chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Dyspnoea, Throat irritation, Throat tightness
Clinical narrative: After receiving  flublok vaccine, patient reported her throat feeling funny and tickly. After 2 minutes, patient reported her throat closing and getting harder to breath. Patient was given Epi-pen. Called 911, paramedics came and took patient to emergency room.
Age: 41.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Bursal fluid accumulation, Computerised tomogram abnormal, Mobility decreased, Pain in extremity
Clinical narrative: Had Pain and decreased mobility in left arm after vaccines administered.  Went to Dr. the next day and he gave her Neproxin and Lortab for the pain.  Several days later she was unable to move her left arm and went to the ER where she had a CT scan and was diagnoses with fluid in the Bursa.  She called her Dr. who referred her to a sports medicine Dr. for treatment.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Bone pain, Cold sweat, Myalgia, Neck pain
Clinical narrative: Woke up in the middle of the night with a deep ache starting at the base of neck, all the bones ache, in the skeletal, shooting my spine which hurt to move. Soft tissue muscles still ache. Took Ibuprofen but stop. Took two aspirins today. Still having cold sweats. Not getting better. Going on four weeks. Refuse to take steroids because of what it did to my mother. Pain is not too bad right now. No fever. Has a cold sweat.
Age: 0.33
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: The wrong vaccine was given to a 4month old child, child is fine no reaction parent notified. Kinirix was given
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Sore arm, induration about 2-3" around injection site, mildly warmer than surrounding skin.  Headache that felt like blood vessels on the side of my head were expanding and then in spasms that came periodically in the night.  Severe shaking and chills during the night that felt like all my muscles deep inside me were in spasms, lasting about 30 seconds or so during the night;  this occurred twice.   I feel that the vaccine has more severe side effects and according to the literature that I was provided affects a significant number of recipients that the formulation should be changed to be less harmful to people, especially since it's marketed to people over 50 and they are more likely to have chronic medical problems  which my render the side effects more severe to them.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle spasms, Tremor
Clinical narrative: Sore arm, induration about 2-3" around injection site, mildly warmer than surrounding skin.  Headache that felt like blood vessels on the side of my head were expanding and then in spasms that came periodically in the night.  Severe shaking and chills during the night that felt like all my muscles deep inside me were in spasms, lasting about 30 seconds or so during the night;  this occurred twice.   I feel that the vaccine has more severe side effects and according to the literature that I was provided affects a significant number of recipients that the formulation should be changed to be less harmful to people, especially since it's marketed to people over 50 and they are more likely to have chronic medical problems  which my render the side effects more severe to them.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Muscle spasms, Swelling
Clinical narrative: patient complained of pain in the shoulder, cramps in the hand and legs and swollen chest
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: C-reactive protein normal, Epstein-Barr virus antibody negative, Erythema multiforme, Full blood count normal, Herpes simplex test negative
Clinical narrative: Developed rash on hands, arms, feet, legs, back and lips consistent with Erythema Multiforme (diagnosed by dermatology), associated with swelling of hands, knees and ankles.  Exam findings: Lower lip diffusely edematous with superficial desquamation -Remainder of oral and ocular mucosa normal appearing -Bilateral arms, dorsal hands/palms, lower extremities, dorsal feet discrete classic targetoid erythematous plaques, some with central vesicles and coalescing broad annular erythematous plaques with central clearing/hyperpigmentation  Treated with Triamcinolone 0.1% ointment to body and hydrocortisone 2.5% ointment to lip twice daily and Zyrtec Symptoms resolved over 1-2 weeks
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Joint swelling, Lip oedema, Mycoplasma test negative, Peripheral swelling, Rash
Clinical narrative: Developed rash on hands, arms, feet, legs, back and lips consistent with Erythema Multiforme (diagnosed by dermatology), associated with swelling of hands, knees and ankles.  Exam findings: Lower lip diffusely edematous with superficial desquamation -Remainder of oral and ocular mucosa normal appearing -Bilateral arms, dorsal hands/palms, lower extremities, dorsal feet discrete classic targetoid erythematous plaques, some with central vesicles and coalescing broad annular erythematous plaques with central clearing/hyperpigmentation  Treated with Triamcinolone 0.1% ointment to body and hydrocortisone 2.5% ointment to lip twice daily and Zyrtec Symptoms resolved over 1-2 weeks
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Red blood cell sedimentation rate normal, Streptococcus test, Streptococcus test negative
Clinical narrative: Developed rash on hands, arms, feet, legs, back and lips consistent with Erythema Multiforme (diagnosed by dermatology), associated with swelling of hands, knees and ankles.  Exam findings: Lower lip diffusely edematous with superficial desquamation -Remainder of oral and ocular mucosa normal appearing -Bilateral arms, dorsal hands/palms, lower extremities, dorsal feet discrete classic targetoid erythematous plaques, some with central vesicles and coalescing broad annular erythematous plaques with central clearing/hyperpigmentation  Treated with Triamcinolone 0.1% ointment to body and hydrocortisone 2.5% ointment to lip twice daily and Zyrtec Symptoms resolved over 1-2 weeks
Age: 73.0
Sex: M
Vaccine: TDAP
Symptoms: Septic shock, Tremor
Clinical narrative: 9/1/20: PATIENT CALLED PHARMACY APPROX 1 HR AFTER RECEIPT OF VACCINE AND ASKED IF IT WAS NORMAL FOR HIS MUSCLES TO BE SHAKIN ALL OVER. PHARMACIST ON DUTY STATED "NO" AND ADVISED PATIENT TO CONTACT HIS DOCTOR IMMEDIATELY. 9/3/20: RETURNED CALL TO DOCTOR @ THE HOSPITAL REACHED THE STAFF AND TOLD THE PATIENT WAS ADMITTED FOR SEPTIC SHOCK - NURSE STATED UN RELATED TO VACCINE.
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chest discomfort, Dizziness, Fatigue, Feeling abnormal, Influenza like illness
Clinical narrative: I had both the pneumonia 23 and Shingrix for shingles. The shyngrix burned bad as administered. A couple of hours later and the site swelled in a red circle. Very warm and hurt like a mule kicked it. Toward evening, I flt dizzy, and very tired. I felt flu like as the upper body ached and my throat became scratchy. My chest feels a little heavy. Today, I still feel tired and have a scratchy throat. I still have a ball at the site, but not nearly as painful. and not hot.I feel still a bit miserable.
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Throat irritation
Clinical narrative: I had both the pneumonia 23 and Shingrix for shingles. The shyngrix burned bad as administered. A couple of hours later and the site swelled in a red circle. Very warm and hurt like a mule kicked it. Toward evening, I flt dizzy, and very tired. I felt flu like as the upper body ached and my throat became scratchy. My chest feels a little heavy. Today, I still feel tired and have a scratchy throat. I still have a ball at the site, but not nearly as painful. and not hot.I feel still a bit miserable.
Age: 66.0
Sex: M
Vaccine: FLUA4, PPV
Symptoms: Mobility decreased, Pain in extremity, X-ray limb normal
Clinical narrative: The patient received the pneumovax23 and Fluad in the Right Deltoid Arm around 5pm.  The patient had intense arm pain around 9pm and couldn't move his arm. He went to the ER around 2am. They sent him home on pain meds and a muscle relaxer. He has been feeling better and better every day.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Chills, Pyrexia
Clinical narrative: Started having aching joints at 4 that evening that progressed to chills  and increased pain in joints.  Fever went up to 103.7 and finally dropped the next morning to 101.6.  By 4pm that day my temp was back to normal.   I have taken flu shots yearly and never had any reactions to them.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Body temperature increased, Injected limb mobility decreased, Injection site pain, Pain, X-ray limb normal
Clinical narrative: Patient began to have excruciating pain left shoulder with low range of motion. following injection.  Temp 100.4 with pain that comes and goes over the course of the following week.
Age: 53.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Contusion, Rash
Clinical narrative: She described that she started a rash a couple days after her shot. She also showed me that she had a bruise from the shingrix. Lastly she showed me that she had a bruise like or stretch mark looking rash on her hip. And I could still see that 8 days after she received the vaccine.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Itching within the first hour.  Redness developed 2 hours after vaccination.  Swelling developed 2.5 hours after vaccination. Redness and swelling continue to worsen throughout the day. Itching continues. We drew a line around the redness so we can continue tracking this until she is 48 hours post-injection.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Body temperature increased, Erythema, Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient was administered immunizations on 9/2/20. Mother states she noticed a red spot and bump at injection site. She states by the next day the redness has spread down the arm. She called today (9/4/20) to report redness spreading, hot to touch, and temperature 99.6 F. She was advised to come in to see the pediatrician. she agreed. Doctor assessed the site, diagnosed as cellulitis and patient was started on antibiotics. A call was placed to the immunization program coordinator. She will reach out for further advisement.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Skin warm
Clinical narrative: Patient was administered immunizations on 9/2/20. Mother states she noticed a red spot and bump at injection site. She states by the next day the redness has spread down the arm. She called today (9/4/20) to report redness spreading, hot to touch, and temperature 99.6 F. She was advised to come in to see the pediatrician. she agreed. Doctor assessed the site, diagnosed as cellulitis and patient was started on antibiotics. A call was placed to the immunization program coordinator. She will reach out for further advisement.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pain in extremity
Clinical narrative: patient developed swelling, erythema and pain at site of injection within 24 hrs. She then developed pain shooting to 2nd and 3rd digit with soreness upon moving her arm.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site pain, Neck pain
Clinical narrative: Per parent of pt, pt woke up next day with redness around injection site and pain to upper arm, parent observed and by Saturday morning, pt's rt arm was swollen, red and warm to touch. parent took pt to an emergency clinic where he was dx with cellulitis and rx Cephelexin 500 mg tid. Pt continued to complain of pain in arm with radiated pain into his neck, n/v. Mom followed up with PCP the following day and pt was rx an new abx d/t the inability to hold orriginal rx down. Per parent, he had a lowgrade fever Saturday. Parent reports improvement upon follow-up on 09/01/2020.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Per parent of pt, pt woke up next day with redness around injection site and pain to upper arm, parent observed and by Saturday morning, pt's rt arm was swollen, red and warm to touch. parent took pt to an emergency clinic where he was dx with cellulitis and rx Cephelexin 500 mg tid. Pt continued to complain of pain in arm with radiated pain into his neck, n/v. Mom followed up with PCP the following day and pt was rx an new abx d/t the inability to hold orriginal rx down. Per parent, he had a lowgrade fever Saturday. Parent reports improvement upon follow-up on 09/01/2020.
Age: 61.0
Sex: M
Vaccine: FLUC4
Symptoms: Erythema, Peripheral swelling, Vaccination complication
Clinical narrative: Patient called the pharmacy about 5 hours after the shot and said arm was huge like a baseball and red, going down his arm. I suggested he be seen, was having a reaction, he restated that he had not had reaction before but had been a few years since getting a flu shot. I reiterated that he probably needed to be seen at hospital, as Benadryl oral may take too long and I didn't want it to get any worse. wife in background of call , said she would make sure he went . I asked if he had any trouble breathing or swallowing and he said no.
Age: 73.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache
Clinical narrative: Chills and headache 15 minutes after injection.  Tylenol given 0600 next morning, chills and frontal throbbing headache.  Tylenol given & headache resolved. No further symptoms at 7:30am.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: Dr. ordered pneumovax 23.  Prevnar 13 administered.
Age: 80.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Asthenia, Balance disorder, Cellulitis, Dehydration, Dizziness
Clinical narrative: Patient called and said that she has dizziness, vomits, muscular weakness and soreness, unbalance and she felt weak. she also said that she was in bed for a least 2 days. In second day, she goes to the doctor and he told her that she had a cellulitis in the arm and she was dehydrate.  He put  normal saline iv and give a prescription for antibiotics, anti-inflammatory and anti-emetic.  Until todays date she still felt weak, with unbalance and pain.
Age: 80.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Muscular weakness, Myalgia, Pain, Vomiting
Clinical narrative: Patient called and said that she has dizziness, vomits, muscular weakness and soreness, unbalance and she felt weak. she also said that she was in bed for a least 2 days. In second day, she goes to the doctor and he told her that she had a cellulitis in the arm and she was dehydrate.  He put  normal saline iv and give a prescription for antibiotics, anti-inflammatory and anti-emetic.  Until todays date she still felt weak, with unbalance and pain.
Age: 82.0
Sex: M
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: Patient reported severe vomiting the night that he got the vaccine.  He was doing better the next day, although still a little bit nauseous.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Nausea
Clinical narrative: About three hours after having the shingrix vaccination, I developed terrible diarrhea, nausea and chills. Diarrhea and chills have stopped.
Age: 28.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Feeling hot, Hypoaesthesia, Pallor, Paraesthesia
Clinical narrative: pt felt weak and needed to sit almost to the point of collapse.  pt exhibited pallor and numbness described as "pins and needles" in both hands. Pt also stated he felt very overheated suddenly
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Bradykinesia, Chills, Fatigue, Headache
Clinical narrative: Headache, entire body aches especially joints, shivers and fever.  3 advils every 6-8 hours for the entire day.  Next day just exhausted and slow.  Thursday I was just about back to my normal self.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, entire body aches especially joints, shivers and fever.  3 advils every 6-8 hours for the entire day.  Next day just exhausted and slow.  Thursday I was just about back to my normal self.
Age: 71.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: pt complained of large amount of swelling at the injection site. site was also red and tender
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Red warm itchy area approx 6 inches in size at injection site. Headache. No doctor visit at this time.
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Abscess, Bacterial infection, Gram stain positive, Incisional drainage, Injection site erythema
Clinical narrative: ex 31+5 weeker, requiring 5 week stay in NICU for prematurity. Received 1st Hep B on DOL 1, repeated at 1 month of age as outpatient. 12 days later noted swelling at injection site, 4 weeks after shot parents noted erythema of R thigh, presented to care. Found to have an abscess, s/p I+D - gram stain noted gram positive cocci in pairs and clusters
Age: 0.08
Sex: M
Vaccine: HEP
Symptoms: Injection site swelling
Clinical narrative: ex 31+5 weeker, requiring 5 week stay in NICU for prematurity. Received 1st Hep B on DOL 1, repeated at 1 month of age as outpatient. 12 days later noted swelling at injection site, 4 weeks after shot parents noted erythema of R thigh, presented to care. Found to have an abscess, s/p I+D - gram stain noted gram positive cocci in pairs and clusters
Age: 69.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site discomfort, Injection site erythema
Clinical narrative: pt feels pinching feeling at injection site. injection site is slightly pink. pt is icing the area, pt will monitor and take advil if needed and keep us updated
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Eye discharge, Eye swelling, Headache, Pain in extremity
Clinical narrative: Patient states she experienced DELAYED swelling of eyes, DELAYED difficulty breathing, along with runny nose/eyes, congestion, pain in arm,  fever, and headache.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Patient states she experienced DELAYED swelling of eyes, DELAYED difficulty breathing, along with runny nose/eyes, congestion, pain in arm,  fever, and headache.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Loss of consciousness, Nervousness, Pallor, Seizure like phenomena
Clinical narrative: patient passed out. her lips turned white and once she regained consciousness she felt dizzy and nervous. while she was unconscious for the few seconds, she seemed to be having a seizure. it happened pretty quickly. paramedics was called and saw the patient. after a few minutes she felt better and was good to leave.
Age: 76.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient called and stated she had pain in her right arm and could not lift it
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Vertigo
Clinical narrative: Pt had vertigo for about 5 days following vaccine administration,  Pt took OTC meclizine which worked to combat the symptoms. Pt reported he has experienced vertigo during active infection in the past more than once.
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: large red area below and anterior to injection site - slightly itchy, measuring 8 x 6 inches - woke up with it on day 2 post vaccination - not getting any worse, slightly warm to touch
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain, Photophobia, Pyrexia
Clinical narrative: Fever Body ache Extreme headache Light sensitivity
Age: 63.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Injection site bruising, Injection site inflammation
Clinical narrative: Patient got a black bruise at injection site. There was inflammation at injection site which subsided within 48 hours but the bruise remained.  Patient said there was no pain as inflammation subsided but the black bruise remained even after 5 days.
Age: 72.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Rash
Clinical narrative: Patient stopped by the pharmacy to advise us that she broke out in rash down  arm. Patient appears not to be in distress and the rash is not itchy.  She was advised to follow up with her doctor so they knew she had a reaction.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site infection
Clinical narrative: Patient called and reported that the injection site got infected and she was taken to the hospital by ambulance. She was still hospitalized when she called to report the adverse reaction.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Rash
Clinical narrative: PT HAD A RASH ON BODY FROM NECK DOWN
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Unevaluable event
Clinical narrative: Patient received the first of 2 Shingrix vaccine shots to protect her from developing Shingles on Wednesday, August 5, 2020.  On Monday, August 17, 2020, patient's spouse, broke out with Shingles.  Spouse saw MD on Friday August 21, 2020 when he realized that the painful rash on the front and back of his chest was Shingles.  It just seems like too much of a coincidence that patient's spouse, would develop Shingles less than 2 weeks after patient was vaccinated.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Amnesia, Impaired work ability, Increased appetite, Injection site erythema, Injection site swelling
Clinical narrative: Patient received the first of 2 Shingrix vaccine shots to protect her from developing Shingles on Wednesday, August 5, 2020.  On Monday, August 17, 2020, patient's spouse, broke out with Shingles.  Spouse saw MD on Friday August 21, 2020 when he realized that the painful rash on the front and back of his chest was Shingles.  It just seems like too much of a coincidence that patient's spouse, would develop Shingles less than 2 weeks after patient was vaccinated.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site urticaria, Injection site warmth, Malaise, Pain, Rotator cuff repair
Clinical narrative: Patient received the first of 2 Shingrix vaccine shots to protect her from developing Shingles on Wednesday, August 5, 2020.  On Monday, August 17, 2020, patient's spouse, broke out with Shingles.  Spouse saw MD on Friday August 21, 2020 when he realized that the painful rash on the front and back of his chest was Shingles.  It just seems like too much of a coincidence that patient's spouse, would develop Shingles less than 2 weeks after patient was vaccinated.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Somnolence
Clinical narrative: Patient received the first of 2 Shingrix vaccine shots to protect her from developing Shingles on Wednesday, August 5, 2020.  On Monday, August 17, 2020, patient's spouse, broke out with Shingles.  Spouse saw MD on Friday August 21, 2020 when he realized that the painful rash on the front and back of his chest was Shingles.  It just seems like too much of a coincidence that patient's spouse, would develop Shingles less than 2 weeks after patient was vaccinated.
Age: 27.0
Sex: F
Vaccine: FLUC4
Symptoms: Blindness, Deafness, Throat tightness
Clinical narrative: Patient presented after receiving vaccine complaining of loss of vision and hearing. After being seated, she realized that her throat was closing up. Oral diphenhydramine 50mg was given, she reported slight relief of symptoms soon after. Vision and hearing returned as well. EMS was contacted and reported to the scene and transported patient to hospital.
Age: 46.0
Sex: F
Vaccine: FLUC4
Symptoms: Nervousness, Urticaria
Clinical narrative: IM injection @ 1600. Urticaria noted @ 1900. Nervousness @ 1930, to ER.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Cough
Clinical narrative: Per 1-16/20 Pc Telephone Care Note: "Patient states that he believes he has a reaction to the pneumonia shot. He states he has had a cough since receiving the shot on 12/31. Advised patient that he may have come in contact with a virus and that may be what caused the cough. His wife is sick with a cough as well which points more likely contact with a virus. Patient would like pharmacy to be notified of his issue with the pneumonia shot." This should be considered and discussed with patient if/when another pneumonia vaccine is indicated.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Adverse reaction
Clinical narrative: During a primary care appointment on 1/13/20, the patient informed his PCP that he had a "severe reaction on the palms of both hands after taking the first Shingrix injection" so did not want to receive the second injection. He did not notify PCP of this reaction until that time.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right thigh 3.5 red raised and warm area - puncture site in Center
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Headache, Hypertension, Pallor, Peripheral coldness
Clinical narrative: Patient was pale, blood pressure was high, coldness of hands, weak, headache, couldn't keep her eyes open, shaking
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Somnolence, Tremor
Clinical narrative: Patient was pale, blood pressure was high, coldness of hands, weak, headache, couldn't keep her eyes open, shaking
Age: 87.0
Sex: M
Vaccine: FLUA3, PPV, VARZOS
Symptoms: Dyskinesia, Facial pain
Clinical narrative: Two days after receiving these immunizations, patient began to experience pain in his face on the right side, where he has previously had shingles. Stated pain makes it difficult to close his mouth and patient's wife stated that he felt that it was a similar type of pain to his previous shingles infection. After consulting with the patient, it was determined that he has not had a shingles outbreak recently and the most recent was several years ago. Patient was directed to make an appointment with their primary care doctor to evaluate.
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Blood glucose increased, Blood test, Confusional state, Glycosylated haemoglobin increased, Hypertension
Clinical narrative: Patient had vaccination at 3pm, developed blurred speech & confusion at 7pm. Patient was brought to hospital to rule out stroke by patient's daughter. Bloodwork found blood sugar was elevated (400), A1C was elevated (8) and blood pressure was high. Per patient's daughter, patient received a long acting injection of triamcinolone in her back which most likely contributed to her elevated blood sugar. MRA scan found patient had multiple mini strokes. Patient is still hospitalized as of 9/4/2020.
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Magnetic resonance imaging brain abnormal, Speech disorder, Transient ischaemic attack
Clinical narrative: Patient had vaccination at 3pm, developed blurred speech & confusion at 7pm. Patient was brought to hospital to rule out stroke by patient's daughter. Bloodwork found blood sugar was elevated (400), A1C was elevated (8) and blood pressure was high. Per patient's daughter, patient received a long acting injection of triamcinolone in her back which most likely contributed to her elevated blood sugar. MRA scan found patient had multiple mini strokes. Patient is still hospitalized as of 9/4/2020.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: PATiENT WAS GIVEN VACCiNE 8-31-20 at 11:45 during office visit. By 5:30 patient Had developed arm swelling and pain. Patient was advised to take aleve for the pain and continue to monitor local site at home. If symptoms worsen contact the office.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Erythema, Injection site erythema, Injection site swelling, Peripheral swelling, Rash
Clinical narrative: Redness, swelling from shoulder to forearms on both shoulders which resolved in 48 hours. Also developed a mild red rash on the chest. Treatment was cool compress and Ibuprofen.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Rash erythematous
Clinical narrative: Redness, swelling from shoulder to forearms on both shoulders which resolved in 48 hours. Also developed a mild red rash on the chest. Treatment was cool compress and Ibuprofen.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site swelling, Musculoskeletal stiffness
Clinical narrative: arm swelling 5am and elbow swelling slight stiff for 3 days
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient had a red, warm area about one inch below flu vaccine area. Advised her to contact PCP if continues to be bothersome or painful.
Age: 29.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Fever, chills, fatigue
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Face injury, Fall, Loss of consciousness, Posture abnormal, Syncope
Clinical narrative: After giving the patient the shot, she opted to sit for 10 minutes before leaving. I watched her and saw her drop her head suddenly. Patient lost consciousness and fell to her right. She landed on her face and became tense.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Tension
Clinical narrative: After giving the patient the shot, she opted to sit for 10 minutes before leaving. I watched her and saw her drop her head suddenly. Patient lost consciousness and fell to her right. She landed on her face and became tense.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Coordination abnormal, Dizziness, Heart rate increased, Loss of personal independence in daily activities
Clinical narrative: Patient said she was very ill for 4 to 5 days and just felt a little better after 1 week. She had swollen arms, fever that she almost chip her teeth, nausea, vomiting, dizziness with bloody red eyes and increase heart rate. She was so weak that she can barely have enough coordination and energy to use her inhaler.  Her family though she had COVID but she knew it was the shot as she felt the symptoms within 3 hours after receiving the vaccines.
Age: 57.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Ocular hyperaemia, Peripheral swelling, Pyrexia, Vomiting
Clinical narrative: Patient said she was very ill for 4 to 5 days and just felt a little better after 1 week. She had swollen arms, fever that she almost chip her teeth, nausea, vomiting, dizziness with bloody red eyes and increase heart rate. She was so weak that she can barely have enough coordination and energy to use her inhaler.  Her family though she had COVID but she knew it was the shot as she felt the symptoms within 3 hours after receiving the vaccines.
Age: 77.0
Sex: F
Vaccine: FLUA4
Symptoms: Dizziness, Fatigue, Pain in extremity
Clinical narrative: Starting at approximately 4:00 pm I started to feel dizzy and very tired. Also my arm was hurting far more than other flu shots I've had in the past. These conditions lasted 3 days.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Headache, Injection site pain
Clinical narrative: Area turned red and swelled.  I had night sweating and cold chills at night for 3 nights.  During the first 2 days I had soreness at injection site and felt tired.  On the 3rd day I had some nausea and headache.   By the 4th  day and night , I felt fine.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Night sweats, Swelling
Clinical narrative: Area turned red and swelled.  I had night sweating and cold chills at night for 3 nights.  During the first 2 days I had soreness at injection site and felt tired.  On the 3rd day I had some nausea and headache.   By the 4th  day and night , I felt fine.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: headache, fever, chills, muscle aches
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: 20 minutes after vaccination, lips and tongue started to tingle and tongue swelled. Administered epi-pen and symptoms resolved. No residual effects.
Age: 87.0
Sex: F
Vaccine: PNC13
Symptoms: Injected limb mobility decreased, Injection site swelling
Clinical narrative: Severe swelling at injection site to the point that patient stated she couldn't lift her arm. Patient stated she tried ibuprofen, ice, and heat but the swelling has not gone down. I instructed the patient to stop heating the area and to start diphenhydramine in addition to ibuprofen and ice. I told her I would follow up in the next 24 hours.
Age: 69.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Fatigue, Feeling hot, Headache, Nausea, Rhinorrhoea
Clinical narrative: Severe nausea, Very tired, Headache, runny nose, hot.
Age: 29.0
Sex: M
Vaccine: FLUA4
Symptoms: Blindness, Blood glucose normal, Dizziness, Lethargy, Mydriasis
Clinical narrative: He felt faint and complained about not being able to see or loss of vision. Pupils were dilated.  Treatment: One dose of Epipen was administered.  Within minutes adverse symptoms were reversed.
Age: 29.0
Sex: M
Vaccine: FLUA4
Symptoms: Pallor, Skin warm
Clinical narrative: He felt faint and complained about not being able to see or loss of vision. Pupils were dilated.  Treatment: One dose of Epipen was administered.  Within minutes adverse symptoms were reversed.
Age: 66.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Arthralgia, Local reaction, Mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient called pharmacy 14 days after vaccinations and explained she has a local reaction of arm swelling, stiffness in the arm, pain in the shoulder/arm, has a decreased movement  and it seems to not not improved over time. She is following up with her PCP to determine the cause as it has not improved or resolved.
Age: 66.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Peripheral swelling
Clinical narrative: Patient called pharmacy 14 days after vaccinations and explained she has a local reaction of arm swelling, stiffness in the arm, pain in the shoulder/arm, has a decreased movement  and it seems to not not improved over time. She is following up with her PCP to determine the cause as it has not improved or resolved.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Erythema
Clinical narrative: Redness/brusing on arm
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Large, bumpy red rash over most of left deltoid.  Patient currently taking benadryl 25mg every 4-6 hours as tolerated. Hydrocortisone 1% cream four times daily. Patient reports no worsening of symptoms currently.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Palpitations
Clinical narrative: Pt reported chills and severe muscle aches that night.  Also Heart palpitations but had his wife take his blood pressure and it was normal.  The next day was about 2/3 as bad and took about a week to feel back to normal
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Fatigue, Headache, Injection site swelling, Tremor
Clinical narrative: Vomiting, trembling, headache, weakness, tiredness and unusual swelling at injection site.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Vomiting, trembling, headache, weakness, tiredness and unusual swelling at injection site.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient called pharmacy 2 days after receiving Pneumovax 23 and Shingrix and reported that the arm where she received the Pneumovax 23 vaccine was swollen and very sore. She stated that her other arm where the shingles vaccine was given did not have the same side effects.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Cold sweat, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Feverish, body shaking, cold sweat, nausea, dizziness, headache  from late afternoon throughout night, tiredness.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Tremor
Clinical narrative: Feverish, body shaking, cold sweat, nausea, dizziness, headache  from late afternoon throughout night, tiredness.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Rash, Rash erythematous, Rash pruritic
Clinical narrative: stomach cramps that started a few hours after the vaccination followed by diarrhea.  Itchy angry reddish bumps that started on right side (waist high) and then spread to middle back, upper right forehead, then scalp.  A few bumps also on leg.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Injection site swelling, Rash macular, Urticaria
Clinical narrative: Swelling and blotchy rash  Onsite of injection on 9/04/2020, approximately 2 hours after vaccine noticed hive  on left jaw line, left cheek under left eye and one on right hand
Age: 56.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Hypertension, Muscle tightness, Nervousness, Sensation of foreign body
Clinical narrative: Patient received both the seasonal flu vaccine and his second dose of Shingrix. Patient was fine after both shots given. He left and said he had shopping in the store. He came back about 10 minutes later stating it felt like the muscle in his neck got tense and it happened pretty quickly. He also said he felt a "lump" in his throat but was having no issues of throat closure feeling or ability to carry on a conversation. I had him sit down in the immunization chair. He was nervous and I took his blood pressure. He stated it was higher than his normal. I sat and observed him for at least 30-45 minutes (talking and rechecking his blood pressure) As time went on he felt better and blood pressure decreased. Several times I offered to call 911 but kept stating no and that he was feeling better. He eventually left stating he felt fine. I did follow up with him the next morning and he stated everything was fine and normal. He receives a flu vaccine annually and he had no reaction to the first dose of shingrix.
Age: 62.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Reported swelling, redness and more soreness than expected from flu vaccines received in previous years - 2 days after shot; redness and slight swelling still noticeable when patient returned to pharmacy - no itching or fever reported and patient did not receive any treatments
Age: 2.0
Sex: F
Vaccine: MMR, TYP
Symptoms: Asthenia, Blood glucose increased, Constipation, Decreased appetite, Dizziness
Clinical narrative: Adverse Events: Beginning in June 2019, extreme thirst, soaking diapers throughout day time, bed-wetting every night and nap time, lethargy and weakness, slow responsiveness, one seizure, vomiting,  inability to pass bowels from extreme constipation, intestinal pain, headaches, loss of appetite, dizziness and falling, weight loss of 6 pounds. Treatment: Admitted to hospital, diagnosed with type 1 diabetes, and placed on insulin. A few days later, a Celiac test revealed gluten intolerance.
Age: 2.0
Sex: F
Vaccine: MMR, TYP
Symptoms: Enuresis, Fall, Gastrointestinal pain, Gluten sensitivity, Glycosylated haemoglobin increased
Clinical narrative: Adverse Events: Beginning in June 2019, extreme thirst, soaking diapers throughout day time, bed-wetting every night and nap time, lethargy and weakness, slow responsiveness, one seizure, vomiting,  inability to pass bowels from extreme constipation, intestinal pain, headaches, loss of appetite, dizziness and falling, weight loss of 6 pounds. Treatment: Admitted to hospital, diagnosed with type 1 diabetes, and placed on insulin. A few days later, a Celiac test revealed gluten intolerance.
Age: 2.0
Sex: F
Vaccine: MMR, TYP
Symptoms: Headache, Insulin C-peptide abnormal, Lethargy, Seizure, Slow response to stimuli
Clinical narrative: Adverse Events: Beginning in June 2019, extreme thirst, soaking diapers throughout day time, bed-wetting every night and nap time, lethargy and weakness, slow responsiveness, one seizure, vomiting,  inability to pass bowels from extreme constipation, intestinal pain, headaches, loss of appetite, dizziness and falling, weight loss of 6 pounds. Treatment: Admitted to hospital, diagnosed with type 1 diabetes, and placed on insulin. A few days later, a Celiac test revealed gluten intolerance.
Age: 2.0
Sex: F
Vaccine: MMR, TYP
Symptoms: Thirst, Type 1 diabetes mellitus, Urine output increased, Vomiting, Weight decreased
Clinical narrative: Adverse Events: Beginning in June 2019, extreme thirst, soaking diapers throughout day time, bed-wetting every night and nap time, lethargy and weakness, slow responsiveness, one seizure, vomiting,  inability to pass bowels from extreme constipation, intestinal pain, headaches, loss of appetite, dizziness and falling, weight loss of 6 pounds. Treatment: Admitted to hospital, diagnosed with type 1 diabetes, and placed on insulin. A few days later, a Celiac test revealed gluten intolerance.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: Patient reported feeling tingly down her arm along with soreness after vaccination.  This began later in the evening after receiving the vaccine.  She has also experienced itching and redness.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Head injury, Headache, Pallor, Syncope
Clinical narrative: The patient become very pale , fainted twice, bumped her head on the wall as she fell. Only out for a couple of seconds. Was alert and oriented to person, place, and time as soon as she sat up. After the second time she fainted, she said her head hurt severely. Did not require an Epi-pen. Offered to call an ambulance but mom declined and contacted pediatrician. Spoke to mom a few hours later, stated a hospital visit was not needed after a phone consultation with the doctor.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Muscle twitching, Pallor, Syncope, Tinnitus
Clinical narrative: Patient became very pale after his immunization. Briefly fainted with some twitching. Came back around within a couple of seconds. Alert and oriented to person, place, and time. Said his head hurt a little and he had a little ringing in one ear. Did not require an Epi-pen. Mom declined calling an ambulance and had a phone consultation with the pediatrician. No hospital visit required.
Age: 86.0
Sex: M
Vaccine: FLU4
Symptoms: Diarrhoea, Ear infection, Fatigue, Pharyngitis
Clinical narrative: 3-4 hours after injection, extreme fatigue, explosive diarrhea,pharyngitis & L otitis all resolved overnight
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Injection site swelling, Pain
Clinical narrative: I woke up around 2:00 am in pain all over my body. I was having chills so I took my temp and it was 100.6 My left arm @ injection site was swollen bigger than a silver dollar. This swelling worsened to the size of an Apple. I phoned my doctor and was advised to take Benedryl and Tylenol for the pain.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: patient reported to the pharmacy on 08/22 with severe swelling of the left arm the spread down the length of the arm far beyond injection site, patient reported itching, pain and redness in arm, arm was hot to touch at the time. I advised patient to keep an eye on it and take acetaminophen or ibuprofen for the pain. I followed up with patient on 08/24 at which time she stated that swelling had drastically decreased, I advised her to seek medical treatment if not resolved in 2-3 days. Followed up with patient on 09/5, patient stated swelling had resolved completely within 4 days, she did not seek medical treatment and had no lasting issues from reaction.
Age: 32.0
Sex: M
Vaccine: FLUR4
Symptoms: Anxiety, Injection site pain, Paraesthesia
Clinical narrative: Patient experienced tingling in left fingers which began about 1 hour after receiving vaccine and sore arm at injection site.  No other symptoms.  Patient requested going to emergency room due to high anxiety and history of anxiety disorder
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site mass
Clinical narrative: A "lump" as described by the patient formed at the site of injection.
Age: 49.0
Sex: F
Vaccine: FLUR4
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity
Clinical narrative: PATIENT CAME BACK AFTER 14 DAY TO PEORT PAIN AND MUSCLE WEAKNESS IN THE SAME ARM AS VACCINE. PATIENT REPORTED NUMBNESS, WEAKMESS AND THROBBING PAIN IN THE ARM ALL DAY LONG. PATIENT IS SEEN BY PRIMARY CARE DOCTOR.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: arm at injection site has been red and not healed in the almost 2 years since I got shot
Age: 50.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Arthralgia, Crying, Ear pain, Grip strength decreased, Headache
Clinical narrative: Approximately 12:30 PM my left arm became stiff and painful, 5 on a scale of 1-10.  As the day progressed I could not move my arm above waist height.  As the day progressed I was unable to lift anything or even grab ahold of anything.  It was #6 on the pain scale to raise my hand to type.  Around 5:30 PM on the day of the vaccine my pain was at an 8.  I took ibuprofen 4oomg at 12:00, 1000 mg acetanubiohen at 2:00 PM.  Then at 6:00 PM I took I took 800 mg of Ibuprofen and at 8:00 I took 1500 mg Acetaminophen.  This did nothing for the pain.  It remained at an 8 most of the night.  It was very difficult to sleep or get comfortable.  The pain was in my shoulder, down my arm, and up my neck, ear, and teeth.  The pain went to a 6 on Sept 4around 8 AM with using both Ibuprofen and Acetaminophen.   I did use ice packs and heating pad, but that did not help.  I was also very nauseous, had a head ache, and could not stop crying.  Today is Saturday, August 5.  The pain is down to a 3 or 4.  Heat helps, but everytime I think of the severe pain I start to cry.  It was so horrible.  I will never get that shot again.
Age: 50.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injected limb mobility decreased, Insomnia, Musculoskeletal stiffness, Nausea, Neck pain
Clinical narrative: Approximately 12:30 PM my left arm became stiff and painful, 5 on a scale of 1-10.  As the day progressed I could not move my arm above waist height.  As the day progressed I was unable to lift anything or even grab ahold of anything.  It was #6 on the pain scale to raise my hand to type.  Around 5:30 PM on the day of the vaccine my pain was at an 8.  I took ibuprofen 4oomg at 12:00, 1000 mg acetanubiohen at 2:00 PM.  Then at 6:00 PM I took I took 800 mg of Ibuprofen and at 8:00 I took 1500 mg Acetaminophen.  This did nothing for the pain.  It remained at an 8 most of the night.  It was very difficult to sleep or get comfortable.  The pain was in my shoulder, down my arm, and up my neck, ear, and teeth.  The pain went to a 6 on Sept 4around 8 AM with using both Ibuprofen and Acetaminophen.   I did use ice packs and heating pad, but that did not help.  I was also very nauseous, had a head ache, and could not stop crying.  Today is Saturday, August 5.  The pain is down to a 3 or 4.  Heat helps, but everytime I think of the severe pain I start to cry.  It was so horrible.  I will never get that shot again.
Age: 50.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Pain, Pain in extremity, Toothache
Clinical narrative: Approximately 12:30 PM my left arm became stiff and painful, 5 on a scale of 1-10.  As the day progressed I could not move my arm above waist height.  As the day progressed I was unable to lift anything or even grab ahold of anything.  It was #6 on the pain scale to raise my hand to type.  Around 5:30 PM on the day of the vaccine my pain was at an 8.  I took ibuprofen 4oomg at 12:00, 1000 mg acetanubiohen at 2:00 PM.  Then at 6:00 PM I took I took 800 mg of Ibuprofen and at 8:00 I took 1500 mg Acetaminophen.  This did nothing for the pain.  It remained at an 8 most of the night.  It was very difficult to sleep or get comfortable.  The pain was in my shoulder, down my arm, and up my neck, ear, and teeth.  The pain went to a 6 on Sept 4around 8 AM with using both Ibuprofen and Acetaminophen.   I did use ice packs and heating pad, but that did not help.  I was also very nauseous, had a head ache, and could not stop crying.  Today is Saturday, August 5.  The pain is down to a 3 or 4.  Heat helps, but everytime I think of the severe pain I start to cry.  It was so horrible.  I will never get that shot again.