chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Antibody test positive, Autoimmune hepatitis, Biopsy liver abnormal, Blood immunoglobulin G increased, Escherichia test positive
Clinical narrative: This patient seen for a general physical on October 27, 2020. There she was administered HPV vaccine #2 of 2 and her annual flu vaccine. She came back in November 6th with a chief complaint of fatigue and pallor and foul-smelling urine. She had a history of recurring urinary tract infections without typical symptoms (In other words she did not have urinary frequency or dysuria). She was afebrile. Mom noticed that she seemed pale and so we had a CBC which was unremarkable and she had a urine analysis which at that time showed large bilirubin In the urine however that fact was missed at the time of the evaluation because there were also a lot of other markers suggesting a urinary tract infection and she had a urine culture on a clean catch specimen which showed greater than 100,000 E.coli. She was started on cefdinir. She did have a UTI but I missed the fact that she had elevated (large) bilirubin on her urine thus I think her pallor was actually mild jaundice. She came back several days later when it became clear that rather than being pale she was actually jaundiced as the parents noticed that her eyes were yellow. We proceeded to undertake an evaluation of liver function and she clearly had acute hepatitis. Detailed laboratory evaluation eventually followed by a biopsy confirmed she had type I acute autoimmune hepatitis and she was hospitalized for further evaluation and management. What is interesting is that 1 year prior when she also received HPV vaccine and also had an influenza shot she had come in a couple of weeks later with a chief complaint of diarrhea and abdominal pain and at that time we did comprehensive metabolic panel which showed a mild elevation of liver enzymes, there was also a CBC and overall at that time my assessment was a viral enteritis with mild elevation of liver enzymes these elevations at that time were so mild that I did not feel they deemed follow-up as it is not uncommon to see slight elevations of liver enzymes during viral gastric infections. Thus both times that she received HPV and influenza vaccines she came in sick soon thereafter and both times we were able to demonstrate that there was some hepatic inflammation however with the second dose the inflammation was much more severe. My concern is that this patient may have had a vaccine triggered autoimmune hepatitis. She is now being treated with steroids and azathioprine and the long-term prognosis is unknown. Infectious etiologies have been ruled out and the overall picture is very clearly of autoimmune hepatitis. Whether this would have happened with or without the vaccine of course is unknown. There is at least one case report of a type II autoimmune hepatitis associated temporally with HPV vaccine published.
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Fatigue, Full blood count normal, Hepatitis, Hepatitis acute, Jaundice
Clinical narrative: This patient seen for a general physical on October 27, 2020. There she was administered HPV vaccine #2 of 2 and her annual flu vaccine. She came back in November 6th with a chief complaint of fatigue and pallor and foul-smelling urine. She had a history of recurring urinary tract infections without typical symptoms (In other words she did not have urinary frequency or dysuria). She was afebrile. Mom noticed that she seemed pale and so we had a CBC which was unremarkable and she had a urine analysis which at that time showed large bilirubin In the urine however that fact was missed at the time of the evaluation because there were also a lot of other markers suggesting a urinary tract infection and she had a urine culture on a clean catch specimen which showed greater than 100,000 E.coli. She was started on cefdinir. She did have a UTI but I missed the fact that she had elevated (large) bilirubin on her urine thus I think her pallor was actually mild jaundice. She came back several days later when it became clear that rather than being pale she was actually jaundiced as the parents noticed that her eyes were yellow. We proceeded to undertake an evaluation of liver function and she clearly had acute hepatitis. Detailed laboratory evaluation eventually followed by a biopsy confirmed she had type I acute autoimmune hepatitis and she was hospitalized for further evaluation and management. What is interesting is that 1 year prior when she also received HPV vaccine and also had an influenza shot she had come in a couple of weeks later with a chief complaint of diarrhea and abdominal pain and at that time we did comprehensive metabolic panel which showed a mild elevation of liver enzymes, there was also a CBC and overall at that time my assessment was a viral enteritis with mild elevation of liver enzymes these elevations at that time were so mild that I did not feel they deemed follow-up as it is not uncommon to see slight elevations of liver enzymes during viral gastric infections. Thus both times that she received HPV and influenza vaccines she came in sick soon thereafter and both times we were able to demonstrate that there was some hepatic inflammation however with the second dose the inflammation was much more severe. My concern is that this patient may have had a vaccine triggered autoimmune hepatitis. She is now being treated with steroids and azathioprine and the long-term prognosis is unknown. Infectious etiologies have been ruled out and the overall picture is very clearly of autoimmune hepatitis. Whether this would have happened with or without the vaccine of course is unknown. There is at least one case report of a type II autoimmune hepatitis associated temporally with HPV vaccine published.
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Liver function test abnormal, Liver injury, Ocular icterus, Pallor, Urinary tract infection
Clinical narrative: This patient seen for a general physical on October 27, 2020. There she was administered HPV vaccine #2 of 2 and her annual flu vaccine. She came back in November 6th with a chief complaint of fatigue and pallor and foul-smelling urine. She had a history of recurring urinary tract infections without typical symptoms (In other words she did not have urinary frequency or dysuria). She was afebrile. Mom noticed that she seemed pale and so we had a CBC which was unremarkable and she had a urine analysis which at that time showed large bilirubin In the urine however that fact was missed at the time of the evaluation because there were also a lot of other markers suggesting a urinary tract infection and she had a urine culture on a clean catch specimen which showed greater than 100,000 E.coli. She was started on cefdinir. She did have a UTI but I missed the fact that she had elevated (large) bilirubin on her urine thus I think her pallor was actually mild jaundice. She came back several days later when it became clear that rather than being pale she was actually jaundiced as the parents noticed that her eyes were yellow. We proceeded to undertake an evaluation of liver function and she clearly had acute hepatitis. Detailed laboratory evaluation eventually followed by a biopsy confirmed she had type I acute autoimmune hepatitis and she was hospitalized for further evaluation and management. What is interesting is that 1 year prior when she also received HPV vaccine and also had an influenza shot she had come in a couple of weeks later with a chief complaint of diarrhea and abdominal pain and at that time we did comprehensive metabolic panel which showed a mild elevation of liver enzymes, there was also a CBC and overall at that time my assessment was a viral enteritis with mild elevation of liver enzymes these elevations at that time were so mild that I did not feel they deemed follow-up as it is not uncommon to see slight elevations of liver enzymes during viral gastric infections. Thus both times that she received HPV and influenza vaccines she came in sick soon thereafter and both times we were able to demonstrate that there was some hepatic inflammation however with the second dose the inflammation was much more severe. My concern is that this patient may have had a vaccine triggered autoimmune hepatitis. She is now being treated with steroids and azathioprine and the long-term prognosis is unknown. Infectious etiologies have been ruled out and the overall picture is very clearly of autoimmune hepatitis. Whether this would have happened with or without the vaccine of course is unknown. There is at least one case report of a type II autoimmune hepatitis associated temporally with HPV vaccine published.
Age: 12.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Urine analysis abnormal, Urine bilirubin increased, Urine odour abnormal
Clinical narrative: This patient seen for a general physical on October 27, 2020. There she was administered HPV vaccine #2 of 2 and her annual flu vaccine. She came back in November 6th with a chief complaint of fatigue and pallor and foul-smelling urine. She had a history of recurring urinary tract infections without typical symptoms (In other words she did not have urinary frequency or dysuria). She was afebrile. Mom noticed that she seemed pale and so we had a CBC which was unremarkable and she had a urine analysis which at that time showed large bilirubin In the urine however that fact was missed at the time of the evaluation because there were also a lot of other markers suggesting a urinary tract infection and she had a urine culture on a clean catch specimen which showed greater than 100,000 E.coli. She was started on cefdinir. She did have a UTI but I missed the fact that she had elevated (large) bilirubin on her urine thus I think her pallor was actually mild jaundice. She came back several days later when it became clear that rather than being pale she was actually jaundiced as the parents noticed that her eyes were yellow. We proceeded to undertake an evaluation of liver function and she clearly had acute hepatitis. Detailed laboratory evaluation eventually followed by a biopsy confirmed she had type I acute autoimmune hepatitis and she was hospitalized for further evaluation and management. What is interesting is that 1 year prior when she also received HPV vaccine and also had an influenza shot she had come in a couple of weeks later with a chief complaint of diarrhea and abdominal pain and at that time we did comprehensive metabolic panel which showed a mild elevation of liver enzymes, there was also a CBC and overall at that time my assessment was a viral enteritis with mild elevation of liver enzymes these elevations at that time were so mild that I did not feel they deemed follow-up as it is not uncommon to see slight elevations of liver enzymes during viral gastric infections. Thus both times that she received HPV and influenza vaccines she came in sick soon thereafter and both times we were able to demonstrate that there was some hepatic inflammation however with the second dose the inflammation was much more severe. My concern is that this patient may have had a vaccine triggered autoimmune hepatitis. She is now being treated with steroids and azathioprine and the long-term prognosis is unknown. Infectious etiologies have been ruled out and the overall picture is very clearly of autoimmune hepatitis. Whether this would have happened with or without the vaccine of course is unknown. There is at least one case report of a type II autoimmune hepatitis associated temporally with HPV vaccine published.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Papule
Clinical narrative: persistent light pink, rectangular papule 5 x 7cm. Not hot/red/tender/itchy. Started within several days & has persisted x 3 weeks. Vaccine administered at urgent care clinic. Lot number not available.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Product administered at inappropriate site
Clinical narrative: -pt says shoulder hurts + shot was given to shoulder not the muscle
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: patient's arm has a red circle around injection site and is a little swollen
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Subject called pharmacy to report a significant reaction occurring at the injection site ( rash, red, itchy) as well as significant swelling/hardness in the biceps area. Symptoms resolved/lessened by the next day (11/20) after benadryl and cold compress.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: patient said very sore and could not lift arm It was not red or swollen, within 1 hour pt shot on 11-13. Patient went to ER 11-15 with same symptom of soreness & could not lift arm. Doctor in ER said nothing to do but let pharmacy know. Patient called pharmacy 11-18. talked again 11-20 & is better now.
Sex: F
Vaccine: FLU4
Symptoms: Exposure during pregnancy, Medication error, No adverse event, Overdose, Product administered to patient of inappropriate age
Clinical narrative: was accidentally administered to someone under 65/no AE; that was pregnant/no AE; was accidentally administered to someone under 65/no AE; Initial information received on 19-Oct-2020 regarding an unsolicited valid non-serious case received from a nurse.  This case involved less than 65 year old female pregnant patient (Exposure during pregnancy) for whom it was reported that quadrivalent influenza vaccine (Fluzone high-dose quadrivalent) was accidentally administered to someone under 65/no AE (adverse event) (Inappropriate age at vaccine administration and overdose).  The date of last menstrual period was not reported. The estimated due date was not reported. The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. The patient had unknown previous pregnancy/ies. The patient did not receive any other vaccinations or medications   On 19-Oct-2020, the patient received quadrivalent influenza vaccine (Fluzone high-dose quadrivalent) (batch number: UJ491A and expiration date: 30-Jun-2021) the left deltoid by staff person for prophylactic vaccination.   On 19-Oct-2020, same day after initiation of quadrivalent influenza vaccine, accidentally administration of quadrivalent influenza vaccine to someone under 65 and was pregnant with no adverse event (AE) was reported.   It was a case of overdose and also a case of actual medication error due to inappropriate age at vaccine administration (latency was on same day).  Disclaimer: This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site rash, Rash
Clinical narrative: Rash at injection site at 48 hrs, gone within a day. Rash across cheeks/nose on day 5/6, gone by day 7. Called clinic and was told to use hydrocortisone cream. Used cream on rash on face. No fever with rash, not itchy or painful.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling face, Urticaria
Clinical narrative: Start to have hives and mild swelling in face 3 days after vaccination. These symptoms go away after about one week and come back again couple days later. It still happens intermittently and lasts until now.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: Flu like symptoms
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Headache, fatigue, chills, soreness.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Myalgia, Pain
Clinical narrative: Generalized aching, left sided neck stiffness, and left arm muscle soreness. Cold compress to left neck and at vp site.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives on back. Began to itch in evening after vaccine. Large hives developed and continue to persist
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Back pain, Fatigue, Headache, Limb discomfort
Clinical narrative: Sore arm shortly after, painful to lift (this is typical for me after flu shot each year). Woke up the next day with severe back and hip pain on both sides, a deep ache. Painful to move around and walk normally. Legs felt weak and heavy to lift, difficult to control and coordinate such as flexing toes.  Very fatigued.  Two days after vaccine still experiencing some back and leg pain, feet very cold. Wore thick socks and winter boots indoors all day. Headache throughout day. Today is day three after vaccine and my legs and back still don?t feel entirely normal but much improved from the previous two days and feel more within my control again, ability to curl/flex toes easily and fully has returned . These are not symptoms I experience from any other known conditions and seemed to come on immediately after the vaccination on Wednesday afternoon. I get the flu shot every year and other than arm soreness at injection site have never had an issue until now.
Age: 37.0
Sex: F
Vaccine: FLUX
Symptoms: Pain, Pain in extremity, Peripheral coldness
Clinical narrative: Sore arm shortly after, painful to lift (this is typical for me after flu shot each year). Woke up the next day with severe back and hip pain on both sides, a deep ache. Painful to move around and walk normally. Legs felt weak and heavy to lift, difficult to control and coordinate such as flexing toes.  Very fatigued.  Two days after vaccine still experiencing some back and leg pain, feet very cold. Wore thick socks and winter boots indoors all day. Headache throughout day. Today is day three after vaccine and my legs and back still don?t feel entirely normal but much improved from the previous two days and feel more within my control again, ability to curl/flex toes easily and fully has returned . These are not symptoms I experience from any other known conditions and seemed to come on immediately after the vaccination on Wednesday afternoon. I get the flu shot every year and other than arm soreness at injection site have never had an issue until now.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Extremely tired, pain and soreness all over, shivering with chills, slight fever, headache lasted a couple hours. Lasted from morning until 11 pm- started to feel back to normal. Fine next day.
Age: 4.0
Sex: F
Vaccine: IPV, MMR, UNK, VARCEL, DTAPIPV, MMRV
Symptoms: Blood glucose normal, Dysstasia, Electrocardiogram normal, Electroencephalogram normal, Eye movement disorder
Clinical narrative: Around 9:30 am on Wednesday 11/18/2020, patient was getting a drink from the fridge. She turned around and dropped her cup. She stumbled into a corner of the kitchen, stood up, fell over again landing on the microwave stand. As tried to stand up, I (her mother) and her father, realized someone was not right. She looked glassy-eyed and dazed and she was swaying. She couldn't stand up on her own. My husband held her and her eyes began to roll back and her head and body went limp. Then she passed out completely. She woke up in a few minutes and then within about 5 minutes the EMS came and she stood up.
Age: 4.0
Sex: F
Vaccine: IPV, MMR, UNK, VARCEL, DTAPIPV, MMRV
Symptoms: Fall, Feeling abnormal, Gait disturbance, Glassy eyes, Grip strength decreased
Clinical narrative: Around 9:30 am on Wednesday 11/18/2020, patient was getting a drink from the fridge. She turned around and dropped her cup. She stumbled into a corner of the kitchen, stood up, fell over again landing on the microwave stand. As tried to stand up, I (her mother) and her father, realized someone was not right. She looked glassy-eyed and dazed and she was swaying. She couldn't stand up on her own. My husband held her and her eyes began to roll back and her head and body went limp. Then she passed out completely. She woke up in a few minutes and then within about 5 minutes the EMS came and she stood up.
Age: 4.0
Sex: F
Vaccine: IPV, MMR, UNK, VARCEL, DTAPIPV, MMRV
Symptoms: Hypotonia, Loss of consciousness
Clinical narrative: Around 9:30 am on Wednesday 11/18/2020, patient was getting a drink from the fridge. She turned around and dropped her cup. She stumbled into a corner of the kitchen, stood up, fell over again landing on the microwave stand. As tried to stand up, I (her mother) and her father, realized someone was not right. She looked glassy-eyed and dazed and she was swaying. She couldn't stand up on her own. My husband held her and her eyes began to roll back and her head and body went limp. Then she passed out completely. She woke up in a few minutes and then within about 5 minutes the EMS came and she stood up.
Age: 4.0
Sex: F
Vaccine: IPV, MMR, UNK, VARCEL, DTAPIPV, MMRV
Symptoms: Electrocardiogram, Electroencephalogram, Loss of consciousness
Clinical narrative: Around 9:30 am on Wednesday 11/18/2020, patient was getting a drink from the fridge. She turned around and dropped her cup. She stumbled into a corner of the kitchen, stood up, fell over again landing on the microwave stand. As tried to stand up, I (her mother) and her father, realized someone was not right. She looked glassy-eyed and dazed and she was swaying. She couldn't stand up on her own. My husband held her and her eyes began to roll back and her head and body went limp. Then she passed out completely. She woke up in a few minutes and then within about 5 minutes the EMS came and she stood up.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Diarrhoea, Headache, Injection site pain, Myalgia
Clinical narrative: Pain & soreness in arm of injection Muscle pai Shivering Body aches & pains Headache  Tired & weak Diarrhea
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Pain & soreness in arm of injection Muscle pai Shivering Body aches & pains Headache  Tired & weak Diarrhea
Age: 1.0
Sex: M
Vaccine: UNK
Symptoms: Febrile convulsion
Clinical narrative: Febrile Seizure
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Muscular weakness, Nausea, Urinary incontinence
Clinical narrative: Nausea, fatigue, muscular weakness, loss of bladder control
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Joint swelling, Muscle spasms
Clinical narrative: Severe pain and swelling in all joints in the body. Muscle spasms throughout body
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Asthenia, Chills, Feeling abnormal, Headache
Clinical narrative: Started with shivers night of day ((Tuesday) I received the vaccine. I developed fever that night. The next day I continued with fever, developed muscle aches. On Thursday  I felt a lot better.  Still felt ok Friday morning, but things quickly went downhill. I began feeling very achy and weak. By afternoon, I developed fever, stomach pains, worse body aches, nausea, and a bad headache. By last night, I felt just awful. When I got up this AM, fever was almost gone, but I continue to feel weak, nauseous, have a headache, and have muscle aches, and stomach pain.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pain, Pyrexia
Clinical narrative: Started with shivers night of day ((Tuesday) I received the vaccine. I developed fever that night. The next day I continued with fever, developed muscle aches. On Thursday  I felt a lot better.  Still felt ok Friday morning, but things quickly went downhill. I began feeling very achy and weak. By afternoon, I developed fever, stomach pains, worse body aches, nausea, and a bad headache. By last night, I felt just awful. When I got up this AM, fever was almost gone, but I continue to feel weak, nauseous, have a headache, and have muscle aches, and stomach pain.
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Joint stiffness
Clinical narrative: Within 3 hours, my jaw was stiff and numb, including my tongue.  I could hardly chew my dinner meal or clean out food around my teeth with my tongue.  The jaw stiffness last 3 days until it was over, but the numbness extended 15 days before it was mostly gone.  In the beginning, the inside of my cheeks felt like a short-napped corduroy fabric.  The feeling has returned slowly, improving day by day with the texture of my skin inside my mouth feeling more normal.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Nausea
Clinical narrative: Received the Shingles vaccination yesterday around 11. Arm was very sore - I applied ice and took ibuprofen. Around 12 hours later developed fever, chills, shivering, achy joints, slight nausea. Woke up at 22 hours post-vaccination feeling achy and a little light headed, and low energy. Took more ibuprofen. Not recovered at 24 hours post injection, but assume will resolve within a day or so.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Received the Shingles vaccination yesterday around 11. Arm was very sore - I applied ice and took ibuprofen. Around 12 hours later developed fever, chills, shivering, achy joints, slight nausea. Woke up at 22 hours post-vaccination feeling achy and a little light headed, and low energy. Took more ibuprofen. Not recovered at 24 hours post injection, but assume will resolve within a day or so.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Cardiac pacemaker evaluation, Dyspnoea, Electrocardiogram, Fatigue, Hypersomnia
Clinical narrative: Collapse, breathelessness and exhaustion, SLept for 8 days, day and night.  Left leg swollen , painful and extreme. Had doppler, EKG. Had a four pound weight gain in two days.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling, Syncope, Ultrasound Doppler, Weight increased
Clinical narrative: Collapse, breathelessness and exhaustion, SLept for 8 days, day and night.  Left leg swollen , painful and extreme. Had doppler, EKG. Had a four pound weight gain in two days.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Condition aggravated, Seizure
Clinical narrative: THE PATIENT'S FATHER DESCRIBED THE ADVERSE  EVENT ON 11/18/2020. HE STATED THAT PATIENT STARTED HAVING SEIZURES THE DAY AFTER RECEIVING THE FLU VACCINATION. HE STATED THAT WAS NOT UNUSUAL FOR PATIENT TO HAVE SEIZURES AFTER RECEIVING  A VACCINATION. IT HAD HAPPENED BEFORE WITH OTHER VACCINATIONS. HOWEVER, AFTER RECEIVING THE FLUZONE QUAD PF ON 10/24/2020 SHE HAD A SEIZURE EVENT AND CONTINUED TO HAVE UNCONTROLLABLE SEIZURE FOR THE NEXT SEVERAL DAYS. THE FATHER STATED THE PATIENT WAS HOSPITALIZED DUE TO THE SEIZURES.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Arthropathy, Asthenia, Chills, Headache
Clinical narrative: The reaction I had to the pneumonoccocal Vaccine (PPSV -23, valent). I began to feel ill on Monday Nov 2, in the afternoon - general malaise, headache, joint aching, chills, and extreme pain at the injection site. My temp Tuesday morning, 11/3, was 99.7, rising to 101.7 in the afternoon. I continued to have fever until late Wednesday 11/4, with continued joint discomfort, general weakness, nausea, and headache . I had swelling, extreme pain (could not raise left arm over 45 degrees), injection site was hot, swollen and rash appeared. During this time I was taking arthritis strength Tylenol alternating with Duexis. I have not run a fever since Wednesday late afternoon and the injection site is improving but I continue to have fatigue and general malaise.  Fatigue and general malaise continued thru November 10.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: The reaction I had to the pneumonoccocal Vaccine (PPSV -23, valent). I began to feel ill on Monday Nov 2, in the afternoon - general malaise, headache, joint aching, chills, and extreme pain at the injection site. My temp Tuesday morning, 11/3, was 99.7, rising to 101.7 in the afternoon. I continued to have fever until late Wednesday 11/4, with continued joint discomfort, general weakness, nausea, and headache . I had swelling, extreme pain (could not raise left arm over 45 degrees), injection site was hot, swollen and rash appeared. During this time I was taking arthritis strength Tylenol alternating with Duexis. I have not run a fever since Wednesday late afternoon and the injection site is improving but I continue to have fatigue and general malaise.  Fatigue and general malaise continued thru November 10.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Nausea, Pyrexia
Clinical narrative: The reaction I had to the pneumonoccocal Vaccine (PPSV -23, valent). I began to feel ill on Monday Nov 2, in the afternoon - general malaise, headache, joint aching, chills, and extreme pain at the injection site. My temp Tuesday morning, 11/3, was 99.7, rising to 101.7 in the afternoon. I continued to have fever until late Wednesday 11/4, with continued joint discomfort, general weakness, nausea, and headache . I had swelling, extreme pain (could not raise left arm over 45 degrees), injection site was hot, swollen and rash appeared. During this time I was taking arthritis strength Tylenol alternating with Duexis. I have not run a fever since Wednesday late afternoon and the injection site is improving but I continue to have fatigue and general malaise.  Fatigue and general malaise continued thru November 10.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Fatigue, Mobility decreased, Somnolence
Clinical narrative: persistent shoulder pain that has been going on for 11 days , sever to the point that she can not move her arm, feeling tired and sleepy
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Erythema, Herpes zoster, Immediate post-injection reaction, Injection site hypoaesthesia
Clinical narrative: immediately after injection patient had normal swelling, redness and soreness for approximately 1 week (consistent with response to first shot). At the 3-4 day after injection point the patient developed pain, tingling and "numbness" in the left arm (vaccinated arm) - symptoms were described to pain management md and chiropractor. Consistant with onset of shingles case. No rash developed but burning pain and tingling remain. Patient already on gabapentin
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site paraesthesia, Pain, Swelling
Clinical narrative: immediately after injection patient had normal swelling, redness and soreness for approximately 1 week (consistent with response to first shot). At the 3-4 day after injection point the patient developed pain, tingling and "numbness" in the left arm (vaccinated arm) - symptoms were described to pain management md and chiropractor. Consistant with onset of shingles case. No rash developed but burning pain and tingling remain. Patient already on gabapentin
Age: 58.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, Asthenia, Blister, Rash, Urticaria
Clinical narrative: Patient reported symptoms of rash, hives, blisters, joint pain, and weakness.
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Patient received the flu vaccine and his arm wasn't sore, a few days later it became sore and his upper arm is now still sore in the muscle.  He still has complete range of motion and the pain is reduced if he takes Tylenol.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Heart rate increased, Nausea, Vomiting
Clinical narrative: fast heart beat, dizziness and vomiting . At the moment of filling this survey, the patient is experimenting nausea only.
Age: 23.0
Sex: F
Vaccine: FLUA3
Symptoms: Abdominal pain, Abdominal pain upper, Chills, Headache, Nausea
Clinical narrative: Chills, vomiting, sharp stomach/abdomen pains, nausea, headache.
Age: 23.0
Sex: F
Vaccine: FLUA3
Symptoms: Vomiting
Clinical narrative: Chills, vomiting, sharp stomach/abdomen pains, nausea, headache.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Myalgia, Neck pain
Clinical narrative: severe left injection site pain, severe general muscle aches, left neck pain, severe headache, chills, fever for 24 - 36 hours starting several hours after injection
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: severe left injection site pain, severe general muscle aches, left neck pain, severe headache, chills, fever for 24 - 36 hours starting several hours after injection
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pain
Clinical narrative: Patient received vaccine about 6pm.  Woke up the next morning with full body muscle aches.  Patient complained of nausea the morning after the vaccine.  Patient was advised to call physician if pain/nausea continued beyond 24 hrs.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Myalgia, Nausea, Pyrexia
Clinical narrative: Extreme flu-like symptoms. Shivering uncontrollably, fever, pain in muscles, nausea.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Injection site warmth, Pruritus
Clinical narrative: EMPLOYEE COMPLAINED OF FEVER, PAIN AND SORENESS TO LEFT DELTIOD POST INJECTION .  APPROXIAMATELY AROUND 1600 LATER THAT AFTERNOON, EMPLOYEE STATED SHE BEGAN ITCHING ALL OVER FROM HEAD TO TOE
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Neck pain, Pain, Pain in extremity
Clinical narrative: severe left arm pain, severe left neck pain (lasting several days but less severe after 24 hours), severe headache, severe generalized aches and pains lasting 24-36 hours.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: POSSIBLE ALLERGIC  REACTION  VISIBLY BEGINNING ABOUT ONE INCH BELOW INJECTION SITE. READ AND WARM TO TOUCH,  ITCHY AND MILDLY PAINFUL TO PATIENT. CONTINUED DOWN LEFT ARM  AND STOPPED AT MID FOREARM. PATIENT NOTICED REACTION 11/20/2020 ABOUT 25 HOURS AFTER VACCINATION.
Age: 80.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain
Clinical narrative: Patient describes burning pain in both arms starting day of vaccination and still continuing this week.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Hypoaesthesia, Lethargy, Muscle spasms, Pain
Clinical narrative: Patient experienced severe body aches, headache, and fever, that lasted a few days.  Then she experienced muscle spasms,numbness on the left side, and headaches that lasted several weeks.   Also experiencing severe lethargy.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Patient experienced severe body aches, headache, and fever, that lasted a few days.  Then she experienced muscle spasms,numbness on the left side, and headaches that lasted several weeks.   Also experiencing severe lethargy.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial paralysis
Clinical narrative: Diagnosed with Bells Palsy on 11/18/2020.  Received Zoster (Shingrix) dose #1 on 11/11/2020. Prescribed Prednisone 60 mg daily for 7 days; and Valacyclovir 1 Gram three times daily for 7 days.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site urticaria, Injection site warmth, Pain in extremity
Clinical narrative: patient reported the arm being soar, some injection site hives that were raised and warm to touch. Reaction possibly started on 11/20/2020 but patient was unsure
Age: 52.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Headache, Injection site swelling, Lethargy, Pain in extremity
Clinical narrative: patient complained of lethargy, headache, pain in arms, swelling in arm where shingrix had been administered.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Fall
Clinical narrative: Long Red Streak from rear deltoid to elbow.  Not reported until 11-19-2020.  I asked him to go to his physician and the physician called in Keflex 500mg twice daily and is treating it like an infection. Patient told me today 11-21-2020 that he remembers falling on that arm 3 days after the vaccination. This could be from that.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Cluster headache, Decreased appetite, Hyperhidrosis
Clinical narrative: Bed ridden, Fever, chills, sweats, extensive body aches, headache clusters, no energy or appetite. I woke up and did tele-health because I thought it was Corona.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Bed ridden, Fever, chills, sweats, extensive body aches, headache clusters, no energy or appetite. I woke up and did tele-health because I thought it was Corona.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Erythema, Hypersensitivity, Inflammation, Pain, Skin warm
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Swelling
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Arthralgia, Chest pain, Depression, Feeling jittery, Haematoma
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site swelling, Injection site warmth, Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Mobility decreased
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Pain, Pain in extremity, Poisoning, Somnolence, Tooth disorder
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 87.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Patient states that after a few  days after receiving the shot she had the area swollen. That it became red ,hot and very inflamed as days went by. She states that she has had MRI studies, Doppler studies as well as been on morphine and steroid shots and the pain is still severe and getting worse. They are thinking that she had an allergic reaction to the fluzone hd shot.
Age: 74.0
Sex: M
Vaccine: FLUR4
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Patient presented to the pharmacy on 11/17 with a large bruise on his left arm. The bruise was underneath where the vaccine was given and radiated around the arm to the elbow. The bruise was dark blue and purple. Patient said it was tender to the touch but wasn't bothering him.
Age: 25.0
Sex: F
Vaccine: FLUR4
Symptoms: Erythema, Irritability, Skin warm
Clinical narrative: Patient received her flu shot Thursday evening. She had some redness that evening so she iced for 15 minutes on/15 minutes off and that provided some relief. On Friday she felt more irritable nd the injection site was very tender. On Satruday the redness spread (several inches in diameter) and is hot to the touch. I advised her to speak with her doctor, continue to ice, and take Tylenol or Motrin as needed. She is seeing her doctor tomorrow for a different issue and will have them look at her arm as well. I advised her to see immediate medical care if it continues to spread.
Age: 69.0
Sex: M
Vaccine: FLUA4
Symptoms: Pain, Pain in extremity, Tenderness
Clinical narrative: Patient still feeling dull pain on his left arm where he received the immunization, pronounce pain when pressure is applied in the area
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Contusion
Clinical narrative: persistent bruise about  1 inch by 2 inches that patient said appeared after 2 days. and has not resolved by 11/20/2020
Age: 55.0
Sex: M
Vaccine: FLUR4
Symptoms: Dizziness
Clinical narrative: PATIENT STATES HAVING SOME DIZZINESS SINCE RECEIVING VACCINE ON 11/17/2020
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Diarrhoea, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: pt  stated they had redness, and  alot of swelling at site. also had nausea, diarrhea, body aches and elevated temperature.  No treatment stated, feels better now
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: pt  stated they had redness, and  alot of swelling at site. also had nausea, diarrhea, body aches and elevated temperature.  No treatment stated, feels better now
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Vacine given in late morning. By 7:00pm started feeling weak, nauseous,muscle aches, bad headache, fever of 100.8 and chills.  I drandk lots of water and went to bed. The next day all the symptoms except the headache and feeling weak were gone, I know these are not life threatening or extreme reactions, but I am concerned that as a senior woman, weighing 108 lbs., that the larger dose recommended by insurance, was too much for someone as small as myself. I think a smaller dose would be better for me. When asked if I had a choice of dosage, the woman said this is what insurance has determined. I want to bring  attention to the fact that a one size fits all may not be safe.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Vacine given in late morning. By 7:00pm started feeling weak, nauseous,muscle aches, bad headache, fever of 100.8 and chills.  I drandk lots of water and went to bed. The next day all the symptoms except the headache and feeling weak were gone, I know these are not life threatening or extreme reactions, but I am concerned that as a senior woman, weighing 108 lbs., that the larger dose recommended by insurance, was too much for someone as small as myself. I think a smaller dose would be better for me. When asked if I had a choice of dosage, the woman said this is what insurance has determined. I want to bring  attention to the fact that a one size fits all may not be safe.
Age: 20.0
Sex: F
Vaccine: FLUR4
Symptoms: Dizziness
Clinical narrative: Patient became light headed and dizzy approximately 10 minutes after receiving immunization. We gave patient a bottle of orange juice. Patient said she was feeling better in about 15 minutes. Patient left with boyfriend on her own.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red/swollen/hot at injection site and down arm   Patient can barely move arm within 1 day of getting the vaccine
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus, Skin warm
Clinical narrative: Arm very warm, sore and extremely sensitive to touch for 3 to 4 days after receiving vaccine, then after 3 days the arm began to itch
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Febrile convulsion
Clinical narrative: Child had a brief (45 second) classic febrile seizure 14 hours after receiving the flu vaccine.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site haemorrhage
Clinical narrative: bleeding at site of injection after needle removal
Age: 66.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Injection site extravasation, Injection site rash, Injection site swelling, Scratch, Skin wound
Clinical narrative: Patient received three vaccines on 09/15/20. He got Shinrix in right arm and Fkuzone HD and Boostrix in the left arm. Patient has a rash around the area which he scratched and and broke the skin so there are exposed areas and he has a bump rising up from from the broken skin area. He stated that some liquid was coming out of the bump. Patient went today 11/20/20 to physician and received Keflex and Bactroban ointment.
Age: 61.0
Sex: F
Vaccine: FLUC4, PPV, TDAP, VARZOS
Symptoms: Amnesia, Asthenia, Moaning, Pain, Pain in extremity
Clinical narrative: She stated felt fine until the evening then both arms so sore difficult to lift them. It was stated she was moaning, talking, yelling in sleep and sweated so much she soaked her bed. She says had about 2 days of running a fever as high as 102 F with an all over achy body. She reported loss of memory of events and that son had been so worried talking to her on phone that he drove 1.5 hours to check on her and she had no memory of talking to him or of him being there.  Says after 2 days feels mostly better only some residual weakness she attributed to being in bed most of past days.
Age: 61.0
Sex: F
Vaccine: FLUC4, PPV, TDAP, VARZOS
Symptoms: Pyrexia, Sleep talking
Clinical narrative: She stated felt fine until the evening then both arms so sore difficult to lift them. It was stated she was moaning, talking, yelling in sleep and sweated so much she soaked her bed. She says had about 2 days of running a fever as high as 102 F with an all over achy body. She reported loss of memory of events and that son had been so worried talking to her on phone that he drove 1.5 hours to check on her and she had no memory of talking to him or of him being there.  Says after 2 days feels mostly better only some residual weakness she attributed to being in bed most of past days.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Major swelling, hard, red, warm, bruising at site that covered entire upper arm.
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Tenderness
Clinical narrative: R/O Deltoid Bursitis. Felt like the vaccine was give too high and too far forward.  Lots of pain on movement or palpation, enough to wake me and keep me awake
Age: 52.0
Sex: F
Vaccine: HPV9
Symptoms: Wrong product administered
Clinical narrative: Received Gardasil when not indicated
Age: 0.17
Sex: F
Vaccine: FLUR4
Symptoms: Dizziness, Fall, Nausea, Syncope
Clinical narrative: PATIENT WAS ADMINISTERED FLU SHOT AND LEFT PHARMACY ARE WITH HER MOM.  SHE FELT DIZZY AND BEGIN TO FAINT.  HER MOM HELD HER AS SHE FELL TO FLOOR.  SHE DID NOT HIT HER HEAD AND DID NOT LOOSE CONSCIOUSNESS.  SHE FELT QUEEZY. SHE WAS EVALUATED BY EMS AT STORE AND WAS RELEASED TO GO HOME FROM STORE. I CALLED AND CHECKED ON HER AT 5:38 PM THIS AFTERNOON AND HER MOM REPORTED SHE WAS FEELING FINE AND WATCHING TELEVISION IN HER ROOM
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pain, Eye pruritus, Influenza like illness, Pain, Pruritus
Clinical narrative: My eyes started to get itchy and ached all over. My skin started to get itchy and hurt. The following day I felt like I had the flu. I also had a slight fever. I was sick for several days.