chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Dyspnoea, Endotracheal intubation, Loss of consciousness, Mechanical ventilation, Nausea
Clinical narrative: WOKE UP NEXT DAY NAUSEOUS AND UPSET STOMACH, FOLLOWED BY DRY HEAVES NEXT DAY, DAY 3 TOOK TO ER AS I WAS CONCERNED ABOUT DEHYDRATION. BECAME DISORIENTED, DELIRIOUS, BREATHING COMPROMISED, INTUBATED, AMONIA LEVEL 188, UNCONSCIOUS FOR 5 DAYS ON VENTILATOR.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Retching
Clinical narrative: WOKE UP NEXT DAY NAUSEOUS AND UPSET STOMACH, FOLLOWED BY DRY HEAVES NEXT DAY, DAY 3 TOOK TO ER AS I WAS CONCERNED ABOUT DEHYDRATION. BECAME DISORIENTED, DELIRIOUS, BREATHING COMPROMISED, INTUBATED, AMONIA LEVEL 188, UNCONSCIOUS FOR 5 DAYS ON VENTILATOR.
Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Peripheral swelling
Clinical narrative: Vaccines were given in the same arm per patient request due to lymphectomy. They were given more than an inch apart. AFLUARIA on the right of the left arm and Pneumoncoccal on the left of the left arm. She stated that that evening her arm swelled up very large. The next day she went to the doctor and the swelling had increase to her elbow. Her diagnosis by the Doctor was cellulitis.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: On Monday after receiving the high-dose flu vaccine on the previous Friday afternoon via intramuscular injection in her left arm, pt began experiencing severe illness symptoms that persisted and worsened through the rest of the week. These symptoms included a fever of 101-102, chills, excessive sweating, nausea, vomiting, diarrhea, chronic headache, severe weakness (to the point she was unable to stand or raise herself out of bed on 2-3 occasions), coma-like sleepiness (could not stay awake for more than a few minutes at a time and would sleep deeply without awakening or even stirring at all for hours and hours at a time). Another symptom, either separate or resulting from aforementioned, was severe loss of appetite - was unable to eat more than a bite or two 2-3x/day for 3+  days. As of the following Friday (1 week after the injection), pt was still suffering most of these symptoms , especially exhaustion and nausea.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Hyperhidrosis, Nausea, Pyrexia, Somnolence
Clinical narrative: On Monday after receiving the high-dose flu vaccine on the previous Friday afternoon via intramuscular injection in her left arm, pt began experiencing severe illness symptoms that persisted and worsened through the rest of the week. These symptoms included a fever of 101-102, chills, excessive sweating, nausea, vomiting, diarrhea, chronic headache, severe weakness (to the point she was unable to stand or raise herself out of bed on 2-3 occasions), coma-like sleepiness (could not stay awake for more than a few minutes at a time and would sleep deeply without awakening or even stirring at all for hours and hours at a time). Another symptom, either separate or resulting from aforementioned, was severe loss of appetite - was unable to eat more than a bite or two 2-3x/day for 3+  days. As of the following Friday (1 week after the injection), pt was still suffering most of these symptoms , especially exhaustion and nausea.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: On Monday after receiving the high-dose flu vaccine on the previous Friday afternoon via intramuscular injection in her left arm, pt began experiencing severe illness symptoms that persisted and worsened through the rest of the week. These symptoms included a fever of 101-102, chills, excessive sweating, nausea, vomiting, diarrhea, chronic headache, severe weakness (to the point she was unable to stand or raise herself out of bed on 2-3 occasions), coma-like sleepiness (could not stay awake for more than a few minutes at a time and would sleep deeply without awakening or even stirring at all for hours and hours at a time). Another symptom, either separate or resulting from aforementioned, was severe loss of appetite - was unable to eat more than a bite or two 2-3x/day for 3+  days. As of the following Friday (1 week after the injection), pt was still suffering most of these symptoms , especially exhaustion and nausea.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Pallor, Vomiting
Clinical narrative: Shortly after vaccination, the patient "lost color" and "felt faint" as reported by her mother. She was not diaphoretic. BP= 130/90, P= 80. She leaned over and vomited a small amount, color returned and she felt better after approx 15 minutes.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Hypersensitivity, Peripheral swelling, Pruritus generalised, Swelling face
Clinical narrative: The patient presented to the pharmacy with complaints of all over itching which she believed was caused by the flu vaccine. She recalls this same thing happening last year around this same time after she received her flu shot. We went over possible causes and I recommended her to start on Benadryl to help with the allergic reaction. She came back again two days later and the itching had gotten progressively worse and her hands and face had started to swell. I tried to call her PCP but they could not see her or offer any help. At this point I told her she needed to go to a med-stop. They gave her an oral steroid and the itching began to subside.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Angioedema, Erythema multiforme, Full blood count normal, Glossodynia, Injection site vesicles
Clinical narrative: Angioedema to the lips, painful ulcerations on the tongue and ulcerations to the posterior oropharynx starting 4 days after the flu shot. Also with 3 mm erythematous macules on the palms. Large local reaction at the shot site and small bullae in the inferior aspect of the shot site on left upper arm. Rash most consistent with erythema multiforme. Additionally she had completed a course of BACTRIM a few days prior to the flu shot and prior to rash development.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Local reaction, Metabolic function test normal, Oropharyngeal pain, Pharyngeal ulceration, Rash macular
Clinical narrative: Angioedema to the lips, painful ulcerations on the tongue and ulcerations to the posterior oropharynx starting 4 days after the flu shot. Also with 3 mm erythematous macules on the palms. Large local reaction at the shot site and small bullae in the inferior aspect of the shot site on left upper arm. Rash most consistent with erythema multiforme. Additionally she had completed a course of BACTRIM a few days prior to the flu shot and prior to rash development.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Tongue ulceration
Clinical narrative: Angioedema to the lips, painful ulcerations on the tongue and ulcerations to the posterior oropharynx starting 4 days after the flu shot. Also with 3 mm erythematous macules on the palms. Large local reaction at the shot site and small bullae in the inferior aspect of the shot site on left upper arm. Rash most consistent with erythema multiforme. Additionally she had completed a course of BACTRIM a few days prior to the flu shot and prior to rash development.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: PATIENT REPORTS THAT BY EVENING OF THE DAY OF INJECTION, INJECTION SITE FELT HARD, WAS STARTING TO TURN RED, FELT WARM AND WAS PAINFUL. TWO DAYS FOLLOWING INJECTION PATIENT WAS SEEN AND REDNESS HAD PROGRESSED THE ENTIRE LENGTH OF ARM.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Pyrexia
Clinical narrative: Patient got a 1/2 dollar size red knot at immediate injection site about 48 hours after the injection. Redness progressed to cover bicep and tricep area and had fever, which subsided after about 48 hours. The knot at the immediate injection site lasted about 3 weeks. As of 11-10-17 there was still visible redness at the immediate injection site but no swelling. Patient did not feel bad physically.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Muscular weakness, Myalgia
Clinical narrative: Muscle soreness and weakness, beginning several hours after injection and lasting until evening.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: Patient said in 5-8 days after getting shot, he developed pain radiating down arm, in bicep and tricep and shoulder.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Cough, Dysstasia, Feeling hot
Clinical narrative: Within 15 minutes I began to have shaking chills. I felt weak and went to bed immediately when arriving home and covered with multiple blankets. I continued to shake constantly for the first hour or so and then remaining cold, periodic shaking for a total of 3 hours. Then I became burning hot, had nausea, headache, general body aches and pains, weakness to the point where I felt like I couldn't stand up. After another 3 hours I got out of bed for a couple of hours and tried to eat some oatmeal, getting some of it down. The serious coughing continues. I did sleep waking up 4 times during the night with coughing spells. Today I am still having periodic shaking chills even with extra clothing and turning the heat in our unit up. Thus far today I have had a piece of toast and a cup of milk.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pain, Sleep apnoea syndrome, Tremor
Clinical narrative: Within 15 minutes I began to have shaking chills. I felt weak and went to bed immediately when arriving home and covered with multiple blankets. I continued to shake constantly for the first hour or so and then remaining cold, periodic shaking for a total of 3 hours. Then I became burning hot, had nausea, headache, general body aches and pains, weakness to the point where I felt like I couldn't stand up. After another 3 hours I got out of bed for a couple of hours and tried to eat some oatmeal, getting some of it down. The serious coughing continues. I did sleep waking up 4 times during the night with coughing spells. Today I am still having periodic shaking chills even with extra clothing and turning the heat in our unit up. Thus far today I have had a piece of toast and a cup of milk.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Flu shot- swollen and painful armpit lymph nose in arm where shot was given.
Age: 54.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Symptoms: Extreme pain in right shoulder area starting the morning of 11/10/17 Signs: Redness at injection site Treatment from Dr. includes starting corticosteroids Unknown outcome.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Facial paralysis, Hypoaesthesia oral, Neurological examination abnormal
Clinical narrative: 10/30 received vaccine. 11/2 tongue was numb. 11/5 Bell's Palsy symptoms L side of face. 11/6 to MD, medications initiated, diagnosis of Bell's Palsy.
Age: 69.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Dizziness, Erythema, Fatigue, Peripheral swelling, Skin warm
Clinical narrative: Patient stated she was extremely fatigued, light-headed. Her left arm was very red, swollen and warm to the touch. When she presented to our pharmacy she stated her arm looked much better than the day prior. She stated also that she contacted her doctor the day prior and the doctor told her to use cold compresses.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Pain in extremity
Clinical narrative: Patient Reported extremely sore arm and temperature 101. Red / hot to the touch at site of injection.  Very painful. She called back 2 days later and said the pain was still bad getting a little better but had spread to her shoulder and down to elbow. Redness still there and spread from injection site all around bicep / deltoid. She is taking Tylenol for pain.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site erythema, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: PT SAID BEGAN HAVING NAUSEA THE EVENING AFTER IMMUNIZATIONS AND BEGAN RUNNING A FEVER OF 102 DURING THE NIGHT. SHE CONTINUED TO FEEL VERY NAUSEOUS THE NEXT FEW DAYS.  FEELING A LITTLE BETTER BY TODAY.  SHE ALSO SAID HER RIGHT ARM WAS VERY SORE THAT NIGHT AND BY MORNING IT WAS SWELLED AND REALLY RED DOWN FROM WHERE PNEUMOVAX WAS GIVEN. THE SWELLING HAD GONE DOWN MOSTLY WHEN SHE CAME IN TODAY, BUT THERE WAS STILL SOME REDNESS.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Within 24 hours of vaccine, patient awoke at 3am with pain in the back of her left arm. Within 30 minutes, that pain had radiated to the inside of her arm, up to her axilla. She visited her primary care physician 2 days later, and was treated.
Age: 30.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient received FLUCELVAX flu shot per vaccine protocol around 5:00 pm. Patient seemed relaxed and alert while giving shot. About 15 minutes after patient received shot, she became very sweaty and started feeling faint. The patient did not faint. She stated her tank top was soaked through with sweat though. She sat down inside our facility. I brought her a glass of water and some candy. She started feeling better and felt "close to normal" after about 15 minutes. Pt. stayed seated for about an additional 20 minutes.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Chest pain, Eye irritation, Eye swelling, Lung disorder
Clinical narrative: Approximately 3 hours after the vaccination my eyes were burning, felt like they had sandpaper in them and felt swollen. Approximately 4 hours after the vaccination in addition to previously described eye problems, my chest felt on fire and while I wasn't in breathing distress felt like I had an upper respiratory cold (chest felt tight and burned). Approximately 19 hours (next morning) my eyes were bright red and swollen, my lungs felt compromised and my face was swollen (Oculo-respiratory syndrome describes symptoms). Approximately 29 hours after the vaccination, my eyes are still red but not as swollen, my chest is starting to feel normal and the edema in my face is lessening.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Ocular hyperaemia, Oculorespiratory syndrome, Swelling face
Clinical narrative: Approximately 3 hours after the vaccination my eyes were burning, felt like they had sandpaper in them and felt swollen. Approximately 4 hours after the vaccination in addition to previously described eye problems, my chest felt on fire and while I wasn't in breathing distress felt like I had an upper respiratory cold (chest felt tight and burned). Approximately 19 hours (next morning) my eyes were bright red and swollen, my lungs felt compromised and my face was swollen (Oculo-respiratory syndrome describes symptoms). Approximately 29 hours after the vaccination, my eyes are still red but not as swollen, my chest is starting to feel normal and the edema in my face is lessening.
Age: 100.0
Sex: M
Vaccine: FLU3
Symptoms: Computerised tomogram normal, Eye movement disorder, Gait inability, Guillain-Barre syndrome, Laboratory test normal
Clinical narrative: Patient stated that around 8 pm he started having violent tremors. Later at 1:00 am he got up to go to the bathroom and when he went to return to bed he could not walk. He had to be carried by his son.  Later at 7 am he got up and was able to walk around. Then at 8 am when eating breakfast he (according to his son) completely froze, he couln't move, talk, and had no eye movement. His son had to scream at him to tell him to breathe. They called 911 and we ended staying in the hospital for 4 days. They checked his vitals, which were ok. He had an MRI, CAT scan, and EEG which all came back normal. He was diagnosed with seizures and prescribed Keppra. He had a bad reaction to the Keppra and stopped taking it. He went to a neurologist who diagnosed him with Guillan-Barre and that his reaction was due to the vaccines. (He also received pneumovax 23).
Age: 100.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging normal, Paralysis, Seizure, Speech disorder, Tremor
Clinical narrative: Patient stated that around 8 pm he started having violent tremors. Later at 1:00 am he got up to go to the bathroom and when he went to return to bed he could not walk. He had to be carried by his son.  Later at 7 am he got up and was able to walk around. Then at 8 am when eating breakfast he (according to his son) completely froze, he couln't move, talk, and had no eye movement. His son had to scream at him to tell him to breathe. They called 911 and we ended staying in the hospital for 4 days. They checked his vitals, which were ok. He had an MRI, CAT scan, and EEG which all came back normal. He was diagnosed with seizures and prescribed Keppra. He had a bad reaction to the Keppra and stopped taking it. He went to a neurologist who diagnosed him with Guillan-Barre and that his reaction was due to the vaccines. (He also received pneumovax 23).
Age: 100.0
Sex: M
Vaccine: FLU3
Symptoms: Vaccination complication
Clinical narrative: Patient stated that around 8 pm he started having violent tremors. Later at 1:00 am he got up to go to the bathroom and when he went to return to bed he could not walk. He had to be carried by his son.  Later at 7 am he got up and was able to walk around. Then at 8 am when eating breakfast he (according to his son) completely froze, he couln't move, talk, and had no eye movement. His son had to scream at him to tell him to breathe. They called 911 and we ended staying in the hospital for 4 days. They checked his vitals, which were ok. He had an MRI, CAT scan, and EEG which all came back normal. He was diagnosed with seizures and prescribed Keppra. He had a bad reaction to the Keppra and stopped taking it. He went to a neurologist who diagnosed him with Guillan-Barre and that his reaction was due to the vaccines. (He also received pneumovax 23).
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Dizziness, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: Pt came in 11/10 and explained that 1 hr after receiving the flu shot on 11/8 she began to feel very sick. On that evening, she presented with a fever, dizziness, and chest pain. She said that these adverse reactions were present throughout the night. The next day, the chest pain were no longer present. She said that she began to have a sore throat and a fever on 11/9 with dizziness still present. She claimed that she may have been dehydrated and has been trying to actively rehydrate. Today 11/10, patient is claiming to be still dizzy, and has a sore throat. I informed the pt that the flu shot that she had received is an inactivated vaccine and should not get sick from it. I asked the patient if she had seen a doctor for her condition. She said no. I suggested to the patient to consult with a physician regarding her condition and to call the pharmacy tomorrow to update us on how she is doing. She took a business card and went home.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site swelling, Injection site warmth
Clinical narrative: Patient described swelling, heat, and redness at the site of injection. She also complained of a hard knot at the site. She said that her arm was so sore she could hardly lift it. She said that most of the reaction seemed to be slightly below the injection site. She visited her dr 2 days after presentation of reaction. Dr said there was an infection at the injection site but it did not appear to be cellulitis. Dr advised patient to apply ice packs and watch the area. Dr prescribed antibiotics to be taken in the event that the infection did not improve over the next couple of days.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient described swelling, heat, and redness at the site of injection. She also complained of a hard knot at the site. She said that her arm was so sore she could hardly lift it. She said that most of the reaction seemed to be slightly below the injection site. She visited her dr 2 days after presentation of reaction. Dr said there was an infection at the injection site but it did not appear to be cellulitis. Dr advised patient to apply ice packs and watch the area. Dr prescribed antibiotics to be taken in the event that the infection did not improve over the next couple of days.
Age: 8.0
Sex: F
Vaccine: HEPA
Symptoms: Confusional state, Feeling abnormal
Clinical narrative: After leaving our office she was feeling fine but by the time they got home (about a 10min drive) she seemed dazed, was unable to figure out how to get out of the car; she was responsive but seemed confused about the previous events. Once they got inside mom gave her a popsicle and a blanket on the couch and called our office. She did not have any swelling of the lips or tongue, no resp distress, no rashes. She was responsive to mom but per mom was spacey and not herself. I followed up with mom the next morning and by 5:30p that night patient "snapped out of if" and seemed normal. She ate dinner, went to bed and woke up feeling fine this morning. These are similar symptoms that she exhibited after receiving the first Hepatitis A vaccine at age 3 years and the first MMR vaccine at age 3 years. She has received other vaccines both before and after age three without any adverse reactions.
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: The patient received the immunization on 10/21/2017. He was complaining that the injection site muscle was still sore on 11/10/2017.
Age: 92.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient caregiver reports large area of swelling which has hot to touch. Red in coloration with pick spots. Patient caregiver contacted primary care provider for advice. PCP advised if not resolved or resolving by 11-10-2017, then patient was to come in to be seen. No follow contact from patient caregiver today, 11/10/2017.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: Autoscopy, Chest X-ray, Chills, Crying, Dizziness
Clinical narrative: Fever, chills, uncontrollable laughing/crying, out of body experience- 2 hours post vaccination x 8 hours. Extreme nausea, dizziness, fever - 3 days post vaccination. Uncontrollable laughing/crying, chills, fever - 6-8 days post vaccination. PCP visit for symptoms. Given ZOFRAN for nausea - 5 days post vaccination. Out of work and school x 2 days.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: Influenza virus test, Loss of personal independence in daily activities, Nausea, Pyrexia
Clinical narrative: Fever, chills, uncontrollable laughing/crying, out of body experience- 2 hours post vaccination x 8 hours. Extreme nausea, dizziness, fever - 3 days post vaccination. Uncontrollable laughing/crying, chills, fever - 6-8 days post vaccination. PCP visit for symptoms. Given ZOFRAN for nausea - 5 days post vaccination. Out of work and school x 2 days.
Age: 0.92
Sex: M
Vaccine: FLU4, MMRV, PNC13, VARCEL
Symptoms: Blister, Pyrexia, Rash pustular, Rhinorrhoea, Scab
Clinical narrative: Full blown case of chicken pox including fever for 3+ days, runny nose, and pox everywhere including every extremity, face, lips, inside mouth, and trunk. Took "normal" course of virus so far (we are on day 4 of pox development).  Every day # of pox and distribution has increased. Old pox blister and then scab while new pox pop out.
Age: 0.92
Sex: M
Vaccine: FLU4, MMRV, PNC13, VARCEL
Symptoms: Varicella post vaccine
Clinical narrative: Full blown case of chicken pox including fever for 3+ days, runny nose, and pox everywhere including every extremity, face, lips, inside mouth, and trunk. Took "normal" course of virus so far (we are on day 4 of pox development).  Every day # of pox and distribution has increased. Old pox blister and then scab while new pox pop out.
Age: 44.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Limb mass, Pain in extremity, Skin warm
Clinical narrative: Lump in arm, sore, extreme heat and red.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Malaise, Musculoskeletal pain
Clinical narrative: Patient stated that she was not doing well after getting her shot. She complained of excessive pain in her shoulder. She was concerned that the shot was given too high on the arm and may be causing the pain. She does not believe the shot was administered into her muscle, she thinks it was too high to be her deltoid muscle.
Age: 57.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Within 6 hours patient had soreness, hot to touch, and redness. Her Dr. did not think it was infected and did not think there was any tissue damage, just some kind of reaction. The dr. did start antibiotics just in case.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient reports still having arm pain and trouble extending and putting on seat belt or reaching to back of kitchen cabinet.
Age: 76.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Mobility decreased, Pain
Clinical narrative: PATIENT CAME TO PHARMACY TO PICK UP A RX ON 11/10/17 AND I ASKED HER HOW SHE WAS DOING TODAY SO SHE STARTED COMPLAINING ABOUT THE PREVNAR SHOT THAT WAS GIVEN TO HER ON 10/14/17. PATIENT CLAIMS THAT  SHE COULD NOT MOVE HER ARM SINCE THEN AND DR HAS BEEN TRYING TO TREAT HER SINCE THEN. SHE STATED THAT SHE IS BETTER NOW AND SHE IS MOVING HER ARM BETTER. SHE ALSO STATED THAT THE DR WROTE HER A RX FOR TOPAMAX TO TREAT THE PAIN. BY LOOKING IN HER PROFILE, PATIENT WAS PRESCRIBED TROKENDI (TOPIRAMATE ER) ON 9/28/17 WHICH IS MORE THAN 2 WEEKS BEFORE THE SHOT WAS GIVEN.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Patient called pharmacy and wanted to let us know her arm was red and itchy. She was going to call MD as well.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient's left arm was red and swollen. I recommend take acetaminophen or ibuprofen for the pain. I also recommend use over the counter hydrocortisone cream for the redness. I told patient to let her primary doctor know regarding the adverse event.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site reaction, Urticaria
Clinical narrative: Patient seen at clinic, reported to have "rash" on her upper arm, at site of injection. When seen rash noted to have primary raised welt surrounded by slightly lighter red flush redness. Patient was assessed by primary care physicians. Dr. prescribed a topical steroid and also an antibiotic.
Age: 35.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Moderate swelling, redness, and heat. Developed after moderate activity.
Age: 69.0
Sex: F
Vaccine: FLUA3
Symptoms: Eye operation, Hypoaesthesia, Injection site pain, Pain, Pain in extremity
Clinical narrative: Persistent Arm Pain:muscle  ache in area of injection, worse with exercise, & flexing arm, also, during eye surgery 11/1/17, blood pressure cuff on left arm (caution on right arm because of right side breast cancer) left arm became extremely achy, hand was ice cold and numb. Going to face second arm surgery 11/15/17.
Age: 69.0
Sex: F
Vaccine: FLUA3
Symptoms: Peripheral coldness, Procedural complication
Clinical narrative: Persistent Arm Pain:muscle  ache in area of injection, worse with exercise, & flexing arm, also, during eye surgery 11/1/17, blood pressure cuff on left arm (caution on right arm because of right side breast cancer) left arm became extremely achy, hand was ice cold and numb. Going to face second arm surgery 11/15/17.
Age: 51.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Injection site pain, Malaise, Pain
Clinical narrative: Got the shot at 10:45 am and about 6:00 the injection site began to hurt very badly. The next day at 4:00 PM other body parts began to ache, chills, overall sick feeling.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenopia, Chills, Feeling abnormal, Urticaria
Clinical narrative: Pt received Flu shot on Wednesday (11/1/2017) and by Friday she reports having chills, heavy eyelids, hives symmetrically of the lower body, "felt like a truck hit her" . Patient reports symptoms remaining severe for 3 days (Friday-Sunday), but by Monday started to feel better and improved somewhat every day until the symptoms subsided when she contacted the pharmacy on 11/10/17.
Age: 1.25
Sex: M
Vaccine: TDAP
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Mistakenly administered TDaP rather than DTaP to this patient. Completely asymptomatic.
Age: 76.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Right arm swelled from elbow down to hand. Did not have swelling above the elbow. Red. Patient went to emergency room and received doxycycline hyclate 100mg once daily for 10 days.  Fully resolved, recovering well.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Dyskinesia, Pallor, Presyncope, Syncope
Clinical narrative: PATIENT WAS GIVEN A FLU SHOT AROUND 1:15 PM ON 11/10/17. ABOUT 30 SECONDS AFTER VACCINATION, PATIENT FAINTED ON THE CHAIR, SKIN LOOKS PALE, AND HAD SOME JERKY, ABNORMAL MOVEMENTS. OFFERED TO CALL AMBULANCE BUT DAD DECLINED. ACCORDING TO DAD, SIMILAR EVENT HAD HAPPENED BEFORE WHEN SHE HAD IMMUNIZATION OR BLOOD WORK DONE. DAD MENTIONED IT WAS LIKE VASOVAGAL FAINTING EPISODE. BLOOD PRESSURE WAS 107/58, PULSE 63 WITH BLOOD OXYGEN SATURATION OF 99%. PT WAS GIVEN ORANGE JUICE AND WAS OBSERVED IN THE CONSULTATION ROOM FOR 20 MINUTES UNTIL MOM ARRIVES, THEN BOTH PARENTS CARRIED PATIENT OUT OF THE PHARMACY. PHARAMCIST INFORMED PATIENT'S PEDIATRICIAN. RPH FOLLOWED UP WTIH FAMILY MEMBER 1 HOUR AFTER THE EVENT, PT WAS HOME WITH BOTH PARETNS RESTING.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Rash, Rash erythematous, Tenderness
Clinical narrative: 24 hours after receiving the vaccine, patient states that her arm was very sore to the touch and to move. It was sore from her shoulder to her elbow. She also noticed a red rash from her shoulder to her elbow which lasted about 24 hours. She stated that after two days it was mostly gone, barely visible. She did not seek medical attention and says she is perfectly fine now.
Age: 50.0
Sex: U
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness and itching at Injection site.
Age: 64.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Headache, Injection site erythema, Injection site swelling, Musculoskeletal stiffness, Neck pain
Clinical narrative: Pt. woke up at night 11 pm with soreness, and fever, stiffness in left arm/should and leg. Said left arm feels almost paralyzed. Site of injection red and swollen. Pt. also complaint of severe headache and neck ache. Now getting better after 3 days. (11/9/17).
Age: 64.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Pain, Pyrexia
Clinical narrative: Pt. woke up at night 11 pm with soreness, and fever, stiffness in left arm/should and leg. Said left arm feels almost paralyzed. Site of injection red and swollen. Pt. also complaint of severe headache and neck ache. Now getting better after 3 days. (11/9/17).
Sex: U
Vaccine: HPV9
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects reported; An unknown number of unspecified patients have been administered doses of vaccines that were improperly stored; This spontaneous report as received from a physician refers to an 11 year old patient of unknown gender. No information on the patient's concurrent conditions, medical history and concomitant medications was reported. On 01-JUL-2017, the patient was vaccinated with an improperly stored hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) lot # M043731, expiry date 22-JUN-2019 (dose, route of administration were not provided). Data logger was not involved. No adverse event was reported. This is one of several reports received from the same reporter.; Sender's Comments:  US-009507513-1709USA012770: US-009507513-1709USA012767: US-009507513-1709USA012768: US-009507513-1709USA012769: US-009507513-1709USA012765: US-009507513-1709USA007325: US-009507513-1709USA012766:
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site mass, Pain
Clinical narrative: Pt has dark, baseball size lump, arm senstive to lift starting 2 days after at injection site.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Dry eye, Eye pain, Eyelid oedema, Headache, Lacrimation increased
Clinical narrative: I had the flu vaccine around 1:30 pm yesterday, Nov. 10. I woke up a little before 5 am this morning, Nov. 11, with painful and watering eyes and a bad headache. I got up and found that both eyes are red, swollen nearly half shut, painful, dry/scratchy and so constantly watering (which leads to constantly blowing my nose). I had so much trouble trying to read the morning newspaper that I had to give up. It is now going on 8 am and after taking ibuprofen my eyes are watering less, although still dry and red, and my headache is less, although both head and eyes still hurt. I am recently retired from decades of working in a hospital, I've always had a flu shot at work and never once had an adverse reaction from a flu vaccine given at the hospital. That being said, about 4 or 5 years ago I did have a flu vaccine at pharmacy and had the same reactions that I am having today. I would love to know if pharmacies use a different (as in lesser quality) flu shot then hospitals. It makes no sense to have these dramatic side effects only twice - both times after using a pharmacy for the vaccine while having zero side effects for thirty years of hospital provided vaccine. Last time the symptoms went away in about 24 hours. So I will seek no medical treatment to see if this also goes away within 24 hours or so.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Ocular hyperaemia, Reading disorder, Rhinorrhoea
Clinical narrative: I had the flu vaccine around 1:30 pm yesterday, Nov. 10. I woke up a little before 5 am this morning, Nov. 11, with painful and watering eyes and a bad headache. I got up and found that both eyes are red, swollen nearly half shut, painful, dry/scratchy and so constantly watering (which leads to constantly blowing my nose). I had so much trouble trying to read the morning newspaper that I had to give up. It is now going on 8 am and after taking ibuprofen my eyes are watering less, although still dry and red, and my headache is less, although both head and eyes still hurt. I am recently retired from decades of working in a hospital, I've always had a flu shot at work and never once had an adverse reaction from a flu vaccine given at the hospital. That being said, about 4 or 5 years ago I did have a flu vaccine at pharmacy and had the same reactions that I am having today. I would love to know if pharmacies use a different (as in lesser quality) flu shot then hospitals. It makes no sense to have these dramatic side effects only twice - both times after using a pharmacy for the vaccine while having zero side effects for thirty years of hospital provided vaccine. Last time the symptoms went away in about 24 hours. So I will seek no medical treatment to see if this also goes away within 24 hours or so.
Age: 65.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported redness, some swelling, warmth, in right arm where prevnar was given. Went to doctor & was diagnosed with cellulitis. Was given a prescription for Keflex. Patient reports improvement after 2 days of antibiotic therapy.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Decreased appetite, Dizziness
Clinical narrative: Sore stiff legs and arms, headaches, fever, stomach ache, nausea, vomiting, dizziness, restlessness, lack of sleep, loss of appetite.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Insomnia, Laboratory test, Lumbar puncture, Musculoskeletal stiffness
Clinical narrative: Sore stiff legs and arms, headaches, fever, stomach ache, nausea, vomiting, dizziness, restlessness, lack of sleep, loss of appetite.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Pyrexia, Restlessness, Vomiting
Clinical narrative: Sore stiff legs and arms, headaches, fever, stomach ache, nausea, vomiting, dizziness, restlessness, lack of sleep, loss of appetite.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: PATIENT GOT VACCINATED ON 11/7/2017 AFTERNOON AND HAD VOMITING THE SAME NIGHT. SHE HAD FEVER OF 100.5F. THE NEXT DAY SHE DEVELOPED RASHES ON HER WRIST AND ANKLE AND TOOK BENADRYL FOR 2 NIGHTS. TALKED TO HER ON 11/9, 11/10 AND 11/11. SHE IS DOING GOOD NOW AND DOES NOT HAVE ANY RASHES ANYMORE.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Insomnia
Clinical narrative: Since receiving my flu shot I am having severe pain in my right shoulder that is making it difficult to sleep. My range of motion is limited and the pain is sharp.
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Myalgia, Peripheral swelling, Ultrasound scan normal
Clinical narrative: 2 days after immunization for the flu the patient developed redness and swelling of his left lower calf - he was evaluated for a DVT with US which was negative and then was placed on doxycycline for suspected cellulitis - symptoms worsened over the next 2 days and he was again checked for DVT of the left leg - the redness and swelling along with aching muscles traveled up his left leg into the thigh and over to the right thigh. His antibiotic was D/C'd and a new antibiotic cefdinir was ordered - he took this for 1 day and saw no improvement - this was day 4 - on day 6 all symptoms were getting better and meds were completely stopped and by day 8 all symptoms were resolved.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Hyperhidrosis, Nausea, Presyncope
Clinical narrative: Patient has vasovagal episode, sweating, nausea, dizziness. No loss of consciousness or syncope.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Impaired work ability, Injected limb mobility decreased, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Sharp and persistent pain at the point of injection that began exactly 12 days after the injection. I had the usual 2 days of tender soreness usually associated with the injection, and experienced no symptoms of any form until 12 days later. It has been 4 weeks since the pain started, and it has not abated or changed. The pain is sharp, my arm is very stiff and weak. The pain is centered where the flu shot was administered. The range of motion of my arm is  limited, making dressing quite difficult.  The pain has resulted in the inability to get more than a few hours of sleep a night,  and that lack of sleep is impacting performance in the workplace. The pain has made me  unable to participate in the exercise I used to rely on to help maintain mental and physical health.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness, Musculoskeletal stiffness
Clinical narrative: Sharp and persistent pain at the point of injection that began exactly 12 days after the injection. I had the usual 2 days of tender soreness usually associated with the injection, and experienced no symptoms of any form until 12 days later. It has been 4 weeks since the pain started, and it has not abated or changed. The pain is sharp, my arm is very stiff and weak. The pain is centered where the flu shot was administered. The range of motion of my arm is  limited, making dressing quite difficult.  The pain has resulted in the inability to get more than a few hours of sleep a night,  and that lack of sleep is impacting performance in the workplace. The pain has made me  unable to participate in the exercise I used to rely on to help maintain mental and physical health.
Age: 46.0
Sex: M
Vaccine: DTAP
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Firstly, I have no idea which of the various DTAPs in that drop down is the correct one. Symptoms: some extreme pain in both arms shoulders, worse near the joints.
Age: 60.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: RAISED RED AREA IN AND AROUND THE SITE OF INJECTION. WITHIN 24 HOURS SYMPTOMS OF REDNESS BEGAN AND SPREAD TO A RADIUS FROM INJECTION SITE OF APPROXIMATELY 4 -5 INCHES. MARGINS ASYMMETRIC. SLIGHTLY RAISED.
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Eye pruritus, Hypersensitivity, Ocular hyperaemia, Pruritus
Clinical narrative: About 6hrs after injection allergic reaction that appeared were Red itchy hives in crease of both arms, slight swelling of cheeks under eyes. After about 2hrs face swelling and rash slightly dissipated. Upon waking the next morning around 9am rash and itchiness has spread up and down Arm. Took a shower around 1pm and the rashes redness on arms had disappeared by about 50%.
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: About 6hrs after injection allergic reaction that appeared were Red itchy hives in crease of both arms, slight swelling of cheeks under eyes. After about 2hrs face swelling and rash slightly dissipated. Upon waking the next morning around 9am rash and itchiness has spread up and down Arm. Took a shower around 1pm and the rashes redness on arms had disappeared by about 50%.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Malaise, Seizure
Clinical narrative: Pt's wife reported seizure occurring at home 2 hours after vaccine was administered. Reported illness 2 days following immunization.
Age: 59.0
Sex: M
Vaccine: FLUC4
Symptoms: Blood pressure decreased, Cold sweat, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Prior to the vaccination, it seemed as if the patient was a nervous about getting the vaccination because he stated he had never received a "flu" vaccine prior. After the vaccination, the patient immediately sat down and began to sweat, grow pale, and feel clammy. Five minutes later, the patient passed out for a minute and then woke back up and was semi-alert/oriented; however, the patient passed out again several seconds later and woke back up. 911 was immediately called and EMS arrived on the scene. Patient's blood pressure was taken and was dangerously low. Patient was taken by EMS to the nearest hospital, where he is at currently.
Age: 59.0
Sex: M
Vaccine: FLUC4
Symptoms: Pallor
Clinical narrative: Prior to the vaccination, it seemed as if the patient was a nervous about getting the vaccination because he stated he had never received a "flu" vaccine prior. After the vaccination, the patient immediately sat down and began to sweat, grow pale, and feel clammy. Five minutes later, the patient passed out for a minute and then woke back up and was semi-alert/oriented; however, the patient passed out again several seconds later and woke back up. 911 was immediately called and EMS arrived on the scene. Patient's blood pressure was taken and was dangerously low. Patient was taken by EMS to the nearest hospital, where he is at currently.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLUC4, MMRV
Symptoms: C-reactive protein, Febrile convulsion, Full blood count, Laboratory test, X-ray
Clinical narrative: 3 febrile seizures.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Decreased appetite, Disorientation, Hypersomnia, Influenza like illness
Clinical narrative: Still has bruising in arm 2 weeks later. Has had flu-type symptoms. Is lethargic. Sleeping heavier than normal (normally a light sleeper.) Was somewhat disoriented for a time after the shot. That seems to be improvin, but still is ongoing.. No appetite, but has eaten small amounts. Has been drinking fluids.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Lethargy
Clinical narrative: Still has bruising in arm 2 weeks later. Has had flu-type symptoms. Is lethargic. Sleeping heavier than normal (normally a light sleeper.) Was somewhat disoriented for a time after the shot. That seems to be improvin, but still is ongoing.. No appetite, but has eaten small amounts. Has been drinking fluids.
Age: 46.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Pain, Pain in extremity, Swelling
Clinical narrative: Patient stated she was experiencing swelling, redness, soreness and sharp pain in arm. Prescribed prednisone and Tylenol.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema
Clinical narrative: Patient stated that a couple of days after he received the FLUARIX vaccine his face got bright bright red like a hot flash. This would come and go and lasted for approximately a week before it went away.   Patient stated they had also received a cortisone shot within a few days of receiving FLUARIX. Patient stated they went in to see their doctor and the doctor thought it was most likely due to the flu vaccine.  No treatment needed. Symptoms cleared up completely after approximately a week. Patient stated they had never had a reaction like this to the flu vaccine.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Arm swelled to 3x normal size and bright red and hot at injection site, left shoulder, down to elbow crease. It has stayed this way but began traveling down my arm. I took BENADRYL on the nights of 11/9/2017 thru today's date. The swelling has decreased but is still present, the redness persists, but the heat has lessened a lot. Currently, my arm is still red from the injection site to my forearm.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Insomnia
Clinical narrative: Severe upper arm, shoulder pain-- unable to use right arm for over 24 hrs/unable to sleep night after injection, ROM still limited after 48 hrs/ still having severe soreness. Using heating pad, OTC TYLENOL, ALEVE.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Nausea, Pain in extremity
Clinical narrative: SWELLING AND REDNESS AT AND AROUND INJECTION SITE. LEFT ARM VERY SORE AND HARD TO LIFT. PATIENT EXPERIENCED NAUSEA AND POSSIBLY FEVER.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Herpes zoster, Hyperaesthesia, Rash
Clinical narrative: I received the high dose flu vaccine for those over 65. Two days later I began having sensitivity around my waist and then four days later and subsequently broke out with a shingles rash.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Impaired driving ability, Injected limb mobility decreased, Pain in extremity
Clinical narrative: PATIENT CALLED ME ON 11/08/17 STATING THAT HIS ARM STARTED HURTING 2 WEEKS AFTER HE GOT THE SHOT AND IT'S GOTTEN TO A POINT WHERE HE CAN'T EVEN LIFT HIS ARM TO EVEN DRIVE. HE HAS BEEN DOING THE WARM COMPRESS AND ADVIL BUT STILL THE PAIN HASN'T GONE AWAY.
Age: 55.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: PT CAME TO THE PHARMACY WITH THE COMPLAINT OF PAIN ON HIS LEFT ARM. I CHECKED PT AND THERE IS NO INJECTION SITE REACTION, REDNESS OR SWELLING. JUST PAIN. I EXPLAINED PT IT IS DUE TO TETANUS VACCINE, WHICH TENDS TO HURT LONGER THAN OTHER IMMUNIZATIONS. SUGGESTED PT TO SEE DR TO EVALUATE FURTHER.
Age: 68.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injected limb mobility decreased, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: The patient stated that her arm is slightly swollen and can not lift. Also stated that pain is radiating up to neck and down the arm.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: SITE OF INJECTION IS SWOLLEN AND PAINFUL TO TOUCH.
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood pressure increased, Condition aggravated
Clinical narrative: Spike in blood pressure not controlled by medication that lasted several hours (12+).
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Immunization given in early afternoon and by evening patient noticed pronounced redness and swelling 2-3 inches from injection site and soreness. By the following day, redness had increased and she called the pharmacy. Pharmacist recommended Tylenol and ice and patient complied. Withing 48 hours, symptoms had subsided.