chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Nausea, Pyrexia, Vaccination site pain, Vaccination site swelling
Clinical narrative: 10 hrs after vaccination on Wed afternoon 10/30/19, while sleeping that night I awoke after a few hours with nausea and intense headache. After condition worsened I took 1 aspirin (325mg) and 1 ibuprofen (200mg). Returned to sleep, then awoke with a fever. A low grade fever (99.4) and intense headache, plus extreme fatigue and a stuffed brain feeling remained all day 10/31/19 and cleared around noon the next day on 11/1/19. For 24 hrs on 10/31/19 I was so ill I couldn't move or think, in much pain, and really out of it. Unusual symptoms for me unless hit by flu or serious virus. I had a flu shot over a month ago. The final post-vac symptom of left upper arm swelling and pain (on touch and without touch) at vac site cleared completely by Sat morning 11/2/19.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Tinnitus
Clinical narrative: Patient reported she experienced ringing ear on the day she got her flu shot and took benadryl.
Age: 24.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated, Seizure
Clinical narrative: Patient received flu shot on 10/1/19 w/out guardianship or parental consent Guardian/parent immediately warned staff to watch for reactions as patient had reacted to 15 month vaccines Ten (10) days later guardian/parent was advised that patient did have a seizure while at his adult day care Any other concerns are hard to track as can be hard to tell if symptoms  related to autism or vaccines
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Influenza like illness, Injection site erythema, Injection site mass
Clinical narrative: Severe injection site pain with redness and lump, flu-like tiredness, body aches, fatigue, feeling of fever but no fever, lack of appetite
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain, Pyrexia
Clinical narrative: Severe injection site pain with redness and lump, flu-like tiredness, body aches, fatigue, feeling of fever but no fever, lack of appetite
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Blood culture negative, Erythema, Localised infection, Pruritus, Rash
Clinical narrative: On 10/24 the day following the shot in my left arm and 12 days following the bee sting in my right arm, the area of my bee sting started to itch again and got very red.  Additionally, my thighs started to itch.  By the evening of 10/24, the red area on my arm by my bee sting grew to about the length of my pinky and about half as wide.  It was pulsing dark red/light red with my heartbeat and I had broken out in a rash of small bumps on my thighs.  I treated the arm area with steroid cream and took oral benadryl before bed. I went to see my dermatologist the next morning 10/25 and he believed that my arm was infected, and as I thought, having the flu shot prompted a immune response and major histamine response due to the underlying infection of which I was unaware at the time I had the shot, given that the bee sting redness and swelling had apparently resolved days before the shot. He prescribed a 14 day regimen of Cephalexin which I am still taking and we agreed that I would continue steroid cream twice a day and take Benadryl at night given that I do not tolerate well most other antihistamines. The arm redness and swelling as well as the rash, which had spread to include the area between my waist and knees, worsened for about two days before gradually improving. I had a follow up appointment with Dr. on Friday, Nov 1 by which time the arm was mostly better and the rash had resolved. By today, Nov 3, other than slight discoloration in the area of the bee sting, all has resolved.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Skin discolouration, Swelling
Clinical narrative: On 10/24 the day following the shot in my left arm and 12 days following the bee sting in my right arm, the area of my bee sting started to itch again and got very red.  Additionally, my thighs started to itch.  By the evening of 10/24, the red area on my arm by my bee sting grew to about the length of my pinky and about half as wide.  It was pulsing dark red/light red with my heartbeat and I had broken out in a rash of small bumps on my thighs.  I treated the arm area with steroid cream and took oral benadryl before bed. I went to see my dermatologist the next morning 10/25 and he believed that my arm was infected, and as I thought, having the flu shot prompted a immune response and major histamine response due to the underlying infection of which I was unaware at the time I had the shot, given that the bee sting redness and swelling had apparently resolved days before the shot. He prescribed a 14 day regimen of Cephalexin which I am still taking and we agreed that I would continue steroid cream twice a day and take Benadryl at night given that I do not tolerate well most other antihistamines. The arm redness and swelling as well as the rash, which had spread to include the area between my waist and knees, worsened for about two days before gradually improving. I had a follow up appointment with Dr. on Friday, Nov 1 by which time the arm was mostly better and the rash had resolved. By today, Nov 3, other than slight discoloration in the area of the bee sting, all has resolved.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Dyspnoea, Hypoaesthesia oral, Paraesthesia oral, Wheezing
Clinical narrative: Tingling and numbness of lips and tongue first. Then wheezing and tightness of chest. Hard to take breath. Hoarse.   Used daughter's inhaler and took Benadryl.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Limb mass, Pain
Clinical narrative: Redness and soreness and a lump on front of left arm below and towards the body from where the shot had been given. The redness and soreness extended down into the top of the top and right side of the arm pit.  Symptoms were first noticed the afternoon after receiving the shot. A visit to the Dr. office the next day. Dr. was puzzled by the reaction, suggested taking Benadryl that night and the next night which I did. She was not sure if it was an allergic reaction or an infection. She also gave me a prescription for Doxycylene if the redness and soreness did not go away. The redness has gone away. the lump has reduced although is still there and less sore.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever and fatigue.  Resolved itself in 36 hours.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Dyskinesia, Immediate post-injection reaction, Muscle tightness, Paraesthesia
Clinical narrative: left jaw tightness experienced immediately right after the injection administered. a tingly feeling in the jaw and then muscle tightness.  he can only open his mouth partially. this is only on his left jaw not right side. no nerve pain. located in the TMJ area of jaw.
Age: 70.0
Sex: M
Vaccine: FLU4
Symptoms: Bursitis, Product administered at inappropriate site
Clinical narrative: PATIENT COMPLAINED AND WAS TOLD SHOT WAS GIVEN TO HIGH AND CAUSED BURSITIS IN  SHOULDER BY URGENT CARE MD
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Pain, Pain in extremity, Skin warm
Clinical narrative: Patient requested both vaccines in same arm, left arm, despite my recommendation to provide one in each arm. Patient experiencing redness and swelling in left upper arm at injection site that spreads down to elbow. Pain from injection site down past elbow into forearm. Painful to the touch and during arm movement. Patient complaining that arm feels warm and swollen. Advised patient to alternate APAP and Ibuprofen which they stated they have been doing. Also suggested oral benadryl and icing injection sites at regular intervals to help with pain and swelling. Advised to follow up with PCP to report this issue and for follow up if condition doesn't improve.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Tenderness
Clinical narrative: Patient requested both vaccines in same arm, left arm, despite my recommendation to provide one in each arm. Patient experiencing redness and swelling in left upper arm at injection site that spreads down to elbow. Pain from injection site down past elbow into forearm. Painful to the touch and during arm movement. Patient complaining that arm feels warm and swollen. Advised patient to alternate APAP and Ibuprofen which they stated they have been doing. Also suggested oral benadryl and icing injection sites at regular intervals to help with pain and swelling. Advised to follow up with PCP to report this issue and for follow up if condition doesn't improve.
Age: 67.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis
Clinical narrative: patient developed cellulitis at the injection site. went to emergency room an received antibiotic for the infection.
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: Im not sure what all my new born son received as his records are being held from me
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt reports that an inch or so below injection site down to her elbow is bright pink and warm to the touch. Started the day after vaccination. Has been getting better per the patient report.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Blood pressure increased, Blood test normal, Blood thyroid stimulating hormone normal, Chills
Clinical narrative: Unknown if the above is the exact type of quadrivalent influenza vaccine, but it was one of them. About 24 hours after receiving it, I came down with a series of somewhat non-specific but all very unusual symptoms, starting with each arm independently becoming very cold and almost numb, followed by general malaise and feeling "off", heart palpitations/heart racing, excessive thirst and urination (requiring drinking 24oz water bottles every 2 hours or so, much much higher than baseline - no matter how much I drank, I remained extremely thirsty and with dry mouth), excessive sweating on palms and soles of feet, chills and difficulty maintaining a comfortable temperature, inability to sleep, pallor, minor/occasional dry cough, stomach discomfort/mild nausea, loose stools x 2, all lasting from 4PM that afternoon the day after the vaccine until about 9-10AM the next day.  Symptoms seemed to fluctuate a little bit but were at a persistent level of malaise throughout. I had never previously experienced anything like this before and felt about the worst I have ever felt physically in my life.  I am a physician and had my vitals checked when I arrived to work around 7:30AM near the end of it, with elevated blood pressure to the 146/86 range (baseline systolic is 110-120s), afebrile.  I had a difficult time making it through work, but was able to do so starting to feel a little better.  By the time I proceeded to my physician's office that afternoon, I was feeling much better. In the proceeding 1-2 days, I have had a few much more minor episodes since of 30-60 min of feeling off sporadically.  The family physician and I both agreed these symptoms were most likely a delayed reaction to the influenza vaccine given time course and diffuse nature of symptoms.  I was tested for other possibilities such as a thyroid condition, with bloodwork unremarkable.  I do plan to continue receiving the flu vaccine in the future though of course this raises some natural concern.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Diarrhoea, Dry mouth, Feeling abnormal, Full blood count normal
Clinical narrative: Unknown if the above is the exact type of quadrivalent influenza vaccine, but it was one of them. About 24 hours after receiving it, I came down with a series of somewhat non-specific but all very unusual symptoms, starting with each arm independently becoming very cold and almost numb, followed by general malaise and feeling "off", heart palpitations/heart racing, excessive thirst and urination (requiring drinking 24oz water bottles every 2 hours or so, much much higher than baseline - no matter how much I drank, I remained extremely thirsty and with dry mouth), excessive sweating on palms and soles of feet, chills and difficulty maintaining a comfortable temperature, inability to sleep, pallor, minor/occasional dry cough, stomach discomfort/mild nausea, loose stools x 2, all lasting from 4PM that afternoon the day after the vaccine until about 9-10AM the next day.  Symptoms seemed to fluctuate a little bit but were at a persistent level of malaise throughout. I had never previously experienced anything like this before and felt about the worst I have ever felt physically in my life.  I am a physician and had my vitals checked when I arrived to work around 7:30AM near the end of it, with elevated blood pressure to the 146/86 range (baseline systolic is 110-120s), afebrile.  I had a difficult time making it through work, but was able to do so starting to feel a little better.  By the time I proceeded to my physician's office that afternoon, I was feeling much better. In the proceeding 1-2 days, I have had a few much more minor episodes since of 30-60 min of feeling off sporadically.  The family physician and I both agreed these symptoms were most likely a delayed reaction to the influenza vaccine given time course and diffuse nature of symptoms.  I was tested for other possibilities such as a thyroid condition, with bloodwork unremarkable.  I do plan to continue receiving the flu vaccine in the future though of course this raises some natural concern.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Hypoaesthesia, Insomnia, Malaise, Metabolic function test normal
Clinical narrative: Unknown if the above is the exact type of quadrivalent influenza vaccine, but it was one of them. About 24 hours after receiving it, I came down with a series of somewhat non-specific but all very unusual symptoms, starting with each arm independently becoming very cold and almost numb, followed by general malaise and feeling "off", heart palpitations/heart racing, excessive thirst and urination (requiring drinking 24oz water bottles every 2 hours or so, much much higher than baseline - no matter how much I drank, I remained extremely thirsty and with dry mouth), excessive sweating on palms and soles of feet, chills and difficulty maintaining a comfortable temperature, inability to sleep, pallor, minor/occasional dry cough, stomach discomfort/mild nausea, loose stools x 2, all lasting from 4PM that afternoon the day after the vaccine until about 9-10AM the next day.  Symptoms seemed to fluctuate a little bit but were at a persistent level of malaise throughout. I had never previously experienced anything like this before and felt about the worst I have ever felt physically in my life.  I am a physician and had my vitals checked when I arrived to work around 7:30AM near the end of it, with elevated blood pressure to the 146/86 range (baseline systolic is 110-120s), afebrile.  I had a difficult time making it through work, but was able to do so starting to feel a little better.  By the time I proceeded to my physician's office that afternoon, I was feeling much better. In the proceeding 1-2 days, I have had a few much more minor episodes since of 30-60 min of feeling off sporadically.  The family physician and I both agreed these symptoms were most likely a delayed reaction to the influenza vaccine given time course and diffuse nature of symptoms.  I was tested for other possibilities such as a thyroid condition, with bloodwork unremarkable.  I do plan to continue receiving the flu vaccine in the future though of course this raises some natural concern.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pallor, Palpitations, Peripheral coldness, Pollakiuria
Clinical narrative: Unknown if the above is the exact type of quadrivalent influenza vaccine, but it was one of them. About 24 hours after receiving it, I came down with a series of somewhat non-specific but all very unusual symptoms, starting with each arm independently becoming very cold and almost numb, followed by general malaise and feeling "off", heart palpitations/heart racing, excessive thirst and urination (requiring drinking 24oz water bottles every 2 hours or so, much much higher than baseline - no matter how much I drank, I remained extremely thirsty and with dry mouth), excessive sweating on palms and soles of feet, chills and difficulty maintaining a comfortable temperature, inability to sleep, pallor, minor/occasional dry cough, stomach discomfort/mild nausea, loose stools x 2, all lasting from 4PM that afternoon the day after the vaccine until about 9-10AM the next day.  Symptoms seemed to fluctuate a little bit but were at a persistent level of malaise throughout. I had never previously experienced anything like this before and felt about the worst I have ever felt physically in my life.  I am a physician and had my vitals checked when I arrived to work around 7:30AM near the end of it, with elevated blood pressure to the 146/86 range (baseline systolic is 110-120s), afebrile.  I had a difficult time making it through work, but was able to do so starting to feel a little better.  By the time I proceeded to my physician's office that afternoon, I was feeling much better. In the proceeding 1-2 days, I have had a few much more minor episodes since of 30-60 min of feeling off sporadically.  The family physician and I both agreed these symptoms were most likely a delayed reaction to the influenza vaccine given time course and diffuse nature of symptoms.  I was tested for other possibilities such as a thyroid condition, with bloodwork unremarkable.  I do plan to continue receiving the flu vaccine in the future though of course this raises some natural concern.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Red blood cell count normal, Temperature regulation disorder, Thirst
Clinical narrative: Unknown if the above is the exact type of quadrivalent influenza vaccine, but it was one of them. About 24 hours after receiving it, I came down with a series of somewhat non-specific but all very unusual symptoms, starting with each arm independently becoming very cold and almost numb, followed by general malaise and feeling "off", heart palpitations/heart racing, excessive thirst and urination (requiring drinking 24oz water bottles every 2 hours or so, much much higher than baseline - no matter how much I drank, I remained extremely thirsty and with dry mouth), excessive sweating on palms and soles of feet, chills and difficulty maintaining a comfortable temperature, inability to sleep, pallor, minor/occasional dry cough, stomach discomfort/mild nausea, loose stools x 2, all lasting from 4PM that afternoon the day after the vaccine until about 9-10AM the next day.  Symptoms seemed to fluctuate a little bit but were at a persistent level of malaise throughout. I had never previously experienced anything like this before and felt about the worst I have ever felt physically in my life.  I am a physician and had my vitals checked when I arrived to work around 7:30AM near the end of it, with elevated blood pressure to the 146/86 range (baseline systolic is 110-120s), afebrile.  I had a difficult time making it through work, but was able to do so starting to feel a little better.  By the time I proceeded to my physician's office that afternoon, I was feeling much better. In the proceeding 1-2 days, I have had a few much more minor episodes since of 30-60 min of feeling off sporadically.  The family physician and I both agreed these symptoms were most likely a delayed reaction to the influenza vaccine given time course and diffuse nature of symptoms.  I was tested for other possibilities such as a thyroid condition, with bloodwork unremarkable.  I do plan to continue receiving the flu vaccine in the future though of course this raises some natural concern.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Blood test normal, Electrocardiogram normal, Hypoaesthesia, Lymphadenopathy, Muscular weakness
Clinical narrative: Chest palpitations. Swollen lymph node in left armpit. My lymph node was so swollen that it was clearly visible when compared bilaterally. It swelled especially at night so badly that my left arm would become numb. I would wake up and massage it until feeling returned. If it wasn't numb my arm was painful. Since I had left arm pain, numbness accompanying new palpitations I visited the ER after consulting with a nurses hotline. The lymph nodes swelling has reduced but I now have chest palpitations daily which I have never had before. I also have left arm pain on the ulnar side of my fore arm and left arm weakness. The pain is worse when I use my left hand and I can't lift more than 5 pounds  without pain being present.
Age: 37.0
Sex: M
Vaccine: SMALL
Symptoms: Pain, Pain in extremity, Palpitations
Clinical narrative: Chest palpitations. Swollen lymph node in left armpit. My lymph node was so swollen that it was clearly visible when compared bilaterally. It swelled especially at night so badly that my left arm would become numb. I would wake up and massage it until feeling returned. If it wasn't numb my arm was painful. Since I had left arm pain, numbness accompanying new palpitations I visited the ER after consulting with a nurses hotline. The lymph nodes swelling has reduced but I now have chest palpitations daily which I have never had before. I also have left arm pain on the ulnar side of my fore arm and left arm weakness. The pain is worse when I use my left hand and I can't lift more than 5 pounds  without pain being present.
Age: 74.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: swelling, itching, burning, red raised 5 inch circle around injection site
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Inflammation
Clinical narrative: Patient presented and stated she had cellulitis from the vaccine. She began a 10 day course of cephalexin today. Her arm  was red and inflamed. The physician assistant drew a ring around the area to make sure it did not expand.
Age: 71.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Within three hours my upper left arm was very sore, but the level of discomfort progressed rapidly. By that evening any movement was so painful, that I had to move my arm with my right hand.  I would say that the pain was greater than the post-op pain following my total hip.  Also my upper arm was swollen, warm and red.  By the next morning, with the benefit of a pain medication, I was able to move my arm a little.  The swelling and redness was increasing, and moving down my arm. 48 hours after the shot I was seen at an immediate care center, by then I was able to lift my arm, but still had some discomfort.
Age: 71.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Limb discomfort, Pain
Clinical narrative: Within three hours my upper left arm was very sore, but the level of discomfort progressed rapidly. By that evening any movement was so painful, that I had to move my arm with my right hand.  I would say that the pain was greater than the post-op pain following my total hip.  Also my upper arm was swollen, warm and red.  By the next morning, with the benefit of a pain medication, I was able to move my arm a little.  The swelling and redness was increasing, and moving down my arm. 48 hours after the shot I was seen at an immediate care center, by then I was able to lift my arm, but still had some discomfort.
Age: 71.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Joint swelling, Limb discomfort
Clinical narrative: Within three hours my upper left arm was very sore, but the level of discomfort progressed rapidly. By that evening any movement was so painful, that I had to move my arm with my right hand.  I would say that the pain was greater than the post-op pain following my total hip.  Also my upper arm was swollen, warm and red.  By the next morning, with the benefit of a pain medication, I was able to move my arm a little.  The swelling and redness was increasing, and moving down my arm. 48 hours after the shot I was seen at an immediate care center, by then I was able to lift my arm, but still had some discomfort.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Pain in extremity, Pyrexia
Clinical narrative: Soreness of arm, within 2 hours of injection. Fever 100.5, 15 hours after injection Mild nausea On-going as of 24 hrs after injection
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Shivering  (12:30 AM to 1:30 AM, 11-1/2019),    headache 12:30 AM 11/1/2019 through 11/3/2019,      tiredness 11/1/2019 to 11/2/2019,  diarrhea (11/1/2019),  muscle and joint pain  (mild, 11/1/2019 to 11/3/2019)
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Shivering  (12:30 AM to 1:30 AM, 11-1/2019),    headache 12:30 AM 11/1/2019 through 11/3/2019,      tiredness 11/1/2019 to 11/2/2019,  diarrhea (11/1/2019),  muscle and joint pain  (mild, 11/1/2019 to 11/3/2019)
Age: 18.0
Sex: M
Vaccine: MMR, MNQ
Symptoms: Incorrect product formulation administered, Injection site pain, Product preparation error
Clinical narrative: Accidentally mixed MCV4 thinking it was sterile water and added to the MMR. Injected the mixture of MMR and MCV4 subciutaneous into the right arm. No adverse events reported at this time. Youth says site is sore.
Age: 10.0
Sex: F
Vaccine: FLUC4
Symptoms: Dark circles under eyes, Eye movement disorder, Loss of consciousness, Pain in extremity, Pallor
Clinical narrative: Pt complained of arm hurting and then moved to waiting area to continue sitting. Pt's eyes rolled back and pt passed out briefly. When pt came to, she vomited and remained pale with dark circles under her eyes. Pt was shaking. Pt was assessed for any SOB or chest tightening, itching, all of which she reported as 'no'. Mother said pt once responded in a similar manner after a tick was removed from her daughter. RPh offered to call 911 for emergency help to have pt assessed. Parents declined emergency treatment. RPh advised that pt be seen by ED for assessment. Parents said that they would call their insurance plan's RN. RPh said she would f/u with parents this evening.
Age: 10.0
Sex: F
Vaccine: FLUC4
Symptoms: Tremor, Vomiting
Clinical narrative: Pt complained of arm hurting and then moved to waiting area to continue sitting. Pt's eyes rolled back and pt passed out briefly. When pt came to, she vomited and remained pale with dark circles under her eyes. Pt was shaking. Pt was assessed for any SOB or chest tightening, itching, all of which she reported as 'no'. Mother said pt once responded in a similar manner after a tick was removed from her daughter. RPh offered to call 911 for emergency help to have pt assessed. Parents declined emergency treatment. RPh advised that pt be seen by ED for assessment. Parents said that they would call their insurance plan's RN. RPh said she would f/u with parents this evening.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Feeling abnormal, Head injury, Headache, Syncope
Clinical narrative: Patient has known history of syncopal events after vaccine administration and phlebotomy. Administered vaccine in seated position and observed patient. After a few minutes, patient wasn't feeling great. I left to get her water and she had fainted in a seated position while I was away. She fell out of her chair onto the ground in front of it. Paramedics were called immediately. She awoke almost immediately after falling (less than 5 or 10 seconds of unconsciousness). She was alert and oriented to self, time, and place. She had no immediate complains other than the back of her head was sore (likely from fall). Paramedics arrived, she was elevated to a seated position in a chair, and her vitals were within normal limits. She declined a trip to the hospital. She was given water and was observed for about 30+ minutes. She left with her mother and father.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Sudden onset of violent shivering and nausea around 9:30-10pm. This lasted through the night and continued through the next day with a fever, bad headache, moderate body aches, muscle weakness. I slept 2 days straight and have had no appetite and unable to eat or drink much (have to force down water). Last night I woke up soaked in sweat. Starting to feel better today (day 3 I guess) but still recovering, weak, headache, tired. Today is 11/3 at 3pm.   I was pretty scared with the shivering and would have gone to the hospital but I was out of town .  I made my husband wake up to check on me every hour to make sure I was still alive.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Hypersomnia, Muscular weakness, Nausea, Pain
Clinical narrative: Sudden onset of violent shivering and nausea around 9:30-10pm. This lasted through the night and continued through the next day with a fever, bad headache, moderate body aches, muscle weakness. I slept 2 days straight and have had no appetite and unable to eat or drink much (have to force down water). Last night I woke up soaked in sweat. Starting to feel better today (day 3 I guess) but still recovering, weak, headache, tired. Today is 11/3 at 3pm.   I was pretty scared with the shivering and would have gone to the hospital but I was out of town .  I made my husband wake up to check on me every hour to make sure I was still alive.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Sudden onset of violent shivering and nausea around 9:30-10pm. This lasted through the night and continued through the next day with a fever, bad headache, moderate body aches, muscle weakness. I slept 2 days straight and have had no appetite and unable to eat or drink much (have to force down water). Last night I woke up soaked in sweat. Starting to feel better today (day 3 I guess) but still recovering, weak, headache, tired. Today is 11/3 at 3pm.   I was pretty scared with the shivering and would have gone to the hospital but I was out of town .  I made my husband wake up to check on me every hour to make sure I was still alive.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Fatigue, Pain
Clinical narrative: PATIENT STATES SHE SUFFERED SEVERE CHILLS AND ALL-OVER BODY PAIN STARTING THE DAY AFTER RECEIVING THE VACCINE.  ON THE THIRD DAY SHE REPORTED FEELING BETTER BUT STILL TIRED FROM LACK OF REST THE PREVIOUS NIGHT.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Diarrhoea, Nausea, Vomiting
Clinical narrative: nausea, vomiting, diarrhea
Age: 88.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Blister, Erythema, Skin warm
Clinical narrative: pt stated that the arm turned very red and was hot to touch later in the evening after having the shot. she stated the next day it was even redder and a "fluid pocket" came up below where the vaccines were administered.  she came into the pharmacy on sunday and showed me her arm. The arm was still slightly red, a little warm to touch and had a large "pocket" area under the elbow ( side closest to the wrist) that was filled with fluid. she stated she was going to call her Md in the morning and have it looked at. I told her we would report the incident and contact the md also.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site reaction, Rash pruritic
Clinical narrative: Immediate stinging 24 hours: egg sized hot red swelling with itchiness at site of vaccination 48 hours: decrease in swelling but itchy rash 3"x5" on left upper arm 72 hours: swelling mostly resolved , itchy rash persisted 2 weeks after vaccination the itchy rash resolved completely
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Vaccination site swelling, Vaccination site warmth
Clinical narrative: Immediate stinging 24 hours: egg sized hot red swelling with itchiness at site of vaccination 48 hours: decrease in swelling but itchy rash 3"x5" on left upper arm 72 hours: swelling mostly resolved , itchy rash persisted 2 weeks after vaccination the itchy rash resolved completely
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness at injection site that extended down arm to elbow. Swelling at injection site. Patient went to urgent care the day after injection and was given prednisone and pepcid. The day after treatment was initiated the patient states the redness has gone down slightly.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Blister, Herpes zoster, Pain in extremity
Clinical narrative: Reaction started with severe pain in lower back, hip and upper leg on left side of the body.  Two days later blisters appeared on lower leg, ankle foot and sole of foot
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Patient got the shot Saturday afternoon and felt fine all day Saturday. Sunday 9/22/19 (24 hours later) she started experiencing muscles aches, slight fever of 100degrees, and felt tired.  The injection site was also very sore as well.  She took Tylenol for the pain but also rested.  These symptoms last until Tuesday 9/24/19 when she started feeling better.
Age: 39.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling (approx. size of a nickel-quarter)  was noted at the injection site moments after administration; area had been covered with a latex free bandaid. Patient's BP: 125/90 and HR: 78 Provided patient with 2, 25mg capsules of Benadryl. The patient was observed for approx. 15-20 minutes post reaction. During this time the affected area did not worsen. Before the patient left, the affected area appeared less swollen; however, was warm to the touch.  Counseled patient to follow up with provider if needed, and advised could alternate IBU/APAP (if tolerated) to help reduce fever at site and swelling.  Patient did not report pain.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Pyrexia
Clinical narrative: red swollen arm that lasted sever days, also had mild fever
Age: 86.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site bruising, Injection site swelling, Urticaria
Clinical narrative: large bruising and swelling at injection site and hives on both arms
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Immediate post-injection reaction, Oral pruritus, Pruritus, Skin warm
Clinical narrative: Servicemember had the immediate sensation of pruritus, warmth in the contralateral arm on the posterior aspect where she had received her progesterone injection. There was an observable reaction  of redness and warmth with pt reported urticarial. This reaction diminished over a day - when I saw her 1 day afterward, there was a persistent elliptical area of redness, approximately 10cm x 3cm with a macopapular eruption and persistent redness, pruritus, and warmth. Pt reports 'egg sensitivity' with oral itching, but no systemic reaction. Pt is pregnant, other information is unknown at this time. Reaction was improving at the time I saw her.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Servicemember had the immediate sensation of pruritus, warmth in the contralateral arm on the posterior aspect where she had received her progesterone injection. There was an observable reaction  of redness and warmth with pt reported urticarial. This reaction diminished over a day - when I saw her 1 day afterward, there was a persistent elliptical area of redness, approximately 10cm x 3cm with a macopapular eruption and persistent redness, pruritus, and warmth. Pt reports 'egg sensitivity' with oral itching, but no systemic reaction. Pt is pregnant, other information is unknown at this time. Reaction was improving at the time I saw her.
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse event as of now. Wrong vaccine given. Patient does not meet age requirement for High Dose Fluzone. Pt was notified and denied any adverse effects at this time.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Feeling hot, Induration, Pain, Swelling
Clinical narrative: ache, pain, redness, swelling, heat, firm skin around area
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Mass
Clinical narrative: lump minutes after vaccine administration
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: swelling and redness extending from vaccination site on right arm to right elbow and to dorsal side of the arm
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site oedema, Injection site pain
Clinical narrative: Patient reports today, 11-3-2019,  that his left arm near injection site is sore, firm, red, and it is "spreading" down the bicep.  The patient reports that on 11-2-2019 am he noticed a small lump at the injection site but was not bad, by the end of the day nearly 1700 on 11-2-2019 he noticed that the his left arm was swollen, firm, and warm to touch, not painful but sore. Upon examination the left upper arm is adematous,  red, firm, and warm to touch, the area extends from injection site, medially down the bicep, and stops at the antecubital area. Patient has full range of motion, no numbness, tingling, or severe pain, he reports mild tenderness. The rest of the arm is of normal skin tone for the patient and he denies any other symptoms.
Age: 21.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient reports today, 11-3-2019,  that his left arm near injection site is sore, firm, red, and it is "spreading" down the bicep.  The patient reports that on 11-2-2019 am he noticed a small lump at the injection site but was not bad, by the end of the day nearly 1700 on 11-2-2019 he noticed that the his left arm was swollen, firm, and warm to touch, not painful but sore. Upon examination the left upper arm is adematous,  red, firm, and warm to touch, the area extends from injection site, medially down the bicep, and stops at the antecubital area. Patient has full range of motion, no numbness, tingling, or severe pain, he reports mild tenderness. The rest of the arm is of normal skin tone for the patient and he denies any other symptoms.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site cellulitis
Clinical narrative: Patient was diagnosed with cellulitis at injection site, the day after injection. Treatment: oral Keflex 500mg three times per day for 7 days.
Age: 1.08
Sex: F
Vaccine: FLU4, HIBV, PNC13
Symptoms: Contusion, Irritability, Pruritus, Streptococcus test negative, Urticaria
Clinical narrative: Hives developed 24hrs after vaccines given.  56 hrs later hives are progressively worse. Now there are multiple hives with bruise like areas along abdomen and upper thighs.  Hives are itchy and causing irritability.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Decreased appetite, Fatigue, Headache
Clinical narrative: Around 3:00 am experienced excruciating headache and chills and muscle pain throughout my body as though I had a severe case of the flu. Also very very tired and weak.   Took temperature and it was 101.8.  Approximately 6:00 am took ibuprofen and clear liquids.  Unable to eat due to fever, chills and loss of appetite.  Temperature subsided to 99.8 but muscle pain persisted.  Took ibupropen that night.  Next morning temperature was 99 , muscle pain and headache had subsided.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Around 3:00 am experienced excruciating headache and chills and muscle pain throughout my body as though I had a severe case of the flu. Also very very tired and weak.   Took temperature and it was 101.8.  Approximately 6:00 am took ibuprofen and clear liquids.  Unable to eat due to fever, chills and loss of appetite.  Temperature subsided to 99.8 but muscle pain persisted.  Took ibupropen that night.  Next morning temperature was 99 , muscle pain and headache had subsided.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Diarrhoea, Erythema, Induration, Nausea
Clinical narrative: Cellulitis on 10/17 Extreme Redness 3?x5? gradually decreasing over 5 days  Some  intermittent red streaks within red area  Extreme pain Fever  Nausea  Swelling and hardness  Diarrhea on 10/22/2019
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: Cellulitis on 10/17 Extreme Redness 3?x5? gradually decreasing over 5 days  Some  intermittent red streaks within red area  Extreme pain Fever  Nausea  Swelling and hardness  Diarrhea on 10/22/2019
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Fatigue, Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: PATIENT HAD PAIN AND REDNESS AT ELBOW OF VACCINATION ARM, BEGINING IN AFTERNOON OF DAY AFTER VACCINATION. NO SIGNS/SYMPTOMS AT INJECTION SITE. EXPERIENCED FATIGUE AND NAUSEA AS WELL, NO HEADACHE REPORTED. 2 DAYS FOLLOWING VACCINATION, PAIN AND SWELLING INCREASED FROM SHOULDER TO HAND (GRADUAL INCREASE IN PAIN AS DAY PROGRESSED).  PATIENT WENT TO URGENT CARE BECAUSE PAIN CONTINUED (DID NOT DECREASE IN SEVERITY) AND SHE WAS UNABLE TO BEND OR USE VACCINATED ARM. HAD FEVER OF 100 DEGREES, DID NOT FEEL WELL ALL DAY.  URGENT CARE MD SAID IT MAY BE CELLULITIS, PRESCRIBED DOXYCYCLINE 100MG FOR 10 DAYS AND INSTRUCTED TO FOLLOW UP ON SATURDAY 11/2/19.  ON FRIDAY, AFTER 2 DOSES OF ANTIBIOTIC, PATIENT SAW NO CHANGE IN SYMPTOMS. PLANNED ON TAKING BENADRYL IN CASE SYMPTOMS WERE AN ALLERGIC REACTION. AGREED TO FOLLOW-UP WITH PHARMACY AFTER URGENT CARE APPOINTMENT ON SATURDAY.  SUNDAY 11/3/19: PHARMACIST ON DUTY FOLLOWED UP WITH PATIENT VIA PHONE.  PT STATES MD TOOK X-RAYS TO RULE OUT BROKEN BONE/ELBOW, BUT COULD NOT DETERMINE ANYTHING BECAUSE THERE WAS TOO MUCH SWELLING.  PT DID NOT HAVE ANY CHANGES IN SYMPTOMS.  URGENT CARE DOCTOR GAVE PATIENT AN ANTIBIOTIC SHOT (PT DOES NOT RECALL NAME OF ANTIBIOTIC) AND WAS TOLD TO FOLLOW UP AGAIN ON WEDNESDAY 11/6/19.  PT DOES STATE THAT SWELLING HAS IMPROVED BUT STILL CANNOT BEND OR MOVE RIGHT ELBOW.  STILL EXPERIENCING PAIN.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Malaise, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: PATIENT HAD PAIN AND REDNESS AT ELBOW OF VACCINATION ARM, BEGINING IN AFTERNOON OF DAY AFTER VACCINATION. NO SIGNS/SYMPTOMS AT INJECTION SITE. EXPERIENCED FATIGUE AND NAUSEA AS WELL, NO HEADACHE REPORTED. 2 DAYS FOLLOWING VACCINATION, PAIN AND SWELLING INCREASED FROM SHOULDER TO HAND (GRADUAL INCREASE IN PAIN AS DAY PROGRESSED).  PATIENT WENT TO URGENT CARE BECAUSE PAIN CONTINUED (DID NOT DECREASE IN SEVERITY) AND SHE WAS UNABLE TO BEND OR USE VACCINATED ARM. HAD FEVER OF 100 DEGREES, DID NOT FEEL WELL ALL DAY.  URGENT CARE MD SAID IT MAY BE CELLULITIS, PRESCRIBED DOXYCYCLINE 100MG FOR 10 DAYS AND INSTRUCTED TO FOLLOW UP ON SATURDAY 11/2/19.  ON FRIDAY, AFTER 2 DOSES OF ANTIBIOTIC, PATIENT SAW NO CHANGE IN SYMPTOMS. PLANNED ON TAKING BENADRYL IN CASE SYMPTOMS WERE AN ALLERGIC REACTION. AGREED TO FOLLOW-UP WITH PHARMACY AFTER URGENT CARE APPOINTMENT ON SATURDAY.  SUNDAY 11/3/19: PHARMACIST ON DUTY FOLLOWED UP WITH PATIENT VIA PHONE.  PT STATES MD TOOK X-RAYS TO RULE OUT BROKEN BONE/ELBOW, BUT COULD NOT DETERMINE ANYTHING BECAUSE THERE WAS TOO MUCH SWELLING.  PT DID NOT HAVE ANY CHANGES IN SYMPTOMS.  URGENT CARE DOCTOR GAVE PATIENT AN ANTIBIOTIC SHOT (PT DOES NOT RECALL NAME OF ANTIBIOTIC) AND WAS TOLD TO FOLLOW UP AGAIN ON WEDNESDAY 11/6/19.  PT DOES STATE THAT SWELLING HAS IMPROVED BUT STILL CANNOT BEND OR MOVE RIGHT ELBOW.  STILL EXPERIENCING PAIN.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, X-ray limb normal
Clinical narrative: PATIENT HAD PAIN AND REDNESS AT ELBOW OF VACCINATION ARM, BEGINING IN AFTERNOON OF DAY AFTER VACCINATION. NO SIGNS/SYMPTOMS AT INJECTION SITE. EXPERIENCED FATIGUE AND NAUSEA AS WELL, NO HEADACHE REPORTED. 2 DAYS FOLLOWING VACCINATION, PAIN AND SWELLING INCREASED FROM SHOULDER TO HAND (GRADUAL INCREASE IN PAIN AS DAY PROGRESSED).  PATIENT WENT TO URGENT CARE BECAUSE PAIN CONTINUED (DID NOT DECREASE IN SEVERITY) AND SHE WAS UNABLE TO BEND OR USE VACCINATED ARM. HAD FEVER OF 100 DEGREES, DID NOT FEEL WELL ALL DAY.  URGENT CARE MD SAID IT MAY BE CELLULITIS, PRESCRIBED DOXYCYCLINE 100MG FOR 10 DAYS AND INSTRUCTED TO FOLLOW UP ON SATURDAY 11/2/19.  ON FRIDAY, AFTER 2 DOSES OF ANTIBIOTIC, PATIENT SAW NO CHANGE IN SYMPTOMS. PLANNED ON TAKING BENADRYL IN CASE SYMPTOMS WERE AN ALLERGIC REACTION. AGREED TO FOLLOW-UP WITH PHARMACY AFTER URGENT CARE APPOINTMENT ON SATURDAY.  SUNDAY 11/3/19: PHARMACIST ON DUTY FOLLOWED UP WITH PATIENT VIA PHONE.  PT STATES MD TOOK X-RAYS TO RULE OUT BROKEN BONE/ELBOW, BUT COULD NOT DETERMINE ANYTHING BECAUSE THERE WAS TOO MUCH SWELLING.  PT DID NOT HAVE ANY CHANGES IN SYMPTOMS.  URGENT CARE DOCTOR GAVE PATIENT AN ANTIBIOTIC SHOT (PT DOES NOT RECALL NAME OF ANTIBIOTIC) AND WAS TOLD TO FOLLOW UP AGAIN ON WEDNESDAY 11/6/19.  PT DOES STATE THAT SWELLING HAS IMPROVED BUT STILL CANNOT BEND OR MOVE RIGHT ELBOW.  STILL EXPERIENCING PAIN.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Headache, Injection site erythema
Clinical narrative: My left arm hurt EXTREMELY bad to move it; it even hurt to wear clothes for 4 days.  I had SEVERE redness - the color of burgundy on the upper arm, across my left chest, and going down my abdomen, I have a high fever, chills, fatigue/exhaustion, and a headache.  I had no appetite for 3 days.   I called the Pharmacist on Friday, October 25 and informed him of the reaction and questioned him.  He said that my symptoms could last 3-7 days. They lasted 7 days.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia, Tenderness
Clinical narrative: My left arm hurt EXTREMELY bad to move it; it even hurt to wear clothes for 4 days.  I had SEVERE redness - the color of burgundy on the upper arm, across my left chest, and going down my abdomen, I have a high fever, chills, fatigue/exhaustion, and a headache.  I had no appetite for 3 days.   I called the Pharmacist on Friday, October 25 and informed him of the reaction and questioned him.  He said that my symptoms could last 3-7 days. They lasted 7 days.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Mild rash on right and left arm
Age: 37.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Limb discomfort, Pain in extremity, Sleep disorder
Clinical narrative: Patient says she experiences pain and discomfort in her left arm soon after receiving a flu shot on 10/26/19. She describes that her left arm has difficulty moving and that the pain causes her to not sleep on her left arm. On 11/3/2019 she said that the numbness has spread down to her fingers in the left arm. As the reporter, I noticed no redness or swelling of the left arm.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Delirium, Pyrexia
Clinical narrative: High fever and delirium within 24 hours of administration
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Injection site swelling, Musculoskeletal pain
Clinical narrative: Monday evening:  Initially, pain and swelling at injection site, followed, within 30 minutes, by severe pain and stiffness in entire arm.  Tingling in middle, index fingers and thumb.  Inability to move arm due to severe pain.  Unable to lie down.   Tuesday:  Pain still present, but I could move my fingers and hand, although tingling continued Sunday: ( 7 days later,) arm has improved, but I am still unable to raise arm forward or to the side.  Tingling/numbness in fingers continues.  Throbbing pain in shoulder and muscles around neck on left side.. Swelling is diminished only as of today.