chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Blood albumin decreased, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood calcium normal, Blood chloride normal
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Blood creatinine normal, Blood fibrinogen normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Blood urea normal, C-reactive protein increased, Carbon dioxide normal, Chest X-ray abnormal, Chest pain
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Cough, Culture urine negative, Echocardiogram abnormal, Electrocardiogram T wave abnormal, Electrocardiogram abnormal
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Eosinophil percentage increased, Epstein-Barr virus test negative, Erythema, Flushing, Gamma-glutamyltransferase increased
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Generalised erythema, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Human herpes virus 6 serology negative
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Human herpes virus 8 test, International normalised ratio normal, Lip dry, Lip exfoliation, Lipase normal
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Lymphocyte count decreased, Lymphocyte count normal, Lymphocyte percentage decreased, Mechanical urticaria, Monocyte percentage
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Pallor, Papule, Pharyngitis
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Platelet count normal, Procalcitonin increased, Protein total normal, Prothrombin time prolonged, Pyrexia
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Rash, Rash macular, Rash pruritic, Red blood cell nucleated morphology, Respiratory viral panel
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Rhinorrhoea, Roseolovirus test, Serum ferritin normal, Skin irritation, Skin warm
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Smear site unspecified normal, Tricuspid valve incompetence, Troponin normal, Ultrasound abdomen normal, Urticaria
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Viral test negative, White blood cell count increased
Clinical narrative: Rash - The afternoon of Friday, October 12 he developed a rash that his mom said looked like hives on his chest. Over the next few days, this urticarial rash spread down his abdomen, then spread to his face, and then spread down his legs. Over the past few days, it has transitioned into a generalized redness of the skin. She says the skin feels warm and is irritated. The rash was been consistently itchy. On exam the rash is warm to touch area of erythema and macular rash on right lower arm and left upper arm with lighter diffuse papules and macules on background of erythematous skin of lower extremities that has persisted over five days. No pustules, no papules, no vesicles. Flushing redness across much of back that improved over several days. Erythematous blanching patches over nasal bridge and cheeks. Does have periorbital erythema which mom says is not his baseline. Some dermatographism noted on exam. Severe chest pain and pain in his back. 10/18 /18 - 1 day of low-grade fever (Tmax = 38.4 C) Episodic pain (sometimes severe) to palpation of epigastric area and right lower quadrant of abdomen 1-2 days of dry cough, runny nose, mild pharyngitis, mild abdominal pain. 10/18/2018 - dryness and pealing of lips 10/17/2018 - placed on diphenhydramine 50 mg every 6 hours and lactobacillus rhamnosus probiotic BID 10/18/18 - placed on sucralfate PO QID and ranitidine 75 mg BID 10/19/2018 - placed on ursodiol 300 mg BID Received acetaminophen, ibuprofen, tramadol, morphine, and ondansetron as needed during hospitalization.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Musculoskeletal stiffness, Pyrexia
Clinical narrative: HA, stiff neck, fever, fatigue lasting about 12h.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: The employee/patient attended seasonal flu clinic for healthcare worker vaccination. She reported symptoms starting around 1700-1900 later that same evening. The patient reported being evaluated at hospital campus. She reported being evaluated by Dr. for arm pain and swelling at site. She stated she was treated with NAPROSYN and ruled out for tendonitis and diagnosed with likely flu reaction. In Aug. 2018 She reported having lower leg swelling and hives when she had her hepatitis B series in August 2017 she approximated around the 17th to the 21st as the time frame.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: Chills, fever, muscle aches, fatigue, headache. Minor soreness in arm where injection was given.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Chills, fever, muscle aches, fatigue, headache. Minor soreness in arm where injection was given.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Limb discomfort, Pain
Clinical narrative: Painful arm to start, next day fatigue, achy and by the second day evening I had chills, fever. Sweaty by morning of the 3rd day but feeling better. Arm is still sore as well.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Painful arm to start, next day fatigue, achy and by the second day evening I had chills, fever. Sweaty by morning of the 3rd day but feeling better. Arm is still sore as well.
Age: 66.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Chills, Fatigue, Injection site rash, Limb discomfort
Clinical narrative: Sore arm, tiredness, chills during the night on day of vaccination, chills during the evening and night on the day after, rash on the arm at injection site, about 3 inches square, on the second night.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient experienced swelling, redness, induration around the area where flu shot was given. I recommended patient to ice the location and apply hydrocortisone cream. If the red area spread or became worse or if patient was still concerned I recommended her to visit her doctor or immediate care center to have it checked out. Patient received an antibiotic due to reaction on 10/20/18.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Injected limb mobility decreased, Musculoskeletal discomfort, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain
Clinical narrative: Left side of neck got sore then stiff. Severe pain in left arm - neck and shoulder blade. Progressively worsened. By midnight, day of injection - excruciating pain - unable to move left arm or to rotate neck. Extreme pain for 8-10 hours, then gradually got better.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity
Clinical narrative: Left side of neck got sore then stiff. Severe pain in left arm - neck and shoulder blade. Progressively worsened. By midnight, day of injection - excruciating pain - unable to move left arm or to rotate neck. Extreme pain for 8-10 hours, then gradually got better.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Musculoskeletal stiffness
Clinical narrative: Redness surround area including upper arm and down to elbow, including underneath arm. General body stiffness, dolor of location as well as patient experiencing chills. Urgent care told her it was reaction to a shot and had patient come here. Clinic told patient to take BENADRYL, ibuprofen and apply heat. Patient has not utilized treatments yet.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Pounding in chest with rapid heart rate variable up to 180 bpm. I  first noticed a faster heart rate at approximately 6:00 p.m., 10/19/208. It reached its peak around 11:00 p.m., 10/19/208 and continued until approximately 3:00 a.m., 10/2-/2-18., when I finally fell asleep. My normal resting heart rate is 59 bpm. I thought about going to the hospital during the night, but didn't and it is now back to normal  range. I never had a rapid heartbeat like this before.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site nodule, Pain in extremity, Peripheral swelling, Rhinorrhoea
Clinical narrative: Per Pt, after the shot was given he developed a large hard knot in the deltoid region. He treated with BENADRYL and TYLENOL. Pt stated the knot softened overnight and developed redness, pain, and swelling on inside of upper arm. Pt phoned PCP physician 10/19/18 and prescribed Cephalexin 500mg three times a day for 7 days. At pharmacy patient discussed reaction w/pharmacist. Pharmacist observed bright redness covering the inside of left arm from a few inches below armpit to elbow area. Patient stated he discussed symptoms of reaction w/physician off. He also discussed w/office that he has developed a "runny nose". F/U pt call 10/20/18 11:15AM, Pt states arm is still red, - swelling and pain some better.
Age: 90.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Injection site pain, Peripheral swelling
Clinical narrative: Patient reported severe left arm soreness that was so bad she could not move arm or sleep on that side. The pain radiated down the arm over the next 4 days and on the 5th day the patient called our pharmacy because she had a red swollen "pillow" on the top of her left hand that was slightly warm to the touch. Patient stated that while the arm was very sore it was not swollen or red. Patient does have a history of gout in her wrist, but states that this pain is different and on the top of the hand and not in the wrist. Patient received FLUZONE in the left arm which is where all the pain has occurred. Of note, she received PREVNAR-13 in the Right arm on the same day and she reports no reaction/pain or swelling in the right arm since the vaccine.
Age: 62.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Arrhythmia, Bed rest, Condition aggravated, Feeling cold, Headache
Clinical narrative: At 9:30 pm on 10/17/2018: chills, low-grade fever, body aches, strong headache, cardiac arrhythmia and tachycardia. All symptoms, except the strong headache, resolved about 3:00 am on 10/19/2018. The headache resolved by 5:00 pm on 10/19/2018. Symptoms were treated with bed rest, fluids, and TYLENOL. I have a history of mild arrhythmia and tachycardia episodes, so I monitored my blood pressure and oxygen saturation at home.
Age: 62.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Pain, Pyrexia, Tachycardia
Clinical narrative: At 9:30 pm on 10/17/2018: chills, low-grade fever, body aches, strong headache, cardiac arrhythmia and tachycardia. All symptoms, except the strong headache, resolved about 3:00 am on 10/19/2018. The headache resolved by 5:00 pm on 10/19/2018. Symptoms were treated with bed rest, fluids, and TYLENOL. I have a history of mild arrhythmia and tachycardia episodes, so I monitored my blood pressure and oxygen saturation at home.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Large local reaction from injection site, extending down arm 3-4 inches per history. Red and warm to touch per family.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse drug reaction, Discomfort, Hypersensitivity, Injection site warmth, Rash pruritic
Clinical narrative: Patient came into pharmacy on the evening of 10-19, she wanted pharmacist to take a look at her arm, she reported an intense itching rash. Pharmacist looked at the injection site. There was an injection site reaction that was slightly warm to touch, she indicated that this area had decreased in size since after the shot. She had a rash under the arm, down her sides, across the back to the other arm and a rash on the arm that had not been administered a shot. She reported that the rash was very itching and uncomfortable. She had not tried any medication, just lotion to help sooth the itch. Due to the large area of rash, I recommended that she see her primary care doctor to check out. I called the prescriber and informed her of the above, she indicated that she would call me after she assessed patient. After assessing patient, prescriber called me and diagnosed a rash due to drug reaction, she indicated that there was no signs of angioedema etc but believed that the symptomology was that of an allergic reaction to a medication. She prescribed hydroxyzine HCL for the itch as well as triamcinolone cream. Patient came in a short while later to pick up the prescriptions.
Age: 75.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Chills, Clumsiness, Malaise, Tremor
Clinical narrative: Total body tremulousness, suddenly started shivering all over, dropping things in my hand. Lasted 30-45 minutes. Although the event was shocking, I did have previous commitments which I completed although I did not feel great during the next few hours. Just a vague feeling of being unwell. (Perhaps concern about what had just happened). I returned home, looked up side effects of SHINGRIX and felt reassured that the neurological event was an adverse reaction to the vaccine. The next day and since I was fine.
Age: 58.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Pain and swelling of the entire arm where shot was given.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Erythema, Fatigue, Headache, Injection site erythema
Clinical narrative: Nausea, hard to breathe, headache, soreness, redness, swelling of left arm, fatigue.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site swelling, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: Nausea, hard to breathe, headache, soreness, redness, swelling of left arm, fatigue.
Age: 67.0
Sex: F
Vaccine: MENB
Symptoms: Dyskinesia, Incoherent, Loss of consciousness, Pyrexia
Clinical narrative: 101 degree fever, patient passed out and was jerking on the floor (possible seizure) and was incoherent for several hours.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient complains of having rashes on his face on day 08/30/2018 and he thought " it was just regular rash". But, next day he had rashes on his back and torso, and then he realized it is SHINGLES. So, he visited his doctor for treatment and doctor prescribed him " VALTREX 500mg: 1 tablet once a day" for 7 days. Patient also complains that - VALTREX did not help him. Also, He said - symptoms of Shingles were just toplical and he did not have nerve pain from shingles. Shingles symptoms (rashes) lasted for almost 1 month. No scars from rashes and no nerve pain after that.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Erythema, Fatigue, Head banging, Nausea
Clinical narrative: Pain, Redness, Swelling, Fatigue, Headache, Fever, Nausea, Fever Blister. Patient had for 10 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Pain, Redness, Swelling, Fatigue, Headache, Fever, Nausea, Fever Blister. Patient had for 10 days.
Age: 76.0
Sex: F
Vaccine: FLUA3
Symptoms: Burning sensation, Chills, Feeling cold, Muscle contractions involuntary
Clinical narrative: Patient felt very cold on the inside, teeth chattering. Patient went to bed and her muscles were contracting and relaxing on and off. When she would lie on her left side her right arm moved involuntarily and when she rolled over and lied on her right side her left arm would move involuntarily. Her hands felt like they were burning. The episode lasted about an hour. She took an ADVIL and went to bed. She awoke fine and symptom free the following morning.
Age: 11.0
Sex: F
Vaccine: FLU4, HEPA, MNQ, TDAP
Symptoms: Balance disorder, Blood pressure decreased, Dizziness, Hyperhidrosis, Pallor
Clinical narrative: Following administration of immunizations on 10/15/18, patient felt dizzy as she was walking towards the exit of the office. She lost her balance, but was caught by her sister. She became very pale and sweaty. Her blood pressure was checked, and it had decreased to 90/58 (from 120/70 at start of the visit). She was taken back to her exam room and laid down. She ate a snack and had a drink, and gradually over 5-10 minutes started to feel more like herself. Repeat blood pressure increased to 106/66, and patient was no longer feeling dizzy (just embarrassed). She was able to walk out of the office under her own power, and event was likely related to vasovagal presyncope from receiving her immunizations.
Age: 11.0
Sex: F
Vaccine: FLU4, HEPA, MNQ, TDAP
Symptoms: Presyncope
Clinical narrative: Following administration of immunizations on 10/15/18, patient felt dizzy as she was walking towards the exit of the office. She lost her balance, but was caught by her sister. She became very pale and sweaty. Her blood pressure was checked, and it had decreased to 90/58 (from 120/70 at start of the visit). She was taken back to her exam room and laid down. She ate a snack and had a drink, and gradually over 5-10 minutes started to feel more like herself. Repeat blood pressure increased to 106/66, and patient was no longer feeling dizzy (just embarrassed). She was able to walk out of the office under her own power, and event was likely related to vasovagal presyncope from receiving her immunizations.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Body aches, fever, redness, swelling and tender at injection site.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Arm is red approximately 4 inches by 4 inches. Pt is monitoring and taking BENADRYL. She is going to contact provider.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Bone pain, Chills, Diarrhoea, Dyspnoea, Eye swelling
Clinical narrative: Tuesday 10/16/2018 DIB, swelling around eyes, puffy face. Achy bones, nausea, severe headache, fever chills with night sweat into 10/17/18 continuing with diarrhea. Treatment with rest and detoxing, 10/18/18 to walk-in clinic reporting, the reaction no outcome treatment.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Nausea, Night sweats, Pyrexia, Swelling face
Clinical narrative: Tuesday 10/16/2018 DIB, swelling around eyes, puffy face. Achy bones, nausea, severe headache, fever chills with night sweat into 10/17/18 continuing with diarrhea. Treatment with rest and detoxing, 10/18/18 to walk-in clinic reporting, the reaction no outcome treatment.
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Dizziness, Gait disturbance, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Numbness in lips and tingling in fingers. She also had some difficulty walking, felt a little dizzy.
Age: 48.0
Sex: M
Vaccine: FLU4
Symptoms: Dysgeusia, Fatigue, Myalgia, Oral disorder
Clinical narrative: Altered taste. Bumps in mouth. Fatigue. Muscle soreness.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash generalised, Rash papular, Rash pustular
Clinical narrative: Baby got one year vaccines. Father said that baby developed high fever 10/15/18 and then on 10/16/18 and 10/17/18, baby developed rash all over. I saw the pt on 10/19/18, baby has pustules, vesicles and papules in various stages both legs, arms, neck, trunk, back, palms and soles. Baby is afebrile now, father denies cough, URI. No other complaints. Baby is happy and playful. Blood work attempted but pt has lot of pustules on arms so was unsuccessful.
Age: 55.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Feeling painful, burning, itching, redness and swelling at the injection site. Patient is taking the antibiotic, but the swelling area is getting larger. Patient will see her doctor again.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Altered state of consciousness, Chills, Dizziness, Hyperhidrosis
Clinical narrative: I woke up at around 7 am feeling like I had an upset stomach. I went to the restroom and afterward i started to feel very dizzy as if I was having a vasovagal attack. I kept walking towards the bedroom and got dizzier and started shaking and shivering uncontrollably for about 1 minute. I also broke out in a sweat and squatted down to the ground to avoid falling. I felt like I was about to pass out. I sat on the floor hanging my head over my legs and my husband got an icepak for my neck. I sat there until the dizziness and shaking subsided. The whole event lasted about 8-10 minutes. I took a BENADRYL and 600mg of ibuprofen and went back to bed for 3 hrs.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Presyncope, Tremor
Clinical narrative: I woke up at around 7 am feeling like I had an upset stomach. I went to the restroom and afterward i started to feel very dizzy as if I was having a vasovagal attack. I kept walking towards the bedroom and got dizzier and started shaking and shivering uncontrollably for about 1 minute. I also broke out in a sweat and squatted down to the ground to avoid falling. I felt like I was about to pass out. I sat on the floor hanging my head over my legs and my husband got an icepak for my neck. I sat there until the dizziness and shaking subsided. The whole event lasted about 8-10 minutes. I took a BENADRYL and 600mg of ibuprofen and went back to bed for 3 hrs.
Age: 68.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Asthenia, Headache, Malaise, Pain in extremity
Clinical narrative: Headache, pain in arm, weakness, malaise.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Product administered at inappropriate site
Clinical narrative: Shoulder pain limiting raising arm, that has not resolved since injection. Pain has made it difficult to dress and drive. Received shot high on arm near shoulder. The clinician was standing and I was sitting with a large table between us. During administration felt internal pressure feeling that my shoulder would burst.
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Fatigue, Injection site discomfort, Pain
Clinical narrative: Moderate soreness at injection site, moderate body ache, chills, fatigue.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Swelling, itching, redness, warm to touch; recommended acetaminophen, cool compress.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Nerve injury
Clinical narrative: Muscle soreness leading to nerve issue followed by Doctor Visit.
Age: 77.0
Sex: M
Vaccine: FLUA3
Symptoms: Rash
Clinical narrative: Pt stated he developed a rash on right knee that began to spread across legs. Pt went to his physician and was instructed to take cimetidine 800mg every 12 hours as well as hydroxyzine 25mg every 6 hours.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Dizziness postural, Hyperhidrosis, Influenza like illness
Clinical narrative: Around 1 am 10/17/18 (within 12 hours of vaccine) I had fever, violent shivers, sweating. I was unable to verify my temperature due to worry of biting the thermometer. Upon rising in the morning, I was very dizzy. Fever was still present but  shivering had subsided. I was in bed the remainder of day feeling very sore muscles (flu like  symptoms but without vomiting or diarrhea). Thursday, again, very sore muscles, dizzy, sweating, very hard to control my body temperature (no-I am not going thru menopause :)). Friday, soreness is gone, sweating still happening and body temp still hard to manage. Still very dizzy. Getting  lots of rest as standing/walking brings on dizziness. Today, Saturday, feeling almost normal but very dizzy still, like I've place the wrong prescription glasses on.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia, Temperature regulation disorder
Clinical narrative: Around 1 am 10/17/18 (within 12 hours of vaccine) I had fever, violent shivers, sweating. I was unable to verify my temperature due to worry of biting the thermometer. Upon rising in the morning, I was very dizzy. Fever was still present but  shivering had subsided. I was in bed the remainder of day feeling very sore muscles (flu like  symptoms but without vomiting or diarrhea). Thursday, again, very sore muscles, dizzy, sweating, very hard to control my body temperature (no-I am not going thru menopause :)). Friday, soreness is gone, sweating still happening and body temp still hard to manage. Still very dizzy. Getting  lots of rest as standing/walking brings on dizziness. Today, Saturday, feeling almost normal but very dizzy still, like I've place the wrong prescription glasses on.
Age: 15.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Fall, Nausea
Clinical narrative: The patient received her flu vaccination. Upon walking away, the patient fell down to the floor. She was conscious but stated that she was dizzy and then blanked out. I called an ambulance for her. Upon their arrival she sat up. A while later she began to feel nauseous. Patient left with mom and ambulance.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Pain in extremity, Rash, Urticaria
Clinical narrative: Patient had pain for approximately 24 hours, changing to inflammation, hives and rash on right arm.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort
Clinical narrative: Patient received flu vaccine on 10/5/18 and called today as her arm has not been the same since flu vaccine. She said questioned pharmacist as it seemed too high up in the shoulder maybe an inch below the tip of shoulder but was advised it's the correct place. She Googled the route and site of flu vaccine and how if not given at proper place can cause damage. Advised patient to stop by but she did not left her a message. She did not seek any medical visit.
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Red, swollen arm larger than size of hand. Patient went to ER and was told by doctor to come back if swelling migrated outside lines drawn on arms. Patient had to go back to ER and then received antibiotics. Patient's arm is feeling less painful today.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Soreness at arm with vaccine.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Full blood count, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Area of injection site is red approximately 1 inch diameter. 3 inches distal to injection site there are red, warm, firm raised areas.
Age: 2.0
Sex: M
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Generalized hives - BENADRYL and Rx for steroids.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain
Clinical narrative: Patient was experiencing redness and soreness that has lasted through to today.
Age: 66.0
Sex: M
Vaccine: FLUA3
Symptoms: Headache, Injection site pain, Injection site reaction, Lethargy, Musculoskeletal stiffness
Clinical narrative: Pain and stiffness in left shoulder, initially severe and some radiating down arm, which has lessened over time but is still somewhat present 4 days later. Headache, body aches, lethargy, and sleepiness that evening and for two days following, which also improved with time.
Age: 66.0
Sex: M
Vaccine: FLUA3
Symptoms: Pain, Somnolence
Clinical narrative: Pain and stiffness in left shoulder, initially severe and some radiating down arm, which has lessened over time but is still somewhat present 4 days later. Headache, body aches, lethargy, and sleepiness that evening and for two days following, which also improved with time.