chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: MMR, VARZOS
Symptoms: Vaccination complication
Clinical narrative: the patient's symptoms are like adverse reaction; he developed a rash on his back that resembles a "heat rash"; he developed a fever, sore throat and cough; he developed a fever, sore throat and cough; he developed a fever, sore throat and cough; This spontaneous report was received from a registered nurse referring to a 54 year old male patient. The patient did not have pertinent medical history, concomitant medications, drug reactions and allergies.  On 22-APR-2019, the patient was vaccinated with zoster rge vaccine (mammalian)(SHINGRIX) (strength, dose, anatomical location, route of administration, lot#, expiration date, and indication were not reported) and on 08-JUN-2019, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (strength, dose, anatomical location, and, route of administration were not reported) lot # R031681 with expiration date on 01-NOV-2020, indicated for prophylaxis.    On 18-JUN-2019, the patient developed a fever (pyrexia), sore throat (oropharyngeal pain) and cough (cough) and started taking over the counter guaifenesin (MUCINEX) and ibuprofen with relief.  On 20-JUN-2019, the patient developed a rash on his back that resembled a "heat rash" (miliaria).   The patient had not been treated by a physician and did not seek medical attention.  Laboratory diagnostics and studies were not performed.   The patient went to the emergency room on 20-JUN-2019, where he was seen by the head of infectious disease with department of public health, and it was determined that the patient's symptoms were like adverse reaction (vaccination complication) to measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) vaccine but absolutely not an active case of measles. The patient was not admitted to the hospital.   The outcome of pyrexia, vaccination complication, miliaria, cough and oropharyngeal pain was reported as not resolved.     The causal relationship between the events with the suspect therapies was not reported.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects; patients were administered improperly stored PROQUAD; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. The patient's relevant medical history, concomitant medication and concurrent conditions were unknown. No drug reactions/allergies were reported.  On 05-JUN-2019, the patient was vaccinated with an incorrectly stored dose (product storage error) of measles, mumps, rubella and varicella (oka-merck) virus vaccine live(PROQUAD) lot # S002496 and expiration date 23-JUL-2020, for prophylaxis (dose, strength, frequency and route of administration were not reported.  The patient experienced no adverse events. It was reported that the  measles, mumps, rubella and varicella (oka-merck) virus vaccine live(PROQUAD) had a temperature excursion of (-9°C to 8°C) -3 C for a time frame of 3 hours 39 minutes. No previous temperature excursions were reported. Digital data logger was involved.; Sender's Comments:  US-009507513-1906USA008662:Case number: 1247169 US-009507513-1906USA008695:Case number: 1247112 US-009507513-1906USA008903:Case number: 1247164 US-009507513-1906USA008643:Case number: 1247165 US-009507513-1906USA008789:Case number: 1247163
Sex: U
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects reported; Patient inadverdently received VARIVAX concomitantly with PROQUAD at child's well visit; This spontaneous report was received from a physician refers to a 12 month old patient of unknown gender. Patient's medical history, concurrent conditions and drug allergies/reactions were not reported. On 23-MAY-2019, the patient was vaccinated with varicella virus vaccine live (oka/merck)(VARIVAX) injection (lot # R030612, expiry date of 31-10-2020) subcutaneously for prophylaxis. The patient was concomitantly vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) injection (lot# R030799, expiration date of 22-APR-2020) subcutaneously for prophylaxis  (Inappropriate dose of vaccine administered). Patient did not experience any adverse effects (no adverse event).  No product quality complaint was associated with this case.
Sex: F
Vaccine: MMR
Symptoms: No adverse event, Underdose, Wrong technique in product usage process
Clinical narrative: no adverse effects reported; possibly inadvertent low dose of MMR II; user error in administering the vaccine, which caused some of the dose to "leak out of the syring and not be given to the patient"; Information has been received from a pharmacist referring to a female patient of unknown age. The patient's pertinent medical history, previously drug reactions, allergies, concurrent conditions and concomitant medications were not reported.      On 18-JUN-2019, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) (dose, frequency, lot# and expiration date were not reported)subcutaneous for prophylaxis. It was a possibly inadvertent low dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) administered (incorrect dose administered). There was no defect with the measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) dose itself, but a user error in administering the vaccine, which caused some of the dose to leak out of the syringe and not be given to the patient (product administration error). It was reported that the patient had no prior documentation or any post-vaccination serologic testing for measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II). There were no adverse effects reported.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects; patients were administered improperly stored PROQUAD; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. The patient's relevant medical history, concomitant medication and concurrent conditions were unknown. No drug reactions/allergies were reported.  On 04-JUN-2019, the patient was vaccinated with an incorrectly stored dose (product storage error) of measles, mumps, rubella and varicella (oka-merck) virus vaccine live(PROQUAD) lot # S002496 and expiration date 23-JUL-2020, for prophylaxis (dose, strength, frequency and route of administration were not reported.  The patient experienced no adverse events. It was reported that the  measles, mumps, rubella and varicella (oka-merck) virus vaccine live(PROQUAD) had a temperature excursion of (-9°C to 8°C) -3 C for a time frame of 3 hours 39 minutes. No previous temperature excursions were reported. Digital data logger was involved.; Sender's Comments:  US-009507513-1906USA008662:Case number: 1247169 US-009507513-1906USA008695:Case number: 1247112 US-009507513-1906USA008903:Case number: 1247164 US-009507513-1906USA008643:Case number: 1247165 US-009507513-1906USA008789:Case number: 1247163
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain
Clinical narrative: the first and third doses were not painful and the second dose was painful; This spontaneous report was received from a female patient of unknown age who was reporting on herself. The patient's pertinent medical history, concomitant therapies, drug reactions and allergies were not reported.  On an unknown date in January 2019 (reported as end of January 2019), the patient received second dose of 3-dose vaccination regiment with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (lot #, expiry date, route of administration and anatomical location were not provided) for human papilloma virus prevention. She stated that this dose was painful and added that neither first nor third dose were painful. She did not seek medical attention and no treatment was given. On an unknown date in 2019, the patient recovered from this condition.  Causality assessment was not provided.
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Inflammation, Peripheral swelling
Clinical narrative: Vaccination site erythema; injection site inflammation; arm swelling; Wiped out feeling; This case was reported by a consumer via call center representative and described the occurrence of erythema of extremities in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included sore mouth, facial pain and oral surgery. Previously administered products included Acyclovir. Concomitant products included valaciclovir hydrochloride (Valacyclovir).   On 11th June 2019, the patient received the 1st dose of Shingrix. In June 2019, less than a week after receiving Shingrix, the patient experienced erythema of extremities, inflammation localized, swelling arm and worn out. On an unknown date, the outcome of the erythema of extremities, inflammation localized, swelling arm and worn out were unknown.   It was unknown if the reporter considered the erythema of extremities, inflammation localized, swelling arm and worn out to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient has a long history of viral sore outbreaks inside of mouth and facial pain following use of sonic dental cleaning and was treated successfully with Acyclovir, so refused sonic use for dental cleaning for many years. In February of this year the patient decided to have oral surgery to remove her last wisdom tooth, totally embedded in right lower jaw, so was prescribed Acyclovir to ward off viral outbreak, but it was not enough or enough for that or the later discovered filling of a deep cavity in the tooth next to the removed tooth. The patient was on a maintenance 500 mg dose per day of Valacyclovir and feel, but could not see, mild viral like symptoms at the corners of her mouth. The patients husband and the patient finally got Shingrix shots. The patient only definite after affect was a sore, now fading red inflammation down the front of her arm and a completely wiped out feeling for which she often rests.
Sex: F
Vaccine: MENB
Symptoms: Injection site induration, Injection site mass, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: excruciating painful; hardness in injection site; visible raised hard excruciating painful knot at injection site; fever; This case was reported by a consumer via interactive digital media and described the occurrence of fever in a female patient who received Men B NVS (Bexsero) for prophylaxis.   On an unknown date, the patient received the 1st dose of Bexsero. On an unknown date, unknown after receiving Bexsero, the patient experienced fever, injection site pain, injection site induration and injection site lump. On an unknown date, the outcome of the fever was recovered/resolved and the outcome of the injection site pain, injection site induration and injection site lump were unknown.   It was unknown if the reporter considered the fever, injection site pain, injection site induration and injection site lump to be related to Bexsero.  Additional information was provided as follows: The age at vaccination was not reported. The patient received Bexsero and experienced local adverse reaction. The patient developed visible,raised, hard excruating painful knot at the injection site and fever for 2 days. The patient's parents were concerned about getting the patient second dose. They were realized that getting meningitis is much worse but none of their childrens had reacted this way to a vaccine.
Sex: F
Vaccine: MENB
Symptoms: Local reaction, Pyrexia
Clinical narrative: excruciating painful; hardness in injection site; visible raised hard excruciating painful knot at injection site; fever; This case was reported by a consumer via interactive digital media and described the occurrence of fever in a female patient who received Men B NVS (Bexsero) for prophylaxis.   On an unknown date, the patient received the 1st dose of Bexsero. On an unknown date, unknown after receiving Bexsero, the patient experienced fever, injection site pain, injection site induration and injection site lump. On an unknown date, the outcome of the fever was recovered/resolved and the outcome of the injection site pain, injection site induration and injection site lump were unknown.   It was unknown if the reporter considered the fever, injection site pain, injection site induration and injection site lump to be related to Bexsero.  Additional information was provided as follows: The age at vaccination was not reported. The patient received Bexsero and experienced local adverse reaction. The patient developed visible,raised, hard excruating painful knot at the injection site and fever for 2 days. The patient's parents were concerned about getting the patient second dose. They were realized that getting meningitis is much worse but none of their childrens had reacted this way to a vaccine.
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: got dizzy; This case was reported by a consumer via call center representative and described the occurrence of dizziness in a male patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On an unknown date, the patient received the 2nd dose of Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced dizziness. On an unknown date, the outcome of the dizziness was unknown.   It was unknown if the reporter considered the dizziness to be related to Shingles vaccine.  Additional details were provided as follows:  This case was reported by the patient's wife. The age at vaccination was not reported. The reporter stated that after receiving Shingles vaccine patient got dizzy. The reporter asked whether dizziness is a side effect.
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Malaise, Pyrexia
Clinical narrative: fever; fatigue; malaise; This case was reported by a consumer via call center representative and described the occurrence of fever in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (received 1st dose on an unknown date, refer case US2019109628 ).   On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced fever, fatigue and malaise. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the fever, fatigue and malaise were recovered/resolved.   It was unknown if the reporter considered the fever, fatigue and malaise to be related to Shingrix.  Additional details were provided as follows: The case was reported by patient's friend. The age at vaccination was not reported. The reporter stated that the patient was in her 60's. The patient received Shingrix on an unknown arm.  The patient developed fever, fatigue and malaise that lasted approximately 2 to 3 days. The reporter did not provide any additional information.
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Malaise, Pyrexia
Clinical narrative: fever; fatigue; malaise; This case was reported by a consumer via call center representative and described the occurrence of fever in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced fever, fatigue and malaise. On an unknown date, the outcome of the fever, fatigue and malaise were recovered/resolved.   It was unknown if the reporter considered the fever, fatigue and malaise to be related to Shingrix.  Additional details were provided as follows: The case was reported by patient's friend. The age at vaccination was not reported. The reporter stated that the patient was in her 60's. The patient received Shingrix on an unknown arm.  The patient developed fever, fatigue and malaise that lasted approximately 2 to 3 days. The reporter did not provide any additional information.  This case has been linked with the case US2019AMR113696, reported for the same patient by the same reporter.
Sex: U
Vaccine: HEPAB, HEPAB
Symptoms: Pain
Clinical narrative: aching; Circumstance or information capable of leading to a medication error; Drug dose administration interval too long; This case was reported by a other health professional via call center representative and described the occurrence of pain in a patient who received HAB (Twinrix) for prophylaxis.   Co-suspect products included HAB (Twinrix) for prophylaxis.   On an unknown date, the patient received the 1st dose of Twinrix and the 3rd dose of Twinrix. On an unknown date, unknown after receiving Twinrix and not applicable after receiving Twinrix, the patient experienced pain, circumstance or information capable of leading to medication error and drug dose administration interval too long. On an unknown date, the outcome of the pain was recovered/resolved and the outcome of the circumstance or information capable of leading to medication error and drug dose administration interval too long were unknown.   It was unknown if the reporter considered the pain to be related to Twinrix.  Additional details were provided as follows: The age at vaccination was not reported. The reporter stated that the patient's last dose cause a lot of aching for the patient. The reporter stated that a patient received their second dose of Twinrix accelerated schedule on time today, but the patient would most likely receive their third dose late due to being out of town, and if administered late might lead to circumstance or information capable of leading to medication error and lengthening of vaccination schedule. The reporter did not consent to follow-up. The reporter declined to provide more information.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Vision blurred
Clinical narrative: blurred vision; This case was reported by a pharmacist via call center representative and described the occurrence of blurred vision in a 72-year-old male patient who received Herpes zoster (Shingrix) (batch number 494PR, expiry date 13th September 2021) for prophylaxis.   On 3rd June 2019, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On 4th June 2019, 1 days after receiving Shingrix, the patient experienced blurred vision. On 5th June 2019, the outcome of the blurred vision was recovered/resolved.   It was unknown if the reporter considered the blurred vision to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix vaccine on left arm and the following day post vaccination, the patient experienced blurred vision all day. The patient recovered the day after. No further details were provided This case was linked to case US2019101108 reported to same reporter.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Eczema
Clinical narrative: Eczema
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Seizure
Clinical narrative: Seizure
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Injected limb mobility decreased, Injection site haematoma, Injection site swelling, Pain in extremity
Clinical narrative: Pt received vaccine on 6-6-19 and developed a reaction on 6-12-19 that caused pt to seek medical attention . Her arm was swollen at injection site with a large hematoma. She was instructed to ice it and take Tylenol. It did not resolve itself, so pt was seen on 6-14-19 at her primary care office, by the NP who thought it was an injury/hematoma, not a reaction to the vaccine . She was once again told to ice it and take Tylenol if needed. The patient then came to the Pharmacy on 6-17-19 to report the reaction. She then had bloodwork done on 6-18-19, which came back in normal range.Since that time, it was resolving itself( hematoma)slowly, but then had another flare up the evening of 6-24-19. The swelling increased and her arm became very painful, to the point where she was going to go to the ER. She iced it and it was relieved to some extent. She then saw her primary care physician on 6-25-19, where he stated she had an injury from the vaccination injection. At this point pt is not fully recovered still has limited range of motion, but states she is improving.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site injury
Clinical narrative: Pt received vaccine on 6-6-19 and developed a reaction on 6-12-19 that caused pt to seek medical attention . Her arm was swollen at injection site with a large hematoma. She was instructed to ice it and take Tylenol. It did not resolve itself, so pt was seen on 6-14-19 at her primary care office, by the NP who thought it was an injury/hematoma, not a reaction to the vaccine . She was once again told to ice it and take Tylenol if needed. The patient then came to the Pharmacy on 6-17-19 to report the reaction. She then had bloodwork done on 6-18-19, which came back in normal range.Since that time, it was resolving itself( hematoma)slowly, but then had another flare up the evening of 6-24-19. The swelling increased and her arm became very painful, to the point where she was going to go to the ER. She iced it and it was relieved to some extent. She then saw her primary care physician on 6-25-19, where he stated she had an injury from the vaccination injection. At this point pt is not fully recovered still has limited range of motion, but states she is improving.
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Client called to report reaction. She noted a area that is warm, red, and itchy with slight swelling to her left arm, directly over site of vaccine administration. She denies any breathing or swallowing issues. No rash noted to the area or elsewhere. Takes Zytec daily for seasonal allergies. OTC self-care recommendations given per medical Mgmt.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration, Skin warm, Tenderness
Clinical narrative: approximately 20cm x 15cm area of firmness, hot, red, and tender
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site urticaria
Clinical narrative: Hives and redness to injected site.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Lip swelling, Urticaria
Clinical narrative: PATIENT STARTED GETTING HIVES, WAS ADVISED TO TAKE BENADRYL AND GO TO ER IF REACTION GOT WORSE.  REACTION DID GET WORSE OVER THE NEXT DAY TO HIVES SPREADING MORE AND SWELLING AROUND THE LIPS. PATIENT WENT TO ER THEN AND GOT EPINEPHRINE SHOT AND BENADRYL IV.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Muscle spasms, Pyrexia
Clinical narrative: Fever (101.2), tiredness, muscle cramps (not at injection site)lack of appetite (no nausea or vomiting). Fever subsided after six hours or so; muscle cramps recurred during night. More or less back to normal by afternoon of following day.  Symptoms fell well within those listed at CDC website, which reassured me.
Age: 71.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema
Clinical narrative: pt had red marks on neck and chest
Age: 7.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Erythema, Hypersensitivity, Musculoskeletal stiffness, Skin warm, Swelling
Clinical narrative: Facial swelling, shoulder swollen three times the size of other arm for 3 days. Shoulder was red, hot, stiff. We were advised by immediate care this was a severe allergic reaction and to give Benadryl every 4-6 hours.
Age: 7.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Swelling face
Clinical narrative: Facial swelling, shoulder swollen three times the size of other arm for 3 days. Shoulder was red, hot, stiff. We were advised by immediate care this was a severe allergic reaction and to give Benadryl every 4-6 hours.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: My arm started here hurting terribly within a couple minutes of the shot. By the time I went to bed a few hours later my arm hurts so bad I couldn?t touch it to anything. By the time I woke up I was achy all over and have had a fever of up to 101.1 all day. My stomach is also very upset and I?m nauseous. Not able to eat much at all, only had some chicken broth.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Diarrhoea, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Fever, aches, chills, diarrhea and swelling in hands and feet
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain
Clinical narrative: I received vaccine my wife started with pain the following week and then shingles 5 days later. She has worked in medical field for many years and never had shingles and has had contact with patients that have had them. As of today still having significant pain.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Diarrhea, fever/chills, nausea, moderate injection site soreness, headache, tired.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Pyrexia
Clinical narrative: Diarrhea, fever/chills, nausea, moderate injection site soreness, headache, tired.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Pruritus, Rash
Clinical narrative: Rash that started on her torso (over abdomen), spread to her back and arm. Next day rash on her arms, legs and chest only. No breathing difficulty, some itching. No swelling of face, throat or tongue. Benadryl 25 mg X 2 dose, 12 hours apart, then 25mg q6 hours. Hydrocortisone cream to itchy areas. Rash and itching are resolving at approx. 24 hrs post onset.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Erythema, tenderness and slight swelling at injection area which started later on the same day vaccine was received.  Pt came in to the walk-in clinic 6/13/19. Localized erythema 9 cm in diameter centered at deltoid area. Very mild swelling, slight tenderness to palpation. No warmth, fluctuance or drainage.
Age: 0.5
Sex: M
Vaccine: IPV
Symptoms: Croup infectious, Dyspnoea, Stridor
Clinical narrative: Child with difficulty breathing, labored breathing, audible strider and croup cough within two hours of vaccine administered. Emergency room visit to check oxygen levels as vaccine reaction was severe. Child was otherwise healthy prior to vaccine administration.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Neuralgia
Clinical narrative: Patient reported fatigue, with joint and nerve pain throughout body.  symptoms started within 24 hours of administration and lasted about 48 hours.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Malaise, Staring
Clinical narrative: Approximately 5-10 minutes after pt received vaccines, noted blank stare and when asked if she feels fine, pt states, "I do not feel well." Lowered head to her knees, applied ice compress on nape, provided with ammonia inhalant,  offered food and water, and monitored vitals signs.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Nausea, Pain, Pain in extremity
Clinical narrative: Fever (100 degrees), aches, chills, sore arm, nausea, slight diarrhea
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever (100 degrees), aches, chills, sore arm, nausea, slight diarrhea
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reported arm soreness at the injection site, she had swelling and redness as well. Recommended patient use OTC pain reliever such as Tylenol as well as using ice on the area on/off throughout the day. Also mentioned that if it gets any worse or something different happens to go to emergency room and contact her doctor.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Cyanosis, Headache, Musculoskeletal stiffness, Nausea, Pyrexia
Clinical narrative: Within 2 hours previously healthy patient was feeling nauseous with a headache. One hour after that the patient worsened and vomited, developed a fever, severe shaking and skin around lips turned blue.   Patient taken to ER where she was watched and given anti nausea meds. That night patients fever went up to 103.  Two days after vaccination patient was feeling better but developed a stiff neck which lasted for three more days.  About a 6 days later patient was fully recovered.
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Tremor, Vomiting
Clinical narrative: Within 2 hours previously healthy patient was feeling nauseous with a headache. One hour after that the patient worsened and vomited, developed a fever, severe shaking and skin around lips turned blue.   Patient taken to ER where she was watched and given anti nausea meds. That night patients fever went up to 103.  Two days after vaccination patient was feeling better but developed a stiff neck which lasted for three more days.  About a 6 days later patient was fully recovered.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Burning sensation, Pruritus, Rash
Clinical narrative: The next day after patient was administered the vaccine around 1pm, she started to itch under her right under arm bc it was itchy and burning.  Later she noticed rashes on both her underarms. She also noticed rash around buttocks/groin. She took a Benadryl and applied hydrocortisone. I advised patient to stop applying hydrocortisone in her groin area. She also contacted her MD, but MD was closed. I advised patient to call MD the next day, and if it worsens, page the MD.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Antinuclear antibody positive, Arthralgia, Asthenia, Chronic fatigue syndrome, Computerised tomogram
Clinical narrative: After the first injection, I became extremely fatigued. I did not think anything about it because I was starting a new job working early mornings, and I just attributed the fatigue to my new work schedule. I had the second vaccine a month later and the fatigue got worse, I had extreme sensitivity to light and sound. I felt like I was being stabbed in the eyes with a knife. I started after muscle spasms, pain when I would sit, sore throat that would not go away, my lymph nodes in my arm pits and throat became swollen. I had joint pain, difficulty walking. I started having severe headaches and migraines that would not go away. The fatigue became debilitating, I had shortness of breath and episodes of tachycardia. Prior to this vaccine, I rarely went to my doctor. After the second vaccine I was seeing him like once a month. I had a ton of lab work, I had CT scans, x-rays. The only thing the labs showed was a positive ANA and I had Vitamin D deficiency.  Over the next several years, I continued to see my doctor and have testing done. I was eventually diagnosed with ME/CFS (myalgic encephalomyelitis) almost 3 years after the vaccine. There are no specialists in my area for that disease, after my doctor and I both did some research, I stumbled across several research studies about ME/CFS and the Hep B vaccine. We went back though my records and the timeline linked to the time my symptoms began and the dates of the vaccines I received.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Dyspnoea, Eye pain, Fatigue, Gait disturbance, Headache
Clinical narrative: After the first injection, I became extremely fatigued. I did not think anything about it because I was starting a new job working early mornings, and I just attributed the fatigue to my new work schedule. I had the second vaccine a month later and the fatigue got worse, I had extreme sensitivity to light and sound. I felt like I was being stabbed in the eyes with a knife. I started after muscle spasms, pain when I would sit, sore throat that would not go away, my lymph nodes in my arm pits and throat became swollen. I had joint pain, difficulty walking. I started having severe headaches and migraines that would not go away. The fatigue became debilitating, I had shortness of breath and episodes of tachycardia. Prior to this vaccine, I rarely went to my doctor. After the second vaccine I was seeing him like once a month. I had a ton of lab work, I had CT scans, x-rays. The only thing the labs showed was a positive ANA and I had Vitamin D deficiency.  Over the next several years, I continued to see my doctor and have testing done. I was eventually diagnosed with ME/CFS (myalgic encephalomyelitis) almost 3 years after the vaccine. There are no specialists in my area for that disease, after my doctor and I both did some research, I stumbled across several research studies about ME/CFS and the Hep B vaccine. We went back though my records and the timeline linked to the time my symptoms began and the dates of the vaccines I received.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Hyperacusis, Laboratory test, Lymphadenopathy, Migraine, Muscle spasms
Clinical narrative: After the first injection, I became extremely fatigued. I did not think anything about it because I was starting a new job working early mornings, and I just attributed the fatigue to my new work schedule. I had the second vaccine a month later and the fatigue got worse, I had extreme sensitivity to light and sound. I felt like I was being stabbed in the eyes with a knife. I started after muscle spasms, pain when I would sit, sore throat that would not go away, my lymph nodes in my arm pits and throat became swollen. I had joint pain, difficulty walking. I started having severe headaches and migraines that would not go away. The fatigue became debilitating, I had shortness of breath and episodes of tachycardia. Prior to this vaccine, I rarely went to my doctor. After the second vaccine I was seeing him like once a month. I had a ton of lab work, I had CT scans, x-rays. The only thing the labs showed was a positive ANA and I had Vitamin D deficiency.  Over the next several years, I continued to see my doctor and have testing done. I was eventually diagnosed with ME/CFS (myalgic encephalomyelitis) almost 3 years after the vaccine. There are no specialists in my area for that disease, after my doctor and I both did some research, I stumbled across several research studies about ME/CFS and the Hep B vaccine. We went back though my records and the timeline linked to the time my symptoms began and the dates of the vaccines I received.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Nuclear magnetic resonance imaging, Oropharyngeal pain, Pain, Photophobia, Post viral fatigue syndrome
Clinical narrative: After the first injection, I became extremely fatigued. I did not think anything about it because I was starting a new job working early mornings, and I just attributed the fatigue to my new work schedule. I had the second vaccine a month later and the fatigue got worse, I had extreme sensitivity to light and sound. I felt like I was being stabbed in the eyes with a knife. I started after muscle spasms, pain when I would sit, sore throat that would not go away, my lymph nodes in my arm pits and throat became swollen. I had joint pain, difficulty walking. I started having severe headaches and migraines that would not go away. The fatigue became debilitating, I had shortness of breath and episodes of tachycardia. Prior to this vaccine, I rarely went to my doctor. After the second vaccine I was seeing him like once a month. I had a ton of lab work, I had CT scans, x-rays. The only thing the labs showed was a positive ANA and I had Vitamin D deficiency.  Over the next several years, I continued to see my doctor and have testing done. I was eventually diagnosed with ME/CFS (myalgic encephalomyelitis) almost 3 years after the vaccine. There are no specialists in my area for that disease, after my doctor and I both did some research, I stumbled across several research studies about ME/CFS and the Hep B vaccine. We went back though my records and the timeline linked to the time my symptoms began and the dates of the vaccines I received.
Age: 39.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Tachycardia, Vitamin D decreased, Vitamin D deficiency, X-ray
Clinical narrative: After the first injection, I became extremely fatigued. I did not think anything about it because I was starting a new job working early mornings, and I just attributed the fatigue to my new work schedule. I had the second vaccine a month later and the fatigue got worse, I had extreme sensitivity to light and sound. I felt like I was being stabbed in the eyes with a knife. I started after muscle spasms, pain when I would sit, sore throat that would not go away, my lymph nodes in my arm pits and throat became swollen. I had joint pain, difficulty walking. I started having severe headaches and migraines that would not go away. The fatigue became debilitating, I had shortness of breath and episodes of tachycardia. Prior to this vaccine, I rarely went to my doctor. After the second vaccine I was seeing him like once a month. I had a ton of lab work, I had CT scans, x-rays. The only thing the labs showed was a positive ANA and I had Vitamin D deficiency.  Over the next several years, I continued to see my doctor and have testing done. I was eventually diagnosed with ME/CFS (myalgic encephalomyelitis) almost 3 years after the vaccine. There are no specialists in my area for that disease, after my doctor and I both did some research, I stumbled across several research studies about ME/CFS and the Hep B vaccine. We went back though my records and the timeline linked to the time my symptoms began and the dates of the vaccines I received.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness, Headache, Immediate post-injection reaction, Incoherent, Irregular breathing
Clinical narrative: Patient immediately felt lightheaded and fainted. She was incoherent for about 15 seconds with irregular breathing. When she came to, she said she felt nauseated and eventually threw up. After throwing up, patient said she felt a little bit better but had a bad headache.  My intern called 911; they were here in less than 10 minutes. She also proceeded to say that she thinks she was dehydrated and had walk to the pharmacy to get her rxs in almost 100 degree wether.
Age: 49.0
Sex: F
Vaccine: MMR
Symptoms: Nausea, Syncope, Vomiting
Clinical narrative: Patient immediately felt lightheaded and fainted. She was incoherent for about 15 seconds with irregular breathing. When she came to, she said she felt nauseated and eventually threw up. After throwing up, patient said she felt a little bit better but had a bad headache.  My intern called 911; they were here in less than 10 minutes. She also proceeded to say that she thinks she was dehydrated and had walk to the pharmacy to get her rxs in almost 100 degree wether.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Mobility decreased, Pain in extremity, Swelling
Clinical narrative: Patient returned 6-23-19 and told me she had some swelling and redness.  Sore arm.  Recommended she watch and contact her Dr if worsens.  Returned to pharmacy on 6-26-19 stating unable to move arm , swelling gone. and Dr office gave her a "antiinflammatory " shot. unknown what it was.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: Redness about 3/4 the size of the patient's palm on the patient's left arm around injections site. No other symptoms besides soreness in arm (which is to be expected from this vaccine).
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Patient stated that several hours after shot was given she started to experience sorness in the affected arm and felt achy and feverish.  Next morning her arm was significantly swollen and red. Went to personal dr the next day and they treated her for cellulits with bactrim ds and arm seems to be healing with decreased swelling and discomfort.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Patient stated that several hours after shot was given she started to experience sorness in the affected arm and felt achy and feverish.  Next morning her arm was significantly swollen and red. Went to personal dr the next day and they treated her for cellulits with bactrim ds and arm seems to be healing with decreased swelling and discomfort.
Age: 18.0
Sex: M
Vaccine: MENB, TYP
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Pyrexia
Clinical narrative: Fever of 104.2 at 10:30pm day of vaccination. Day after at 7am fever was 102.1. Acetaminophen was taken after the first to temperature recordings. 4pm day after vaccination temperature was 100.0, no acetaminophen taken after this recording. Temperatures taken after this varied between 100.0 to 100.4 then went back to my normal ~98.2 after six more days. All temperatures recordings were taken by ear thermometer.  A rash developed on the left arm at the injection site with a radius of 1 inch lasting for three weeks. It was slightly raised and light red, hurt to touch.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza, Influenza like illness, Injection site bruising, Injection site erythema
Clinical narrative: flu like symptoms for 1 day after injection.  ..bruise/redness on injection site for over 3 days . Patient flu symptoms improved after 2 days.  She still had large redness on arm .. She received cephalexin 500mg on 6/26/19 for redness from urgent care PA
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Pain
Clinical narrative: Vaccine given (L) deltoid. Persisting pain and left biceps weakness since administration informed MD on 5/9/19
Age: 18.0
Sex: F
Vaccine: TYP
Symptoms: Pruritus, Rash
Clinical narrative: Spoke with mom today. Vaccine 6/17/19. woke up with rash 6/18/19. Rash spread and increased to itching, went to urgent care 6/19/19. Pt. given steroids and Benadryl. Followed up with dermatologist who increased doses of each. Pt is better but not 100%, she did leave for international trip yesterday.
Age: 1.0
Sex: F
Vaccine: HIBV, MMR, PNC13
Symptoms: Body temperature, Rash erythematous
Clinical narrative: Temp x2 days and then woke up morning 6/26/19 torso with small  red bumps covering it. Also had red  bumps on face. Mom giving Benadryl
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Local reaction, Skin warm
Clinical narrative: large localize reaction ~/1 cm red & warm 0 tenderness 0 treatment
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Redness, swelling, fever in arm/warm to touch.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Crying, Dermatitis diaper, Hyperventilation, Hypophagia, Malaise
Clinical narrative: Baby had fever of 103 rectally, diaper rash, heavy breathing. decreased po intake both fluids and solids. Received Tylenol on 6/25/2019 and 6/26/2019. Temp. down yesterday but back up today and still not feeling well. Baby is just lying around and crying.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Pyrexia
Clinical narrative: Baby had fever of 103 rectally, diaper rash, heavy breathing. decreased po intake both fluids and solids. Received Tylenol on 6/25/2019 and 6/26/2019. Temp. down yesterday but back up today and still not feeling well. Baby is just lying around and crying.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, hot, swollen tissue @ injection site Cellulitis Started on Keflex 500mg 1 q 12'x10 days
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt received proquad, Kinrix and Hep A all in the (L) arm yesterday - today (L) deltoid and surrounding area is red - hot - swollen (+) cellulitis. Start on cephalexin today, will rev 2 days.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Malaise, Pain, Swelling
Clinical narrative: Redness, swelling, body aches & malaise redness spread down her arm - developed cellulitis. Antibiotics given.
Age: 57.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Muscular weakness, Pain in extremity, Sensation of foreign body
Clinical narrative: Sore arm starting day after; over period of days (2 weeks) pain worked its way down arm to lower part of  arm (deep pain); 4 inch red area lower part of arm above wrist (persisted for months). Now in the past 3-4 months arm strength less than opposite arm & less then before vaccination, says she can "feel something" in her arm when she uses her arm for exercise, obvious that affected arm weaker
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: & cellulitis VANCOMYCIN, ACETAMINOPHEN, DOXYCYCLINE
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Decreased appetite, Diarrhoea, Erythema, Faeces pale, Feeling hot
Clinical narrative: L arm sore, as expected, thru evening of 6/14/19. Hand fell asleep when laying on left side. Stomach was queasy all the next day - ate nothing 6/15/19. Arm got much sorer from just below injection site all the way to my elbow. Left leg cramps. Arm hot to touch but didn't notice redness til Sunday 6/16/19. Daughter (PA) noticed redness - looked like cellulitis - large patch 3 inches below injection site the cellulitis-looking red elevated skin was approximately a 4 in. wide by 7 inches long patch on the left arm between elbow and top of shoulder. Ate a normal breakfast, but stayed away from coffee all day Sunday because of queasiness of stomach. I am not an wipy person - have thrown up once in the last 50 yrs from some flu bug. Felt warm but not feverish. Early Monday morning 6-17-19 had diarrhea. About 3 short bouts of that before I took 2 Imodium pills. That stopped diarrhea, but still had slightly queasy stomach for the next 4-5 days. Stool was formed, but a yellowish color like grey poupon mustard. By Friday, felt more like eating & stool turning more of a normal color. The covering physician on Monday (6-17-19) thought the redness of my arm was lightening from the pictures I had sent on Sunday. Said if my symptoms would worsen (fever, darker-red skin, etc) I could get an antibiotic from him. Nothing was prescribed that day and I left w/ a wait and see attitude. Soreness went away & feeling almost back to normal by Thurs. 6-20-19.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site swelling, Muscle spasms
Clinical narrative: L arm sore, as expected, thru evening of 6/14/19. Hand fell asleep when laying on left side. Stomach was queasy all the next day - ate nothing 6/15/19. Arm got much sorer from just below injection site all the way to my elbow. Left leg cramps. Arm hot to touch but didn't notice redness til Sunday 6/16/19. Daughter (PA) noticed redness - looked like cellulitis - large patch 3 inches below injection site the cellulitis-looking red elevated skin was approximately a 4 in. wide by 7 inches long patch on the left arm between elbow and top of shoulder. Ate a normal breakfast, but stayed away from coffee all day Sunday because of queasiness of stomach. I am not an wipy person - have thrown up once in the last 50 yrs from some flu bug. Felt warm but not feverish. Early Monday morning 6-17-19 had diarrhea. About 3 short bouts of that before I took 2 Imodium pills. That stopped diarrhea, but still had slightly queasy stomach for the next 4-5 days. Stool was formed, but a yellowish color like grey poupon mustard. By Friday, felt more like eating & stool turning more of a normal color. The covering physician on Monday (6-17-19) thought the redness of my arm was lightening from the pictures I had sent on Sunday. Said if my symptoms would worsen (fever, darker-red skin, etc) I could get an antibiotic from him. Nothing was prescribed that day and I left w/ a wait and see attitude. Soreness went away & feeling almost back to normal by Thurs. 6-20-19.