chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Palpitations, Tremor
Clinical narrative: 3:15PM - low blood sugar episode (54 mg/dl), ate yogurt and felt fine. 7:30PM-sudden onset of chills, fever, racing heart (over 90 bpm), elevated blood pressure (166/90). Blood pressure taken again at: 8:20PM, 166/85. 9:15PM-136/73. 10:40PM-125/68 and heart rate 76, so both were returning to normal. I also experience extreme fatigue at the end of this occurrence when I went to bed.  I continued to feel chilled and took 2 Ibuprofen before going to bed. This has never happened before. I have had a flu shot for several years (probably the last 15 years) with no adverse effects. I did not seek medical attention since my blood pressure and heart rate began returning to normal.
Age: 56.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blood pressure increased, Chills, Fatigue, Palpitations, Pyrexia
Clinical narrative: 3:15PM - low blood sugar episode (54 mg/dl), ate yogurt and felt fine. 7:30PM-sudden onset of chills, fever, racing heart (over 90 bpm), elevated blood pressure (166/90). Blood pressure taken again at: 8:20PM, 166/85. 9:15PM-136/73. 10:40PM-125/68 and heart rate 76, so both were returning to normal. I also experience extreme fatigue at the end of this occurrence when I went to bed.  I continued to feel chilled and took 2 Ibuprofen before going to bed. This has never happened before. I have had a flu shot for several years (probably the last 15 years) with no adverse effects. I did not seek medical attention since my blood pressure and heart rate began returning to normal.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient returned to pharmacy 2 days after receiving PNEUMOVAX 23 in right arm complaining of redness and soreness at injection site. Symptoms improved over following 2 days according to patient.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia, Erythema, Musculoskeletal pain, Peripheral swelling, Pruritus
Clinical narrative: Sharp right shoulder to elbow pain for three days, 6 inch by 3 inch swelling above muscle with heat and swelling treated with ice pack from 10/18/2017 until 10/20/2017. Still have red scaly skin that itches.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Skin exfoliation, Skin warm
Clinical narrative: Sharp right shoulder to elbow pain for three days, 6 inch by 3 inch swelling above muscle with heat and swelling treated with ice pack from 10/18/2017 until 10/20/2017. Still have red scaly skin that itches.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Pruritus generalised, Skin warm
Clinical narrative: Experienced extreme itching on my entire body and pain and fever in upper arm during the night following my shot. Had no swelling or rash. Called by pharmacy the next mid-morning and since I did not have swelling or rash he told me to take an allergy pill. I did and itching stopped.
Age: 30.0
Sex: M
Vaccine: FLU4
Symptoms: Burning sensation, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: About two hours after injection numbness started in the lips and tongue and slowly throughout the day spread across the right side of the face. Later that night the numbness spread down the right arm to the fingertips. Then Sunday morning burning sensation started on the right side of the face and spread to behind the right eye. Symptoms did not resolve with TYLENOL or BENADRYL. Presented to employee health for evaluation. Methylprednisolone prescribed.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Blood thyroid stimulating hormone, Fatigue, Full blood count
Clinical narrative: Patient complains of upper back pain, states she was picking up her 2 year old daughter and heard a "pop." Patient also had fatigue and joint pain starting 2 days after shot was administered. Fatigue has resolved but joint pain has persisted. Patient reports fingers, knees and left heel"ache". Patient states her joints feel itchy.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Laboratory test, Pain in extremity, Pruritus, Rheumatoid factor
Clinical narrative: Patient complains of upper back pain, states she was picking up her 2 year old daughter and heard a "pop." Patient also had fatigue and joint pain starting 2 days after shot was administered. Fatigue has resolved but joint pain has persisted. Patient reports fingers, knees and left heel"ache". Patient states her joints feel itchy.
Age: 60.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Dizziness
Clinical narrative: Patient complained of dizziness the day after and week after immunization.
Age: 75.0
Sex: F
Vaccine: FLUA3, FLUA3
Symptoms: Contusion, Haematoma
Clinical narrative: Claimant alleges she received the flu shot, and now has a contusion and hematoma to the left arm.
Age: 75.0
Sex: F
Vaccine: FLUA3, FLUA3
Symptoms: Injection site swelling
Clinical narrative: Claimant alleges she received the flu shot, and now has a contusion and hematoma to the left arm.
Age: 23.0
Sex: F
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Hives began overnight after the flu shot.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Pruritus, Skin warm
Clinical narrative: Patient came in on the 21st which is 3 days after receiving the immunization. She had developed a rash about 2 inches by 3 inches around the injection site. The patient said her doctor told her to get some oral Benadryl and to go by the pharmacy to show the pharmacist. The patient did not come in until the 21st because she said she didn't have a ride into town. She said the rash had peaked in size on the 20th but it still felt warm and it was very itchy. She said her doctor did not prescribe any medications for it but if it did not look any better by sometime next week she would be provided an antibiotic.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Febrile convulsion, Haematoma, Pain, Pyrexia
Clinical narrative: Large local hematoma with significant pain for a week, fever with one brief febrile seizure lasting less than 3 minutes.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Peripheral swelling
Clinical narrative: Left arm swelling, cellulitis, resolved.
Age: 1.5
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Anaphylactic reaction, Blister, Erythema, Skin lesion, Urticaria
Clinical narrative: Developed anaphylaxis, erythematous, blistering lesions with hives within 24 hrs after receiving vaccines. Treated at local Urgent Care with epinephrine. Reaction resolved.
Age: 51.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Glossodynia, Influenza virus test negative, Injection site pain, Pain in extremity
Clinical narrative: Patient reported chills, high fever (103 degrees Fahrenheit) on the afternoon that she received the vaccine. Pain spread beyond the site of injection to shoulders and hands. As of 10/23, patient reports continued pain throughout arm of diminished intensity and soreness/redness on the tongue.
Age: 51.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pyrexia, Streptococcus test negative, Tongue erythema
Clinical narrative: Patient reported chills, high fever (103 degrees Fahrenheit) on the afternoon that she received the vaccine. Pain spread beyond the site of injection to shoulders and hands. As of 10/23, patient reports continued pain throughout arm of diminished intensity and soreness/redness on the tongue.
Age: 22.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site reaction, Rash maculo-papular, Rash pruritic
Clinical narrative: Diffuse maculopapular pruritic rash with onset 30 minutes after time of injection, beginning locally at site of injection (R deltoid) then spreading all over the skin, with facial and palmar sparing. Rash persists more than 48 hours later. No anaphylaxis. No desquamation.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 26-SEP-2017, the patient was vaccinated with a dose of M-M-R II (recombinant human albumin) lot # L035674, expiration date 17-SEP-2017 (dose and route of administration were not provided). No adverse effect was reported.
Age: 0.75
Sex: U
Vaccine: HEPA
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: This spontaneous report was received from an office manager and refers to a 9 month old patient of unknown gender. The patient's concurrent conditions, medical history and concomitant therapies were not reported. On 02-OCT-2017, the patient inadvertently was vaccinated with a dose of VAQTA lot # M022531 with expiration date of 23-FEB-2018, for prophylaxis (strength, dose, route were frequency were not reported). No adverse effects were reported.
Age: 0.33
Sex: M
Vaccine: RV5
Symptoms: Decreased appetite, Diarrhoea, Infantile spitting up, Vomiting
Clinical narrative: This spontaneous report as received from a registered nurse and refers to a 4 month old male patient. The patient's concurrent condition included weight gain poor. Medical history and concomitant therapies were not provided. On 27-SEP-2017, the patient was vaccinated with the first dose of ROTATEQ orally (strength, dose, frequency were not provided, lot # N009964, expiration date 22-NOV-2018) for prophylaxis. On 01-OCT-2017, 5 days after onset of therapy the patient experienced diarrhoea (three times), vomiting, infantile spitting up and decreased appetite. The patient recovered from diarrhoea on the same day and from infantile spitting up and decreased appetite on 02-OCT-2017. The outcome from decreased appetite was not provided. Prescription drug treatment for the experience was not required, no lab tests were done. The patient had no illness at time of vaccination. The causality between the events and ROTATEQ was not reported.
Sex: F
Vaccine: PPV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a licensed practical nurse and refers to a 48-year-old-female patient. No information regarding the patient's pertinent medical history, concomitant medications, drug reactions or allergies was provided. On an unknown date, the patient was vaccinated with an improperly store dose of PNEUMOVAX 23 (dose and route of administration were not reported) lot # N011305 and expiration date: 20-JAN-2019. PNEUMOVAX 23 was stored between 32 Fahrenheit degrees (°F) and 35°F for 1 hour and 57 minutes. There was no previous temperature excursion. The digital data logger was involved in recording the temperature excursion. No causality assessment was provided by the reporter.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: This spontaneous report was received from an advanced nurse practitioner via a company representative, referring to a 54 year-old female patient. The patient did not have medical history nor concurrent conditions. The patient's drug reactions/allergies and concomitant medications were not reported. On 13-OCT-2017, the patient was vaccinated with a dose of PNEUMOVAX 23 in her left deltoid, lot # N011867 with expiration date 08-NOV-2018, for prevention of pneumonia (dose and route of administration were not reported). In October 2017, the patient developed cellulitis. It was stated that the patient had a follow up visit with the reporting nurse and an unspecified treatment was given for the adverse event. At the time of reporting, the outcome of the adverse event was unknown. The causality assessment between cellulitis with PNEUMOVAX 23 was not provided. Upon internal review, cellulitis was determined to be a medically significant event.
Sex: U
Vaccine: HEPA
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report as received from a medical assistant refers to a patient of unknown age and gender. The patient's historical drugs, medical history, concomitant therapies and concurrent conditions were not reported. On 18-OCT-2017, the patient was vaccinated with improperly stored doses of VAQTA lot # N019924, expiration date 02-SEP-2018, orally, for prophylaxis (strength, dose and frequency were not reported). The temperature/Time frame was 34.8°F for 8 hours 23 minutes and 34.8°F for 8 hours 15 minutes. The previous temperature excursion was 47.6°F for 5 minutes. There was a data logger involved. No adverse effects reported. This is one of several cases from the same source. Sender's Comments: US-009507513-1710USA010653: US-009507513-1710USA010654: US-009507513-1710USA010656: US-009507513-1710USA010312.
Sex: U
Vaccine: HEPA
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report as received from a medical assistant refers to a patient of unknown age and gender. The patient's historical drugs, medical history, concomitant therapies and concurrent conditions were not reported. On 18-OCT-2017, the patient was vaccinated with improperly stored doses of VAQTA lot # N019924, expiration date 02-SEP-2018, orally, for prophylaxis (strength, dose and frequency were not reported). The temperature/Time frame was 34.8°F for 8 hours 23 minutes and 34.8°F for 8 hours 15 minutes. The previous temperature excursion was 47.6°F for 5 minutes. There was a data logger involved. No adverse effects reported. This is one of several cases from the same source. Sender's Comments: US-009507513-1710USA010312: US-009507513-1710USA010653: US-009507513-1710USA010654: US-009507513-1710USA010655.
Sex: F
Vaccine: PNC13
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: This is a spontaneous report from a contactable physician, via a Pfizer sales representative. A 67-year-old female patient received PREVNAR 13, via an unspecified route of administration on an unspecified date at a single dose for immunization. The patient's medical history and concomitant medications were not reported. The patient experienced arm swelling, fever, and pain on unspecified dates. The outcome of the events was unknown. No follow up attempts are possible. No further information is expected.
Sex: U
Vaccine: MENB
Symptoms: Myalgia
Clinical narrative: This is a spontaneous report from a contactable physician via a sales representative. This Physician reported for similar event for 2 Patients. This is 1st of 2 report. An adolescent patient of an unspecified ethnicity and gender received first dose of TRUMENBA, via an unspecified route of administration on an unspecified date at single dose for immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced terrible muscle pain on an unspecified date with outcome of unknown. Sender's Comments: Linked Report(s): US-PFIZER INC-2017453975 same reporter/drug/event, different patient.
Sex: U
Vaccine: MENB
Symptoms: Myalgia
Clinical narrative: This is a spontaneous report from a contactable physician via a Pfizer sales representative. This physician reported for similar event for two patients. This is the second of two reports. An adolescent patient of an unspecified ethnicity and gender received the first dose of TRUMENBA, via an unspecified route of administration from an unspecified date at single dose for immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced terrible muscle pain. It was reported that the event took place after use of product. Outcome of the event was unknown. Sender's Comments: Linked Report(s): US-PFIZER INC-2017453955 same reporter/drug/event, different patient.
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: This is a spontaneous report from a contactable pharmacist. A 56-year-old female patient received the 1st dose of PREVNAR 13 (Lot# N34935, Exp date Nov2017, NDC 00005-1971-01), intramuscular in left deltoid, on 16Oct2017 around 02:00 PM, at 0.5 ml single, for immunisation. Patient was vaccinated at a pharmacy/drug store. Relevant medical history included ongoing wheezing and breast biopsy (right side). Concomitant medications included 1st dose of FLUCELVAX (Lot# 195222) on 12Oct2017 for immunisation and VENTOLIN INHALER from Oct2016 and ongoing for wheezing. The patient experienced red mark at injection site on 17Oct2017 with outcome of not recovered, painful injection site on 17Oct 2017 with outcome of not recovered, redness on the underside of arm from injection site on 18Oct2017 with outcome of unknown, hot at injection site on 18Oct2017 with outcome of unknown. Therapeutic measures were taken as a result of the events and included treatment with XYZAL (Lot# 17A101, Exp date Jan2020) tablet, on 18OCT2017, which did not seem to help. The events red mark at injection site, painful injection site and hot at injection site were considered serious as per medically significant. The events were considered related to PREVNAR 13. Sender's Comments: A causal association between administration of PREVNAR 13 and the onset of events cannot be excluded, considering the temporal association. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.
Sex: U
Vaccine: PNC13
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: This is a spontaneous report from a contactable Pharmacist via Pfizer sales representative. An adult patient of an unspecified ethnicity and gender received PREVNAR 13, via an unspecified route of administration on an unspecified date at a single dose for immunisation. The patient medical history and concomitant medications were not reported. The patient experienced felt heat and a rash at the injection site on an unspecified date with outcome of unknown. No follow up attempts possible. No further information expected.
Sex: U
Vaccine: MENB
Symptoms: Injection site mass, Injection site pain
Clinical narrative: This is a spontaneous report from a contactable medical assistant on behalf of a physician via a Pfizer sales representative. A patient of unspecified age, race, ethnicity and gender received TRUMENBA at single dose via an unspecified route of administration in Jul2017 for immunization. The patient medical history and concomitant medications were not reported. The patient experienced pain/ a lot of pain at the injection site and tennis ball sized lump at the injection site in Jul2017. No treatment was needed. The patient recovered on an unspecified date in 2017.
Age: 82.0
Sex: F
Vaccine: FLU4
Symptoms: Micturition urgency, Mobility decreased, Peripheral coldness
Clinical narrative: During that night legs felt frozen, couldn't move them. I need urgent bladder function and determined to get to the bathroom as never wet my bed since age 18 months! I threw my legs over side of bed and hung onto furniture and made it to the toilet.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Musculoskeletal stiffness, Myalgia
Clinical narrative: Headache, muscle ache/stiffness.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Feeling abnormal, Oropharyngeal pain, Pain in extremity, Vomiting
Clinical narrative: Mom reported that patient did not feel "himself" in evening of 10/18 and all day on 10/19. Reports a fever on Friday, no temperature taken, complained of pain in arm and vomiting. Complained of sore throat over the weekend and vomiting.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Inflammation, Mobility decreased, Musculoskeletal pain, Pain
Clinical narrative: Patient has had severe shoulder pain since the injection occured (almost a week ago). Patient is having trouble moving arm and is having a lot of pain. Was seen by a provider at clinic and is receiving medications (prednisone taper, tylenol #3, augmentin)  to help with pain and inflammation.
Age: 74.0
Sex: F
Vaccine: FLUA3
Symptoms: Peripheral swelling, Rash, Rash pruritic
Clinical narrative: Patient states that she woke with swollen and itchy arm with a rash that Benadryl is not helping; states the rash goes from around her elbow to her wrist.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Fatigue, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Feeling fatigued, stuffy nose, nasal drainage, sneezing, fever 101, cough. On 10/18 went to Dr. Placed on Prednisone and Amoxicillin.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Sneezing
Clinical narrative: Feeling fatigued, stuffy nose, nasal drainage, sneezing, fever 101, cough. On 10/18 went to Dr. Placed on Prednisone and Amoxicillin.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Patient received the shot on Thursday. Friday night at bedtime she noticed red places on her arm (NOT immediately surrounding the injection site) and the top of her shoulder. It was still there on Saturday. The places were not itchy but had heat and felt painful to the touch. Patient took BENADRYL and applied NEOSPORIN to the places. Monday all places were gone except for the one on the top of her shoulder which was fading and decreasing in size.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: THE LEFT ARM WAS RED, SWOLLEN, ITCHING, AND WARM FROM AROUND THE ZOSTAVAX INJECTION SITE (BACK OF THE ARM) DOWN TO THE ELBOW.  IT BEGAN THE MORNING AFTER THE ZOSTAVAX AND INFLUENZA VACCINATIONS AND AS OF TODAY (10/23/17) HAS STARTED TO SUBSIDE. NO TREATMENT WAS SOUGHT, COUNSELED THE PATIENT TO USE A COMPRESS AND TAKE BENADRYL TO HELP WITH THE REACTION.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Musculoskeletal disorder, Musculoskeletal pain, Myalgia, Neck pain
Clinical narrative: Right arm has become almost unuseable. Pain in shoulder joint and in muscle. Unable to raise arm, use arm to pick up anything. I have not seen swelling or heat from injection site. Pain in joint radiates though shoulder blades and sometimes up into the neck.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Headache, Nausea, Retching, Vomiting
Clinical narrative: Nauseous the afternoon of my shot. The following day I threw up ALL DAY (dry heaves, etc.).  I also had the worst headache I ever had. Also, weak.  No fever. This all lasted the entire day, Saturday. On Sunday, I was able to eat soup. However, I lost 2 pounds as a result of being sick!
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Weight decreased
Clinical narrative: Nauseous the afternoon of my shot. The following day I threw up ALL DAY (dry heaves, etc.).  I also had the worst headache I ever had. Also, weak.  No fever. This all lasted the entire day, Saturday. On Sunday, I was able to eat soup. However, I lost 2 pounds as a result of being sick!
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Cold sweat, Erythema, Hyperhidrosis, Pruritus, Pyrexia
Clinical narrative: Pt reported large red spot, slightly raised, warm to the touch with light itching. She also reported hot/cold sweats and a low grade temperature of 99 deg F. Symptoms appeared on 10/22/17 with the vaccination given on 10/20/2017.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm, Swelling
Clinical narrative: Pt reported large red spot, slightly raised, warm to the touch with light itching. She also reported hot/cold sweats and a low grade temperature of 99 deg F. Symptoms appeared on 10/22/17 with the vaccination given on 10/20/2017.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Patient complained of slight swelling, pain, and a localized rash at the injection site of the ZOSTAVAX over the phone. Patient was instructed to use cold compresses, acetaminophen OTC as needed for pain/discomfort, and diphenhydramine OTC as needed for itching. Patient has annual doctor appointment where she will show area to doctor if reaction has not improved.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Rash
Clinical narrative: Patient developed rash on abdomen and back two days after vaccine was administered.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Foaming at mouth, Full blood count, Hypotonia, Infantile back arching, Metabolic function test
Clinical narrative: Patient was seen in ER and transferred to medical center. Reported event that began as head extending back with stiffening, followed by shaking of arms and legs and associated with color change, and report of some secretions in mouth at end of event; event followed by a limp infant with transient decreased responsiveness. Infant was well appearing by time of transfer to our facility and remained well during period of observation.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Musculoskeletal stiffness, Posture abnormal, Salivary hypersecretion, Skin discolouration, Tremor
Clinical narrative: Patient was seen in ER and transferred to medical center. Reported event that began as head extending back with stiffening, followed by shaking of arms and legs and associated with color change, and report of some secretions in mouth at end of event; event followed by a limp infant with transient decreased responsiveness. Infant was well appearing by time of transfer to our facility and remained well during period of observation.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Unresponsive to stimuli, Urine analysis
Clinical narrative: Patient was seen in ER and transferred to medical center. Reported event that began as head extending back with stiffening, followed by shaking of arms and legs and associated with color change, and report of some secretions in mouth at end of event; event followed by a limp infant with transient decreased responsiveness. Infant was well appearing by time of transfer to our facility and remained well during period of observation.
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache, Myalgia, Nausea, Tremor
Clinical narrative: Nausea, muscle aches, headache, chills w/ uncontrollable shaking, rapid pounding heartbeat for 12 hours, then headache and muscle ache for another 24 hours. Have not had any symptoms in previous 20 years of flu shots.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Hypoaesthesia, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Localized pain and swelling at injection site expanded along fascial tract of upper arm (L) and eventually into left forearm. Redness and warmth occurred. Achy pain 4/10. Awakened patient every night for the past 3 nights. Slight sensory changes (numbness) and occasional paresthesias down to hand. Strength WNL. Cap refill < 2 seconds. ROM affected/limited by swelling.
Age: 51.0
Sex: F
Vaccine: ANTH
Symptoms: Middle insomnia, Paraesthesia, Skin warm
Clinical narrative: Localized pain and swelling at injection site expanded along fascial tract of upper arm (L) and eventually into left forearm. Redness and warmth occurred. Achy pain 4/10. Awakened patient every night for the past 3 nights. Slight sensory changes (numbness) and occasional paresthesias down to hand. Strength WNL. Cap refill < 2 seconds. ROM affected/limited by swelling.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site swelling, Pain in extremity
Clinical narrative: Mother of the pt stated she and her daughter received the flu shot administered by the FD on 10/13/2017. Mother stated the pt told her later that evening her arm was sore. Mother stated when they woke up on Saturday morning  she noticed her daughters arm was swollen and very red. Mother stated the area where the shot was administered was hard and raised. Mother stated later that afternoon she noticed the redness was spreading to her entire upper arm. Mother received some advice from a neighbor about drawing a line around the area, and if the redness spreads to go to the clinic. Mother did so and also administered one dose of over the counter benadryl to her daughter.  Sunday morning the redness and swelling had moved beyond the drawn line. Mother took her daughter to a walk in clinic. The staff physician prescribed amoxacillin and prednisone. Mother was told to follow up with their normal family physician. Mother stated when called by agency days later that her daughter had completely recovered. She stated she has not followed up with her normal physician.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling
Clinical narrative: Mother of the pt stated she and her daughter received the flu shot administered by the FD on 10/13/2017. Mother stated the pt told her later that evening her arm was sore. Mother stated when they woke up on Saturday morning  she noticed her daughters arm was swollen and very red. Mother stated the area where the shot was administered was hard and raised. Mother stated later that afternoon she noticed the redness was spreading to her entire upper arm. Mother received some advice from a neighbor about drawing a line around the area, and if the redness spreads to go to the clinic. Mother did so and also administered one dose of over the counter benadryl to her daughter.  Sunday morning the redness and swelling had moved beyond the drawn line. Mother took her daughter to a walk in clinic. The staff physician prescribed amoxacillin and prednisone. Mother was told to follow up with their normal family physician. Mother stated when called by agency days later that her daughter had completely recovered. She stated she has not followed up with her normal physician.
Age: 8.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: I was informed from the doctor's office that patient was given an expired vaccine. I called and spoke to County Health Department on 10/23/17 and she informed me I should report the incident via the VAERS website.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Welts to body and swelling of tongue around 1800 that evening after the injection at 900 am. Patient was seen at primary doctor and was given an steroid injection and a steroid to take at home.
Age: 48.0
Sex: F
Vaccine: FLU4, TDAP, FLU4, TDAP
Symptoms: Dysgeusia, Injection site pain, Lymphadenopathy, Pain in extremity, Paraesthesia oral
Clinical narrative: Patient c/o severe pain in right arm/shoulder 7-8 out 1-10 scale even now a month later. Swollen lymph node in neck, palpable to her and MD, metallic taste in mouth and tingling in mouth.
Age: 48.0
Sex: F
Vaccine: FLU4, TDAP, FLU4, TDAP
Symptoms: Streptococcus test negative, Ultrasound scan abnormal
Clinical narrative: Patient c/o severe pain in right arm/shoulder 7-8 out 1-10 scale even now a month later. Swollen lymph node in neck, palpable to her and MD, metallic taste in mouth and tingling in mouth.
Age: 48.0
Sex: F
Vaccine: FLU4, TDAP, FLU4, TDAP
Symptoms: Blood test, Dysgeusia, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Patient c/o severe pain in right arm/shoulder 7-8 out 1-10 scale even now a month later. Swollen lymph node in neck, palpable to her and MD, metallic taste in mouth and tingling in mouth.
Age: 48.0
Sex: F
Vaccine: FLU4, TDAP, FLU4, TDAP
Symptoms: Paraesthesia oral, Periarthritis, Ultrasound scan, X-ray limb
Clinical narrative: Patient c/o severe pain in right arm/shoulder 7-8 out 1-10 scale even now a month later. Swollen lymph node in neck, palpable to her and MD, metallic taste in mouth and tingling in mouth.
Age: 51.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Pain, Skin warm, Swelling
Clinical narrative: Patient reported swelling in her arm where the vaccination was given that spread up her shoulder and into her neck. She also said that it felt warm to the touch even after 2 weeks had passed. The pharmacist on duty told her to take benadryl and apply an ice pack in 15 minute increments. The next morning (today) we followed up with the patient and she said she still had the swelling and pain. We called her physician's office for her to schedule an appointment and we are waiting to hear back from them.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Acne, Blood test, Hypersensitivity, Injection site erythema, Injection site haematoma
Clinical narrative: Grandma was Changing his diaper around noon on 10/21/2017 and noticed a small pimple like bump on thigh no redness, warmth or noticeable pain. As the day went on she noticed at about 3:30 there was some redness surrounding injection site. At about 7:30 she noticed area was very red, swollen, and warm to the touch which they then presented to ER and patient was checked out. They assumed it was a hematoma and released. At about 10:30 that night they noticed rash had then spread to both arms and was worse at injection site, they returned to ER and was admitted, had Xray and blood work done. ER doctor had considered transferring him to burn unit, but decided at that time against it. After a while he was transferred to be evaluated by pediatric doctor, which finding where allergic reaction to unknown substance, unable to rule vaccine out as cause. Patient followed up in PCP's office today 10/23/2017 and rash still present at injection site and a couple spots on face. Was treated with steroids.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site rash, Injection site reaction, Injection site swelling, Injection site warmth, Rash
Clinical narrative: Grandma was Changing his diaper around noon on 10/21/2017 and noticed a small pimple like bump on thigh no redness, warmth or noticeable pain. As the day went on she noticed at about 3:30 there was some redness surrounding injection site. At about 7:30 she noticed area was very red, swollen, and warm to the touch which they then presented to ER and patient was checked out. They assumed it was a hematoma and released. At about 10:30 that night they noticed rash had then spread to both arms and was worse at injection site, they returned to ER and was admitted, had Xray and blood work done. ER doctor had considered transferring him to burn unit, but decided at that time against it. After a while he was transferred to be evaluated by pediatric doctor, which finding where allergic reaction to unknown substance, unable to rule vaccine out as cause. Patient followed up in PCP's office today 10/23/2017 and rash still present at injection site and a couple spots on face. Was treated with steroids.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: X-ray limb
Clinical narrative: Grandma was Changing his diaper around noon on 10/21/2017 and noticed a small pimple like bump on thigh no redness, warmth or noticeable pain. As the day went on she noticed at about 3:30 there was some redness surrounding injection site. At about 7:30 she noticed area was very red, swollen, and warm to the touch which they then presented to ER and patient was checked out. They assumed it was a hematoma and released. At about 10:30 that night they noticed rash had then spread to both arms and was worse at injection site, they returned to ER and was admitted, had Xray and blood work done. ER doctor had considered transferring him to burn unit, but decided at that time against it. After a while he was transferred to be evaluated by pediatric doctor, which finding where allergic reaction to unknown substance, unable to rule vaccine out as cause. Patient followed up in PCP's office today 10/23/2017 and rash still present at injection site and a couple spots on face. Was treated with steroids.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling
Clinical narrative: Patient had swelling on her right biceps. Informed patient to use cold compresses and to use ibuprofen. Also informed patient to keep an eye on the adverse event and to go to urgent care if symptoms develops.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Headache, Impaired work ability, Malaise
Clinical narrative: Approximately 4 hrs after injection, my symptoms were- fever rising to 102, chills, body aches, headache and nausea. After 14 hrs the fever was gone, all other symptoms remained, plus an addition of diarrhea. 24 hours later, headache, nausea and diarrhea remain. I was too ill to go to work today. I think the worst is over. I have never had a reaction to any flu shots to date. This is the first time I was given the High-Dose. Might that be the reason for my experience?
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Approximately 4 hrs after injection, my symptoms were- fever rising to 102, chills, body aches, headache and nausea. After 14 hrs the fever was gone, all other symptoms remained, plus an addition of diarrhea. 24 hours later, headache, nausea and diarrhea remain. I was too ill to go to work today. I think the worst is over. I have never had a reaction to any flu shots to date. This is the first time I was given the High-Dose. Might that be the reason for my experience?
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Received >3years dose instead of the pediatric dose. No adverse reaction associated with the error.
Age: 33.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Drug administered at inappropriate site, Injection site joint pain, Injection site swelling, Limb injury, Pain
Clinical narrative: The injection was done much higher than normal into my right shoulder and I firmly believe that instead of going into my deltoid, the nurse incorrectly injected the vaccine into my shoulder bursa, causing soreness in the joint, swelling, and pain when trying to move shoulder in certain directions. (Shoulder Pain After Vaccine Injection SIRVA).
Age: 33.0
Sex: M
Vaccine: FLUC4, FLUC4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: The injection was done much higher than normal into my right shoulder and I firmly believe that instead of going into my deltoid, the nurse incorrectly injected the vaccine into my shoulder bursa, causing soreness in the joint, swelling, and pain when trying to move shoulder in certain directions. (Shoulder Pain After Vaccine Injection SIRVA).
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Impaired work ability, Nausea, Pruritus generalised, Pyrexia, Vomiting
Clinical narrative: Developed itching all over, slight fever, nausea within 30-40 minutes after vaccine. Denies rash or blotching. Went home and took Benadryl X 2 and felt a little better. Called out from work the next night due to nausea and vomiting. States in previous years, she had received intradermal without any problems but took the IM route this year.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Chills, fever 100.1, muscle aches, fatigue, headache, for 18 hours. Contacted physician who said I was having an immune response and that no treatment was indicated.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Administration site pain, Administration site rash, Administration site swelling, Injection site pruritus, Pain in extremity
Clinical narrative: Patient reported localized swelling, pain, rash and itching near the zostavax administration site, tingling in arm, generalized fever and overall pain in the arm starting the next day after administration. Administration was wednesday, symptoms began thursday. Pt came to pharmacy saturday evening, mentioning she is feeling better but still has all symptoms mentioned above. She used ibuprofen for the pain and fever, and benadryl for the rash and itching.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Patient reported localized swelling, pain, rash and itching near the zostavax administration site, tingling in arm, generalized fever and overall pain in the arm starting the next day after administration. Administration was wednesday, symptoms began thursday. Pt came to pharmacy saturday evening, mentioning she is feeling better but still has all symptoms mentioned above. She used ibuprofen for the pain and fever, and benadryl for the rash and itching.
Age: 59.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Nausea, Vomiting
Clinical narrative: Nausea and Vomiting for at least 2 days after vaccine administration. Patient suspected cause was PNEUMOVAX 23 because he has not received that vaccination in the past. He has received FLUCELVAX QUAD in the past with no side effects.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: Pt got flu shot high dose and PREVNAR 13 on 10-18-2017. PREVNAR in right and HD in left. Pt awoke in middle of night with intense itching on backs of hands. She put bendaryl cream on them and covered them, went back to sleep. Awoke with a hot, red, itchy face which has been improving since. Pt is not upset and has not gone to dr. Dr is aware of reaction. Likely PREVANR as pt has had flu before.
Age: 78.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills, Erythema, Headache, Nausea, Pain
Clinical narrative: Red, Swelling arm, headache, chills, fever 101 degrees, nauseated no vomiting, body aching all over. started 10/20 10pm lasted until 10/22/17 approx. 4 pm.
Age: 78.0
Sex: F
Vaccine: FLUC4
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Red, Swelling arm, headache, chills, fever 101 degrees, nauseated no vomiting, body aching all over. started 10/20 10pm lasted until 10/22/17 approx. 4 pm.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Discomfort, Erythema, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Pain, increasing swelling and redness spreading down into elbow and up into neck area increasing from 10/19/17-10/20/17. Seen at Medical Clinic on 10/20/17 due to increased swelling, warmth, redness, and discomfort.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Skin warm, Swelling
Clinical narrative: Pain, increasing swelling and redness spreading down into elbow and up into neck area increasing from 10/19/17-10/20/17. Seen at Medical Clinic on 10/20/17 due to increased swelling, warmth, redness, and discomfort.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pain in the arm that has never gone away.
Age: 80.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient reports arm soreness limiting mobility of his shoulder. OTC treatment (pain relievers and hydrocortisone cream) was recommended along with watching for any worsening of the problem.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Dysgeusia, Erythema, Headache, Oropharyngeal pain, Urine odour abnormal
Clinical narrative: The next day arm was reddened up to neck and around it It had red streaking, Sat and Sun sore throat and bad headache, achy Metallic taste and different smell to urine.
Age: 12.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site erythema
Clinical narrative: Localized redness at site of injection- Mom gave ibuprofen and TYLENOL and used a warm compress.
Age: 12.0
Sex: M
Vaccine: MNQ, MNQ
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Localized redness at site of injection- Mom gave ibuprofen and TYLENOL and used a warm compress.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Blister, Cellulitis, Peripheral swelling, Rash, Skin culture
Clinical narrative: Rash, blisters, warmth, swelling of arm with subsequent cellulitis.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Skin warm, Streptococcus test negative
Clinical narrative: Rash, blisters, warmth, swelling of arm with subsequent cellulitis.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Bursitis, Drug administered at inappropriate site, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
Clinical narrative: The shot was administered into the left shoulder (extremely high on the arm) and immediately felt pain. Severe pain all day, and by the end of the day, any movement with left arm caused extreme pain and was not able to sleep due to pain. The next day (6/14), I called the nurse to ask about pain and described my symptoms of feeling nauseous and not being able to move my arm. I was told nausea was possibly from the pain and to take TYLENOL and it should be better by the weekend and if not to call back. During the remainder of the week, I was in excruciating pain and could not move my arm, bear weight on it, or sleep well. Friday (6/16) I called back because I was still in pain and there was no sign of improvement. I was told to see an orthopedic. On 6/27 I was able to see the orthopedic and was given oral steroids to help with the inflammation and hopefully solve the issue. Pain had diminished some at this point, but I was not able to bear much weight, or move my left arm above my head or across my body. I was icing my shoulder and taking ALEVE for pain relief. I was told if the problem still persisted I would need an MRI. On 8/3, I had an MRI showing tendonitis and bursitis in the left shoulder. On 8/10 I received a Cortisone shot and was prescribed physical therapy. After completing physical therapy at the end of September, I regained movement and can now move my arm above my head and across my body. Certain movements with my arm/shoulder still cause some pain, carrying heavier items causes some pain, and most days there is still a dull persistent pain in my shoulder.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site reaction, Insomnia, Nausea, Nuclear magnetic resonance imaging abnormal, Pain
Clinical narrative: The shot was administered into the left shoulder (extremely high on the arm) and immediately felt pain. Severe pain all day, and by the end of the day, any movement with left arm caused extreme pain and was not able to sleep due to pain. The next day (6/14), I called the nurse to ask about pain and described my symptoms of feeling nauseous and not being able to move my arm. I was told nausea was possibly from the pain and to take TYLENOL and it should be better by the weekend and if not to call back. During the remainder of the week, I was in excruciating pain and could not move my arm, bear weight on it, or sleep well. Friday (6/16) I called back because I was still in pain and there was no sign of improvement. I was told to see an orthopedic. On 6/27 I was able to see the orthopedic and was given oral steroids to help with the inflammation and hopefully solve the issue. Pain had diminished some at this point, but I was not able to bear much weight, or move my left arm above my head or across my body. I was icing my shoulder and taking ALEVE for pain relief. I was told if the problem still persisted I would need an MRI. On 8/3, I had an MRI showing tendonitis and bursitis in the left shoulder. On 8/10 I received a Cortisone shot and was prescribed physical therapy. After completing physical therapy at the end of September, I regained movement and can now move my arm above my head and across my body. Certain movements with my arm/shoulder still cause some pain, carrying heavier items causes some pain, and most days there is still a dull persistent pain in my shoulder.