chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: M
Vaccine: TDAP
Symptoms: Hypotension, Staring, Syncope, Unresponsive to stimuli
Clinical narrative: Pt received BOOSTRIX, stated was feeling ok and walked away from the pharmacy. Came back to the pharmacy about 1 minute and said he needed to go back to the back room. Pt sat down in chair and slumped and just stared at the ceiling, not responding to any verbal commands. Assisted pt to floor and had someone call 911. After about 1 1/2 to 2 minutes pt began to respond to verbal cues, and started answering questions appropriately. Prior to vaccination, pt stated he had a similar episode with a flu shot when he was a kid, but had received other vaccinations without issue. Pt remained in supine positive until EMS/fire responded, and they remained with pt for app. 30 minutes. Pt declined to be transported to hospital.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient got her flu vaccine on 10/13/17. Two days later she broke out in hives on both arms. Her right arm, which is where she received her vaccination, was worse than her left arm. Patient stated she had no fever but her arms are very itching and have hives on them. Patient has been using hydrocortisone cream and taking BENADRYL to stop the itching.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal pain, Chills, Fear, Pyrexia
Clinical narrative: Pt had abdominal pain and same day fever chills. "Pt was scared " per mom.
Age: 56.0
Sex: F
Vaccine: FLUR3
Symptoms: Cough, Headache, Oedema peripheral, Oropharyngeal pain, Pain
Clinical narrative: Fever 103, Swelling to left axillary, sore throat, cough, body aches, headache.
Age: 56.0
Sex: F
Vaccine: FLUR3
Symptoms: Pyrexia
Clinical narrative: Fever 103, Swelling to left axillary, sore throat, cough, body aches, headache.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Rash, Skin warm
Clinical narrative: Patient complained of swollen arm and arm pain of left arm around injection site.. rash later appeared next day..no fever.. warm to the touch.
Age: 50.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Localized redness, swelling, and tenderness around injection site.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Inappropriate schedule of drug administration, No adverse event
Clinical narrative: Patient's medical record showed that she was received her first HEPB 9/14/17 and was due for her second HEPB as of 10/12/17. It was given along with other imms due at her 2m well child visit today. Upon documenting in chart it was discovered that the patient had received a HEPB on 8/16/17 that was never placed into her medical record. The pt experienced no adverse reactions to the injection.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Erythema, Hypoaesthesia, Paraesthesia, Pharyngeal oedema
Clinical narrative: Facial redness, facial swelling, facial numbness, facial tingling, slight chest pain, throat itching, throat swelling.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling face, Throat irritation
Clinical narrative: Facial redness, facial swelling, facial numbness, facial tingling, slight chest pain, throat itching, throat swelling.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Blood count normal, Blood glucose normal, Electroencephalogram, Hypoaesthesia, Laboratory test normal
Clinical narrative: Patient started to shake and stated to mom legs felt numb. Per parent she asked what did she mean and patient stated tingling. The Patient stopped talking and per parent was staring. Mom call pediatrician office and was intructed to call 911.  EMS (ambulance came) per mom and patient was talking. They took vital signs and patient stated she was ok now. Taken to Emergency room. Once at hospital patient states felt better and wanted to leave. Mom left and they came into pediatrician office today for follow up.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Paraesthesia, Staring, Tremor
Clinical narrative: Patient started to shake and stated to mom legs felt numb. Per parent she asked what did she mean and patient stated tingling. The Patient stopped talking and per parent was staring. Mom call pediatrician office and was intructed to call 911.  EMS (ambulance came) per mom and patient was talking. They took vital signs and patient stated she was ok now. Taken to Emergency room. Once at hospital patient states felt better and wanted to leave. Mom left and they came into pediatrician office today for follow up.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Left arm is red, swollen, warm to touch. Following up with PCP on 10/10/17.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Tremor
Clinical narrative: Patient reported that approximately 5 hours after vaccination, they had uncontrollable hand shaking for approximately two minutes. Felt fine prior. Pt. then had typical flu like symptoms for a full 24 hours before completely returning to normal.
Age: 20.0
Sex: F
Vaccine: MENB
Symptoms: Vaccination site discomfort, Vaccination site pain
Clinical narrative: Pain and discomfort at vaccine site. Itchiness. No fever.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia
Clinical narrative: Pt. states prolonged muscle soreness after vaccine. Pain has slightly improved. Pt. has tried ibuprofen and warm compresses.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: C/O soreness at inj site. Surface area red not warm to touch afebrile.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Pyrexia
Clinical narrative: Had fever and local redness at injection site.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Malaise, Pain, Skin warm
Clinical narrative: Large bruise on upper arm, with pain and heat. Feelings of malaise. Bruise around the edges of arm.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Pain at injection site after 4 weeks after administration.
Sex: U
Vaccine: VARZOS
Symptoms: Expired product administered, No adverse event
Clinical narrative: This spontaneous report was received from a certified medical assistant referring to a patient of unknown age and gender. No information was provided regarding the patient's medical history, concurrent conditions or concomitant medications. On 29-SEP-2017, the patient was vaccinated with an expired dose of ZOSTAVAX lot number M018453 and expiration date of 28-JUN-2017 for prophylaxis (dose, route of administration were not reported). No adverse effects were reported.
Sex: U
Vaccine: HIBV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a nurse, who referred to a patient of unknown demographics. No information regarding the patient's pertinent medical history, concomitant medications and drug reactions or allergies was provided. On an unknown date, the patient was administered an improperly stored dose of LIQUID PEDVAXHIB (lot# N004632 and expiration date 02-NOV-2019; dose and route of administration were not reported). The vaccine was stored at the temperature of 8.9 degrees Celsius (C) (between 9C and 25C) for 1 hour and 15 minutes. There were no previous temperature excursions. Digital data logger was involved. No side effects were reported. No product quality complaint was involved.
Age: 0.0
Sex: U
Vaccine: HIBV
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report was received from a physician, who referred to a 3-weeks-old patient of unknown gender. No information regarding the patient's pertinent medical history, concomitant medication and drug reactions or allergies was provided. On 05-OCT-2017, the patient was inadvertently administered a dose of LIQUID PEDVAXHIB (Lot# M047666 and expiration date: 24-OCT-2019; dose and route of administration were not reported) for prophylaxis at the age of 3 weeks. No adverse effects were reported. No product quality complaint was involved.
Age: 86.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site cellulitis, Injection site reaction, Injection site swelling, Rash vesicular
Clinical narrative: This spontaneous report was received from a pharmacist via the Poison & Drug Center, concerning an 86 year old female. The patient's medical history included previous vaccination with PREVNAR at least 1 year ago. The patient had never being vaccinated with PNEUMOVAX 23, and there was no history of reaction to a vaccine. The patient was healthy with no other health conditions or allergies. Her concomitant medications included "ton of medications" as an unspecified blood pressure medication, SYMBICORT, and an unspecified glaucoma eye drops. On 08-OCT-2017, the patient was vaccinated with a first dose of PNEUMOVAX 23 with lot # N019348 and expiration date on 08-FEB-2019 (Strength was not reported), 0.5 ml were administered intramuscularly in the left deltoid once, as active immunization for the prevention of pneumococcal disease. It was reported that no primary care physician prescribed the vaccine. That day, she was concomitantly vaccinated with FLUAD but in the opposite arm (right arm). On 10-OCT-2017, the patient presented in the pharmacy with a cellulitis type reaction described as swelling and a wet, blistery, awful looking rash from the site of injection on the left deltoid down to or past her elbow. The pharmacist stated that the patient was referred to her doctor or the hospital but it was unsure if she went to the doctor or not. The reporter also reported that this patient might need to be hospitalized for the reaction but was not aware of the patient being hospitalized; and described the event as a "horrifying reaction". There was no laboratory data. A product quality complaint was filed. At the time of this report, the patient had not recovered yet from the as it was stated that the cellulitis type reaction, swelling, a wet, blistery, awful looking rash, "horrifying reaction continued and she was still experiencing really bad symptoms. The causal relationship between the vaccination site cellulitis and the cellulitis of arm with PNEUMOVAX 23 was not provided. The reporter considered that the injection site cellulitis was a medically significant event. This is one of two reports from the same reporter. Sender's Comments: US-009507513-1710USA005862.
Age: 37.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Pain at injection site after 4 weeks after administration.
Age: 37.0
Sex: M
Vaccine: TDAP
Symptoms: Unevaluable event
Clinical narrative: Will not give details-keeps saying wife will call-pt was hospitalized.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: LA red swollen and hot.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site rash, Rash generalised
Clinical narrative: Rash at site and all over body per Mom.
Age: 47.0
Sex: F
Vaccine: FLUR3
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: 10-7-17 -site of injection felt hard as soon as flu vaccine was received- Also complained of tenderness. 11am same day - fever-low grade, injection site hot and swollen. Fever persist all weekend (10-7, 10-8-2017). Fever broke Sunday, night -(10-8-17). Monday morning - injection site still tender and swelling has gone down - 10-9-2017.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU4, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Child with vomiting 6 days after oral 6 months polio.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: Raised, Large red area covering the right thigh. A knot also came up under the skin. It remained red for a week, then began to turn black and blue like a large bruise, before turning a green/purple color.  Pt also complained for 2.5 weeks of his right leg hurting.  I have pictures.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site swelling
Clinical narrative: Raised, Large red area covering the right thigh. A knot also came up under the skin. It remained red for a week, then began to turn black and blue like a large bruise, before turning a green/purple color.  Pt also complained for 2.5 weeks of his right leg hurting.  I have pictures.
Age: 65.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Arthralgia, Dizziness, Fatigue, Injected limb mobility decreased, Injection site mass
Clinical narrative: My left arm/shoulder muscle had swelled with a very painful lump about 4 in. by 3 in. within 4 hours. At that time I also began having a low-grade fever. Six hours after vaccination I could not move my left arm or touch my shoulder without extreme pain. The following day those symptoms continued and added some episodes of dizziness, mild nausea, fatigue, thirst, short term memory problems, and joint and muscle pain. My fever peaked at 100.6 about 24 hours after the injections. The listed symptoms peaked about 24 hours after the injections. All gradually subsided and disappeared except the fatigue and short term memory problems which have continued until now (but are better), about 44 hours after injection.
Age: 65.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site pain, Injection site swelling, Memory impairment, Myalgia, Nausea
Clinical narrative: My left arm/shoulder muscle had swelled with a very painful lump about 4 in. by 3 in. within 4 hours. At that time I also began having a low-grade fever. Six hours after vaccination I could not move my left arm or touch my shoulder without extreme pain. The following day those symptoms continued and added some episodes of dizziness, mild nausea, fatigue, thirst, short term memory problems, and joint and muscle pain. My fever peaked at 100.6 about 24 hours after the injections. The listed symptoms peaked about 24 hours after the injections. All gradually subsided and disappeared except the fatigue and short term memory problems which have continued until now (but are better), about 44 hours after injection.
Age: 65.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Pulse abnormal, Pyrexia
Clinical narrative: My left arm/shoulder muscle had swelled with a very painful lump about 4 in. by 3 in. within 4 hours. At that time I also began having a low-grade fever. Six hours after vaccination I could not move my left arm or touch my shoulder without extreme pain. The following day those symptoms continued and added some episodes of dizziness, mild nausea, fatigue, thirst, short term memory problems, and joint and muscle pain. My fever peaked at 100.6 about 24 hours after the injections. The listed symptoms peaked about 24 hours after the injections. All gradually subsided and disappeared except the fatigue and short term memory problems which have continued until now (but are better), about 44 hours after injection.
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Nausea, Pyrexia
Clinical narrative: Received influenza vaccine 10/10/17 and noted onset of fever, headache, nausea on 10/11/17.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Big round red and swollen area around injection point.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Blood glucose normal, Diarrhoea, Fatigue, Hot flush, Hyperhidrosis
Clinical narrative: Employee received FLUARIX QUADRIVALENT vaccine administration at approximately 12:32 PM. At approximately 3:45 PM she was sitting in the office talking with a coworker. She stated that she felt a sudden "hot flash", broke out into a profuse sweat and noticed that her hands were shaking. The coworker walked her downstairs to the clinic here at work where she was assessed. Most of the symptoms were gone within an hour but she still had a very slight tremor noted in her fingers. That evening at home, the employee stated that she experienced a bout of diarrhea around 6:30 PM (after she ate dinner). Today she feels very tired but was able to return to work on her usual schedule. It should be noted that this employee has never received a flu vaccination before. This was the first time.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: Employee received FLUARIX QUADRIVALENT vaccine administration at approximately 12:32 PM. At approximately 3:45 PM she was sitting in the office talking with a coworker. She stated that she felt a sudden "hot flash", broke out into a profuse sweat and noticed that her hands were shaking. The coworker walked her downstairs to the clinic here at work where she was assessed. Most of the symptoms were gone within an hour but she still had a very slight tremor noted in her fingers. That evening at home, the employee stated that she experienced a bout of diarrhea around 6:30 PM (after she ate dinner). Today she feels very tired but was able to return to work on her usual schedule. It should be noted that this employee has never received a flu vaccination before. This was the first time.
Age: 55.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Area where vaccine given on arm is red, hot, firm, painful to touch, and swollen, with size of induration being about baseball size. Swelling started on evening of 10/17 and area if induration was much larger on the morning of 10/18. Swelling on 10/19 has not increased but has stayed the same as 10/18.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: IMMEDIATELY AFTER RECEIVING FLU IZ WHILE SITTING, COMPLAINED OF DIZZINESS, AND DIAPHORESIS AND WAS LOWERED TO FLAT ON A FLOOR MAT. CLIENT REMAINED THROUGHOUT ALERT AND ORIENTED, WITH EASY RESPIRATIONS, PINK LIPS, PAIN FREE AND ABLE TO MOVE SYMETRICALLY. WITHIN 10 MINUTES CLIENT FELT ABLE TO STAND AND WALK. 02 SAT 99, BP 120/80 AND HR 72. CLIENT STATED SHE HAD NOT DRANK ENOUGH THAT DAY, SO WAS GIVEN 8 OZ OF WATER BEFORE LEAVING.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came in for Flu vaccine only. Patient returned the following day because of redness and swelling at injection site. Provider prescribed tylenol and ice prn . Patient returned again, 2 days after injection. Area was no longer red or swollen. Patients stated that no pain was noted.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Alopecia, Arthralgia, Biopsy liver, Blood test, Hepatic enzyme increased
Clinical narrative: Read the first section. We cannot get a treatment plan because we cannot get a diagnosis! NONE of this crap happened until the GARDASIL shot was received! Specifically the third and final dose.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Hepatitis, Increased tendency to bruise, Laboratory test, Menstrual disorder
Clinical narrative: Read the first section. We cannot get a treatment plan because we cannot get a diagnosis! NONE of this crap happened until the GARDASIL shot was received! Specifically the third and final dose.
Age: 81.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Cough, Erythema, Nausea, Skin warm, Swelling
Clinical narrative: Redness, hotness to touch, swelling, nausea, cough.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash generalised
Clinical narrative: Rash over all of body, advised to see doctor, has not reported back with outcome.
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Drug administered to patient of inappropriate age, Extra dose administered
Clinical narrative: 8 year old child given the adult HEP A vaccine. Had history of receiving 2 Hepatitis doses in the past but record was not checked prior to administration.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Blood creatine phosphokinase, Erythema, Full blood count, Metabolic function test, Musculoskeletal stiffness
Clinical narrative: Pt. reports swelling by evening after vaccine, tender to touch and stiff upper arm, followed by erythema the next day. Seen in clinic 99 temp, defined redness deltoid to elbow, then to clavicle. 3 cm difference in bicep but is right hand dominant.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Swelling, Tenderness, Urine analysis
Clinical narrative: Pt. reports swelling by evening after vaccine, tender to touch and stiff upper arm, followed by erythema the next day. Seen in clinic 99 temp, defined redness deltoid to elbow, then to clavicle. 3 cm difference in bicep but is right hand dominant.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Induration, Nodule, Urticaria
Clinical narrative: 7cm diameter wheel/ erythematous hard knot.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus generalised, Rash generalised
Clinical narrative: Pt  received shot at 8 am and started to have a rash and itching all over the body at 9:30 am.  Advised to take Benadryl or apply Benadryl cream and call doctor or go to ER if s/s get worse.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Induration, Pain, Pruritus, Swelling
Clinical narrative: Itching swelling - 4inches x 5inch in size hard-painful - vomited x2 during the night- Flushed - did not check temp @ home.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Itching swelling - 4inches x 5inch in size hard-painful - vomited x2 during the night- Flushed - did not check temp @ home.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Bursitis, Nuclear magnetic resonance imaging, Tendonitis
Clinical narrative: Tendonitis. Bursitis.
Age: 80.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Peripheral swelling
Clinical narrative: This is a spontaneous report from a contactable pharmacist. An 80-year-old female patient started to receive PREVNAR 13 (NDC: 00005197102), intramuscular on 10Oct2017 at single dose for pneumonia.  The medical history and concomitant medications were not reported. On 10Oct2017, the patient received the pneumococcal 13-valent conjugate vaccine for pneumonia. In Oct2017, the patient experienced redness/her arm was redder than he had seen and in a larger area and swelling. The events were further described as: the redness was almost to her elbow and covered most of her arm. It was also swollen, but it was mostly the redness. Therapeutic measures were taken in response to the events, redness/her arm was redder than he had seen and in a larger area and swelling. She called her doctor's office and they said to treat it with diphenhydramine (BENADRYL) and ice. The clinical outcome of the events, redness/her arm was redder than he had seen and in a larger area, swelling, and drug use for unapproved indication, was unknown.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Urticaria
Clinical narrative: Patient reported one week after the vaccine breaking out in hives on her hands, arms and legs as well as arm numbness that lasted for one week.
Age: 1.17
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever and rash.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Chills, Erythema, Headache, Induration
Clinical narrative: 2 cellulitic region, indurated, tracking marks of the erythema spreading, minor headache, minor left side neck aching, chills, myalgias.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Myalgia, Neck pain
Clinical narrative: 2 cellulitic region, indurated, tracking marks of the erythema spreading, minor headache, minor left side neck aching, chills, myalgias.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain, Arthralgia, C-reactive protein normal, Coagulation test normal, Full blood count normal
Clinical narrative: Henoch-Schonlein Purpura. Fever beginning 10/12. 10/13- fever persisted, 2 episodes of vomiting. 10/16 at 3 pm- rash noticed on lower extremities and buttock, bilateral knee pain with inability to ambulate. 10/17- rash worsening, swelling of knees bilaterally with increased pain, new onset abdominal pain, presented to ED and diagnosed with HSP, admitted to inpatient unit x 1 day.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Gait inability, Henoch-Schonlein purpura, Joint swelling, Metabolic function test normal, Pyrexia
Clinical narrative: Henoch-Schonlein Purpura. Fever beginning 10/12. 10/13- fever persisted, 2 episodes of vomiting. 10/16 at 3 pm- rash noticed on lower extremities and buttock, bilateral knee pain with inability to ambulate. 10/17- rash worsening, swelling of knees bilaterally with increased pain, new onset abdominal pain, presented to ED and diagnosed with HSP, admitted to inpatient unit x 1 day.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Red blood cell sedimentation rate increased, Streptococcus test negative, Urine analysis normal, Vomiting
Clinical narrative: Henoch-Schonlein Purpura. Fever beginning 10/12. 10/13- fever persisted, 2 episodes of vomiting. 10/16 at 3 pm- rash noticed on lower extremities and buttock, bilateral knee pain with inability to ambulate. 10/17- rash worsening, swelling of knees bilaterally with increased pain, new onset abdominal pain, presented to ED and diagnosed with HSP, admitted to inpatient unit x 1 day.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: X-ray limb normal
Clinical narrative: Henoch-Schonlein Purpura. Fever beginning 10/12. 10/13- fever persisted, 2 episodes of vomiting. 10/16 at 3 pm- rash noticed on lower extremities and buttock, bilateral knee pain with inability to ambulate. 10/17- rash worsening, swelling of knees bilaterally with increased pain, new onset abdominal pain, presented to ED and diagnosed with HSP, admitted to inpatient unit x 1 day.
Age: 42.0
Sex: M
Vaccine: HEPAB
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was give expired vaccine. Patient was fine and did not have any adverse reactions.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, VARCEL
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Localized site reaction, rash, pain. Clinic notified 10/19/17, child was examined by provider and mom was advised to watch the site and call the clinic if symptoms persist or worsen.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Fatigue, Feeling of body temperature change, Mobility decreased, Pain
Clinical narrative: That night, patient reports not being able to bend arm, very sore, hives, burning/freezing feeling at the same time, weakness, exhaustion, lots of pain. Only self treated with TYLENOL. She showed her doctor her arm today and he mentioned hives but did not suggest any treatment. She does not report having any issues breathing. She did mention that she sensitive to many medications and hives are common for her.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: That night, patient reports not being able to bend arm, very sore, hives, burning/freezing feeling at the same time, weakness, exhaustion, lots of pain. Only self treated with TYLENOL. She showed her doctor her arm today and he mentioned hives but did not suggest any treatment. She does not report having any issues breathing. She did mention that she sensitive to many medications and hives are common for her.
Age: 36.0
Sex: F
Vaccine: HEPAB
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine give to patient. No adverse reactions happened.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain
Clinical narrative: PATIENT BEGAN HAVING BACK PAIN 24 HOURS AFTER HAVING IMMUNIZATION. BACK PAIN HAS CONTINUED FOR 48 HOURS NOW. PATIENT'S GUARDIAN GIVEN INSTRUCTIONS FOR OVER THE COUNTER MEDICATION AND MONITOR CONDITION FOR CHANGES.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Headache, Lacrimation increased, Vision blurred
Clinical narrative: PATIENT CONTACTED THE PHARMACY 10/19/17 STATING THAT SHE HAS HAD A HEADACHE NOT RELIEVED BY ALEVE/IBUPROFEN AND THAT HER LEFT EYE WAS WATERY AND OCCASIONALLY BLURRING. SHE DID NOT STATE EXACTLY WHEN THE SYMPTOMS STARTED, BUT SAID THEY WERE PERSISTENT. LATER TODAY, THE HOSPITAL EMERGENCY ROOM CONTACTED THE PHARMACY TO SEE HER MEDS AND WHAT VACCINES SHE HAD BEEN GIVEN. NO FURTHER OUTCOME HAS BEEN REPORTED AT THIS TIME.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pyrexia
Clinical narrative: Fever and body aches.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pruritus, Swelling
Clinical narrative: Itching and swelling, bruising.
Age: 15.0
Sex: F
Vaccine: HEPA
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: ADULT DOES HEP A VACCINE GIVEN TO A 15 YEAR OLD PATIENT.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Broke out in a rash on both arms legs and buttock around 3 in the afternoon after receiving shot at 730 am. Itchy, took ZYRTEC. No other symptoms. First reported to us Wed 10/11/17. Flu shots since 2012 without problems. 10/12 not much improvement, has to keep taking allergy pill to stop the itch. Trying CORTIZONE cream as well. 10/18/17 saw her Dr. He switched med to CLARITIN daily, ZANTAC, and BENADRYL at night. No creams. She states it's better but still some red bumps present.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Redness, swelling. Assessed 24 hours post vaccine, appeared to be resolving, however at 30 hours post vaccine vaccine redness and swelling worsened (cellulitis) prescribed for augmentin BID x 7 days.  Patient has been icing and elevating, will continue. Advised to seek care at EMERGENCY ROOM if worsens.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Muscle contractions involuntary, Nausea, Pyrexia, Tremor
Clinical narrative: Severe muscle contractions, tremors, high fever, dizziness, nausea, increased in severity over a period of about 2-3 hours, called 911, transported to emergency room.
Age: 0.5
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: 10-18-2017 Mother said "There's a red spot slightly next to the spot where vaccine was administered. It's on his right leg which only had 1 shot. It feels slightly warmer than the rest of his leg and hard."  10-19-2017 Mother said "It looks less red still feels just a bit hard but looks better." No medications given.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site paraesthesia, Peripheral swelling
Clinical narrative: Swollen arm, red arm and tingling at injection site.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Redness and swelling, warm to the touch.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling at site of injection, size of a baseball, warm to the touch.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Eye haemorrhage, Ocular hyperaemia
Clinical narrative: Patient said he developed a red eye the next day, as if he had a broken blood vessel in his left eye.  He is unsure if this is related to the FLUZONE vaccine, but wanted to report anyway.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Raised, red area, warm to touch. Denies pain or discomfort, no pox noted.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Upper left arm redness from just below elbow to shoulder. Minor swelling in upper left arm for 3 days.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site of injection, about the size of a baseball.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Feeling hot, Local reaction, Tenderness
Clinical narrative: Left arm with large local reaction (redness, heat, tenderness). No fevers, myalgia or shortness of breath.
Age: 88.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site pain, Injection site paraesthesia, Pain
Clinical narrative: Numbness, tingling, stinging sensation at injection site and across upper back which started the morning after injection and has continued as of this reporting day (10-19-17).
Age: 88.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Paraesthesia
Clinical narrative: Numbness, tingling, stinging sensation at injection site and across upper back which started the morning after injection and has continued as of this reporting day (10-19-17).
Age: 88.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Injection site pain
Clinical narrative: Numbness, tingling, stinging sensation at injection site and across upper back which started the morning after injection and has continued as of this reporting day (10-19-17).
Age: 88.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Rt arm raised welp. Red and itching. Little larger than the size of a palm.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Got the flu shot friday am in my left upper arm. By sunday pm my left hand was very red and itchy and my fingers were swollen. Monday am, I woke up with hives in the area of my right rib cage.  I've never experienced hives before. The swelling, itching and hives went away after taking benadryl for two days. I've gotten the season flu shot for many years and have never had a reaction before. None.
Age: 48.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Erythema, Pain, Peripheral swelling
Clinical narrative: Pt got 2 shot in same arm, flu and ppsv 23 on 10/17/2017. Pt and her husband stop by us today (10/19/17) and husband told me that his wife has reaction (swollen arm) after ppsv 23. He show me the pictures of swollen arm which look big and red. They went to urgent care (ER) and pt was prescribed doxycycline by doctor. Pt is in slight pain due to swelling but husband says she is ok and safe now.
Age: 23.0
Sex: F
Vaccine: FLUC4
Symptoms: Exposure during pregnancy, Faeces discoloured, Fatigue, Haematochezia, Nausea
Clinical narrative: Never been pregnant. Received vaccination on 10/09 @250pm. Defacated on 10/10 around 545am. ?entire toilet bloody ?bloody tissue ?blood was bright red in toilet ?bright red and pinkish on tissue ?no blood noted in stool  ?stool was formed Defacated on 10/10 around 6pm stool was formed ?no blood in toilet or on tissue ?stool had black portions not attributable to anything in diet Defacated on 10/11 around 545am ?stool was formed ?bright red portions noted in Still ?bright red blood and clots on tissue Overall during the 3 days: no abnormal stomach pains noted; defacation was not strained or painful; stool was not hard; there was no anal tear that would have caused the bleeding; nausea and fatigue were noticed on 10/10 and 10/11.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Musculoskeletal pain, Musculoskeletal stiffness, Rhinorrhoea
Clinical narrative: Patient had a large visible bruise around the injection site and had noticeably red skin below the bruised area. She reported stiffness, soreness in the shoulder and a runny nose.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site nodule, Injection site warmth, Musculoskeletal stiffness
Clinical narrative: Upon giving the shot a small knot formed immediately at injection site. Approximately 6 hours later, the knot at injection site was approximately 10" in diameter with redness and heat. Patient reported pain and stiffness of left arm. Instructed patient to take IBU and Benadryl, then contact PCP if not any better the following morning.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Upon giving the shot a small knot formed immediately at injection site. Approximately 6 hours later, the knot at injection site was approximately 10" in diameter with redness and heat. Patient reported pain and stiffness of left arm. Instructed patient to take IBU and Benadryl, then contact PCP if not any better the following morning.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt states that her top part of her left arm is swollen and toward the front part of her arm/ arm pit area and red and very sore to touch.
Age: 1.5
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Asthenia, Dysstasia, Lethargy
Clinical narrative: Could not stand up from 1:00 PM until he went to bed. Lethargic. No energy. Never saw him like this before. He was like a different child. Seemed better the next day.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Chills, Erythema, Pain in extremity, Skin warm
Clinical narrative: Woke up at 2 am with chills and joints aching and arm was hurting and red.  Immunization was on Monday at 4am and still feeling this way on Thursday evening at 6pm  Arm warm and hurts from shoulder to elbow. Instructed her to call her Dr. in the morning.
Age: 82.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Rash erythematous
Clinical narrative: Redness and swelling of entire upper left arm, some itchiness, redness (rash) on upper left chest. Patient took benadryl. Improving slowly.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chest discomfort, Cough, Refusal of treatment by patient
Clinical narrative: PATIENT PRESENTED TO PHARMACY AND STATED THAT THE FOLLOWING DAY AFTER BEING IMMUNIZED SHE FELT CHEST TIGHTNESS, COUGHING AND WEAKNESS. SHE REFUSED MEDICAL TREATMENT AND THE SYMPTOMS HAVE SUBSIDED AT THIS POINT.
Age: 67.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Patient is complaining of pain int he muscle of injection site and difficulty lifting arm. He states it has gotten better as the day has gone on today. He spoke to his physician who prescribed Cephalexin for it. I asked him if it was warm to touch but he said it was not.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Hypotension, Musculoskeletal pain
Clinical narrative: Patient reported shoulder pain and hypotension on the following day. Stating his first BP was in the 90s and second in the 50s. He also stated he felt dizzy. Recommended he follow up with PCP as hypotension the following day is generally not a side effect of immunization. As for shoulder pain, patient had issues with that last year as well
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Apnoea, Syncope
Clinical narrative: Reported that approximately 45 minutes after vaccine administered pt collapsed and quit breathing for about 30 seconds. Pt started breathing with minimum effort and was taken to ER. ER reported that there may have been an unknown egg allergy or a combination of the fact that pt was on menstrual cycle, had not eaten, and had not taken that days dose of sertraline. Pt was released the same day.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal discomfort, Ageusia, Injection site swelling, Pain, Swelling
Clinical narrative: SWOLLEN ARM AROUND VACCINATION INJECTION SITE THAT SPREAD TO HIS UPPER ARM AND ARMPIT. PAIN AND SWELLING. LOSS OF TASTE. UPSET STOMACH.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Musculoskeletal pain
Clinical narrative: Patient complained of intense pain in shoulder.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Mobility decreased, Musculoskeletal pain
Clinical narrative: Not sure what kind. Inactivated Quadrivalent Influenza Vaccine. Severe pain in shoulder and where shot was given and difficulty moving the arm.
Age: 75.0
Sex: U
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Got flu shot-FLUZONE HIGH-DOSE 2017 - 18 0.5ml SYR. Questioned pharmacist on the 'high dose' and was explained it was due to my age. (75) Injection site became red, hot, inflamed, hard, and sore to the touch-probably six inches down my arm. Not my first flu shot and I've never had a reaction at the injection site. Two days later I woke up and I was broken out around my neck, down my chest and down my back with red spots/bumps. I contacted my doctor's office and they recommended I go to an urgent care location. At this site, I was given the option of a steroid shot (refused) and given a "script for a steroid pack. I have always taken the flu shot and consider myself to be a healthy 75 year old. (Have taken the shot the last 10 years or so-again I've never had a reaction at all.) Very unlikely I will take a flu shot again after this.
Age: 75.0
Sex: U
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: Got flu shot-FLUZONE HIGH-DOSE 2017 - 18 0.5ml SYR. Questioned pharmacist on the 'high dose' and was explained it was due to my age. (75) Injection site became red, hot, inflamed, hard, and sore to the touch-probably six inches down my arm. Not my first flu shot and I've never had a reaction at the injection site. Two days later I woke up and I was broken out around my neck, down my chest and down my back with red spots/bumps. I contacted my doctor's office and they recommended I go to an urgent care location. At this site, I was given the option of a steroid shot (refused) and given a "script for a steroid pack. I have always taken the flu shot and consider myself to be a healthy 75 year old. (Have taken the shot the last 10 years or so-again I've never had a reaction at all.) Very unlikely I will take a flu shot again after this.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Erythema, Urticaria
Clinical narrative: Hives, redness of face, and difficulty breathing.
Age: 11.0
Sex: M
Vaccine: FLU4, MNQ, TDAP, FLU4, TDAP
Symptoms: Computerised tomogram head normal, Electroencephalogram normal, Influenza virus test negative, Seizure, Streptococcus test negative
Clinical narrative: Seizure, to ER, EEG WNL.
Age: 11.0
Sex: M
Vaccine: FLU4, MNQ, TDAP, FLU4, TDAP
Symptoms: Abdominal discomfort, Blood test abnormal, Body temperature increased, Computerised tomogram, Dyskinesia
Clinical narrative: Seizure, to ER, EEG WNL.
Age: 11.0
Sex: M
Vaccine: FLU4, MNQ, TDAP, FLU4, TDAP
Symptoms: Electrocardiogram, Electroencephalogram, Feeling hot, Headache, Miosis
Clinical narrative: Seizure, to ER, EEG WNL.
Age: 11.0
Sex: M
Vaccine: FLU4, MNQ, TDAP, FLU4, TDAP
Symptoms: Muscle rigidity, Musculoskeletal stiffness, Seizure
Clinical narrative: Seizure, to ER, EEG WNL.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Local reaction, Peripheral swelling
Clinical narrative: Pt developed local reaction: Red and swollen arm from shoulder to elbow two days after vaccine was administered. Pt was advised to see Primary Care Doctor.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Inflammation
Clinical narrative: Immediate local inflammation.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Feeling abnormal, Pallor, Vomiting
Clinical narrative: Patient's mom told the RpH that she has thrown up; not feeling good about 5 to 10 min after receiving the flu shot. Patient was talking, breathing normal but looked tired; white in the face. She lied down had some water felt better. RPH regularly checked on her. Her dad came got.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dyskinesia, Dyspnoea, Obstructive airways disorder, Paraesthesia
Clinical narrative: Patient fainted, slight jerking, arm and face tingling, then difficulty breathing, that lead to coughing, some airway obstruction.
Age: 14.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Patient fainted, slight jerking, arm and face tingling, then difficulty breathing, that lead to coughing, some airway obstruction.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Mom reports whitish discoloration starting around injection site along with pain, itch and swelling - 10/18/17. On 10/19/17 symptoms continued along with developing redness to site and warmth.  10 x 12 cm redness measured in office on 10/19/17.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Mom reports whitish discoloration starting around injection site along with pain, itch and swelling - 10/18/17. On 10/19/17 symptoms continued along with developing redness to site and warmth.  10 x 12 cm redness measured in office on 10/19/17.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Allergy to vaccine, Erythema, Pain, Rash, Swelling
Clinical narrative: Pt had PNEUMOVAX on 10/14/17 w/o complaints. Then patient came in on 10/15/17 at 10:15 am when we opened complaining of soreness, redness and a rash. I recommended BENADRYL and a compress and told her to go to urgent care if no better. I called pt back on Monday and the soreness and swelling went down. She said she felt fine. I wrote up an incident report and VAERS per protocol. I suspected an allergy, so I also contacted Dr - left message on voicemail, but have yet to get any more response. I updated the file for PNEUMOVAX as an allergy.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal disorder, Musculoskeletal stiffness, Pain
Clinical narrative: The patient complained of severe pain and stiffness. She is unable to use her arm. She applied ice but still no relief.
Age: 39.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site vesicles, Musculoskeletal disorder, Vaccination site pain, Vaccination site vesicles
Clinical narrative: Same arm also received PNEUMOVAX. Pt. says area of vaccine blistered and became extremely sore. Use of arm became limited. Went to urgent care and received steroid injection. Pt now says she will need to see ortho.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Anxiety, Dysarthria, Hypoaesthesia, Nausea, Pain
Clinical narrative: Pt. received MCV/TRUMENBA yesterday; started feeling nauseous with body aches after getting home had mild  slurring of speech and anxiety by evening (leg numbness tingling of extremity); went to bed usual time and woke up at 3AM; had near syncope episode that time; no LOC went back to bed after doing better now, talking good, no nausea no dizziness and beginning to feel better.
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Paraesthesia, Presyncope
Clinical narrative: Pt. received MCV/TRUMENBA yesterday; started feeling nauseous with body aches after getting home had mild  slurring of speech and anxiety by evening (leg numbness tingling of extremity); went to bed usual time and woke up at 3AM; had near syncope episode that time; no LOC went back to bed after doing better now, talking good, no nausea no dizziness and beginning to feel better.
Age: 8.0
Sex: U
Vaccine: HPV9, HPV9
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Information has been received from a certified medical assistant, which also was an administrator, reporting on an 8 year old male patient. There was no information about the patient's concurrent conditions, medical history or concomitant medication. On 27-SEP-2017, the patient received her first dose of GARDASIL 9 for prophylaxis (strength, dose, route of administration, lot number and expiration date were not reported) (drug administered to patient of inappropriate age) (inappropriate schedule of drug administration). No adverse symptoms reported.