clinical narrative: PATIENT WOKE UP AT 4:00 AM ON 08/25/18 WITH THE FOLLOWING SYMPTOMS: FEVER (103F), GENERAL MYALGIA (PAIN: 10 OF 10), CHILLS & SHIVERING, SEVERE PAIN AT INJECTION SITE, SEVERE NAUSEA, MILD DIARRHEA, HEADACHE, & FEELING HEAT ON HANDS. PATIENT CLAIMS THAT THE PAIN HAS SUBSIDED SINCE SATURDAY, HOWEVER, SHE IS NOW EXPERIENCING BILATERAL NUMBNESS, ESPECIALLY WHEN LYING DOWN.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Myalgia, Nausea, Pyrexia
Clinical narrative: PATIENT WOKE UP AT 4:00 AM ON 08/25/18 WITH THE FOLLOWING SYMPTOMS: FEVER (103F), GENERAL MYALGIA (PAIN: 10 OF 10), CHILLS & SHIVERING, SEVERE PAIN AT INJECTION SITE, SEVERE NAUSEA, MILD DIARRHEA, HEADACHE, & FEELING HEAT ON HANDS. PATIENT CLAIMS THAT THE PAIN HAS SUBSIDED SINCE SATURDAY, HOWEVER, SHE IS NOW EXPERIENCING BILATERAL NUMBNESS, ESPECIALLY WHEN LYING DOWN.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Cold sweat, Erythema, Hyperhidrosis
Clinical narrative: Started with pain behind my right knee - afternoon after morning shingles shot - Red achy left shoulder - achy flu like symptoms - shivering and hot/cold sweats - sleepless/restless nights - urinating at least 10 times during the night - lasted six days.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Nocturia, Pain, Pollakiuria, Restlessness
Clinical narrative: Started with pain behind my right knee - afternoon after morning shingles shot - Red achy left shoulder - achy flu like symptoms - shivering and hot/cold sweats - sleepless/restless nights - urinating at least 10 times during the night - lasted six days.
Age: 15.0
Sex: M
Vaccine: MNQ
Symptoms: Chest pain, Headache, Nausea, Pain
Clinical narrative: Pt c/o chest pain then about an hour later he was c/o headache, achiness, and some nausea. No c/o of shortness of breath.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Loss of consciousness
Clinical narrative: Parent was present. Child had not eaten prior to vaccination and parent and child insisted she would be fine. I did proceed to vaccinate her in a chair. Client was seated and received 3 vaccines. She collapsed after the HPV which was the third. She was not injured as she collapsed in the chair and I was able to support her. She regained consciousness in 10 seconds and was alert and oriented to person, place and time. BP 96/70. I assisted her to a supine position, gave her some juice and she remained supine for 20 minutes. BP was again 96/70. They remained in the waiting area for another 10 minutes and child was acting normally.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Antinuclear antibody positive, Arthralgia, Asthenia, C-reactive protein increased, Coagulation test normal
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Computerised tomogram thorax, Condition aggravated, Dry eye, Dry mouth, Dysphonia
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Echocardiogram normal, Emotional distress, Eye irritation, Fatigue, Gait disturbance
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Headache, Hyperacusis, Hypoaesthesia, Inflammation, Insomnia
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Laboratory test, Malaise, Mammogram, Migraine, Myalgia
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Neuralgia, Ocular hyperaemia, Pain in extremity, Photophobia, Raynaud's phenomenon
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Age: 46.0
Sex: F
Vaccine: FLU3, TD
Symptoms: Undifferentiated connective tissue disease, X-ray of pelvis and hip normal
Clinical narrative: Within 4 days I was having trouble walking w/ severe pain in my hips and legs; I went into work late 10/11/16 due to these perplexing painful symptoms. Over the course of the day/week I also developed diffuse myalgias, joint pain, malaise/weakness, hoarseness, red irritated eyes, and headaches/migraine. I was extremely fatigued, could not sleep and was emotional from the progressive symptoms. On the morning of 10/11/18 I could not walk downstairs in my home without holding on to the banister railing with both hands. My physician drew labs on 10/19 as my symptoms worsened and my CRP was 135 and my ANA was positive. My hip X-rays were negative. At that point she put me on a high dose steroid pack. This improved my symptoms minimally and by 10/23 I was worsening with all the inflammation. I went to the ER on 10/26/18 and was admitted with a PE felt to be due to the excessive inflammatory response. No source of clot was found (no DVT, normal ECHO, normal coag labs). Despite 2 days of rest and treatment, I continued to have excessive inflammation and sought the care of a rheumatologist. I saw him on 11/7/16. Severe flare of symptoms again on 11/14/16 - got repeat chest CT, bilateral diagnostic mammograms, labs and more prednisone. Saw rheum again 12/12/16 and diagnosed w/ UCTD. Started on PLAQUENIL - took about 2wks to see some improvement. All of 2017 and into 2018 I have continued to seek medical care  for my chronic joint pain, muscle pain, extreme fatigue, neuropathic pain, numbness, dry eyes/mouth, Raynaud's and sensitivity to light/noise.
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash vesicular
Clinical narrative: This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a female patient of unknown age. No information was provided regarding concomitant medications, concurrent conditions or medical history. On or about 22-SEP-2014, the patient was inoculated with the ZOSTAVAX vaccine as recommended for routine adult health maintenance for the prevention of shingles (dose, route, and lot number not provided). The vaccine did not prevent shingles as intended and the patient subsequently contracted a persistent strain of herpes zoster, also known as shingles and other complications. On or about 01-JUL-2016, the patient was treated for a blistering vesicular outbreak that was diagnosed as severe shingles. As a direct and proximate result of ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for long-term prevention of shingles, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. The outcome of the events was unknown. Causality assessment was related. Additional information has been requested.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient's right arm was red, mildly swollen, and warm to the touch distal to the injection site (over the bicep). Patient reported tenderness when the area was pressed on. Patient presented to pharmacy approximately 22 hours after receiving the vaccination. Pt was treated with Clindamycin and prednisone for cellulitis the following day.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Injection site erythema, Injection site swelling, Local reaction
Clinical narrative: Patient had a local adverse reaction to immunization site (red, swollen).
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure increased, Dizziness, Flushing
Clinical narrative: Within 30 seconds of receiving the BOOSTRIX injection she got/felt flushed and dizzy plus light headed. BP 180/92, 162/89 and continued to go back down to normal. Patient also suffers from anxiety believe contributed to her reaction.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Flushing, Hyperhidrosis, Laboratory test
Clinical narrative: Sweating with pulse 74-taken by mother. Mother took picture with and face was red, flushed.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Acne, Arthralgia, Chills, Fatigue, Injection site pain
Clinical narrative: Chills, fever, joint pain, fatigue, pain at injection site, facial pimples. HAD SAME REACTION TO DOSE ONE, UNSURE EXACT DATE, PHARMACY.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Chills, fever, joint pain, fatigue, pain at injection site, facial pimples. HAD SAME REACTION TO DOSE ONE, UNSURE EXACT DATE, PHARMACY.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Limb discomfort
Clinical narrative: Patient called me on Monday 08/27/18 about the adverse event. She stated that in the evening of the day she received the shot, she started to have from the injection site down all the way to the elbow and inner arm redness and swelling. She had no pain but that her arm felt heavy. She had mentioned it started Saturday evening and continued into Sunday. She had not taken anything for the condition.
Age: 75.0
Sex: F
Vaccine: PNC13
Symptoms: Headache, Injection site erythema, Injection site swelling, Pruritus, Skin warm
Clinical narrative: Redness & Swelling in shot area the size of my hand. (Hand size from wrist to fingertips.) Hot to the touch. Itching, headache. Patient is recovering, but still has redness in the shot area.
Age: 74.0
Sex: F
Vaccine: PNC13
Symptoms: Mobility decreased, Neuralgia, Skin injury
Clinical narrative: Patient is complaining of nerve pain and says she can barely move her arm. Also is concerned about a scratch on her skin.
Age: 23.0
Sex: M
Vaccine: SMALL
Symptoms: Cold sweat, Feeling abnormal, Headache, Rash, Vision blurred
Clinical narrative: RASH FROM BUTTOCKS TO THE POPLITEAL SPACE. HEADACHE, WITH BLURRED VISION. "FELT AS THOUGH HEART WOULD SKIP A BEAT". COLD SWEATS.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Patient received PNEUMOVAX in the right arm. He then developed a fever later that night that continued to the next day and some pain at the injection site. He took ADVIL for the fever which helped and the fever has now resolved as of the morning of August 27th. He developed redness at the site of injection on the 26th which spread slightly further down the arm the morning of the 27th. Patient will continue to monitor for any worsening side effects. He also received a flu shot the same day on the left arm.
Age: 23.0
Sex: M
Vaccine: HPV9
Symptoms: Loss of consciousness, Muscle rigidity, Urinary incontinence
Clinical narrative: Pt was given the first in a series of 3 gardasil immunizations at the end of his visit today. He was fine s/p vaccine administration. While at the checkout area he passed out. The time frame between receiving the vaccine and passing out was approximately 2-3 mins. The pt was revived and taken to an exam room via wheelchair where the pt once again became unconscious. He then became very rigid and urinated on himself. At that time, the office called 911 for EMS which arrived about 10mins later.  The time frame between the 2 episodes was approximately 6mins. EMS arrived and pt refused further treatment or transport to the hospital.
Age: 1.0
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Pt got red sensitive rash with bumps (not open blisters). Site: Right Vastus lateralis. Size 30 mm diameter. Denied fever. Onset 10 days after vaccination.
Age: 0.58
Sex: M
Vaccine: HEP, PNC13
Symptoms: Cough, Decreased appetite, Irritability, Pyrexia, Rhinorrhoea
Clinical narrative: Fever, runny nose, cough, irritability, vomiting, low appetite.
Age: 0.58
Sex: M
Vaccine: HEP, PNC13
Symptoms: Vomiting
Clinical narrative: Fever, runny nose, cough, irritability, vomiting, low appetite.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Acne, Rosacea
Clinical narrative: Patient reports developing rosacea/acne nodules that she claims follow along the dermatomes of her skin; is on her face and on her back.
Age: 1.17
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Urticaria
Clinical narrative: Mother states they noticed "hives" on  child's arms Sunday 8/26 then Monday 8/27 increased number of "hives" spread to chest and face. Mother contacted Dr.'s office which instructed mom to give Benadryl and contact Health Dept.
Age: 8.0
Sex: F
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was injected intramuscularly instead of subcutaneously.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain
Clinical narrative: Just less than 24 hours after I received the injection on a Sunday, I began to feel tired, with joint pain and chills. I spent most of the day Monday in bed, resting and sleeping. The injection site was especially tender to the touch (it was painful to lie on my right side in bed, because of the soreness in my upper arm). I was feeling much better on Tuesday, and was back to normal on Wednesday. The arm soreness also had dissipated by Wednesday. This was a more acute reaction than I had, back in May, to my first dose of SHINGRIX. With that injection, my arm was sore for three days (including a spreading red discoloration around the site, which was warm to the touch for days), but I didn't have any "flu-ish" symptoms, such as the joint pain or chills.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Back pain, Dizziness, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: Pt experienced fever of 100.4, back pain, body aches, sore throat, dizziness and fatigue. Symptoms resolved, and improved fever by 11a, 8/22/18.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia
Clinical narrative: Pt experienced fever of 100.4, back pain, body aches, sore throat, dizziness and fatigue. Symptoms resolved, and improved fever by 11a, 8/22/18.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Influenza like illness, Pain in extremity, Pyrexia
Clinical narrative: Weakness- flu like sympotms - pain in the arm, fever.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Influenza like illness, Pyrexia, Urticaria
Clinical narrative: Patient developed flu-like symptoms the day after immunization. He had joint pain and a fever the following day. He also developed a 4 by 2 inch round whelp on the front side of his left arm. He has experienced these symptoms for 4 days with some improvement.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PPV
Symptoms: Gait disturbance, Injection site pain, Local reaction, Pyrexia
Clinical narrative: Child had a low grade fever with severe local reaction and refusal to walk with severe pain involving all of left anterior thigh.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Fatigue, Pain in extremity
Clinical narrative: Chills started approx. 3 hours after injection lasting 5 hours, then leg aches lasting all night. Fatigue lasting for all of next day. Trouble breathing 1 time about 6 hours after injection. I have had flu vaccines every year and never had this reaction.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Severe redness at the injection site and a few inches around.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Decreased appetite, Influenza like illness, Injection site pain
Clinical narrative: I do not have the lot # as I am not the facility that administered it. "Last Thursday she got SHINGRIX vaccine at around 4pm at store. She reports that the injection was extremely painful (left deltoid). Within a few hours, she felt that she was falling asleep in the middle of working- "I would just wake up. It happened a few times. I started to feel a flu-like illness. Fevers but chills. No ST. Full body ache. I went to bed. That night I kept waking myself and my husband" groaning loudly. "I couldn't get out of bed" due to pain in her back. At 12:30pm Friday she forced herself to get up to urinate and to let the dogs out. Then went back to bed and got up again at 6pm to let the dogs out but then went back to bed. Today got up this morning for the first time since Friday (today is Monday) other than to let the dogs out and use the restroom Today is the first time that she has left the house since she got the vaccine last Thursday. Total loss of appetite other than some soup on Saturday and "I don't remember what I ate last night." Thought her appetite might be returning last night. "I still have chills. Those aren't going away."
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain, Pyrexia, Sleep disorder, Somnolence
Clinical narrative: I do not have the lot # as I am not the facility that administered it. "Last Thursday she got SHINGRIX vaccine at around 4pm at store. She reports that the injection was extremely painful (left deltoid). Within a few hours, she felt that she was falling asleep in the middle of working- "I would just wake up. It happened a few times. I started to feel a flu-like illness. Fevers but chills. No ST. Full body ache. I went to bed. That night I kept waking myself and my husband" groaning loudly. "I couldn't get out of bed" due to pain in her back. At 12:30pm Friday she forced herself to get up to urinate and to let the dogs out. Then went back to bed and got up again at 6pm to let the dogs out but then went back to bed. Today got up this morning for the first time since Friday (today is Monday) other than to let the dogs out and use the restroom Today is the first time that she has left the house since she got the vaccine last Thursday. Total loss of appetite other than some soup on Saturday and "I don't remember what I ate last night." Thought her appetite might be returning last night. "I still have chills. Those aren't going away."
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: Rash on arms.
Age: 42.0
Sex: F
Vaccine: DTAP, PPV
Symptoms: Deafness unilateral, Pyrexia
Clinical narrative: Patient had fevers and hearing loss the day after administration of the vaccines. I saw her 1 week after and she still had left hearing loss.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Musculoskeletal pain, Rash erythematous, Skin mass
Clinical narrative: Severe pain in shoulder resulting in inability to complete physical therapy next day; Large red lump appeared day after injection, measured 12 cm across and about 3 cm raised. Was red rashy appearing without itchiness.
Age: 70.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus
Clinical narrative: REDNESS/ITHCING (HOT TO TOUCH) BELOW INJECTION SITE, LEFT ARM. UNCLEAR AS TO WHETHER REDNESS INITIALLY STARTED AT THE INJECTION SITE AND IF VACCINE ACTUALLY CAUSED REDNESS.
Age: 12.0
Sex: M
Vaccine: DTAP, HPV9, MNQ, TDAP
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was given a Dtap instead of Tdap and when I noticed I stopped patient from leaving and gave Tdap Mom and patient were informed of the mistake.
Age: 1.0
Sex: F
Vaccine: HIBV, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Pt was given 2 varicella immunization on the same day. Also given PROQUAD at 1 yr.
Age: 29.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Pruritus, Throat tightness
Clinical narrative: Patient/employee came to employee health dept to get TD vaccine. Patient waited in EH for approx 15 mins after vaccine and left. Employee then returned in approx 10 mins and stated she was feeling like her "throat was tight" and she felt dizzy. Patient was not having any trouble breathing. Vital signs were taken: BP - 127/77, Pulse - 76 & Oxygen Sat - 100%. EE sat in chair with feet propped and was given icepack to place behind neck. Patient remained alert and oriented in EH. After 3-5 mins, patient  stated she felt better and was able to drink sips of water. Patient was then seen in a clinic in same building by Dr. While in clinic, patient began to itch and was given 1/2 a benadryl and monitored. Writer discussed care with Dr. MD states her throat was not closing and fine and the benadryl should help with itching and patient was released from clinic. Patient then came back to employee health dept to complete event form before going home. Patient advised by writer if symptoms occur again or itching persists, to be seen in the ED. Patient verbalized understanding. Call placed to patient 2 hours after event and patient was itching slightly but otherwise feeling fine. Patient was going to take another antihistamine.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: PT RECIEVED VACCINE IN CLINIC CALLED 2 DAYS LATER STATING ARM WAS RED AND SWOLLEN AND NOT GOING AWAY.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: She said her arm was in a lot of pain that she needs an ambulance.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip swelling, Rash generalised
Clinical narrative: Patient returned to pharmacy on 08/26/2018 to report that she experienced a delayed reaction on the evening of the 8/25 which involved generalized rash and swelling of the lips. She reportedly self medicated with BENDARYL 25mg and the reaction at that time appeared to be resolving. Patient was instructed to contact PCP who had recommended the immunization for possible further treatment.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthma, Condition aggravated, Urticaria
Clinical narrative: 3 days after second SHINGRIX patient had exacerbation of Asthma Symptom. Patient presented to me on 08/26/18 with Asthma Symptoms. Called patient 8/27/18 to see how they were feeling and Patient said now having issues with hives. Advised to call Doctor.
Age: 0.67
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Lethargy, Rash erythematous
Clinical narrative: Lethargic, red spots on legs.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Vaccine given on 08/22/18 Right arm red, swollen no pain the next day.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever and achy muscles for about 24 hours.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Musculoskeletal stiffness
Clinical narrative: Swelling of left arm at the injection site and also below it down to the elbow. Soreness, stiffness, tenderness of upper left arm. Two sites of swelling - not one continuous site. Never had a symptom as severe as this with any shot, so this is why I am reporting it.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site hypersensitivity, Injection site nodule, Injection site pruritus
Clinical narrative: Patient described a delayed allergic reaction with extensive raised nodules and itching throughout the area of immunization.
Age: 14.0
Sex: F
Vaccine: HEPA, HPV9, VARCEL
Symptoms: Loss of consciousness
Clinical narrative: Patient unconscious after given Hepatitis A/Varicella/HPV vaccine for 2-3 minutes.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Peroneal nerve palsy
Clinical narrative: Drop foot started 8/24, diagnosed 8/27, will get MRI 8/28, followup as yet unknown.
Age: 22.0
Sex: M
Vaccine: HPV9
Symptoms: Abdominal pain, Computerised tomogram abdomen normal, Computerised tomogram pelvis, Leukocytosis, Pain
Clinical narrative: Patient experienced fevers, body aches, and abdominal pain x 2 -3 days after the vaccination.
Age: 22.0
Sex: M
Vaccine: HPV9
Symptoms: Pyrexia, White blood cell count increased
Clinical narrative: Patient experienced fevers, body aches, and abdominal pain x 2 -3 days after the vaccination.
Age: 4.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Fall, Fear of injection, Muscle rigidity, Nasal injury, Opisthotonus
Clinical narrative: Small seizure. He fell to his needs then stiff as a board fell forward onto his face hitting his nose. He seemed like he started to come to and then his eyes went wide and stared off as his body got stiff, his arms went straight to the sides in the air and his body started to bend backward. The doctor and nurses came and monitored him and then it was over. Probably lasted a minute or two maybe. They checked his vitals, waited for him to calm down, as he was in hysterics the moment it ended and had him walk to make sure he was okay. He fell asleep shortly after we got home and slept for a few hours.
Age: 4.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Seizure, Staring, Stress
Clinical narrative: Small seizure. He fell to his needs then stiff as a board fell forward onto his face hitting his nose. He seemed like he started to come to and then his eyes went wide and stared off as his body got stiff, his arms went straight to the sides in the air and his body started to bend backward. The doctor and nurses came and monitored him and then it was over. Probably lasted a minute or two maybe. They checked his vitals, waited for him to calm down, as he was in hysterics the moment it ended and had him walk to make sure he was okay. He fell asleep shortly after we got home and slept for a few hours.
Age: 72.0
Sex: F
Vaccine: PNC13
Symptoms: Anxiety, Full blood count, Insomnia, Irritability, Metabolic function test
Clinical narrative: Irritability, trouble sleeping, anxiety, can't sit still starting the day after the vaccination. Was seen in ER and given XANAX. F/u with PCP and given acetaminophen PRN.
Age: 72.0
Sex: F
Vaccine: PNC13
Symptoms: Restlessness, Urine analysis
Clinical narrative: Irritability, trouble sleeping, anxiety, can't sit still starting the day after the vaccination. Was seen in ER and given XANAX. F/u with PCP and given acetaminophen PRN.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Dizziness, Hypoaesthesia, Multiple sclerosis, Walking aid user
Clinical narrative: Patient said it exacerbated her multiple sclerosis symptoms. Entire left side went numb and couldn't walk without walker. Extreme dizziness also occurred. Symptoms started the night patient received the vaccine and were the worst the second day and then started subsiding 2 days after.
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: Decreased appetite, Fatigue, Tremor
Clinical narrative: The patient reported violently shaking around 8pm the day he received his flu vaccine. He did not lose consciousness and did not seek medical attention. He was very tired and had no appetite for 3 days after receiving the vaccine.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Asthenia, Dehydration, Feeling cold, Nausea, Pain
Clinical narrative: Patient felt feverish, chills, weakness, nausea/vomiting and aches and pains same day and night after receiving vaccine. Felt a little better 1 day following, but still very weak, chills, feverish, etc. On the second day after the vaccine she went to the ER and was found to be dehydrated and received fluids and was sent home. She followed up with her PCP the following day. On day 3 following the vaccine she is feeling better but still weak.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia, Vomiting
Clinical narrative: Patient felt feverish, chills, weakness, nausea/vomiting and aches and pains same day and night after receiving vaccine. Felt a little better 1 day following, but still very weak, chills, feverish, etc. On the second day after the vaccine she went to the ER and was found to be dehydrated and received fluids and was sent home. She followed up with her PCP the following day. On day 3 following the vaccine she is feeling better but still weak.
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Body temperature increased, Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Sore throat, runny nose, cough, sneeze,, slightly elevated temperature, fatigue.
Age: 68.0
Sex: M
Vaccine: PNC13
Symptoms: Sneezing
Clinical narrative: Sore throat, runny nose, cough, sneeze,, slightly elevated temperature, fatigue.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: All of events lasted about 30 hours. No local adverse reactions. General adverse events that occurred were fatigue, shivering and myalgia. Reminded me of a mild case of influenza.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Feeling abnormal, Injection site swelling, Musculoskeletal pain
Clinical narrative: Swollen 6 x 3 at injection site, breathing ok now, red under eyes on cheek, pain to collarbone, feel icky. Instructed patient to call MD and report. I will also call MD in the morning to give the Lot number and Expiration date.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Fall, Headache, Influenza like illness, Muscular weakness
Clinical narrative: Patient report teeth chattering, weak muscles, and she fell when she got up in the morning. She said she did not hurt herself. Has also reported headache. She is wondering if she is experiencing severe flu-like symptoms. I will follow up with her on Wednesday 08-29-18.
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: She experienced redness, swelling, pain, and warmth at the site. It has become better with time so she did not want to contact her MD.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Nodule, Pruritus, Rash
Clinical narrative: Rash with raised nodules, not open sores. Resolved over about 2 weeks. Itching, treated with hydrocortisone cream.
Age: 86.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hyperhidrosis, Nausea, Pain in extremity, Vomiting
Clinical narrative: A few hours after receiving the vaccines his arm became sore, he became nauseous and vomited and began to become sweaty. The patients's wife took him to ER to be checked out.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Erythema, Headache, Influenza like illness, Musculoskeletal stiffness
Clinical narrative: 8 hours later, beginning to get sore and stiff. For 2 days total (after shot), flu like symptoms, uncomfortable gastrointestinal issues, headache, red arm and hot and itchy. For total of 5 days after shot, red arm, hot with fever on arm, extremely sore arm, itchiness that would not quit and quite unbearable. Topical itch creams didn't work. Cool rags didn't help. ADVIL didn't help. Finally wore off.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus, Skin warm
Clinical narrative: 8 hours later, beginning to get sore and stiff. For 2 days total (after shot), flu like symptoms, uncomfortable gastrointestinal issues, headache, red arm and hot and itchy. For total of 5 days after shot, red arm, hot with fever on arm, extremely sore arm, itchiness that would not quit and quite unbearable. Topical itch creams didn't work. Cool rags didn't help. ADVIL didn't help. Finally wore off.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Night sweats, Tremor
Clinical narrative: Shaking, night sweats, pain at injection site. Lasted 2 days.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue, Feeling cold, Feeling hot
Clinical narrative: Reaction to first SHINGRIX vaccine shot. Temperature of 102.1, nauseous but not throwing up, shot location very hot about one hour after receiving and then entire body was hot all over, body shivering and cold all night with covers on, tired and slept two night and a day. Received vaccine from pharmacy. I originally had the shingles vaccine in 2007 and thought I should follow-up with the new 2-shot vaccine as it had better coverage but I will not take the second follow-up shot. This reaction had not occurred to me with an other vaccines.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Nausea
Clinical narrative: Reaction to first SHINGRIX vaccine shot. Temperature of 102.1, nauseous but not throwing up, shot location very hot about one hour after receiving and then entire body was hot all over, body shivering and cold all night with covers on, tired and slept two night and a day. Received vaccine from pharmacy. I originally had the shingles vaccine in 2007 and thought I should follow-up with the new 2-shot vaccine as it had better coverage but I will not take the second follow-up shot. This reaction had not occurred to me with an other vaccines.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Aspartate aminotransferase increased, Blood pressure increased, Chest X-ray normal, Computerised tomogram, Computerised tomogram head normal
Clinical narrative: She had SHINGRIX 8/21/2018, the following day had significant blood pressure spikes BP 223/109, and dizziness. Seen at the emergency room, evaluated, including CT scan, EKG, and labs. Evaluation was negative. Blood pressure over the following two days is trending down.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Electrocardiogram, Full blood count normal, Laboratory test, Metabolic function test normal
Clinical narrative: She had SHINGRIX 8/21/2018, the following day had significant blood pressure spikes BP 223/109, and dizziness. Seen at the emergency room, evaluated, including CT scan, EKG, and labs. Evaluation was negative. Blood pressure over the following two days is trending down.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Troponin normal, Urine analysis normal
Clinical narrative: She had SHINGRIX 8/21/2018, the following day had significant blood pressure spikes BP 223/109, and dizziness. Seen at the emergency room, evaluated, including CT scan, EKG, and labs. Evaluation was negative. Blood pressure over the following two days is trending down.