chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Pain
Clinical narrative: Since 10/09/2017, the patient has felt pain at site of injection. It hurts when he lifts his arm above his head or behind his head. No fever or discoloration.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Myalgia, Tenderness
Clinical narrative: Patient experiencing muscle pain, tenderness, and saying the injection site feels hot.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Neuralgia, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: She received the shot at 1:00 PM by approx. 6:00 PM she said her arm was swollen, tender and hot, with nerve pain. However by the next evening she said the swelling was down and the pain had lessened, by two days after she said her arm was better.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Computerised tomogram head normal, Culture urine negative, Electroencephalogram normal, Full blood count normal, Laboratory test normal
Clinical narrative: Emesis: the next day and the following day. Seizures: starting 3 days after vaccinations given and continued to have seizures until given KEPPRA. Hospitalized due to seizures.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Seizure, Vomiting
Clinical narrative: Emesis: the next day and the following day. Seizures: starting 3 days after vaccinations given and continued to have seizures until given KEPPRA. Hospitalized due to seizures.
Age: 70.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient reported no adverse events related to this injection. However, I was asked to report it as a duplicate injection by my corporate pharmacy division.
Age: 88.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient stated left should became red, swollen, painful the following day. He said symptoms resolved on their own 4 days later.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Soft tissue swelling, Tenderness
Clinical narrative: Prominent soft tissue swelling, redness, warmth and tenderness over entire upper arm.
Age: 12.0
Sex: F
Vaccine: HEPA, FLU4, HEPA
Symptoms: Dizziness, Hypoacusis, Vision blurred
Clinical narrative: Patient started feeling light-headed, vision was blurry and felt like she couldn't hear.
Age: 12.0
Sex: F
Vaccine: HEPA, FLU4, HEPA
Symptoms: Dizziness, Hypoacusis, Presyncope, Vision blurred
Clinical narrative: Patient started feeling light-headed, vision was blurry and felt like she couldn't hear.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Gait inability, Monoplegia
Clinical narrative: Temporary thigh paralysis that resolved within 2 days, patient was unable to walk for 2 days.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Cheilitis, Injection site urticaria, Pruritus, Rash generalised, Swelling
Clinical narrative: Large welts around area of injection first seen, then itching developed in the scalp and arm area. Then hives and rash started to develop all over the body with it spreading to different areas on different days over the course of the next few days. Day 4 of the symptoms and it spread to my face and my lips and vocal cords are now swollen.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Large welts around area of injection first seen, then itching developed in the scalp and arm area. Then hives and rash started to develop all over the body with it spreading to different areas on different days over the course of the next few days. Day 4 of the symptoms and it spread to my face and my lips and vocal cords are now swollen.
Age: 71.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Erythema, Malaise, Pyrexia
Clinical narrative: Large area of redness that was streaking down the arm, fever and general malaise.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Headache, Peripheral swelling, Pyrexia
Clinical narrative: Fever of 101 from 10/17 to 10/20,  large area of redness with streaks down the arm, arm swelling and headache.
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Malaise, Pyrexia
Clinical narrative: PATIENT REPORTED HAVING A FEVER FOR A WEEK THAT WOULD GO AS HIGH AS 100 DEGREES, AT WHICH POINT SHE WOULD TAKE IBUPROFEN TO LOWER IT. NO OTHER SYMPTOMS ASIDE FROM FEVER AND MALAISE REPORTED.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: Still painful 2 days after.
Age: 29.0
Sex: F
Vaccine: FLUC4
Symptoms: Cold sweat, Sensory disturbance, Throat tightness
Clinical narrative: Patient was given vaccine approximately 6:25PM on 10/20/2017, she remained seated as I spoke to her and husband, who also got the vaccine. She was fine,  then she got up around 6:35PM and walked  down an aisle in the store as I went back in the pharmacy. Around 6:40pm she returned to the pharmacy holding her throat complaining that it felt like it was closing and the back of her neck felt funny and that she was clammy. I went out with epinephrine 0.3mg  and administered one dose into right thigh, then called 911. She said she felt better and emergency personnel arrived and patient was transported to hospital. I called husband and he said she is in ER still. They gave high dose benadryl and she is asleep. Doctors have not said anything as yet.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site mass, Injection site pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: Developed fever and lump near site of injection that is painful and radiates to lower arm of left arm from PNEUMOVAX 23 vaccine. Adverse reaction occurred 4 hours after injection. Informed patient to contact PCP for guidance and if symptoms worsen to seek medical care. In the meantime to use aspirin or ibuprofen for the fever, pain and swelling and alternate use of tylenol for the pain and fever.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Induration, Pain, Skin tightness, Swelling, Tenderness
Clinical narrative: Tuesday: swelling, pain -- > became hard and tight; Wednesday (next day): tenderness spread down arm; resolved on its own.
Age: 65.0
Sex: F
Vaccine: FLUC4
Symptoms: Condition aggravated, Systemic lupus erythematosus
Clinical narrative: Per pt's report, she has exacerbation of Lupus which was confirmed by doctor that was result from flu shot.
Age: 80.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash
Clinical narrative: Patient had a rash starting right below her deltoid muscle extending to the folds of her arm going anterior in the arm. However the site of the immunization remained clear. Both the shots were given on the same arm and the area of administration did not have any redness of swelling.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Peripheral swelling, Vascular injury
Clinical narrative: Patient's daughter called me (pharmacy manager) today regarding the shot she received by (my staff partner) this past Sunday. She reports that her mother's arm was very swollen and bruised following receiving the shot. She was seen by her primary care doctor who told her "the pharmacist definitely hit a vein!" she was instructed to call us to report it. I have not seen the reaction, so I do not know how accurate the provider's statement is....
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Abortion spontaneous, Exposure during pregnancy, Haemorrhage, Pain
Clinical narrative: I received the Vaccine 10/17/16 I would have been 2 weeks pregnant at that time. My due date would have been July 20th 2017. I had my miscarriage on 11/07/2016 I had a severe sharp pains and some spotting on that day. I had my complete miscarriage on the 11th.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site swelling
Clinical narrative: APPROXIMATELY 12 HOURS AFTER INJECTION SITE BECAME INFLAMMED AND SWOLLEN. SWELLING WAS APPORXIMATELY 3-4 INCHES IN DIAMETER. PT RETURNED TO PHARAMACY TO INFORM STAFF NEXT DAY. AT THIS TIME THE SWELLING HAD DESCENDED APPROX 4 INCHES AND WAS CENTERED AROUND THE BICEP. NO PAIN INVOLVED. SWELLING HAD ALREADY BEGUN TO DECREASE AT ~24 HOURS.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pain in extremity, Peripheral swelling, Skin tightness, Skin warm
Clinical narrative: Arm swelled up from shoulder to elbow, real tight, hot and painful. I went to Urgent Care and Dr. prescribed Diphenhydramin 25 mg; Ranitidine 150 mg; and Prednisone 20mg for me to take around 08:00 am.  I went to pharmacy and filled them. By 8:00pm I noticed the swelling is going down and it is not as hot as it was.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Arm swelled up from shoulder to elbow, real tight, hot and painful. I went to Urgent Care and Dr. prescribed Diphenhydramin 25 mg; Ranitidine 150 mg; and Prednisone 20mg for me to take around 08:00 am.  I went to pharmacy and filled them. By 8:00pm I noticed the swelling is going down and it is not as hot as it was.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Injected limb mobility decreased, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Initially very uncomfortable. It was injected in a forceful stabbing way. That night felt a little feverish and arm was very sore. Now 2 1/2 weeks later I woke up with acute pain in that muscle again (it had completely subsided) and can't lift arm with assist from my right hand.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong technique in product usage process
Clinical narrative: Initially very uncomfortable. It was injected in a forceful stabbing way. That night felt a little feverish and arm was very sore. Now 2 1/2 weeks later I woke up with acute pain in that muscle again (it had completely subsided) and can't lift arm with assist from my right hand.
Age: 0.92
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Febrile convulsion, Pyrexia, Urine analysis normal
Clinical narrative: Pt. developed fever of 104.9. Had febrile seizure. According to ER note event took place around 6 pm on 10/18/17 UA done in ER. MOTRIN given for fever. Child sent home. UA (-).
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Rash generalised
Clinical narrative: Generalized raised rash; no itching; no swelling.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature, Chills, Headache, Neck pain
Clinical narrative: Temp., chills, headache, neck pain.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Impaired work ability, Muscular weakness, Nausea, Pain
Clinical narrative: 10-12-Thursday-12th-headache, achy, nauseous. 10-16-Sunday night-fever-101 and muscle weakness. 10/18-To MD- no treatment except increase Iron. Missed work 10-12-17 through 10-19-17.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: 10-12-Thursday-12th-headache, achy, nauseous. 10-16-Sunday night-fever-101 and muscle weakness. 10/18-To MD- no treatment except increase Iron. Missed work 10-12-17 through 10-19-17.
Sex: U
Vaccine: RAB
Symptoms: Asthenia, Paraesthesia, Tinnitus, Vision blurred
Clinical narrative: This case was reported by a physician via call center representative and described the occurrence of blurred vision in a patient who received RABAVERT. On an unknown date, the patient received the 3rd dose of RABAVERT. On an unknown date, unknown after receiving RABAVERT, the patient experienced blurred vision, tingling of extremity, weakness generalized and tinnitus. On an unknown date, the outcome of the blurred vision, tingling of extremity, weakness generalized and tinnitus were not recovered/not resolved. It was unknown if the reporter considered the blurred vision, tingling of extremity, weakness generalized and tinnitus to be related to RABAVERT. Additional details were provided as follows: The age at vaccination was not reported. The healthcare provider called to notify that, the patient was receiving post-exposure prophylaxis and reported symptoms of blurred vision, tinnitus, tingling in hands, and slight weakness after 3rd dose of RABAVERT. Emergency room or doctors visit was required. The reporter was unable or unwilling to provide with any additional product or patient information, however he wanted to know how these adverse events were treated in past for the peoples who had previously reported it. The reporter stated that the blurred vision was the primary concern as it was serious.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Child has swollen arm, warm to touch. No fever. Give TYLENOL and ice affected area as needed.
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Nausea, Vomiting
Clinical narrative: After the shot, I was feeling a little weak wanted to throw-up. Next felt a little better, Saturday felt sick sick in my stomach and throw-up when I got home.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Malaise, Neck pain, Pain, Peripheral swelling
Clinical narrative: Pt. C/O 2-3 wks of body aches, malaise since vaccination. With arm pain and swelling in (R) arm - PCV13, initially.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Pt. called and said within 3 hours of vaccine she started vomiting that resulted in ER trip. Also complaining of sore arm, which I said is normal.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 2" x 2" area of redness and tenderness at site of flu vaccine. Improved by AM 10/20/2017.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature increased, Chills, Headache, Neck pain
Clinical narrative: Reported Temp. of 101, headache and chills and neck pain 4 days after administration.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Muscular weakness, Nausea, Oropharyngeal pain
Clinical narrative: Headache, fever, chills, sore throat, weak muscle, nausea, whole body ache.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, fever, chills, sore throat, weak muscle, nausea, whole body ache.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: 3" area of redness at injection site c/o itch, area is raised and warm.
Age: 53.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Arthralgia, Insomnia, Pain
Clinical narrative: Intense pain but then subsided. Unable to sleep/pain in joint not in muscle. Pain was worse 4 days later upon any movement. Pain w/certain movements - Ibuprofen as recommended by MD. On Monday 10/16/17 had flu injection in my left arm. I have an annual flu injection as part of my work requirements. I have never had a reaction ever. Upon injection I felt intense pain. It then subsided. Later that night I was unable to sleep due to pain in my joint - not my muscle. On Thursday pain was worse. Pain upon any movement. Since then the pain has lessened. I have been able to use my arm but continue to have pain with certain movements. I have been taking Ibuprofen as recommended by MD. Pain is worse at night and I have been unable to sleep well since the injection. Saw Dr. at her office on Tuesday and suggested it was given in her tendon capsule. Recommend ibuprofen.
Age: 53.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Arthralgia, Drug administered at inappropriate site, Pain in extremity
Clinical narrative: Intense pain but then subsided. Unable to sleep/pain in joint not in muscle. Pain was worse 4 days later upon any movement. Pain w/certain movements - Ibuprofen as recommended by MD. On Monday 10/16/17 had flu injection in my left arm. I have an annual flu injection as part of my work requirements. I have never had a reaction ever. Upon injection I felt intense pain. It then subsided. Later that night I was unable to sleep due to pain in my joint - not my muscle. On Thursday pain was worse. Pain upon any movement. Since then the pain has lessened. I have been able to use my arm but continue to have pain with certain movements. I have been taking Ibuprofen as recommended by MD. Pain is worse at night and I have been unable to sleep well since the injection. Saw Dr. at her office on Tuesday and suggested it was given in her tendon capsule. Recommend ibuprofen.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Lip swelling
Clinical narrative: Upper lip swelling night after he received flu vaccine. Moc gave BENADRYL, swelling went away, then came back. No facial swelling, shortness of breath or difficulty swallowing or rash. Moc thinks possible egg allergy.
Sex: U
Vaccine: HEP
Symptoms: Hepatitis B antibody negative, Therapy non-responder
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of therapy non-responder in an unspecified number of patients who received Hepatitis B vaccine. On an unknown date, the patient received Hepatitis B vaccine. On an unknown date, unknown after receiving Hepatitis B vaccine, the patient experienced therapy non-responder. On an unknown date, the outcome of the therapy non-responder was unknown. It was unknown if the reporter considered the therapy non-responder to be related to Hepatitis B vaccine. Additional details were provided as follows: The age at vaccination of the patients was not reported. The reporter stated that she worked for an infection control center. In the past there have been a number of new employees who stated that they received the entire Hepatitis-B series and afterward failed the titer. Thus, leading the patient to be a therapy non-responder. The reporter wanted to know if they needed to repeat the series. The reporter did not have the patient identifiers and was not sure if the Hepatitis-B was GlaxoSmithKline or not. No side effects were reported.
Age: 70.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site swelling
Clinical narrative: Patient returned to pharmacy has large localized swelling in arm - entire bicep swollen. Advised BENADRYL OTC pt to come back in morning. PCP notified prescribed MEDROL dose pack.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Itchy red rash on (L) chest and (L) forearm - not at site of vaccine. No breathing issues.
Age: 34.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Chest discomfort, Dizziness, Dyspnoea, Pyrexia
Clinical narrative: Difficulty breathing, chest tightness, fever, joint pain, dizziness five hours after receiving annual influenza vaccination.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Impaired driving ability, Injected limb mobility decreased, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: My mother received a flu shot and a pneumonia shot, in different arms, during a regular annual visit to her physician. Ever since, she has been experiencing intense pain in both arms, and even three weeks later she is unable to lift them more than slightly and has difficulty driving, getting dressed, cooking and other activities of daily living. She has started going to the chiropractor and she is taking NSAIDs to help with the pain, but to minimal effect.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: My mother received a flu shot and a pneumonia shot, in different arms, during a regular annual visit to her physician. Ever since, she has been experiencing intense pain in both arms, and even three weeks later she is unable to lift them more than slightly and has difficulty driving, getting dressed, cooking and other activities of daily living. She has started going to the chiropractor and she is taking NSAIDs to help with the pain, but to minimal effect.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Lacrimation increased, Swelling face, Swollen tongue
Clinical narrative: Patient reported she woke up the day after the flu shot with swollen face and tongue and tearing from the left eye. She didn't looked for medical attention. She waited and called us on 10/20/17. She said is better but not completely gone.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Pt. received Flu shot at 9:30 AM. That evening at approximately 6:00 PM pt. C/O soreness. Site was slightly red. The next morning pt. had swelling and increased redness at site. The circumference of R upper arm was 1 inch greater than L arm. Redness and 2/3 of upper arm. Pt. received ibuprofen and BENADRYL. Ice was applied. There were no respiratory or GI symptoms and no angioedema or urticaria. Pt. went to Urgent Care and received 10 ml prednisone, which she also took the next day. The swelling resolved in 2-3 days. The redness lasted for 1 week.
Age: 20.0
Sex: F
Vaccine: FLUX, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 5 cm red tenderness over injection site R biceps at day 1 but tender when seen at day 3 - records don't indicate which vaccine was placed in this location.
Sex: U
Vaccine: PPV
Symptoms: Arthralgia, Confusional state, Discomfort, Fluid retention, Injection site erythema
Clinical narrative: Received pneumococcal 23 vaccine at physician office on 10/13/2017. Experienced severe swelling, redness, rash, fever, fluid retention in the right arm where the shot was administered. Pain and fluid retention included the upper arm, shoulder joint, and elbow areas. Some confusion consistent with fever noticed. Severe pain and swelling lasted 4 days. Rash and discomfort continued longer. This reaction occurred in a healthy, active 74 year old woman.
Sex: U
Vaccine: PPV
Symptoms: Injection site joint pain, Injection site pain, Injection site rash, Injection site reaction, Injection site swelling
Clinical narrative: Received pneumococcal 23 vaccine at physician office on 10/13/2017. Experienced severe swelling, redness, rash, fever, fluid retention in the right arm where the shot was administered. Pain and fluid retention included the upper arm, shoulder joint, and elbow areas. Some confusion consistent with fever noticed. Severe pain and swelling lasted 4 days. Rash and discomfort continued longer. This reaction occurred in a healthy, active 74 year old woman.
Sex: U
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Received pneumococcal 23 vaccine at physician office on 10/13/2017. Experienced severe swelling, redness, rash, fever, fluid retention in the right arm where the shot was administered. Pain and fluid retention included the upper arm, shoulder joint, and elbow areas. Some confusion consistent with fever noticed. Severe pain and swelling lasted 4 days. Rash and discomfort continued longer. This reaction occurred in a healthy, active 74 year old woman.
Age: 38.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Joint range of motion decreased, Musculoskeletal pain, Myalgia
Clinical narrative: The day after the injection the patient reported numbness, tingling, and loss of mobility in the arm in which the injection was given.
Age: 38.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Pain, Paraesthesia, Skin warm, Weight bearing difficulty
Clinical narrative: The day after the injection the patient reported numbness, tingling, and loss of mobility in the arm in which the injection was given.
Age: 38.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Paraesthesia
Clinical narrative: The day after the injection the patient reported numbness, tingling, and loss of mobility in the arm in which the injection was given.
Age: 12.0
Sex: F
Vaccine: HEPA, FLU4, HEPA
Symptoms: Dizziness, Hypoacusis, Vision blurred
Clinical narrative: Pt had vasovagal response to the vaccine after receiving the HAVRIX adult vaccine (1440 U/1mL) at 1pm on 10/20/17. Pt should have received the adolescent dose (720 U/0.5mL).  Pt started feeling light-headed, vision was blurry and felt like she couldn't hear. She remained seated until she no longer had symptoms, around 30 minutes. At 5pm, pt's mother confirmed pt still was asymptomatic.  Pt's father confirmed that pt was will asymptomatic the next day (10/21/17) at 12pm.
Age: 12.0
Sex: F
Vaccine: HEPA, FLU4, HEPA
Symptoms: Dizziness, Hypoacusis, Presyncope, Vision blurred
Clinical narrative: Pt had vasovagal response to the vaccine after receiving the HAVRIX adult vaccine (1440 U/1mL) at 1pm on 10/20/17. Pt should have received the adolescent dose (720 U/0.5mL).  Pt started feeling light-headed, vision was blurry and felt like she couldn't hear. She remained seated until she no longer had symptoms, around 30 minutes. At 5pm, pt's mother confirmed pt still was asymptomatic.  Pt's father confirmed that pt was will asymptomatic the next day (10/21/17) at 12pm.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Pain in extremity, Peripheral swelling, Skin tightness, Skin warm
Clinical narrative: Redness and swelling with heat and pain covering the upper left arm.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV, FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness and swelling with heat and pain covering the upper left arm.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Patient called 10/19/17 stated the area around her vaccination was swollen, red, and warm. It was painful to the touch.
Age: 68.0
Sex: M
Vaccine: FLUX
Symptoms: Back pain, Renal pain, Urine abnormality
Clinical narrative: Unfortunately, I was not provided with vaccination information when I received my shot. Every year in the past I was provided with a sheet with this information on it. So, I can't provide the specific information you are requesting above. But here are my symptoms: When I woke up the day after my flu shot, I was experiencing occasional moderate pain in the location of my right kidney. This went away after 30-60 minutes. It was felt again later that day a couple of times. The next day I again felt the pain upon waking up. That night my urine was quite cloudy--which hasn't happened for at least several years. Within 24 hours my urine was again crystal clear as usual. However, I was now feeling occasional pain (slightly less pain but more continuous) on both sides of my back (this time in the region of my kidneys on both sides). The pain has stayed pretty much the same: intermittent and not very painful. However, I never get these kinds of pain; this is unusual. Also, I have never previously had any reaction to the flu shots I have received over the last 12-15 years.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Patient called on 10/20/2017 to mention that she had swelling at her injection site that had not gone down. She also mentioned a small 50 cent size lump next to the injection. It was simply red, tender, and sore. There was no heat reported. I mentioned to the patient that it is a normal reaction from a vaccine and was mentioned to her and on the VIS form however the length that the swelling was present is abnormal. I mentioned that the pharmacist that administered the shot would reach out to her (which he did on the date the ADR was reported) and to also follow up with her PCP that was listed on her Vaccine Administration Record and Informed Consent paperwork.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Contraindication to vaccination, No adverse event
Clinical narrative: Patient has not reported any adverse event. Patient received the vaccination while using Humira, which weakens the immune system.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pain in extremity, Seizure
Clinical narrative: Pain at injection site 1 hr post shot, 02:30pm. 4:30-5pm pain on whole arm, 7pm pt went to ER with convulsion.
Age: 2.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Febrile convulsion, Pyrexia, Rash generalised, Roseola
Clinical narrative: High Fever started Wednesday Morning at 0900. He had a Febrile Seizure at 1440. Made it to the ER around 1510 and they gave him Tylenol and 15mins later Motrin to get his fever of 104 down. Saturday at roughly 0800 he developed a rash all over his body known as Roseola.
Age: 2.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: Febrile convulsion, Rash, Roseola
Clinical narrative: High Fever started Wednesday Morning at 0900. He had a Febrile Seizure at 1440. Made it to the ER around 1510 and they gave him Tylenol and 15mins later Motrin to get his fever of 104 down. Saturday at roughly 0800 he developed a rash all over his body known as Roseola.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Borrelia test, Erythema, Pruritus, Skin warm
Clinical narrative: Area is red, warm and itchy. Not raised. Visited doctor, will monitor.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: The patient started experiencing swelling, redness, and itching in the upper left arm around the injection site within hours of receiving the immunization.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Mass
Clinical narrative: 1x1 inch lump appeared 3 weeks post vaccine. Not painful, warm or fluctuent.
Age: 87.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pain, Musculoskeletal disorder, Pyrexia
Clinical narrative: Severe pain in right shoulder and upper arm (on-going). Inability to use right arm for normal activities of daily living -- for example, dressing and bathing (3 weeks duration). Low-grade fever (circa 99.4 degrees) through 10/08/2017.
Age: 70.0
Sex: F
Vaccine: FLUC4
Symptoms: Acute pulmonary oedema, Asthenia, Chest X-ray abnormal, Condition aggravated, Disorientation
Clinical narrative: On 10/11/17 I received my annual flu vaccination from my PCM clinic. I have never had any issues with my yearly vaccination, however, what took place over the next few days has me questioning whether or not I had a reaction this year. On the evening of 10/12/17 I fell asleep in my recliner and my daughter had a difficult time waking me. From what she has told me, I went to bed, slept all night and most of the next day (10/13/17.)  She was unable to orient me to where I was, and, apparently, I attempted to get out of bed and fell. My memory is only of being in an ambulance and the EMTs? asking me a lot of questions I could not answer in comprehensible terms. At the ER, it was thought I was having a stroke, but, except for not being able to express myself, a severe headache, and high blood pressure, there were no other indications of a stroke. It was then suggested I might have meningitis. That was ruled out two days later with a spinal fluid test. My speech was gradually returning to normal, the headaches resolved. I did continue to have some blood pressure issues, and developed acute pulmonary edema. The physicians then decided I had probably experienced some type of strange migraine syndrome. (Please note, I have no history of migraine headaches.) I was discharged home from the hospital yesterday, 10/18/17, with only a little physical weakness. The discharge diagnosis was ?encephalopathy.)
Age: 70.0
Sex: F
Vaccine: FLUC4
Symptoms: Echocardiogram, Fall, Headache, Hypersomnia, Hypertension
Clinical narrative: On 10/11/17 I received my annual flu vaccination from my PCM clinic. I have never had any issues with my yearly vaccination, however, what took place over the next few days has me questioning whether or not I had a reaction this year. On the evening of 10/12/17 I fell asleep in my recliner and my daughter had a difficult time waking me. From what she has told me, I went to bed, slept all night and most of the next day (10/13/17.)  She was unable to orient me to where I was, and, apparently, I attempted to get out of bed and fell. My memory is only of being in an ambulance and the EMTs? asking me a lot of questions I could not answer in comprehensible terms. At the ER, it was thought I was having a stroke, but, except for not being able to express myself, a severe headache, and high blood pressure, there were no other indications of a stroke. It was then suggested I might have meningitis. That was ruled out two days later with a spinal fluid test. My speech was gradually returning to normal, the headaches resolved. I did continue to have some blood pressure issues, and developed acute pulmonary edema. The physicians then decided I had probably experienced some type of strange migraine syndrome. (Please note, I have no history of migraine headaches.) I was discharged home from the hospital yesterday, 10/18/17, with only a little physical weakness. The discharge diagnosis was ?encephalopathy.)
Age: 70.0
Sex: F
Vaccine: FLUC4
Symptoms: Lumbar puncture normal, Memory impairment, Migraine, Nuclear magnetic resonance imaging brain normal, Somnolence
Clinical narrative: On 10/11/17 I received my annual flu vaccination from my PCM clinic. I have never had any issues with my yearly vaccination, however, what took place over the next few days has me questioning whether or not I had a reaction this year. On the evening of 10/12/17 I fell asleep in my recliner and my daughter had a difficult time waking me. From what she has told me, I went to bed, slept all night and most of the next day (10/13/17.)  She was unable to orient me to where I was, and, apparently, I attempted to get out of bed and fell. My memory is only of being in an ambulance and the EMTs? asking me a lot of questions I could not answer in comprehensible terms. At the ER, it was thought I was having a stroke, but, except for not being able to express myself, a severe headache, and high blood pressure, there were no other indications of a stroke. It was then suggested I might have meningitis. That was ruled out two days later with a spinal fluid test. My speech was gradually returning to normal, the headaches resolved. I did continue to have some blood pressure issues, and developed acute pulmonary edema. The physicians then decided I had probably experienced some type of strange migraine syndrome. (Please note, I have no history of migraine headaches.) I was discharged home from the hospital yesterday, 10/18/17, with only a little physical weakness. The discharge diagnosis was ?encephalopathy.)
Age: 70.0
Sex: F
Vaccine: FLUC4
Symptoms: Speech disorder
Clinical narrative: On 10/11/17 I received my annual flu vaccination from my PCM clinic. I have never had any issues with my yearly vaccination, however, what took place over the next few days has me questioning whether or not I had a reaction this year. On the evening of 10/12/17 I fell asleep in my recliner and my daughter had a difficult time waking me. From what she has told me, I went to bed, slept all night and most of the next day (10/13/17.)  She was unable to orient me to where I was, and, apparently, I attempted to get out of bed and fell. My memory is only of being in an ambulance and the EMTs? asking me a lot of questions I could not answer in comprehensible terms. At the ER, it was thought I was having a stroke, but, except for not being able to express myself, a severe headache, and high blood pressure, there were no other indications of a stroke. It was then suggested I might have meningitis. That was ruled out two days later with a spinal fluid test. My speech was gradually returning to normal, the headaches resolved. I did continue to have some blood pressure issues, and developed acute pulmonary edema. The physicians then decided I had probably experienced some type of strange migraine syndrome. (Please note, I have no history of migraine headaches.) I was discharged home from the hospital yesterday, 10/18/17, with only a little physical weakness. The discharge diagnosis was ?encephalopathy.)
Age: 62.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Asthenia, Injection site pain, Insomnia, Pain, Pain in extremity
Clinical narrative: I had the second of 2 pneumonia shots in left arm and flu shot in right arm at same time.  A few hours later my left arm started aching. I could not sleep that night and the left arm felt hot and throbbed. The right arm was just a little sore. The next day I could not touch the skin on my arm and red blotches appeared, not at the injection site, but more on the inner shoulder area. For two days I felt weak and very feverish. After that abated, my left shoulder became excruciatingly painful if I moved it in a certain way. Before the shot, I had no issues with my shoulder.
Age: 62.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pyrexia, Rash macular, Skin warm, Tenderness
Clinical narrative: I had the second of 2 pneumonia shots in left arm and flu shot in right arm at same time.  A few hours later my left arm started aching. I could not sleep that night and the left arm felt hot and throbbed. The right arm was just a little sore. The next day I could not touch the skin on my arm and red blotches appeared, not at the injection site, but more on the inner shoulder area. For two days I felt weak and very feverish. After that abated, my left shoulder became excruciatingly painful if I moved it in a certain way. Before the shot, I had no issues with my shoulder.
Age: 81.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Redness and Swelling with heat and mild pain on upper arm.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Pityriasis rosea
Clinical narrative: Pityriasis rosea.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Vaccination complication
Clinical narrative: Arm swelled from the elbow up to the shoulder with pain in same area starting 4 hours after injection. By third day swelling hadn't gone down and was pale red and warm to the touch. Called into clinic and was advised to be seen in urgent care. Doctor believed it to be an adverse reaction to the immunization shot and not an infection.
Age: 79.0
Sex: F
Vaccine: FLUC4
Symptoms: Drug administered at inappropriate site, Injection site bruising, Pain in extremity
Clinical narrative: Patient complained that she got a huge bruise where the injection was administered and her arm was incredibly sore for several days after the administration of injection. Patient says that the injection was administered in the wrong area on the arm, missing the deltoid muscle. Healthcare professional who administered the injection maintains that injection was administered correctly in the deltoid muscle, however patient maintains that injection was not given at the correct site.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion
Clinical narrative: UNUSUAL BRUISING.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Ran low grade fever 100 and vomited a few times.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Injection site inflammation, Mobility decreased, Speech disorder
Clinical narrative: Began with inflammation at injection site that then spread to neck. Patient's ability to swallow and move neck gradually worsened to the point where they can no longer move head/neck or swallow and impeding speech. It has been 5 days and patient reports that condition is still worsening. Went to urgent care clinic today.
Age: 68.0
Sex: M
Vaccine: YF
Symptoms: Allergy test, Biopsy skin normal, Granuloma, Rash erythematous
Clinical narrative: Red rash on forearms and legs made up or individually identifiable round lesions. Non-itch. No fluid. Rash size varied from millimeters up to 1 cm. As of this date, rash is 90% resolved.
Age: 48.0
Sex: F
Vaccine: FLU4, PPV, FLU4, PPV
Symptoms: C-reactive protein increased, Full blood count normal, Injection site erythema, Injection site warmth, Red blood cell sedimentation rate increased
Clinical narrative: Patient developed an erythematous area over the site of her injection after receiving pneumococcal and influenza vaccines. Area is warm to touch confluent erythematous. Was given a prescription for a 7 day course of BACTRIM.
Age: 48.0
Sex: F
Vaccine: FLU4, PPV, FLU4, PPV
Symptoms: Ultrasound scan normal
Clinical narrative: Patient developed an erythematous area over the site of her injection after receiving pneumococcal and influenza vaccines. Area is warm to touch confluent erythematous. Was given a prescription for a 7 day course of BACTRIM.
Age: 48.0
Sex: F
Vaccine: FLU4, PPV, FLU4, PPV
Symptoms: C-reactive protein increased, Cellulitis, Haemoglobin normal, Red blood cell sedimentation rate increased, Ultrasound scan abnormal
Clinical narrative: Patient developed an erythematous area over the site of her injection after receiving pneumococcal and influenza vaccines. Area is warm to touch confluent erythematous. Was given a prescription for a 7 day course of BACTRIM.
Age: 48.0
Sex: F
Vaccine: FLU4, PPV, FLU4, PPV
Symptoms: White blood cell count normal
Clinical narrative: Patient developed an erythematous area over the site of her injection after receiving pneumococcal and influenza vaccines. Area is warm to touch confluent erythematous. Was given a prescription for a 7 day course of BACTRIM.
Age: 89.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient's wife said injected arm was sore, red, and hot to the touch. Affected area from shoulder to elbow. Advised using Tylenol , cold pack, possibly Benadryl, and to call MD if getting  worse or not resolved.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Hypoaesthesia, Impaired work ability, Injected limb mobility decreased, Injection site pain
Clinical narrative: Vaccine pharmacy 10/13 6pm. Soreness from 7pm to 1200 am. Then numbness in r wrist/thumb, elbow pain. Aching and tingling in r wrist and thumb. Ice applied from 12-2, 20 mins on, 20 mins off. Unable to lift arm horizontal to body. Aching in shoulder joint continues. 3:20am still attempting to sleep, can only lay on back or L side. R arm tingling and aching through r thumb, outer aspect of elbow, and injection site. Next day 10/14, unable to lift R arm or move shoulder. Ice applied to r thumb/wrist. Unable to move wrist/hand without intense pain. Took two ibuprofen. Called out of work (work as a nurse and cannot work if one of my arms doesn't work). Over course of day, able to move thumb a little more, but still with pain. Soreness with movement of R arm 10/15, 10/16 arm feels fine but r thumb still in pain with movement. 10/17 symptoms resolved.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site paraesthesia, Mobility decreased, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Vaccine pharmacy 10/13 6pm. Soreness from 7pm to 1200 am. Then numbness in r wrist/thumb, elbow pain. Aching and tingling in r wrist and thumb. Ice applied from 12-2, 20 mins on, 20 mins off. Unable to lift arm horizontal to body. Aching in shoulder joint continues. 3:20am still attempting to sleep, can only lay on back or L side. R arm tingling and aching through r thumb, outer aspect of elbow, and injection site. Next day 10/14, unable to lift R arm or move shoulder. Ice applied to r thumb/wrist. Unable to move wrist/hand without intense pain. Took two ibuprofen. Called out of work (work as a nurse and cannot work if one of my arms doesn't work). Over course of day, able to move thumb a little more, but still with pain. Soreness with movement of R arm 10/15, 10/16 arm feels fine but r thumb still in pain with movement. 10/17 symptoms resolved.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site warmth
Clinical narrative: Patient reports redness at site of injection immediately following vaccine. Redness and warmth continue to worsen.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pyrexia
Clinical narrative: Soreness and a high fever (103 degree).
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Lymph node pain, Swollen tongue
Clinical narrative: Patient received the shot in the afternoon around 2:45pm on 10/19/17.Unsure of time frame, but when patient left to go home, she felt faint, noticed tongue began to swell and lymph nodes felt tender. Patient took a Benadryl as soon as she noticed these symptoms. Today, on 10/21/17 she called the pharmacy and reported this. She states it still feels a bit swollen but has subsided. Will continue to take Benadryl as it takes time to recover. She states she has gone through this before due to a med-related allergic reaction, so she knows when to seek urgent treatment. She will contact her primary care provider to notify of this reaction as well.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye infection, Herpes zoster, Rash
Clinical narrative: If you are marketing this vaccine as a preventative for "Shingles" . . . it is NOT. I contracted my second case of Shingles as diagnosed by my doctor one year after taking the {$400.00 shot} vaccine for Shingles. The vaccination apparently, did NOT work as designed.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Pain, Skin warm, Swelling
Clinical narrative: Around 9 PM (6 hours after administration) patient noticed redness and swelling just below the site of injection. Patient said that it was hot and hurt to the touch. Patient took one 200 mg Ibuprofen. Woke up around 1:00 and it was very sore, patient took a 12 hour anti-inflammatory. Next morning the patient had even more swelling and redness and there is a defined line where it is raised and it hurts. The site of inflammation has spread to her bicep.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Fever, swelling of arm. This lasted for a week. Assessed by MD and told there was no concern. Patient had this same vaccine last year with no side effects.
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Injection site hypoaesthesia
Clinical narrative: Numbness in left shoulder radiating to right shoulder.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Severe redness, swelling and pain in entire right arm. Fluid accumulation near elbow.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Severe redness, swelling and pain in entire right arm. Fluid accumulation near elbow.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: There was a slight reaction to the injection site with a little inflammation and redness and slight itching.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pyrexia, Retching
Clinical narrative: Patient says that she was in bed for 15 hours starting the evening of the shot with chills, fever, and dry heaves.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Pt stated she took a nap and when she woke up her arm was swollen and warm to the touch. She came and showed me on Friday and she received her shot on Wednesday. Her arm was swollen past her elbow, red, and warm to the touch. Pt stated that her hands had swollen and she had to remove her rings and it felt like the swelling was slowly going down her arm. Stated that it was going down but she wanted to check on it. Told pt to take some BENADRYL and TYLENOL and it should go down but to call me back if it did not.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site pruritus, Injection site rash, Oral herpes
Clinical narrative: Patient reported 4 days post-immunization that she had developed a rash around and below the injection site with itching beginning 2 days post-immunization. On day 4 she indicated it seemed to be getting better, but was not resolved. She also indicated that she also had fever blisters that had formed on her upper lip in a greater quantity than she normally has seen.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Pain, Pyrexia, Rash, Skin warm
Clinical narrative: Patient claims she experienced hot skin to the touch, rash, chills, aches and fever the next day after shot, Friday 10/21/17 being the worst day in regards to symptom severity.  Patient claimed the rash expanded  to an approx. size of 1 foot x 3 inches on the arm that received the 2 injections. I recommended the patient contact her medical provider as soon as possible for safety reasons.