chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Loss of personal independence in daily activities, Pain, Sleep disorder, X-ray limb normal
Clinical narrative: I received a flu shot at pharmacy in upper left arm 9/13.  Intense aching pain and severly limited range of motion began the next morning and lasted for two days.  Pain then lessened a bit and range of motion increased a bit, but both still continuetwo weeks laterto be very strong problems that limit my daily behavior.  Sleep disruption due to pain is constant.  Many aspects of my life are affected because of the inability to use my arm completely and because of the pain. I was afraid of shoulder damage, so I visited an orthopedist 9/24.  X-rays of shoulder ruled out impingement or other causes.
Age: 61.0
Sex: M
Vaccine: FLUR4
Symptoms: Dizziness, Heart rate increased, Urticaria
Clinical narrative: patient reports: Hives, patient thinks elevated heart rate, and some dizziness
Age: 80.0
Sex: F
Vaccine: FLUA4
Symptoms: Pruritus
Clinical narrative: Pt complained of itching on the palms of her hands a few minutes after receiving flu shot. I asked her to sit for a few minutes and she said it went away in just a few minutes.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: swollen, red, painful arm.  low grade fever. same day as vaccine given. Medrol dp prescribed by doctor.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Body torso, upper chest to mid thighs, upper arms, itching, bright red rash all over body. Took Benadryl and felt fine.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Exposure during pregnancy, Pruritus, Rash, Rash erythematous, Ultrasound antenatal screen normal
Clinical narrative: Patient is a 40-year-old G2P1 female who received a hepatitis B immunization earlier today.  Several hours after the immunization, she noticed a itching red rash on her forehead and arms.    She was given diphenhydramine 25 mg of orally x 1 dose.   She was discharged in good condition.  She was told to take over-the-counter Benadryl 25 mg every 4 hours as needed for itching.   The ultrasound showed a 15 week viable intrauterine pregnancy. Blood type = B positive
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Endotracheal intubation, Gait disturbance, Hypoaesthesia, Muscular weakness, Respiratory disorder
Clinical narrative: Patient was in his usual state of health until 9/25/20, at which time he developed rapid onset weakness and numbness in all extremities limiting his ability to ambulate. He reportedly had received the flu shot several days prior on 9/15/20. The weakness was in an ascending  pattern, with weakness greater in his lower extremities than his upper extremities. His respiratory status worsened on 9/28, requiring intubation.
Age: 11.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient did not have any adverse reactions to the vaccine that was given. Dr. ordered DTaP and I gave the patient DTaP; however, for children over the age of 7 they are supposed to get Tdap
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal discomfort, Diplopia, Ear pain, Fatigue, Rash
Clinical narrative: rash, fainting spell, double vision, ear aches, stomach irritation, fatigue.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: rash, fainting spell, double vision, ear aches, stomach irritation, fatigue.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4
Symptoms: Vaccination site erythema, Vaccination site swelling
Clinical narrative: Swelling and erythema on vaccination site, 6cm. After 24 hours vaccine.  Treatment Tylenol or motrin and cold compresses.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Chest X-ray, Cough, Diarrhoea, Dyspnoea, Nausea
Clinical narrative: Nausea, fever, body aches, shortness of breath, cough, diarrhea
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Nausea, fever, body aches, shortness of breath, cough, diarrhea
Age: 13.0
Sex: M
Vaccine: FLUC4
Symptoms: Syncope
Clinical narrative: Fainted
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Injection site rash, Rash
Clinical narrative: Patient stated she has reactions all the time. Patient developed a rash at site and down to breast area the day after vaccination. Patient used allergy medication zyrtec and prednisone, which she had from a previous reaction. Patient reported all signs of rash were gone by 9/27/2020 (two days post-vaccination).
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Dizziness, headache, nausea
Age: 70.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site discolouration, Injection site erythema, Injection site swelling
Clinical narrative: Arm swelled size of baseball below injection site, reddened and black and blue discoloration
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills, Headache, Influenza like illness, Muscular weakness, Nausea
Clinical narrative: Flu like symptoms beginning with chills at 6 am, progressing to nausea dry heaving and vomiting by 8am. Nausea, vomiting and headache for the next 2-3 hours unable to keep anything down including water.  Headaches and muscle weakness for the next 36 hours
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Retching, Vomiting
Clinical narrative: Flu like symptoms beginning with chills at 6 am, progressing to nausea dry heaving and vomiting by 8am. Nausea, vomiting and headache for the next 2-3 hours unable to keep anything down including water.  Headaches and muscle weakness for the next 36 hours
Age: 57.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Erythema, Ligament pain, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: I was vaccinated with Tdap at my doctor's office.  That evening I started experiencing redness, swelling and pain shooting from my wrist to my shoulder.  It took a month and a half for the redness and swelling to go away.  I am still in chronic pain.  Sometimes I cannot sleep very well.  I visited my chiropractor mid August and she gave me some supplements.  They helped a little bit, but I am still in pain.  My ligaments are painful in general all over my body.  I didn't have this problem prior to the injection.
Age: 57.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Sleep disorder
Clinical narrative: I was vaccinated with Tdap at my doctor's office.  That evening I started experiencing redness, swelling and pain shooting from my wrist to my shoulder.  It took a month and a half for the redness and swelling to go away.  I am still in chronic pain.  Sometimes I cannot sleep very well.  I visited my chiropractor mid August and she gave me some supplements.  They helped a little bit, but I am still in pain.  My ligaments are painful in general all over my body.  I didn't have this problem prior to the injection.
Age: 57.0
Sex: F
Vaccine: DTAP, DTAP
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: I was vaccinated with Tdap at my doctor's office.  That evening I started experiencing redness, swelling and pain shooting from my wrist to my shoulder.  It took a month and a half for the redness and swelling to go away.  I am still in chronic pain.  Sometimes I cannot sleep very well.  I visited my chiropractor mid August and she gave me some supplements.  They helped a little bit, but I am still in pain.  My ligaments are painful in general all over my body.  I didn't have this problem prior to the injection.
Age: 75.0
Sex: F
Vaccine: FLUA3, PPV, VARZOS
Symptoms: Malaise
Clinical narrative: After receiving the vaccines, patient started to feel sick and has been sick for a week.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Peripheral swelling
Clinical narrative: PATIENT'S LEFT ARM HAD SIGNIFICANT BRUISING AND SWELLING FOR 3 DAYS THAT HAS NOT YET RESOVLED. PATIENT DID NOT SPEAK ENGLISH AND I WAS SPEAKING WITH HER THROUGH A TRANSLATOR. I TOLD HER TO PUT ICE ON IT AND GO TO AN URGENT CARE TO SEE A DOCTOR TONIGHT. I ALSO RECOMMENDED A BENADRYL FOR ANY ALLERGIC REACTION AND TYLENOL FOR PAIN AND SWELLING. OUTCOME UNKNOWN.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Swelling
Clinical narrative: Disseminated swelling and subsequent cellulitis requiring treatment with antibiotics
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient came back to pharmacy on 9/28/20 and showed me her left arm. It looked a bit swollen and warm to the touch in the area injection was given.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Tingling to arm down to fingers.  Numbness to forehead and side of face.  Later had a headache
Age: 0.17
Sex: F
Vaccine: PNC13
Symptoms: Peripheral swelling, Swelling face
Clinical narrative: Mom states face and feet swollen as per MD's notes.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Feeding disorder, Flatulence, Headache, Nausea
Clinical narrative: He reported severe headache around 6pm the day he got the vaccine, followed by hives/itching. Denies difficulty in breathing or closing of the throat. Hasn't been able to eat, experiencing nausea and GI discomfort (noted flatulence for over an hour). Pharmacist recommended he take Benadryl for hives/itching. Patient did not have any at home and did not feel like going out to buy some. Recommended going to the ER if it gets worse. (Call came into pharmacy on 9/25 around 1:30pm - Day after vaccine). When I talked to him today Monday (4 days post vaccine) He stated his headache got better on Sunday. He still has some itching. He has noticed a sore throat, spot on tongue, and bumps on elbows. He noted he took Sudafed - a couple doses. He is going to the Dr. tomorrow.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Pruritus, Rash, Urticaria
Clinical narrative: He reported severe headache around 6pm the day he got the vaccine, followed by hives/itching. Denies difficulty in breathing or closing of the throat. Hasn't been able to eat, experiencing nausea and GI discomfort (noted flatulence for over an hour). Pharmacist recommended he take Benadryl for hives/itching. Patient did not have any at home and did not feel like going out to buy some. Recommended going to the ER if it gets worse. (Call came into pharmacy on 9/25 around 1:30pm - Day after vaccine). When I talked to him today Monday (4 days post vaccine) He stated his headache got better on Sunday. He still has some itching. He has noticed a sore throat, spot on tongue, and bumps on elbows. He noted he took Sudafed - a couple doses. He is going to the Dr. tomorrow.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Diarrhoea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: arm swelling and pain starting day after vaccine (including fever, chills, diarrhea), swelling lasting 1 week, pain continues (although slight) through today
Age: 1.17
Sex: F
Vaccine: DTAPIPVHIB, HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema
Clinical narrative: Patient was given vaccines. Left leg was red around the site of varicella vaccine down to the path of the other vaccines.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling, Mobility decreased
Clinical narrative: AFTER RECEIVING ADACEL INJECTION IN RIGHT ARM PATIENT EXPERIENCED MILD ARM SORENESS AND SWELLING T THE INJECTION SITE AS EXPECTED. PATIENT ICED THE INJECTION SITE PER PHARMACIST INSTRUCTION AFTER VACCINE ADMINISTRATION. PATIENT STATES ON THE THIRD DAY AFTER VACCINATION THE SITE BEGAN TO BECOME INFLAMED AND RED WITH INCREASED SWELLING. ARM SORENESS INCREASED AND PATIENT DID NOT FEEL LIKE SHE COULD LIFT HER ARM SO SHE REPORTED TO THE PHARMACIST. ADVISED PATIENT TO CONTINUE ICING AND TO TAKE AN ANTI-INFLAMMATORY TO HELP REDUCE SWELLING. ADVISED PATIENT TO TRY AND MOVE THE ARM AS MUCH AS POSSIBLE. PATIENT IS TO CALL PHARMACY IN THE MORNING TO REPORT IF ANTI-INFLAMMATORY HELP TO RESOLVE THE ADVERSE REACTION.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity
Clinical narrative: AFTER RECEIVING ADACEL INJECTION IN RIGHT ARM PATIENT EXPERIENCED MILD ARM SORENESS AND SWELLING T THE INJECTION SITE AS EXPECTED. PATIENT ICED THE INJECTION SITE PER PHARMACIST INSTRUCTION AFTER VACCINE ADMINISTRATION. PATIENT STATES ON THE THIRD DAY AFTER VACCINATION THE SITE BEGAN TO BECOME INFLAMED AND RED WITH INCREASED SWELLING. ARM SORENESS INCREASED AND PATIENT DID NOT FEEL LIKE SHE COULD LIFT HER ARM SO SHE REPORTED TO THE PHARMACIST. ADVISED PATIENT TO CONTINUE ICING AND TO TAKE AN ANTI-INFLAMMATORY TO HELP REDUCE SWELLING. ADVISED PATIENT TO TRY AND MOVE THE ARM AS MUCH AS POSSIBLE. PATIENT IS TO CALL PHARMACY IN THE MORNING TO REPORT IF ANTI-INFLAMMATORY HELP TO RESOLVE THE ADVERSE REACTION.
Age: 16.0
Sex: M
Vaccine: FLUC4
Symptoms: Fall, Syncope
Clinical narrative: patient fainted about 1-2 minutes after receiving immunization. He got up out of the chair and said he was okay and stood with his mother in the same room while his father received the shot. After his father got up, they all moved to the door to exit and while pharmacists back was turned, the child fainted and fell to the ground. 911 was called and arrived, and the child and parents refused medical attention and signed off to refuse medical attention with the paramedics.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Product administered at inappropriate site
Clinical narrative: rash in mid arm. pt stated injection was given too low. Dr and husband(rph)both stated based on rash site, the injection was given mid arm. pt came to pharmacy to show rash (mid arm). pt came back 2 days after injection and rash was getting better but still present
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Hyperhidrosis, Malaise, Tinnitus, Vomiting
Clinical narrative: Within 5 minutes of giving vaccine Patient stated he felt dizzy, sweaty, and not feeling well with ringing in his ears. Mom went with patient to bathroom.  About 5-10 minutes later they returned to exam room. Mom stated her son threw up a small amount. Patient stated he felt much better though ringing in ears still present. Denied difficulty breathing. Blood pressure taken with adult cuff  120/69 and pulse was 62. Discussed with mom adverse effects of vaccine. Told to call 911 if difficulty with breathing developed and to call Dr if patient continued to have ringing in the ears or felt dizzy or nausea again. They left the office about 5 minutes later ---1330-1335. Follow up call to mom's phone at 1645. No answer. Left text message on phone.
Age: 69.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Herpes zoster, Neuralgia, Rash
Clinical narrative: Patient received  Shingrix and Fluzone HD on 8/20/2020.  10 days later patient states she came down with the shingles viral infection.  She was diagnosed with shingles by her doctor and was given antivirals, and gabapentin.  She had a shingles rash on her left side of her body (back and left upper thigh) and nerve pain that radiated down her leg. Her rash cleared up after 2 weeks, however is still experiencing nerve pain that she is taking gabapentin for.  Patient is aware that this is very likely a coincidence that she got shingles before the vaccine became effective (takes about 2 weeks to have an effect and she only received 1 of the 2 doses so far).
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: PATIENT HAS SWELLING AND REDNESS AROUND INJECTION SITE. THIS IS LIMITED TO THE UPPER ARM BETWEEN ELBOW AND SHOULDER AND ONLY ON THE FRONT OF THE ARM
Age: 72.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Erythema, Swelling
Clinical narrative: swelling, redness > 3 days
Age: 70.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Pyrexia, Rash, Rash erythematous
Clinical narrative: Patient said developed rash and fever day after receiving both immunizations. He had bright red rash on this arm from the bottom of his shoulder to his elbow. The rash was on the interior part of his arm and below where the assumed injection site was.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Vertigo
Clinical narrative: PATIENT CALLED AND STATED SHE WAS EXPERIENCING HEADACHE THE NEXT DAY AND VERTIGO THE NEXT 4 DAYS AFTER HER FLU VACCINATION.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Tenderness
Clinical narrative: gradual development and worsening of pain/tenderness in left elbow (region of the lateral epicondyle) and forearm starting a few days after the shot  Also developed pain in both knees.   It is now almost three weeks from the date of the vaccination and the lateral epicondylar pain in not abating. tenderness in elbow with grasping with left hand. Left arm is non-dominant.  No recent straining or repetitive use of the left arm.
Age: 68.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Deafness
Clinical narrative: Patient said on 9/3 she lost her hearing and believes it is from the immunization.
Age: 68.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Deafness, Ear tube insertion, Hyperbaric oxygen therapy, Magnetic resonance imaging, Tinnitus
Clinical narrative: Patient said on 9/3 she lost her hearing and believes it is from the immunization.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Magnetic resonance imaging abnormal, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: Pain in arm, diagnosed with SIRVA after doctor visit and MRI
Age: 66.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Influenza like illness, Injected limb mobility decreased, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Her left are was swollen, painful. She still can not move her arm due to the pain. The area is hot and she also experienced flu like symptoms.
Age: 30.0
Sex: F
Vaccine: FLUR4
Symptoms: Urticaria
Clinical narrative: hives
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Infection, Pruritus, Swelling
Clinical narrative: Grandfather brought grandson in for pharmacist on duty to look at his arm.  He had received a flu shot from us on Friday evening and was concerned the child had an infection from the shot.  It could be a localized reaction as listed in the package insert (lump/swelling, redness, warm to the touch, itchiness) or it could be cellulitis.  The grandfather reports on Saturday afternoon, child's arm had a bump and his arm was red around the area.  By Sunday, the area was very red but had flattened.  Today, I saw child's arm was red from the top of the shoulder to half way to the elbow.  He had a slight white edge going around the red area.  The grandfather reports the red area is not as red as before but the red area has grown in size.  He did call a physician but did not want to make an appointment and instead came to the pharmacy for me to view it.  I went over possible reactions in the package insert but also recommended a consult with a physician, especially if the area worsens.  The only complaint child reports is itchiness.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Lethargy, Myalgia, Pyrexia
Clinical narrative: Fluctuating fever high 104.00 to Low 100.4; muscle aches; chills; headache; lethargy
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Fluctuating fever high 104.00 to Low 100.4; muscle aches; chills; headache; lethargy
Age: 0.17
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: Fever, redness, warmth & tenderness at injection site 6 hours after shot given
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Patient returned to pharmacy approximately 6 days after vaccine to let me know she experienced the following syptoms starting 1 day after receiving her 2nd dose of vaccine and lasted for 2-3 days: fever of 100 degrees, body aches all over her body. Both symptoms resolved on its own after 3 days. She took OTC medications to help eleviate some of the body aches and to control the fever.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Ear swelling, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling of left upper arm (where the injection was placed). Improved with motrin and benadryl; also swelling of auricle / helix on that side as well (ear), but suspect it was secondary to mosquito bite and not related to the vaccine (the EAR); in terms of the swelling at the site of the injection, mother reports this happened last year as well, but it was not as pronounced
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: That night she had some soreness on her arm , and a fever. The  next day it was fine, then come Thursday her entire are was red.
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Discomfort, Dyspnoea, Feeling abnormal, Headache, Injection site pain
Clinical narrative: Day 3 Under arm swelling extremely sore to move. Day 4 Arm tightness along artery, More swelling breathing discomfort from swollen lymphoid. Day 5 Shoulder tightness causing neck pain and headache.  No more soreness from injection site. Unable to live arm without extremely tearing feeling from muscles under arm down to elbow and flank around arm pit.   Taking Motrin
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Lymphadenopathy, Mobility decreased, Neck pain, Pain, Peripheral swelling
Clinical narrative: Day 3 Under arm swelling extremely sore to move. Day 4 Arm tightness along artery, More swelling breathing discomfort from swollen lymphoid. Day 5 Shoulder tightness causing neck pain and headache.  No more soreness from injection site. Unable to live arm without extremely tearing feeling from muscles under arm down to elbow and flank around arm pit.   Taking Motrin
Age: 39.0
Sex: M
Vaccine: TDAP
Symptoms: Skin tightness
Clinical narrative: Day 3 Under arm swelling extremely sore to move. Day 4 Arm tightness along artery, More swelling breathing discomfort from swollen lymphoid. Day 5 Shoulder tightness causing neck pain and headache.  No more soreness from injection site. Unable to live arm without extremely tearing feeling from muscles under arm down to elbow and flank around arm pit.   Taking Motrin
Age: 65.0
Sex: M
Vaccine: FLUA4, PPV
Symptoms: Back pain, Dyspnoea, Heart rate increased
Clinical narrative: The adverse events included severe back pain, rapid heart rate, short of breath.  The patient sat down and rested, EMS was called and monitored patient.  The back pain, rapid heart rate, and shortness of breath all subsided in approximately 30 minutes time and patient was released home.
Age: 54.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Burning sensation, Chest pain, Electrocardiogram, Hypoaesthesia, Swelling
Clinical narrative: Burning, numbing, aching,left chest area and swollen under armpit limpnode area
Age: 54.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Chest discomfort, Pain, Skin irritation, Sleep disorder
Clinical narrative: Burning, numbing, aching,left chest area and swollen under armpit limpnode area
Age: 14.0
Sex: M
Vaccine: FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 14 YEAR OLD PATIENT GIVEN FLUBLOK VACCINE INDICATED FOR 18 AND OVER. NO ADVERSE EFFECTS
Age: 16.0
Sex: F
Vaccine: HPVX, MENB, MNQ, HPV9, MENB, MNQ
Symptoms: Crying, Vision blurred
Clinical narrative: My daughter complaint of not seem correct , I ask her to close her eyes and open slow she reply I still can't see she started crying and she reply once again I can't see I see blurry . today is Monday 9/28/2020 6:44 and she still the same she has to get really closed to the computer, papers,phone when I said close to the items I meant like 5 inches away from her nose . PM. she started Saturday around 6:00 PM
Age: 16.0
Sex: F
Vaccine: HPVX, MENB, MNQ, HPV9, MENB, MNQ
Symptoms: Vision blurred, Visual impairment
Clinical narrative: My daughter complaint of not seem correct , I ask her to close her eyes and open slow she reply I still can't see she started crying and she reply once again I can't see I see blurry . today is Monday 9/28/2020 6:44 and she still the same she has to get really closed to the computer, papers,phone when I said close to the items I meant like 5 inches away from her nose . PM. she started Saturday around 6:00 PM
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Eye pruritus, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: AFTER PATIENT RECEIVED VACCINATION HE COMPLAINT THREE HOURS LATER OF: SORE THROAT EYE ITCHING; SEVERE HEADACHE  STUFFY NOSE HE WENT TO ER AND WAS TREATED AS AN ANAPHYLACTIC REACTION.  HE WAS GIVEN THE INSTRUCTION NOT TO VACCINATE AGAIN. HE RECOVERED AND INFORMED PHARMACY TODAY 09/28/20.
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: pt reported that he had hives or allergic reactions a couple hours fater the vaccine was adminsited to him. no treatment made by the pt.
Age: 39.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Erythema, Fatigue, Inflammation, Malaise, Myalgia
Clinical narrative: Wednesday 9/23: received 2 shots in 1 arm, felt sore in the muscles and tired ; not feeling well  Thursday 9/24: woke up feeling wiped out and nauseated  Friday 9/25: arm swelled up and inflamed, hot when touching arm.  Sad the inflammation was a baseball size in diameter and growing.  Went to Clinic Friday night and doctor stated potential bacterial infection and gave minocycline 100mg BID for 7 days, information was shared with floating pharmacist  Saturday 9/26: FU with PM; states that after antiobitc, less inflamed but same size in redness; felt better after starting antibiotic
Age: 39.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Nausea, Peripheral swelling, Skin warm
Clinical narrative: Wednesday 9/23: received 2 shots in 1 arm, felt sore in the muscles and tired ; not feeling well  Thursday 9/24: woke up feeling wiped out and nauseated  Friday 9/25: arm swelled up and inflamed, hot when touching arm.  Sad the inflammation was a baseball size in diameter and growing.  Went to Clinic Friday night and doctor stated potential bacterial infection and gave minocycline 100mg BID for 7 days, information was shared with floating pharmacist  Saturday 9/26: FU with PM; states that after antiobitc, less inflamed but same size in redness; felt better after starting antibiotic
Age: 20.0
Sex: M
Vaccine: FLUC4
Symptoms: Erythema, Musculoskeletal stiffness, Pruritus, Rash, Swelling
Clinical narrative: Redness, Swelling, stiffness in hands and wrist then noticed thigh about 30m minutes later as well as itching at that time and bumps/swelling on forear,.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Insomnia, Product administered at inappropriate site
Clinical narrative: Patient claimed the pharmacist gave the injection on her left arm very close to her shoulder joint. Patient believes pharmacist had hit a ligament, since patient experienced an intense pain in her left should for two weeks, causing sleepless nights and a lot of unnecessary suffering.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope
Clinical narrative: Patient fainted upon opening the car door.
Age: 1.08
Sex: F
Vaccine: HEPA
Symptoms: Abnormal behaviour, Balance disorder, Discomfort, Eye swelling, Eyelid rash
Clinical narrative: Patient began having trouble sleeping and starting showing signs of not acting herself 10/13/2018.  10/17/2018 her fever started extremely warm, 7 am (101) 9:40 (100.8 ) 11:45 am  (102.4) 4:30 pm 102.1, walking off balance (more than usual)  I called into our Dr's office, took her to urgent care and tested for a UTI.  This continued on and 10/18/2020 she became extremely lethargic falling asleep when she otherwise would not have, called Dr office again, also rash on eyelids. By 10/19/2020 her eyes were red, swollen and she was congested and uncomfortable, and not her self and made a Dr appointment, ma 10/20/2018 After hours call 10/21/2018 Called + visit after hours clinic, saw 2  doctors, then  sent us to ER
Age: 1.08
Sex: F
Vaccine: HEPA
Symptoms: Hypersomnia, Insomnia, Lethargy, Ocular hyperaemia, Pyrexia
Clinical narrative: Patient began having trouble sleeping and starting showing signs of not acting herself 10/13/2018.  10/17/2018 her fever started extremely warm, 7 am (101) 9:40 (100.8 ) 11:45 am  (102.4) 4:30 pm 102.1, walking off balance (more than usual)  I called into our Dr's office, took her to urgent care and tested for a UTI.  This continued on and 10/18/2020 she became extremely lethargic falling asleep when she otherwise would not have, called Dr office again, also rash on eyelids. By 10/19/2020 her eyes were red, swollen and she was congested and uncomfortable, and not her self and made a Dr appointment, ma 10/20/2018 After hours call 10/21/2018 Called + visit after hours clinic, saw 2  doctors, then  sent us to ER
Age: 1.08
Sex: F
Vaccine: HEPA
Symptoms: Respiratory tract congestion, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Patient began having trouble sleeping and starting showing signs of not acting herself 10/13/2018.  10/17/2018 her fever started extremely warm, 7 am (101) 9:40 (100.8 ) 11:45 am  (102.4) 4:30 pm 102.1, walking off balance (more than usual)  I called into our Dr's office, took her to urgent care and tested for a UTI.  This continued on and 10/18/2020 she became extremely lethargic falling asleep when she otherwise would not have, called Dr office again, also rash on eyelids. By 10/19/2020 her eyes were red, swollen and she was congested and uncomfortable, and not her self and made a Dr appointment, ma 10/20/2018 After hours call 10/21/2018 Called + visit after hours clinic, saw 2  doctors, then  sent us to ER
Age: 66.0
Sex: F
Vaccine: PPV, TD
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Patient states she had arm swelling/redness/warmth at injection site radiating down to "bicep" area. no pain associated with this per ED notes. ED Physician noted faint erythema and the appearance of a large hive but nontender. Treated at local ED for site reaction from 2 vaccines. given Benadryl 50mg one time dose in ED and Icepack. dispositioned to home after ED visit
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Drainage, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: 9-26-20 Redness, swelling to entire left thigh 9-26-20 Itching and Drainage
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: red hives, itching started in palms and went all over, swollen hands and feet, all started 3-4 days post vaccination. This is the third year in a row w/this one being the worst.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: patient developed a raised area of erythema at the site of the varicella vaccine administration on the right thigh within 5 minutes of administration. the area measured 3cmx2cm and was circumscribed with  a skin marker. patient was administered 12.5mg oral diphenhydramine and observed for 20 minutes. upon recheck the inflammation was the same size and patient was  discharged.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Peripheral swelling, Swelling
Clinical narrative: Rt Arm - Proquad Red bump/lump (local) Lt Deltoid - Kinrix Red swelling travled
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Haemorrhage, Immediate post-injection reaction, Swelling
Clinical narrative: Right after administration, patient developed excessive swelling and some bleeding. She was monitored for 15 mins. then she was advised to put some ice! She was contacted same evening and next day. Swelling was going away.
Age: 81.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Discomfort, Gait inability, Pain in extremity, Paraesthesia
Clinical narrative: pressure behind neck, then tingling pressure on left arm, & left leg started hurting then I could not walk. That evening my back began to hurt. I took tylenol & it went away.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Blister, Erythema, Pain
Clinical narrative: red arm, pain, fluid underneath skin. dr wrote steroid cream to treat does not believe it is cellulitis
Age: 84.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Asthenia, Tremor
Clinical narrative: weakness and shaking.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Lip swelling, Swelling face
Clinical narrative: Immediately after administration at 3:25 pm patients face/lips began to swell Auvi - Q administered in left thigh by Dr in the office. Reaction occured in our office after vaccine administered
Sex: M
Vaccine: FLU4, PPV
Symptoms: Feeling hot, Peripheral swelling
Clinical narrative: Pneumovax (Right Arm) was Swollen And Patient Felt Hot. DiD Not Take Temperature.
Age: 76.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Injected limb mobility decreased, Injection site swelling, Pain in extremity
Clinical narrative: Patient called stating that that her right arm hurt so badly that she could barely lift it up. The right arm was swollen on the back of the arm (on the tricep area) and swollen down to the elbow. I recommended that she visit urgent care. She did see the doctor and they gave her a prescription for an antibiotic and a steroid. I spoke with the patient 24 hours later, she said the swelling had gone down and that she was taking the medications that were prescribed.
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient experienced redness, swelling and sore/warm to the touch at the injection site.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pruritus, Injection site urticaria, Urticaria
Clinical narrative: Itch and hives at injection site 2 hours  after flu vaccine was administered.  Baseball size welt following day.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: (R)arm itching, redness, & swelling. ? cellulitis, warm to touch  Started on antibiotics
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Peripheral swelling
Clinical narrative: The patient's arm was very swollen and red around the whole bicep and extending into the forearm. The patient claims it was very painful for her the past 2 days but the symptoms have finally started going down. She does not have a doctor to notify and she said if symptoms get worse - she will go to an urgent care.influen
Age: 1.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMRV, PNC13
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness on legs, swelling. Treated with Tylenol q 6 hr
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Mobility decreased, Pain in extremity
Clinical narrative: Pain in the site and Down My left arm. My Arm still hurt. I cannot Lay My left arm on side.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives/itching
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Culture negative, Full blood count, Injected limb mobility decreased, Joint range of motion decreased, Pain in extremity
Clinical narrative: Loss of mobility in left arm  Pain + swelling. Patient received range of motion exercises to complete daily. Still have pain, but better range of motion on 9/28/20
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling
Clinical narrative: Loss of mobility in left arm  Pain + swelling. Patient received range of motion exercises to complete daily. Still have pain, but better range of motion on 9/28/20
Age: 35.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Blood glucose normal, Immediate post-injection reaction, Syncope
Clinical narrative: Patient needed 3 vaccines for paper work. After I gave the 2nd vaccination, she fainted for 3 to 5 seconds. Per pharmacy guideline, I called 911 and EMS/Fire Department came 5-10 minutes later. They checked her BP, O2 sat, and blood sugar. All were normal and she was responsive and alert. No other issues/symptoms were reported. On the VARS, she checked "No" on "Any history of fainting with Vaccines" but told the EMS/Fire Department that she had previous history of fainting. EMS/fire Department said she was okay to go home without further monitoring after their assessment. Will forward incident to pcp for followup.
Age: 84.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site swelling
Clinical narrative: Swelling around site/arm
Sex: F
Vaccine: FLU4, TDAP, VARZOS
Symptoms: Arthralgia, Injection site induration, Injection site swelling, Neck pain, Pain
Clinical narrative: Patient describes pain in right arm w/ swelling at injection site and feels hard. Pain radiates up shoulder and neck.
Sex: F
Vaccine: FLU4, TDAP, VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient describes pain in right arm w/ swelling at injection site and feels hard. Pain radiates up shoulder and neck.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother of patient called on 09-24-2020@1015 to report redness & swelling at injection site - both legs, (R) side worse than (L) side. Pt came in to clinic for appointment on 09-25-2020 as redness & swelling on (R) thigh worsened.
Age: 36.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Bursitis, Computerised tomogram, Injected limb mobility decreased, Magnetic resonance imaging, Muscular weakness
Clinical narrative: Sirva and brachial neuritis. Intense pain the morning after the shot. Could not raise my arm, pain level at 10. Saw my doctor ,he refereed me to orthopedic for SIRVA.. Then has to see neurologist for brachial neuritis. Still in pain since vaccine. Still under treatment with an orthopedic, neurologist, and physical therapy.
Age: 36.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pain in extremity, Tendonitis, X-ray
Clinical narrative: Sirva and brachial neuritis. Intense pain the morning after the shot. Could not raise my arm, pain level at 10. Saw my doctor ,he refereed me to orthopedic for SIRVA.. Then has to see neurologist for brachial neuritis. Still in pain since vaccine. Still under treatment with an orthopedic, neurologist, and physical therapy.
Age: 36.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Electromyogram, Laboratory test, Magnetic resonance imaging, Mobility decreased, Pain
Clinical narrative: Sirva and brachial neuritis. Intense pain the morning after the shot. Could not raise my arm, pain level at 10. Saw my doctor ,he refereed me to orthopedic for SIRVA.. Then has to see neurologist for brachial neuritis. Still in pain since vaccine. Still under treatment with an orthopedic, neurologist, and physical therapy.
Age: 36.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Radiculitis brachial, Shoulder injury related to vaccine administration
Clinical narrative: Sirva and brachial neuritis. Intense pain the morning after the shot. Could not raise my arm, pain level at 10. Saw my doctor ,he refereed me to orthopedic for SIRVA.. Then has to see neurologist for brachial neuritis. Still in pain since vaccine. Still under treatment with an orthopedic, neurologist, and physical therapy.
Age: 23.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Chlamydia test, Circumstance or information capable of leading to medication error, Exposure during pregnancy, Glucose tolerance test, No adverse event
Clinical narrative: There were no adverse events from either mother or child. I am unable to find a weight of the baby at birth. Patient was first seen on 8/18/20 for her first prenatal visit, at 33w4d gestation on 8/24/20. Patient no-showed all of her appointments until she gave birth. Mother was informed of vaccine error during her delivery, questions were answered by providers. No adverse reactions reported by mother or reported by providers.
Age: 23.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Sexually transmitted disease test
Clinical narrative: There were no adverse events from either mother or child. I am unable to find a weight of the baby at birth. Patient was first seen on 8/18/20 for her first prenatal visit, at 33w4d gestation on 8/24/20. Patient no-showed all of her appointments until she gave birth. Mother was informed of vaccine error during her delivery, questions were answered by providers. No adverse reactions reported by mother or reported by providers.
Age: 23.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: There were no adverse events from either mother or child. I am unable to find a weight of the baby at birth. Patient was first seen on 8/18/20 for her first prenatal visit, at 33w4d gestation on 8/24/20. Patient no-showed all of her appointments until she gave birth. Mother was informed of vaccine error during her delivery, questions were answered by providers. No adverse reactions reported by mother or reported by providers.
Age: 84.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Herpes zoster, Neuralgia
Clinical narrative: the injection site was extremely sore for several days Then it all started with a sore right jaw and ear area. A blister soon formed between my eyebrows I was very sore - burning and ichy. Soon after a sensation went from that blister up my forehead down to the tip of my nose. then this also became numb. So uncomfortable that I can't even wear my glasses - my right side of my face and head became very sore. I checked with my eye Doctor as it was sore around the right eye - Because my head was so sore I was checked out by a neurologist. She ordered an MRI of my head . It was negative! I am in touch with Dr and she has me taking Gabapentin, tylenol and pain meds as needed. As I write this I am very displeased that I took your vaccine because after 4 or so weeks I am very sore and miserable- I took valacyclovir the first couple weeks that this all started -
Age: 84.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blister, Burning sensation, Discomfort, Ear pain, Eyelid pain
Clinical narrative: the injection site was extremely sore for several days Then it all started with a sore right jaw and ear area. A blister soon formed between my eyebrows I was very sore - burning and ichy. Soon after a sensation went from that blister up my forehead down to the tip of my nose. then this also became numb. So uncomfortable that I can't even wear my glasses - my right side of my face and head became very sore. I checked with my eye Doctor as it was sore around the right eye - Because my head was so sore I was checked out by a neurologist. She ordered an MRI of my head . It was negative! I am in touch with Dr and she has me taking Gabapentin, tylenol and pain meds as needed. As I write this I am very displeased that I took your vaccine because after 4 or so weeks I am very sore and miserable- I took valacyclovir the first couple weeks that this all started -
Age: 84.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Feeling abnormal, Headache, Hypoaesthesia, Injection site pain, Magnetic resonance imaging brain normal
Clinical narrative: the injection site was extremely sore for several days Then it all started with a sore right jaw and ear area. A blister soon formed between my eyebrows I was very sore - burning and ichy. Soon after a sensation went from that blister up my forehead down to the tip of my nose. then this also became numb. So uncomfortable that I can't even wear my glasses - my right side of my face and head became very sore. I checked with my eye Doctor as it was sore around the right eye - Because my head was so sore I was checked out by a neurologist. She ordered an MRI of my head . It was negative! I am in touch with Dr and she has me taking Gabapentin, tylenol and pain meds as needed. As I write this I am very displeased that I took your vaccine because after 4 or so weeks I am very sore and miserable- I took valacyclovir the first couple weeks that this all started -
Age: 84.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Pain in jaw, Pruritus
Clinical narrative: the injection site was extremely sore for several days Then it all started with a sore right jaw and ear area. A blister soon formed between my eyebrows I was very sore - burning and ichy. Soon after a sensation went from that blister up my forehead down to the tip of my nose. then this also became numb. So uncomfortable that I can't even wear my glasses - my right side of my face and head became very sore. I checked with my eye Doctor as it was sore around the right eye - Because my head was so sore I was checked out by a neurologist. She ordered an MRI of my head . It was negative! I am in touch with Dr and she has me taking Gabapentin, tylenol and pain meds as needed. As I write this I am very displeased that I took your vaccine because after 4 or so weeks I am very sore and miserable- I took valacyclovir the first couple weeks that this all started -
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Fatigue, Immediate post-injection reaction, Influenza like illness, Injection site pain, Injection site pruritus
Clinical narrative: Felt pain while being injected with vaccine, arm was swollen, red,  hot at injection site which lasted for one week.   Chills,, tired,  achy which lasted for 3 days seemed like flu symptoms.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Felt pain while being injected with vaccine, arm was swollen, red,  hot at injection site which lasted for one week.   Chills,, tired,  achy which lasted for 3 days seemed like flu symptoms.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: Felt pain while being injected with vaccine, arm was swollen, red,  hot at injection site which lasted for one week.   Chills,, tired,  achy which lasted for 3 days seemed like flu symptoms.
Age: 68.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Injection site warmth, Pain
Clinical narrative: Felt pain while being injected with vaccine, arm was swollen, red,  hot at injection site which lasted for one week.   Chills,, tired,  achy which lasted for 3 days seemed like flu symptoms.
Age: 61.0
Sex: F
Vaccine: FLUX, FLU4
Symptoms: Myalgia, Pruritus
Clinical narrative: itch on her chest/body wide including her scalp, legs, feet, and back/itching; This case was reported by a consumer via call center representative and described the occurrence of pruritus in a 61-year-old female patient who received Flu Seasonal QIV Dresden (Fluarix Quadrivalent 2020-2021 season) for prophylaxis.   The patient's past medical history included covid-19. Previously administered products included flu shot with an associated reaction of myalgia (flu shots over the years without any kind of reaction other than muscle soreness- refer case id-US2020AMR187003).   On 13th September 2020, the patient received Fluarix Quadrivalent 2020-2021 season (intramuscular) .5 ml. On 13th September 2020, less than a day after receiving Fluarix Quadrivalent 2020-2021 season, the patient experienced pruritus. The patient was treated with hydrocortisone. On an unknown date, the outcome of the pruritus was recovering/resolving.   The reporter considered the pruritus to be related to Fluarix Quadrivalent 2020-2021 season.  Additional details were provided as follows: The age at vaccination was not reported. The patient had had many flu shots over the years without any kind of reaction other than muscle soreness.  She began to itch on her chest near her left shoulder. Then it went body wide including her scalp, legs, feet, and back.  There was no rash and she has been using hydrocortisone to help with the itch. She says it is better today but it hasn't resolved completely. She doesn't know if this would have anything to do with the itching, but both she and her husband suffered with Covid 19 this year. The patient was very pleasant, walked through the questions that she had, took my information, and she was very, very pleasant, very professional, the patient felt like she was a really good person to have on the phone.  The reporter consent to follow up.; Sender's Comments:  US-GLAXOSMITHKLINE-US2020AMR187003:same patient