chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Back pain, Dyspnoea, Myalgia
Clinical narrative: patient called to report to pharmacy on 10/25/19 that the started to experience back pain on his left side a few hours after receiving these two vaccines on 10/22/19. He said to him it felt like a muscular pain and that it was sometimes hard for him to take a full deep breath. He was advised to seek medical attention from his primary physician. It is unknown to the pharmacy if the patient has called his physician or made an appointment to be seen.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Laboratory test, Palpitations
Clinical narrative: 11:50 AM ABOUT 30 MINS AFTER THE VACCINE ADMIN. SHE FELT DIZZY, SOB, AND PALPITATIONS, IMMEDIATELY WENT TO THE ER TO BE SEEN. EMPLOYEE IS A DIETARY EMPLOYEE DELIVERING TRAYS AND FELT THESES SYMPTOMS.
Age: 0.33
Sex: F
Vaccine: DTAP, RV5, UNK
Symptoms: Bacterial test negative, Cryptococcus test, Diarrhoea, Giardia test negative, Gluten sensitivity
Clinical narrative: Baby had diarrhea with blood and mucous in the stool for several weeks.  She had been on supplemental formula since birth so Dr. didn't think there was any way it could be a milk allergy being that it came on after she was 6 months old, when we hadn't changed anything.  After running several lab and stool tests, no bacteria or causes were found.  Switched baby to a formula for babies with milk sensitivities, and the symptoms cleared up in a week or two.  Assume this to be a milk allergy caused by the rotovirus vaccine.  Baby also is now intolerant to gluten, while she previously had no issues prior to the vaccine.  Hoping she will grow out of it in time after her body heals but the risks of this vaccine far outweigh the risk of the disease, so we will NOT be giving it to any of our children in the future.  Please take this off the market!
Age: 0.33
Sex: F
Vaccine: DTAP, RV5, UNK
Symptoms: Haematochezia, Milk allergy, Mucous stools, Rotavirus test negative
Clinical narrative: Baby had diarrhea with blood and mucous in the stool for several weeks.  She had been on supplemental formula since birth so Dr. didn't think there was any way it could be a milk allergy being that it came on after she was 6 months old, when we hadn't changed anything.  After running several lab and stool tests, no bacteria or causes were found.  Switched baby to a formula for babies with milk sensitivities, and the symptoms cleared up in a week or two.  Assume this to be a milk allergy caused by the rotovirus vaccine.  Baby also is now intolerant to gluten, while she previously had no issues prior to the vaccine.  Hoping she will grow out of it in time after her body heals but the risks of this vaccine far outweigh the risk of the disease, so we will NOT be giving it to any of our children in the future.  Please take this off the market!
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Peripheral swelling
Clinical narrative: 10/25/19@1:45PM: patient called and reported swelling on her right arm. Has started taking tylenol since yesterday (10/24) and has taken 3 doses total until the phone call. - patient spoken to the pharmacist and was advised to continue taking tylenol and usually takes a few days to resolve.
Age: 64.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: When filling out form patient stated date of birth which would qualify her for high dose flu shot as she is 65 years of age.  The flu shot was offered to her at a local community senior event held at  senior living in which pharmacy was present to provide flu vaccinations.  At the time of billing her vaccination, it was rejecting by patient's insurance due to incorrect birth date.  We contacted patient and she stated she gave incorrect year and she is only 64 years old and does not qualify her tor receive the high dose and just the standard flu vaccination. When patient was contacted around 3pm 10/25 she did not indicate any adverse side effects.
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Dyskinesia, Eye movement disorder, Hyperhidrosis, Pallor
Clinical narrative: First time receiving flu vaccine.  Approx. 30 sec after injection when standing stated feeling dizzy.  Had pt sit down , seconds later became unresponsive with eyes rolling back and extremities jerking.  911 called  Very pale, diaphoretic,  unable to palpate radial pulse, assisted to ground with help from staff, pt regaining consciousness able to swallow 50mg benadryl po. B/P a very faint 90/60 supine , incontinent of urine.   Rescue arriving,  pt stable, agreeing to transport.  Alert , stable condition.
Age: 26.0
Sex: M
Vaccine: FLU4
Symptoms: Pulse absent, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: First time receiving flu vaccine.  Approx. 30 sec after injection when standing stated feeling dizzy.  Had pt sit down , seconds later became unresponsive with eyes rolling back and extremities jerking.  911 called  Very pale, diaphoretic,  unable to palpate radial pulse, assisted to ground with help from staff, pt regaining consciousness able to swallow 50mg benadryl po. B/P a very faint 90/60 supine , incontinent of urine.   Rescue arriving,  pt stable, agreeing to transport.  Alert , stable condition.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia, Oropharyngeal pain, Throat irritation
Clinical narrative: metallic taste, sore throat, throat "felt funny"
Age: 1.58
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No symptoms or treatment needed.  Flu #2 for the season, had 2 last year.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: 1 day following influenza vaccine administration, patient developed hives inferior to vaccination site, but not at the site itself. No further reaction progressed, no other symptoms developed. Patient was discharged in stable condition.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Vaccine was administered in the upper left arm intramuscularly. Patient returned to pharmacy with warm read area  from mid upper arm  to elbow
Age: 39.0
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Developed hives on R upper thigh and behind R knee and both ankles.  Red, raised and itchy
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased
Clinical narrative: Pt was given the shot and has today 10/25/19  expressed concern about his left arm and not being able to lift it to the side at right angle to the body.
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema
Clinical narrative: reddish flushed band around area of injection (like an armband)
Sex: U
Vaccine: FLUC4
Symptoms: Arthralgia, Arthritis, Headache, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Left arm went numb immediately after getting flu shot. All joints felt inflamed and painful immediately after.  Left arm felt weak couldn't carry my daughter. Felt very itchy. Then 10/25/19 I started getting rashes all over my body and they would come and go. Horrible headaches since getting the flu shot.
Sex: U
Vaccine: FLUC4
Symptoms: Muscular weakness, Pruritus, Rash
Clinical narrative: Left arm went numb immediately after getting flu shot. All joints felt inflamed and painful immediately after.  Left arm felt weak couldn't carry my daughter. Felt very itchy. Then 10/25/19 I started getting rashes all over my body and they would come and go. Horrible headaches since getting the flu shot.
Age: 1.67
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Diarrhoea, Faeces pale
Clinical narrative: Yellow diarrhea, four days
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis
Clinical narrative: Patient reported that the Physician Assistant she saw today stated she developed Cellulitis from the flu vaccine that she was given on 10/24/19. She said she had to be given an antibiotic to treat the cellulitis.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Diarrhoea, Eye pain, Fatigue
Clinical narrative: I had a horrible headache almost immediately after the injection. I also had nausea. The headache subsided a bit towards the end of the day.  I went to be and woke up during the night with my throat feeling tight, like I might be coming down with something. The next morning I was debilitated. Everything from my eyes to my skin and joints  ached. I was down  all the next day, absolutely exhausted and not able to function normally.  I had a flushed face nausea and loose stools for about 3 days after. I am just about 10 past having had the shot and am now feeling normal.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Flushing, Headache, Loss of personal independence in daily activities, Nausea, Pain of skin
Clinical narrative: I had a horrible headache almost immediately after the injection. I also had nausea. The headache subsided a bit towards the end of the day.  I went to be and woke up during the night with my throat feeling tight, like I might be coming down with something. The next morning I was debilitated. Everything from my eyes to my skin and joints  ached. I was down  all the next day, absolutely exhausted and not able to function normally.  I had a flushed face nausea and loose stools for about 3 days after. I am just about 10 past having had the shot and am now feeling normal.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Throat tightness
Clinical narrative: I had a horrible headache almost immediately after the injection. I also had nausea. The headache subsided a bit towards the end of the day.  I went to be and woke up during the night with my throat feeling tight, like I might be coming down with something. The next morning I was debilitated. Everything from my eyes to my skin and joints  ached. I was down  all the next day, absolutely exhausted and not able to function normally.  I had a flushed face nausea and loose stools for about 3 days after. I am just about 10 past having had the shot and am now feeling normal.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: redness spreading around injection site
Age: 13.0
Sex: M
Vaccine: FLU3, HPV9
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: patient fainted within 30 seconds of administering hpv vaccine. was given influenza 5 minutes before and did fine with that
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Peripheral swelling, Pyrexia, Skin discolouration, Skin warm
Clinical narrative: Low grade fever. Left arm had red/purple mark that went from mid upper arm to shoulder. Hot to touch and swollen.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Headache, Myalgia, Pain in extremity
Clinical narrative: extremely sore arm to start.  Full body/muscle/joint aches.  Fever 101' . Headache.  fever lasted ~20 hrs.  Headache lasted ~ 40 hrs.  I have not felt this sore and achey even with the real flu,  worse than the flu.  Will not get 2nd dose , as this was pretty debilitating.  I have had many vaccines  This was by far the worst.  Feel better for the most part, still a bit of a dull headache.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: extremely sore arm to start.  Full body/muscle/joint aches.  Fever 101' . Headache.  fever lasted ~20 hrs.  Headache lasted ~ 40 hrs.  I have not felt this sore and achey even with the real flu,  worse than the flu.  Will not get 2nd dose , as this was pretty debilitating.  I have had many vaccines  This was by far the worst.  Feel better for the most part, still a bit of a dull headache.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dizziness, Immediate post-injection reaction, Injection site haematoma, Injection site swelling
Clinical narrative: Instant swelling at injection site. Patient lightheaded and had to lay down. Swelling did not cease so we administered an EpiPen 0.3mg within 2mg and called 911. Blood pressure climbed to 191/101. EMS arrived within 15 minutes. Reaction was diagnosed as a hematoma. EMS recommended patient to ER but patient refused.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Fall, Nausea
Clinical narrative: Patient reported of feeling dizzy and nauseated. Pt fell to the floor a few seconds after.
Sex: M
Vaccine: VARZOS
Symptoms: Blindness, Herpes zoster
Clinical narrative: vision loss; Shingles; Information has been received from a lawyer regarding a case in litigation concerning a male patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medications. In or around October 2015, the patient was inoculated with the zoster vaccine live (ZOSTAVAX) (lot number, dosage and route of administration not provided) for  routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). On an unspecified date, shortly after receiving zoster vaccine live (ZOSTAVAX), Plaintiff suffered shingles and vision loss. As a direct and proximate result of defective zoster vaccine live (ZOSTAVAX), Plaintiffs symptoms had resulted in physical limitations not present prior to using zoster vaccine live (ZOSTAVAX). Plaintiff also experiences mental and emotional distress due to resulting physical limitations and seriousness of his condition. As a result of Zostavax, the pt sustained severe and permanent personal injuries. The pt suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of Defendants' conduct, pt has suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages.  The outcome of the events was not recovered. The reporter considered the events to be disabling as the pt suffered  serious, progressive, permanent, and incurable injuries.  The reporter considered the events to be related to zoster vaccine live (ZOSTAVAX).  Upon internal review, vision loss was determined to be medically significant.
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: Fever; Inappropriate age at vaccine administration; This case was reported by a physician via sales rep and described the occurrence of fever in a adult patient who received DTPa-HBV-IPV (Pediarix) for prophylaxis.   On an unknown date, the patient received Pediarix at an unknown dose. On an unknown date, unknown after receiving Pediarix, the patient experienced fever and inappropriate age at vaccine administration. On an unknown date, the outcome of the fever and inappropriate age at vaccine administration were unknown.   It was unknown if the reporter considered the fever to be related to Pediarix.  Additional information received were as follows: The case was reported by the physician who reported for herself. The age at vaccination was not reported. The patient had experienced fever with Pediarix. The patient received Pediarix, which led to inappropriate age at vaccine administration.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Pain at the injection site; This case was reported by a other health professional via interactive digital media and described the occurrence of injection site pain in a adult patient who received Herpes zoster (Shingrix) for prophylaxis.   On 19th August 2019, the patient received Shingrix. On an unknown date, less than 2 months after receiving Shingrix, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown.   It was unknown if the reporter considered the injection site pain to be related to Shingrix.  Additional case details were provided as follows: The age at vaccination was not reported. The age group was not reported but it was selected as adult as per the vaccine indication. The patient experiencing pain at the injection site from Shingrix administered No other symptoms were noted.  The reporter asked that how long can this be expected and was there anything specific that could be recommended for patient.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Hypotonia, Irritability, Pyrexia
Clinical narrative: Irritable; Limp; Slight fever; This case was reported by a nurse via call center representative and described the occurrence of irritability in a 1-year-old female patient who received DTPa-HBV-IPV (Pediarix) for prophylaxis.   In February 2019, the patient received the 2nd dose of Pediarix (intramuscular). On an unknown date, less than 9 months after receiving Pediarix, the patient experienced irritability, limping and fever. The patient was treated with antipyretics, nos (Antipyretic). On an unknown date, the outcome of the irritability and limping were recovered/resolved and the outcome of the fever was unknown.   It was unknown if the reporter considered the irritability, limping and fever to be related to Pediarix.  Additional case details were reported as follows: The reporter was the patient's mother. The patient received vaccine in left thigh. The patient was irritable, had a slight fever and was limp at times following the 4th month's vaccine administration. The reporter stated patient was limp but once given some fever reducer she perked up. The reporter did not consent to follow up.
Sex: U
Vaccine: VARZOS
Symptoms: Therapeutic response unexpected
Clinical narrative: unexpected benefit; This case was reported by a nurse via call center representative and described the occurrence of unexpected therapeutic effect in an unspecified number of patients who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received Shingrix at an unknown dose. On an unknown date, less than 2 years after receiving Shingrix, the patient experienced unexpected therapeutic effect. On an unknown date, the outcome of the unexpected therapeutic effect was unknown.   It was unknown if the reporter considered the unexpected therapeutic effect to be related to Shingrix.  Additional case details were reported as follows: The age at vaccination was not applicable for this report. The reporter read studies that said shingrix helped patients decrease risk of stroke by preventing an inflammatory response. The reporter did not remember where she read it. The reporter consent to follow up.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Patient states on 10/25/19 that got fever/ chills / muscle aches from the vaccination on 10/24/19.  Patient was informed that these were some of the possible side effects of vaccination and that they usually only last a couple of days and to call physician if they persist.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: patient complains of pain and stiffness in right arm near injection site. recommended ibuprofen, ice, possible doctor visit.  patient visited doctor 10-25-2019 received prescriptions for prednisone, cyclobenzaprine, and tramadol
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Induration, Skin warm
Clinical narrative: WARM, INDURATION  CEPHALEXIN AND DIPHENHYDRAMINE PRESCRIVED BY PROVIDER
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: extreme fatigue within 4 hrs., arm/shoulder pain during hs, approx 24 hrs. later redness measuring  approx. 5 cm noted approx. 2 inches down from injection site, still quite painful to touch,48 hrs. later area is red, hot to touch, swollen with hive appearance, still painful,size increased to 10 cm in size
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Musculoskeletal pain, Pain in extremity
Clinical narrative: extreme fatigue within 4 hrs., arm/shoulder pain during hs, approx 24 hrs. later redness measuring  approx. 5 cm noted approx. 2 inches down from injection site, still quite painful to touch,48 hrs. later area is red, hot to touch, swollen with hive appearance, still painful,size increased to 10 cm in size
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Pt had some swelling and redness from injection site to left elbow and said she had discomfort(pain) up thru left shoulder
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Periorbital swelling, Rash, Swelling of eyelid
Clinical narrative: Severe puffy eyes; No itching; No swelling at point of injection; Small rashes behind left ear; treatment - administered Benadryl and Cortisone orally; No asthma symptoms observed;  awaiting eyelid puffiness to abate.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Feeling abnormal, Injection site inflammation, Injection site pain
Clinical narrative: Approximately 10-12 hours after injection experienced extreme chills (chattering teeth, uncontrollable shivering), generalized body ache/pain. Injection site very tender, inflamed, slight swelling. Took 1000mg acetaminophen. Overall feeling throughout next 72 hours was "I felt like I was hit by a Mack truck": fatigue, aches, body & muscle pain, left arm very painful; could not raise or move arm without pain. I rarely take acetaminophen but continued to take 500-1000mg for next 2-3 days every 4-6 hours. Arm tenderness persisted for 5-6 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Myalgia, Pain, Pain in extremity
Clinical narrative: Approximately 10-12 hours after injection experienced extreme chills (chattering teeth, uncontrollable shivering), generalized body ache/pain. Injection site very tender, inflamed, slight swelling. Took 1000mg acetaminophen. Overall feeling throughout next 72 hours was "I felt like I was hit by a Mack truck": fatigue, aches, body & muscle pain, left arm very painful; could not raise or move arm without pain. I rarely take acetaminophen but continued to take 500-1000mg for next 2-3 days every 4-6 hours. Arm tenderness persisted for 5-6 days.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Skin warm
Clinical narrative: Red hot swollen itchy rash at on both legs.  Got worse on Wednesday then on Thursday  right leg was better but the left leg got worse.  Afebrile.  Spoke to mom and patient is doing a little bit better today, Mom has been applying cold compress and giving  Benadryl.
Age: 1.25
Sex: F
Vaccine: IPV
Symptoms: Acne, Cold sweat, Diarrhoea, Drooling, Irritability
Clinical narrative: Extremely wet cold sweat that same night.  (Head drenched with sweat and very drowsy.)  Next day diarrhea.  Fussy and whiney for the following week and waking many times during the night.  Excessive abnormal drool for a week following shot.  A few days after shot developed a large pimple/bump on chin as well as bumpy rash on back of either arm which both lasted about 3 weeks.     (Other daughter received polio shot same day and she also had abnormal symptoms and behavior following shot which lead me to believe these symptoms/behaviors were related to shot.)
Age: 1.25
Sex: F
Vaccine: IPV
Symptoms: Middle insomnia, Rash, Somnolence
Clinical narrative: Extremely wet cold sweat that same night.  (Head drenched with sweat and very drowsy.)  Next day diarrhea.  Fussy and whiney for the following week and waking many times during the night.  Excessive abnormal drool for a week following shot.  A few days after shot developed a large pimple/bump on chin as well as bumpy rash on back of either arm which both lasted about 3 weeks.     (Other daughter received polio shot same day and she also had abnormal symptoms and behavior following shot which lead me to believe these symptoms/behaviors were related to shot.)
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: Red hot swollen itchy rash at on both legs.  Right leg worse than left. Got worse on Wednesday then on Thursday  right leg was better but the left leg got worse.  Afebrile.  Patient is doing a little bit better today, Mom applied cold compress and gave Benadryl.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Biopsy skin, Blister, Erythema, Fatigue, Injection site pain
Clinical narrative: Initially low fever, fatigue, soreness at injection site followed by severe rash on trunk and extremities; red, itching, fluid-filled blisters, skin peeling, bleeding then scabbing over. Larger raised sores appearing on rt upper thigh. 9/18 Prescribed valocyclovir 1gm 21,  methylprednisolone 4mg dosepak 21.  Rash and itching persists. 9/26 gabapentin 300mg 90, clindamycin 300mg 21. Rash and itching worsens. 10/01 urgent care visit. Dr., prescribes prednisone 10mg 60. 10/01 emergency dermatology appt. Dr. prescribed triamcinalone 0.1% 80gm, sulfameth/trimethoprim 800/160mg 20. 10/02 itching unbearable, Dr. prescribes hydroxyzine hcl 10mg. Rash and itching pesist. 10/21 methylpredisolone 4mg 60, hydroxyzine 25mg 30. Rash and itching persists. 10/23 betamethasone dipropionate 0.05 % cream. Itching and rash still persists at present time of report (10/25/19 4:43PM)
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Rash, Rash vesicular, Scab
Clinical narrative: Initially low fever, fatigue, soreness at injection site followed by severe rash on trunk and extremities; red, itching, fluid-filled blisters, skin peeling, bleeding then scabbing over. Larger raised sores appearing on rt upper thigh. 9/18 Prescribed valocyclovir 1gm 21,  methylprednisolone 4mg dosepak 21.  Rash and itching persists. 9/26 gabapentin 300mg 90, clindamycin 300mg 21. Rash and itching worsens. 10/01 urgent care visit. Dr., prescribes prednisone 10mg 60. 10/01 emergency dermatology appt. Dr. prescribed triamcinalone 0.1% 80gm, sulfameth/trimethoprim 800/160mg 20. 10/02 itching unbearable, Dr. prescribes hydroxyzine hcl 10mg. Rash and itching pesist. 10/21 methylpredisolone 4mg 60, hydroxyzine 25mg 30. Rash and itching persists. 10/23 betamethasone dipropionate 0.05 % cream. Itching and rash still persists at present time of report (10/25/19 4:43PM)
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin exfoliation, Skin haemorrhage, Skin ulcer
Clinical narrative: Initially low fever, fatigue, soreness at injection site followed by severe rash on trunk and extremities; red, itching, fluid-filled blisters, skin peeling, bleeding then scabbing over. Larger raised sores appearing on rt upper thigh. 9/18 Prescribed valocyclovir 1gm 21,  methylprednisolone 4mg dosepak 21.  Rash and itching persists. 9/26 gabapentin 300mg 90, clindamycin 300mg 21. Rash and itching worsens. 10/01 urgent care visit. Dr., prescribes prednisone 10mg 60. 10/01 emergency dermatology appt. Dr. prescribed triamcinalone 0.1% 80gm, sulfameth/trimethoprim 800/160mg 20. 10/02 itching unbearable, Dr. prescribes hydroxyzine hcl 10mg. Rash and itching pesist. 10/21 methylpredisolone 4mg 60, hydroxyzine 25mg 30. Rash and itching persists. 10/23 betamethasone dipropionate 0.05 % cream. Itching and rash still persists at present time of report (10/25/19 4:43PM)
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Pain, Pain in extremity, Pyrexia
Clinical narrative: Approximately 16 hours after the inoculation, I developed a fever of 100.1 that lasted throughout the next day.  Administered 2 doses of Tylenol during the next 12 hours and my temperature gradually came down to normal.  During all this time I was extremely fatigued and slept on and off for most of the day.  In addition, there was a 6" diameter redness surrounding the injection site.  My arm was extremely sore and it hurt to move for the first 24 hours and remains tender at this reporting.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Somnolence, Tenderness
Clinical narrative: Approximately 16 hours after the inoculation, I developed a fever of 100.1 that lasted throughout the next day.  Administered 2 doses of Tylenol during the next 12 hours and my temperature gradually came down to normal.  During all this time I was extremely fatigued and slept on and off for most of the day.  In addition, there was a 6" diameter redness surrounding the injection site.  My arm was extremely sore and it hurt to move for the first 24 hours and remains tender at this reporting.
Age: 2.0
Sex: F
Vaccine: IPV
Symptoms: Abnormal behaviour, Cheilitis, Fatigue, Feeling cold, Hyperhidrosis
Clinical narrative: Extreme cold very wet sweat night of shot accompanied by a deep fatigue.  Next day developed red blotch on bottom lip.  3 nights in a row following shot waking several times at night wondering around house (not normal behavior).  A few days after shot morning full of repetitive vomiting.   (My younger daughter also received polio shot at same time and had lots of symptoms and behaviors following shot as well which lead me to believe these symptoms were reactions to shot.)
Age: 2.0
Sex: F
Vaccine: IPV
Symptoms: Middle insomnia, Rash macular, Vomiting
Clinical narrative: Extreme cold very wet sweat night of shot accompanied by a deep fatigue.  Next day developed red blotch on bottom lip.  3 nights in a row following shot waking several times at night wondering around house (not normal behavior).  A few days after shot morning full of repetitive vomiting.   (My younger daughter also received polio shot at same time and had lots of symptoms and behaviors following shot as well which lead me to believe these symptoms were reactions to shot.)
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Loss of personal independence in daily activities, Malaise, Pain
Clinical narrative: I was seated in a chair in the patient treatment room when the nurse with the shot came into the room.  The nurse stood next to me to prepare me for the shot, then administered the shot while still standing.  The nurse chose a location on my left arm near my shoulder, high up on the arm in the area of the deltoid muscle.  Not in the tricep muscle.  The area of the shot was swollen and hurt (pain level 4-5) for approximately 2 days, accompanied by general malaise-like symptoms.  The malaise symptoms dissipated in  approximately 4-5 days.  However, even though the shoulder pain reduced, the pain persists to this day at a level of 3-4, sometimes more when trying to raise the left arm above the shoulder level. (Next) The left shoulder pain occurs now any time I try to raise my left arm above the shoulder level by extending the arm out and away from the body.  If I bend my left arm at the elbow first, then push the left arm up above my shoulder height, there is no pain.  If the left arm hangs down next to my body there is no pain.  However, significant pain occurs when I have to pull a shirt over my head to dress and undress, when applying deodorant to the left arm, if I lean on my left elbow, of if I push with my left arm as when standing up from a chair or doing a push-up exercise.  I normally exercise in a gymnasium every other day using weights, weight resistance machines, and aerobic machines.  Now I have to use reduced weight levels due to the pain when doing some exercises.  For instance, before the shot I would use 30 pound weights for curls to exercise the biceps.  If I use 30 pounds now for curls, there is a sharp burning pain in my left bicep.  I have to go down to 20 pounds to do curls for the left arm.  Similarly, I had to reduce the weight levels significantly for bench-press type exercises and limit the movement of the weights to just a few inches from fully extended arms.  If I bend my arms completely during a bench-press type exercise, I have significant pain trying to re-extend the left arm.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Influenza like illness, Pain, Pruritus
Clinical narrative: Shingles! Had the usual flu like symptoms for 3-4 days (October 13th-16th) following the immunization.  Low fever & aches. Low grade fever returned 18th, developed small rash on right side of neck afternoon of 10/19, thought maybe it was a bug bite.  Not a lot of pain, just itchy.  Tried cortizone for a few days, then neo-sporin, took Benydryl once, then tried cortizone with antifungal cream.   Rash continued to develop and become more painful.  On 10/24 - Became much more painful and blisters started to develop.  Went to Urgent Care 10/24 in the evening.  Diagnosed as shingles.  Received prescription for anti-viral medicine (Valacyclovir) and starting regiman same evening. Followed up with primary care doctor listed.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Shingles! Had the usual flu like symptoms for 3-4 days (October 13th-16th) following the immunization.  Low fever & aches. Low grade fever returned 18th, developed small rash on right side of neck afternoon of 10/19, thought maybe it was a bug bite.  Not a lot of pain, just itchy.  Tried cortizone for a few days, then neo-sporin, took Benydryl once, then tried cortizone with antifungal cream.   Rash continued to develop and become more painful.  On 10/24 - Became much more painful and blisters started to develop.  Went to Urgent Care 10/24 in the evening.  Diagnosed as shingles.  Received prescription for anti-viral medicine (Valacyclovir) and starting regiman same evening. Followed up with primary care doctor listed.
Age: 1.08
Sex: M
Vaccine: HEPA, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reactions or events due to vaccine. Patient only notified of vaccine administration.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Malaise, Swelling, Tenderness
Clinical narrative: tenderness, swelling, erythema, malaise, fatigue
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Headache, Pyrexia
Clinical narrative: Headache,fever, redness on arm.
Age: 1.0
Sex: M
Vaccine: DTAP, HEPA, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reactions or events due to vaccine. Patient only notified of vaccine administration.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, C-reactive protein increased, Full blood count, Glomerular filtration rate decreased, Induration
Clinical narrative: This was patient's description of signs and symptoms (she is MD): Around 5 pm that evening, developed a localized reaction See message below: -about 5:30 pm yesterday started developing a lot of pain, tenderness in deltoid. figured it was just the usual post injection fluvax-like tenderness  -by evening-> warmth and firmness/edema of entire deltoid muscle and  pain and dec ROM of entire deltoid and a 4x4 cm erythematous maculopapular rash on overlying skin  -Took tylenol without relief last night  -could not sleep last night due to pain, swelling and increase in area of firmness/edema., Deltoid firm but extending over entire muscle with pain/tenderness into axilla and across anterior shoulder tendons radiating into biceps/pec  Could not even doze on that side  -this AM, erythematous patch gone but still with firm edema involving deltoid/ tendons of anterior shoulder, axilla. Injection side warmer (per me and employee). Afebrile. Feel a little yucky but able to eat oatmeal fine.  I can only abduct my arm actively to 90 degrees -- limited by pain. trouble pulling up pants and wiping (ie internal rotation)  If employee does passive ROM he can get it above 90 deg and can rotate and get it higher almost to over head but it is painful and a bit limited. took tylenol/ibuprofen
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Insomnia, Joint range of motion decreased, Leukocytosis, Local reaction
Clinical narrative: This was patient's description of signs and symptoms (she is MD): Around 5 pm that evening, developed a localized reaction See message below: -about 5:30 pm yesterday started developing a lot of pain, tenderness in deltoid. figured it was just the usual post injection fluvax-like tenderness  -by evening-> warmth and firmness/edema of entire deltoid muscle and  pain and dec ROM of entire deltoid and a 4x4 cm erythematous maculopapular rash on overlying skin  -Took tylenol without relief last night  -could not sleep last night due to pain, swelling and increase in area of firmness/edema., Deltoid firm but extending over entire muscle with pain/tenderness into axilla and across anterior shoulder tendons radiating into biceps/pec  Could not even doze on that side  -this AM, erythematous patch gone but still with firm edema involving deltoid/ tendons of anterior shoulder, axilla. Injection side warmer (per me and employee). Afebrile. Feel a little yucky but able to eat oatmeal fine.  I can only abduct my arm actively to 90 degrees -- limited by pain. trouble pulling up pants and wiping (ie internal rotation)  If employee does passive ROM he can get it above 90 deg and can rotate and get it higher almost to over head but it is painful and a bit limited. took tylenol/ibuprofen
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Loss of personal independence in daily activities, Malaise, Muscle oedema, Pain, Pain in extremity
Clinical narrative: This was patient's description of signs and symptoms (she is MD): Around 5 pm that evening, developed a localized reaction See message below: -about 5:30 pm yesterday started developing a lot of pain, tenderness in deltoid. figured it was just the usual post injection fluvax-like tenderness  -by evening-> warmth and firmness/edema of entire deltoid muscle and  pain and dec ROM of entire deltoid and a 4x4 cm erythematous maculopapular rash on overlying skin  -Took tylenol without relief last night  -could not sleep last night due to pain, swelling and increase in area of firmness/edema., Deltoid firm but extending over entire muscle with pain/tenderness into axilla and across anterior shoulder tendons radiating into biceps/pec  Could not even doze on that side  -this AM, erythematous patch gone but still with firm edema involving deltoid/ tendons of anterior shoulder, axilla. Injection side warmer (per me and employee). Afebrile. Feel a little yucky but able to eat oatmeal fine.  I can only abduct my arm actively to 90 degrees -- limited by pain. trouble pulling up pants and wiping (ie internal rotation)  If employee does passive ROM he can get it above 90 deg and can rotate and get it higher almost to over head but it is painful and a bit limited. took tylenol/ibuprofen
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Rash erythematous, Rash maculo-papular, Red blood cell sedimentation rate normal, Skin warm, Swelling
Clinical narrative: This was patient's description of signs and symptoms (she is MD): Around 5 pm that evening, developed a localized reaction See message below: -about 5:30 pm yesterday started developing a lot of pain, tenderness in deltoid. figured it was just the usual post injection fluvax-like tenderness  -by evening-> warmth and firmness/edema of entire deltoid muscle and  pain and dec ROM of entire deltoid and a 4x4 cm erythematous maculopapular rash on overlying skin  -Took tylenol without relief last night  -could not sleep last night due to pain, swelling and increase in area of firmness/edema., Deltoid firm but extending over entire muscle with pain/tenderness into axilla and across anterior shoulder tendons radiating into biceps/pec  Could not even doze on that side  -this AM, erythematous patch gone but still with firm edema involving deltoid/ tendons of anterior shoulder, axilla. Injection side warmer (per me and employee). Afebrile. Feel a little yucky but able to eat oatmeal fine.  I can only abduct my arm actively to 90 degrees -- limited by pain. trouble pulling up pants and wiping (ie internal rotation)  If employee does passive ROM he can get it above 90 deg and can rotate and get it higher almost to over head but it is painful and a bit limited. took tylenol/ibuprofen
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness, White blood cell count increased
Clinical narrative: This was patient's description of signs and symptoms (she is MD): Around 5 pm that evening, developed a localized reaction See message below: -about 5:30 pm yesterday started developing a lot of pain, tenderness in deltoid. figured it was just the usual post injection fluvax-like tenderness  -by evening-> warmth and firmness/edema of entire deltoid muscle and  pain and dec ROM of entire deltoid and a 4x4 cm erythematous maculopapular rash on overlying skin  -Took tylenol without relief last night  -could not sleep last night due to pain, swelling and increase in area of firmness/edema., Deltoid firm but extending over entire muscle with pain/tenderness into axilla and across anterior shoulder tendons radiating into biceps/pec  Could not even doze on that side  -this AM, erythematous patch gone but still with firm edema involving deltoid/ tendons of anterior shoulder, axilla. Injection side warmer (per me and employee). Afebrile. Feel a little yucky but able to eat oatmeal fine.  I can only abduct my arm actively to 90 degrees -- limited by pain. trouble pulling up pants and wiping (ie internal rotation)  If employee does passive ROM he can get it above 90 deg and can rotate and get it higher almost to over head but it is painful and a bit limited. took tylenol/ibuprofen
Age: 60.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site warmth
Clinical narrative: Day after vaccine site became red, inflamed, warm to touch, itchy. Two days later redness spread. By third day entire upper arm was infected. After trying to reach clinic for 2 days , where, I received the vaccine, I opted to go to Immediate care. The Dr diagnosed me with an adverse reaction, possibly cellulitis and treated me with an antibiotic , steroid and topical cream.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reactions or event due to vaccine. Patient only notified of vaccine administration.
Age: 20.0
Sex: M
Vaccine: MENB
Symptoms: Erythema, Feeling abnormal, Pallor, Pruritus, Urticaria
Clinical narrative: I gave patient the vaccine for meningitis/Bexsero, within a few seconds he was pale and stated he did not feel right,  I got our nurse practioner to come into the procedure room and  he listened to his breathing and noticed red weaps on back of his neck and was itching his face, bp was 112/60, we put patient in supine position and elevated his feet a little above his head, he drank some Dr. Pepper through a straw, we put an ice pack behind his neck, we gave him benedryl 50mg IM right deltoid and Celestone 6mg IM right deltoid, we observed him for an hour or more, his weaps went down and he looked better, felt better and was breathing fine. His throat never closed up or prevented him from breathing. His mom was in room with us, they both went home and was advised go to ER if had any problems breathing or rashes. They verbalized understanding.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented with signs and symptoms consistent with cellulitis of the LUE after administration of the flu vaccine 2 days prior. There was a well-demarcated, raised area with erythema and increased warmth approx 10in wide and 5in high. TTP. Symptoms started that morning and was seen at approx 2:30pm. She was treated with cephalexin (KEFLEX) 500 mg capsule; Take 1 capsule (500 mg total) by mouth 4 (four) times a day for 7 days.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient had swelling at site, Redness noted. pain to site, and some mild itching note. The symptoms began in the afternoon of the injections. Patient came in and was seen the following day. The physician instructed for patient to take zrytec as needed for itching, using ice pack for swelling and Tylenol for pain.
Age: 53.0
Sex: M
Vaccine: FLUC4
Symptoms: Asthenia, Nervousness, Peripheral coldness
Clinical narrative: Patient about an hour later felt shaky and weak and co-worker said patient had cold blueish fingers. No reaction at injection site and no trouble breathing. Patient was taken to the hospital for evaluation. When I inquired today I was told he was feeling better but the doctor was doing more tests. It did not appear to be a vaccine reaction but I am reporting because this occurred  after a vaccination.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Musculoskeletal pain
Clinical narrative: Patient called me to inform us that the doctor diagnosed her with Bursitis in her left shoulder and indicated that the cause was the flu shot she received on 9/27/2019. She stated that the doctor prescribed Diclofenac Gel to be applied to shoulder to help with pain.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site pain, Loss of personal independence in daily activities, Pain
Clinical narrative: Injection site pain began was initial at time of injection and never has subsided.  Physicians office recommended heat and Ibuprofen. This was done.  Now almost 3 months out, no change, pain is 24/7 at a Level 6 and increases, to a shooting pain, with normal movements of life such has reaching forward or up, turning  the wheel of a car, lifting, working with equipment, doing my normal yoga routine, rolling on to Left side when sleeping. It has completely altered in a  negative way my life, my daily joy of life is tainted   due to constant pain.  I am a healthy women.  I am an active women. I am a women in constant pain now due to this injection.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Redness to the upper arm, that surrounds the arm ,skin warm to touch started day of vaccine and worsened. Cellulitis
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site streaking, Injection site swelling
Clinical narrative: Late in the day after receiving the vaccine the pt complains of pain at injection site.  The next morning the patient has swelling, redness, fever on arm of injection site.  Pain was excruciating and lasted 4 days with streaking down to the lower arm.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth
Clinical narrative: Late in the day after receiving the vaccine the pt complains of pain at injection site.  The next morning the patient has swelling, redness, fever on arm of injection site.  Pain was excruciating and lasted 4 days with streaking down to the lower arm.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Skin warm
Clinical narrative: Pt came in on 10-25-19 with a visibly red, hot arm.  Area extended up & down her arm.  She was diagnosed with cellulitis per the provider who saw her.  She was given clindamycin to treat her cellulitis
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Hives from the waste down
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal pain upper
Clinical narrative: PATIENTS DAUGHTER CALLED TO REPORT THAT THE PATIENT HAD SEVERE STOMACH PAINS 20 MINUTES AFTER THE VACCINE, SUCH THAT SHE WAS DOUBLED-OVER AND REQUIRED INCREASED DOSES OF HER MORPHINE PRESCRIPTIOIN
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Headache, Musculoskeletal pain, Pain in extremity, Peripheral swelling
Clinical narrative: Swelling and redness of upper arm, pain in upper arm into shoulder, headache, slight fever.
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Pyrexia
Clinical narrative: Swelling and redness of upper arm, pain in upper arm into shoulder, headache, slight fever.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Chills, Erythema, Injection site erythema, Limb discomfort
Clinical narrative: Patient had a very sore, red, and swollen arm, much more than when she has gotten previous vaccines.  It started the night of getting the shot.  It has been getting better over the past few days, but the redness has moved to the front of her arm.  She also stated she was diagnosed with cellulitis and was put on an antibiotic.  She also had a fever, chills, and felt overall awful the night of and day after getting the shot.  She does feel better now, 3 days later,  but still has visible redness and says it still hurts, but is getting better each day.