chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: U
Vaccine: VARZOS
Symptoms: No adverse event, Product name confusion, Wrong drug administered
Clinical narrative: This spontaneous report was received from a pharmacist referring to a 12 month old infant of an unknown gender. The patient's medical history and concurrent conditions were not reported. On an unknown date, the patient was inadvertently vaccinated with a dose of ZOSTAVAX (lot # and expiry date were not reported) instead of VARIVAX. No adverse effects were reported.
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report as received from a Medical Assistant refers to a patient of an unknown age and gender. The patient's concurrent conditions, medical history, historical drugs and concomitant therapies were not reported. From 25-OCT-2017 through 07-NOV-2017, the patient was vaccinated with improperly stored dose of ROTATEQ orally, lot # N000175, expiration date 20-SEP-2018 (dose was not reported) for prophylaxis. No adverse effects were reported. The temperature involved was 35 degrees Fahrenheit for 16 hours. There was no previous temperature reported, and a data logger was not involved. Sender's Comments: US-009507513-1711USA003934: Original Case: 1711USA003934; US-009507513-1711USA010361: Original Case: 1711USA003934.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site swelling, Peripheral swelling, Pyrexia, Skin discolouration
Clinical narrative: Pt came in at approximately 12:30pm on 11/22/2017 to  report swollen, discolored left arm, fever and chills following vaccination, which have since subsided. Upon visual inspection, patient's left arm appeared heavily swollen from the injection site down and brownish-red in color in contrast to right arm. Recommended pt to seek medical attention from his primary doctor. PCP called in Keflex and Motrin on 11/24/2017. Will follow up with pt in 3 days.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Muscle swelling, Skin warm
Clinical narrative: Deltoid muscle swollen and feels hot to touch - pt instructed to put ice on area and to contact her PCP.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest pain, Dizziness, Dyspnoea, Hot flush, Nausea
Clinical narrative: Patient reported feeling nauseous, having hot flash and feeling faint. Went to son's house and became short of breath and began having chest pain around 7pm the night of administration. Patient went to the hospital emergency department and was given aspirin and worked up for a possible heart attack. She was administered other medications but is unsure of medications or dosages. Workup was negative for MI and she was advised by the physician that she likely had a reaction to the vaccine.   Patient was discharged to home with no additional medications or treatment. Patient states she is doing much better as of the time of this report.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination complication, X-ray
Clinical narrative: Patient reported feeling nauseous, having hot flash and feeling faint. Went to son's house and became short of breath and began having chest pain around 7pm the night of administration. Patient went to the hospital emergency department and was given aspirin and worked up for a possible heart attack. She was administered other medications but is unsure of medications or dosages. Workup was negative for MI and she was advised by the physician that she likely had a reaction to the vaccine.   Patient was discharged to home with no additional medications or treatment. Patient states she is doing much better as of the time of this report.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Dyspnoea, Malaise
Clinical narrative: After the patient received the vaccine at 8:20 PM, she felt unwell and returned to the pharmacy with shortness of breath and shakiness. 911 was called and they arrived within 10-12 minutes of the incident. The patient was found to have elevated blood pressure and the patient was taken into the ambulance to have an EKG done. The patient had a BP of 202/101 mm Hg and refused to go to the hospital. She waited on family to pick her up. This morning, I called the patient to follow up on how she was feeling and she was doing well. She stated her BP remained elevated at 170/unknown mm Hg on 11/23, however this morning (11/24) her BP was 144/70 mm Hg. She states she is feeling fine and has no other complaints with the pharmacy or myself.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash generalised
Clinical narrative: PATIENT REPORTED NON-LIFE THREATENING RASH OVER MOST OF BODY 18 HOURS AFTER INJECTION. PATIENT RECEIVED PREDNISONE.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, X-ray limb normal
Clinical narrative: Patient is complaining of constant pain in her arm since receiving the vaccine. She went to her dr and had some tests done (xray) and the md office told her they did not find anything wrong that could be causing the pain. Patient still has pain and wants to know what she can do so that she can get help to get rid of the pain and get better.
Age: 65.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient says arm is still sore after receiving the vaccines 2 months ago. Says he feels the pain in the bicep if he moves his arm certain ways.
Age: 59.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: THE AREA AROUND INJECTION SITE BECAME RED, RAISED, HOT TO THE TOUCH AND CAUSE THE PATIENT TO HAVE DIFFICULTIES LIFTING ARM WITHIN 24 HOURS OF INJECTION. THE PATIENT TRIED TO TREAT WITH TYLENOL DAILY FOR A WEEK BEFORE COMING TO THE PHARMACY. THE PHARMACIST REFERRED THE PATIENT TO AN URGENT CARE CENTER. THE PATIENT WAS PRESCRIBED TYLENOL 325MG; HYDROCORTISONE 2.5%; FEXOFENADINE 180MG; AND BACTRIM DS.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Headache, Skin redness and swelling at injection site, Itching.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Discomfort, Dysstasia, Gait inability, Muscular weakness, Paraesthesia
Clinical narrative: Patient spoke to pharmacist 11.24.17. She woke up on 11.12.17 and could not walk due to extreme weakness in both legs, fine tremors, tingling at base of spine. Patient has always walked with walker since onset of multiple sclerosis. She states she has not had an attack since 1997, and has been getting seasonal influenza vaccines since about age 60 years old. Since 11/12/2017, she states her walking and standing is slowing improving, and fine tremor, pressure at spine is not as intense. Per conversation with pharmacist 11/24.17. Patient has not seen her PMD, states he cannot resolve the adverse event. States symptoms have been resolving since 11.12.2017.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Tremor
Clinical narrative: Patient spoke to pharmacist 11.24.17. She woke up on 11.12.17 and could not walk due to extreme weakness in both legs, fine tremors, tingling at base of spine. Patient has always walked with walker since onset of multiple sclerosis. She states she has not had an attack since 1997, and has been getting seasonal influenza vaccines since about age 60 years old. Since 11/12/2017, she states her walking and standing is slowing improving, and fine tremor, pressure at spine is not as intense. Per conversation with pharmacist 11/24.17. Patient has not seen her PMD, states he cannot resolve the adverse event. States symptoms have been resolving since 11.12.2017.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperventilation, Nervousness, Syncope
Clinical narrative: Patient Fainted after walking 15 feet or so from the pharmacy. She was very nervous and hyperventilating before hand. I laid her down on her back and put her feet up and gave her some water. She was fine after 5-10 minutes.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site discomfort, Injection site pain
Clinical narrative: Left arm shoulder pain. Limited mobility. Unable to raise arm standing upright with arm at side any further than approximately 90 degrees perpendicular to arm. Time course continuous shoulder pain and discomfort since day after administration of vaccine.
Age: 9.0
Sex: F
Vaccine: FLUC4
Symptoms: Abnormal behaviour, Cold sweat, Gait inability
Clinical narrative: "Not acting like herself" in classroom. Lying down on the bathroom floor, then classroom floor when moved. Staff unable to have her stand to bring her back to school health center. Vital signs: temp - 97.8. pulse 88, resp. 18, BP 100/68. Responded to her name being called by moving head but did not sit up upon request. Skin clammy to touch. Breathing normal and unlabored. No wheezing. No redness or swelling to face or lips. After a bit of time and with assistance, able to walk to the health center.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Activated partial thromboplastin time, Ecchymosis, Full blood count, Metabolic function test, Prothrombin time
Clinical narrative: Atraumatic 2x3 cm non-blanching ecchymosis chin without other active sources of hemorrhage or allergic rxn.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient presented to the pharmacy in person to report a very large red circle upon where her flu shot was administered. Patient stated it has gradually gotten bigger and bigger since administered and is slightly warm to the touch as well as extremely sore. Shot was administered on 11/22/2017 (Wednesday). The site upon observation took up the majority of her deltoid.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Pain in left shoulder, increasingly worse over the past month.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Abdominal distension, Abnormal behaviour, Allergy test, Autism spectrum disorder, Computerised tomogram
Clinical narrative: Speech regression and emotional withdrawal within a month of vaccine, diagnosed with severe developmental delay at age 2 1/2. Autism Spectrum Disorder, behavioral problems, digestive problems (starting at 1 yr 1 mth old constant constipation or diarrhea and unexplained swelling of her stomach due to air retention at 2 1/2 years).
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Constipation, Developmental delay, Diarrhoea, Emotional poverty, Flatulence
Clinical narrative: Speech regression and emotional withdrawal within a month of vaccine, diagnosed with severe developmental delay at age 2 1/2. Autism Spectrum Disorder, behavioral problems, digestive problems (starting at 1 yr 1 mth old constant constipation or diarrhea and unexplained swelling of her stomach due to air retention at 2 1/2 years).
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR
Symptoms: Gastric dilatation, Nuclear magnetic resonance imaging, Speech disorder, Speech disorder developmental
Clinical narrative: Speech regression and emotional withdrawal within a month of vaccine, diagnosed with severe developmental delay at age 2 1/2. Autism Spectrum Disorder, behavioral problems, digestive problems (starting at 1 yr 1 mth old constant constipation or diarrhea and unexplained swelling of her stomach due to air retention at 2 1/2 years).
Age: 79.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Wed evening-red inflamed area around  bicep on left arm.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Peripheral swelling, Wrong technique in product usage process
Clinical narrative: Patient came to pharmacy Arm Swollen. Referred to MD. As per MD Incorrect technique and cellulitis. Pt was given Antibiotic.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Musculoskeletal pain, Ultrasound scan
Clinical narrative: This case was reported by a physician via call center representative and described the occurrence of shoulder pain in a 18-month-old male patient who received BEXSERO. In October 2017, the patient received the 2nd dose of BEXSERO. On an unknown date, less than a month after receiving BEXSERO, the patient experienced shoulder pain (serious criteria disability). On an unknown date, the outcome of the shoulder pain was unknown. It was unknown if the reporter considered the shoulder pain to be related to BEXSERO. Additional details were provided as follows: The patient had severe shoulder pain. The patient was still complaining of this pain. The patient underwent an ultrasound, but result was not reported.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site of entry was red and itchy and swollen. Patient iced area and took loratadine, the itching went away.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Bone pain, Borrelia test, Myalgia
Clinical narrative: Muscle aches and bone aches worse first thing in AM/when sitting for awhile or at night when in bed.
Age: 77.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site swelling, Mobility decreased
Clinical narrative: Injection site became red and swollen. Patient was having a hard time lifting arm, and his wife called an ambulance. She called the pharmacy on 11/24/17 in the morning.
Age: 19.0
Sex: F
Vaccine: FLUC4
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Patient was administered flu vaccine shortly after received vaccine, patient appeared to lose consciousness and was slumped over. After approximately 20 seconds patient regained consciousness. Paramedics were summoned and cleared patient. It should be noted that patient had reported previous incident of syncope after immunization.
Age: 0.17
Sex: F
Vaccine: DTAPIPV, HIBV, PNC13, RV5
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Vaccine not licensed for age group.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Mass, Pruritus, Skin warm
Clinical narrative: Pt developed a 2x3 inch egg shaped lump. Became hot, red, itchy spreading redness in length 5 inches long 2 inches wide. No treatment, resolution w/in 1 week.
Age: 28.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Back pain, Injection site discolouration, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Very swollen injection site that turned purple. Very sore. Pain extends to back and down to pinky finger.
Age: 28.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Injection site irritation, Injection site nodule, Injection site swelling, Pain in extremity
Clinical narrative: Very swollen injection site that turned purple. Very sore. Pain extends to back and down to pinky finger.
Age: 64.0
Sex: F
Vaccine: FLUX, PNC13, TTOX
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Fatigue
Clinical narrative: Started feeling tired and weak. Began to get the chills, shaking vigorously. Felt nauseous. As the rest of the day progressed and into the night I developed a fever. The fever did break by the next afternoon. For the next few days I had body ache particularly in  my joints. Especially on Friday Saturday and Sunday I was sleeping a lot!  After four days the fatigue and body ache eased.  I had lost my appetite and was basically eating just once a day. I?m just now regaining my appetite. On Sunday I corresponded with my doctor and he felt it was just a reaction from the tetanus shot.
Age: 64.0
Sex: F
Vaccine: FLUX, PNC13, TTOX
Symptoms: Hypersomnia, Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Started feeling tired and weak. Began to get the chills, shaking vigorously. Felt nauseous. As the rest of the day progressed and into the night I developed a fever. The fever did break by the next afternoon. For the next few days I had body ache particularly in  my joints. Especially on Friday Saturday and Sunday I was sleeping a lot!  After four days the fatigue and body ache eased.  I had lost my appetite and was basically eating just once a day. I?m just now regaining my appetite. On Sunday I corresponded with my doctor and he felt it was just a reaction from the tetanus shot.
Age: 64.0
Sex: F
Vaccine: FLUX, PNC13, TTOX
Symptoms: Vaccination complication
Clinical narrative: Started feeling tired and weak. Began to get the chills, shaking vigorously. Felt nauseous. As the rest of the day progressed and into the night I developed a fever. The fever did break by the next afternoon. For the next few days I had body ache particularly in  my joints. Especially on Friday Saturday and Sunday I was sleeping a lot!  After four days the fatigue and body ache eased.  I had lost my appetite and was basically eating just once a day. I?m just now regaining my appetite. On Sunday I corresponded with my doctor and he felt it was just a reaction from the tetanus shot.
Age: 65.0
Sex: M
Vaccine: PPV, TTOX
Symptoms: Drug administered at inappropriate site, Injection site extravasation, Injection site pain
Clinical narrative: The nurse injected my left shoulder just below the subacromial space. (I am a Physical Therapist) I had undergone shoulder surgery about 4 years ago and I emphatically told the nurse to stay away from the joint. She insisted that she was trained to inject the vaccine up high and before I could object she pushed the needle in. She told me that she was getting a lot of push back and the injection leaked out.  I told her she was too high up on my shoulder. I also got a tetanus in my right shoulder and before she gave me that shot I told her once again to inject it into the deltoid NOT my joint. She did inject slightly lower but still too high on that side too. I am now having constant pain in my left shoulder to the extent of not being able to lay on that side when sleeping. I was able to sleep on my left side before the injection. (My right side is doing ok). I am taking Ibuprofen 2 to 3 times a day and my symptoms feel like my shoulder felt after the shoulder surgery. I did report the incident to the Hospitals nursing staff director.
Age: 0.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR, TTOX
Symptoms: Autism spectrum disorder, Intellectual disability, Laboratory test, Speech disorder
Clinical narrative: When she was of school age, tests taken. Mentally handicapped, Speech impaired. Symptoms of Autism.
Age: 94.0
Sex: F
Vaccine: FLUA3
Symptoms: Hypoaesthesia
Clinical narrative: Patient reports she returned home after receiving the vaccine and took a nap. When she awoke from her nap her left leg was numb. She states that sensation is unusual, and it continued through until she reported it to the pharmacy on 11/24/17. She has  not been able to reach her primary care provider.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Raised red area at site of injection, 1/2" radius, warm to touch.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Rash, Rash generalised, Rash pruritic
Clinical narrative: After patient got home in the evening 10/25 after the flu shot, she noticed a rash on her arm. She reported a month later on 11/25 that the rash extended bilaterally from her arm to her feet. The rash itches. Denied any other symptoms of fever or breathing issue. Patient was referred to see a doctor about her rash symptoms.
Age: 52.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Pruritus, Rash
Clinical narrative: After patient got home in the evening 10/25 after the flu shot, she noticed a rash on her arm. She reported a month later on 11/25 that the rash extended bilaterally from her arm to her feet. The rash itches. Denied any other symptoms of fever or breathing issue. Patient was referred to see a doctor about her rash symptoms.
Age: 3.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Coordination abnormal, Dyskinesia, Strabismus, Toe walking
Clinical narrative: Cloudy eye. Esotropia. Hand flapping. Walking on toes. Change in coordination.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Immediate post-injection reaction, Pain
Clinical narrative: Patient was administered vaccine in left arm, soreness and weakness started immediately and has persisted for approximately 2 months.
Age: 86.0
Sex: F
Vaccine: MEN
Symptoms: Arthralgia, Contusion, Pain in extremity, Peripheral swelling, Swelling
Clinical narrative: Swelling, soreness in upper arm. Next morning sharp pain from palm of hand up arm. Very painful, unable to use muscle on arm. Upper arm swelling goes away. Pain from palm to elbow continues and is now a bit swollen and bruise approx 2" x 4" is evident.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Antinuclear antibody negative, Blood glucose normal, Blood potassium normal, C-reactive protein normal, Complement factor C3
Clinical narrative: Intially, my left face went numb/tingling with red bumps/rash. I went to minute clinic and they diagnosed me with "shingles" and put me on anti-viral medication. In one week I went to my Internal Medicine doctor because it moved to the right side of my face, down my left and right arm (numbness/tingling) and right and left upper thighs. My internist told me it was NOT shingles because it doesn't move like that. She stopped the antiviral. She did blood work and ruled out the following:   shingles, stroke, heart attack, M.S.,, lupus, Guillan barre, etc. Currently, I am taking Ibuprofen for "swelling' of left side of face/eye. It comes and goes, but always has a tingling/numbness feeling.  Rash is less, but still there.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Complement factor C4, Complement factor normal, Full blood count normal, Herpes zoster, Hypoaesthesia
Clinical narrative: Intially, my left face went numb/tingling with red bumps/rash. I went to minute clinic and they diagnosed me with "shingles" and put me on anti-viral medication. In one week I went to my Internal Medicine doctor because it moved to the right side of my face, down my left and right arm (numbness/tingling) and right and left upper thighs. My internist told me it was NOT shingles because it doesn't move like that. She stopped the antiviral. She did blood work and ruled out the following:   shingles, stroke, heart attack, M.S.,, lupus, Guillan barre, etc. Currently, I am taking Ibuprofen for "swelling' of left side of face/eye. It comes and goes, but always has a tingling/numbness feeling.  Rash is less, but still there.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Liver function test normal, Paraesthesia, Rash erythematous, Red blood cell sedimentation rate normal, Renal function test normal
Clinical narrative: Intially, my left face went numb/tingling with red bumps/rash. I went to minute clinic and they diagnosed me with "shingles" and put me on anti-viral medication. In one week I went to my Internal Medicine doctor because it moved to the right side of my face, down my left and right arm (numbness/tingling) and right and left upper thighs. My internist told me it was NOT shingles because it doesn't move like that. She stopped the antiviral. She did blood work and ruled out the following:   shingles, stroke, heart attack, M.S.,, lupus, Guillan barre, etc. Currently, I am taking Ibuprofen for "swelling' of left side of face/eye. It comes and goes, but always has a tingling/numbness feeling.  Rash is less, but still there.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Rheumatoid factor negative, Swelling face, Vitamin B12 normal
Clinical narrative: Intially, my left face went numb/tingling with red bumps/rash. I went to minute clinic and they diagnosed me with "shingles" and put me on anti-viral medication. In one week I went to my Internal Medicine doctor because it moved to the right side of my face, down my left and right arm (numbness/tingling) and right and left upper thighs. My internist told me it was NOT shingles because it doesn't move like that. She stopped the antiviral. She did blood work and ruled out the following:   shingles, stroke, heart attack, M.S.,, lupus, Guillan barre, etc. Currently, I am taking Ibuprofen for "swelling' of left side of face/eye. It comes and goes, but always has a tingling/numbness feeling.  Rash is less, but still there.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: Low grade fever, pain throughout arm, injections redness, redness throughout arm- Pt monitored temperature, went to bed early and resolution within 24 hours of symptoms.
Age: 78.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Starting 2 to 3 days after administration the patient experienced Swelling, Redness, Soreness and Hot to the touch at the injection site.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Muscle swelling, Musculoskeletal stiffness, Myalgia, Paraesthesia
Clinical narrative: Patient called today stating she is experiencing a swollen, aching, muscle in the arm she received the vaccination in. She states the 1st few days arm was stiff, but seems to be more swollen and aching each day. She has numbness and tingling that sometimes migrates down the arm and into her hand. She is going to try to ice and or heat to see any relief occurs, she has tried TYLENOL and it has not helped. She will make an appointment with her primary care physician this week if the pain continues.
Age: 43.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills, Decreased appetite, Diarrhoea, Nausea, Pyrexia
Clinical narrative: Approximately nine hours after I received the shot (8 PM), I began losing my appetite and feeling a bit queasy. By 10 PM, I came down with intense chills, nausea, and a bit of a fever that lasted through the night. In the morning, I had a bad case of diarrhea in the morning and still a bit of chills until the early afternoon, but no fever. Stayed in bed all day; by evening, I felt better. In total, I was sick for approximately 20 hours.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Peripheral swelling, Skin indentation
Clinical narrative: Patient received a PREVNAR 13 (right arm) and FLUZONE HD (left arm) shot on 11/20/17 and returned today on 11/25 with concern over swelling in right arm approx. light swelling 4in in diameter and a smaller 1in diameter slight forming indentation. She reports no symptoms such as pain, fever or itching, and only the site of the swelling and indentation. She was recommended to see her physician and in the meantime to take an anti-inflammatory/fever reducer which she was already taking ALEVE, and antihistamines. This is not an administration error. The pharmacist who had administered the shots, she clearly remembers the vaccines were appropriately stored/refrigerated and used sterile needles. Patient reports that she has a lot of allergies and is aware of signs of allergic reactions such as hives, swelling of throat and to seek emergency medical attention.
Age: 35.0
Sex: M
Vaccine: TDAP
Symptoms: Administration site induration, Administration site swelling, Injection site erythema
Clinical narrative: Site of administration is swollen, hard and red- Patient was told by the pharmacist on 11/25/17 at time of reporting to take benadryl or zyrtec for the allergic reaction-and if the swelling worsened or breathing became shallow of throat swells to go directly to the ER. Pharmacist will follow up with patient .
Age: 60.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Chills, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Nerve root compression
Clinical narrative: Pain during shot, chills from arm pain all night, increasing upper arm pain and inability to move arm without pain. Can barely get myself dressed and undressed due to pain. Cannot lift with left arm. Cannot sleep on left side. After a few of weeks of no relief and no decrease in pain, I went to my regular physician (11/15) and diagnosis was nerve impingement due to vaccination. Waiting to begin physical therapy on 12/4 and in the meantime take over the counter pain meds.
Age: 60.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Pain during shot, chills from arm pain all night, increasing upper arm pain and inability to move arm without pain. Can barely get myself dressed and undressed due to pain. Cannot lift with left arm. Cannot sleep on left side. After a few of weeks of no relief and no decrease in pain, I went to my regular physician (11/15) and diagnosis was nerve impingement due to vaccination. Waiting to begin physical therapy on 12/4 and in the meantime take over the counter pain meds.
Age: 60.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Musculoskeletal pain, Nerve root compression
Clinical narrative: Pain during shot, chills from arm pain all night, increasing upper arm pain and inability to move arm without pain. Can barely get myself dressed and undressed due to pain. Cannot lift with left arm. Cannot sleep on left side. After a few of weeks of no relief and no decrease in pain, I went to my regular physician (11/15) and diagnosis was nerve impingement due to vaccination. Waiting to begin physical therapy on 12/4 and in the meantime take over the counter pain meds.
Age: 43.0
Sex: M
Vaccine: FLU3
Symptoms: Herpes zoster
Clinical narrative: Shingles developed (Unsure which manufacturer----but it was Flu shot). IIV4, IM Press-free 6MO+ (this was listed on my medical records thru doctors website).
Age: 46.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Very Sore as of today (11/25/17) from the date given on 10/17/17. Patient says he could not pick up his arm initially, has gotten better but still very sore.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reported pain in hand and arm. Described as athritis like pain at first then swelling in arm and pain in hand radiating up her arm. Swelling went down in upper arm but she then notice swelling in her forearm. Presented 11-25 and seemed to not be under any apparent distress but complained of some lingering pain.
Age: 93.0
Sex: F
Vaccine: PNC13
Symptoms: Infection, Injection site erythema, Injection site pain, Injection site swelling, Phlebitis
Clinical narrative: Patient experienced swelling and moderate to severe pain at injection site couple days after the vaccination (11/14/17). Right arm was getting more swollen, red and tender. Patient went to see PCP and  was told to have phlebitis and infection. Patient was given Keflex 250mg four times daily for 7 days. As of today (11/25//17), arm is still a little swollen and red, but seems to get better with cold compress.
Age: 93.0
Sex: F
Vaccine: PNC13
Symptoms: Tenderness
Clinical narrative: Patient experienced swelling and moderate to severe pain at injection site couple days after the vaccination (11/14/17). Right arm was getting more swollen, red and tender. Patient went to see PCP and  was told to have phlebitis and infection. Patient was given Keflex 250mg four times daily for 7 days. As of today (11/25//17), arm is still a little swollen and red, but seems to get better with cold compress.
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal discomfort, Vomiting
Clinical narrative: Vomiting, GI distress.
Age: 36.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Bronchitis, Cough
Clinical narrative: Patient developed cough the day after vaccination. Symptoms worsened so the patient consulted a doctor on 11-2-17. She was diagnosed with severe bronchitis and was prescribed LEVAQUIN and Albuterol.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU4, PNC13
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Skin lesion
Clinical narrative: Red/swelling at site (1) day after vaccines. on exam 3 days post vaccines-Has pink/red circular lesion, mild swelling 9x7cm size, no discharge or tenderness.
Age: 58.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Chills, Cough, Fatigue, Lethargy, Pyrexia
Clinical narrative: After injections when he was walking home he started to feel tired. Since injections he is lethargic, coughing, fever, chills. Pt said he will go to the doctor today.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Still feel tenderness in left arm when I touch the injection site or if I raise my arm I feel a muscle pain.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Muscle atrophy, Pain in extremity
Clinical narrative: Severe arm pain and severe restriction of range of motion that persists one year later. Atrophy  of muscle is visible and testable.
Age: 48.0
Sex: M
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Impaired driving ability, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: The injection was placed into the upper part of my left shoulder. It is normally given in the deltoid but the pharmacist injected the needle into the top of my shoulder. I reacted immediately informing the shot was higher than I've ever received it in my arm and my left shoulder experienced pain immediately. I had difficulty raising my arm above my head, turning the steering wheel on my car, and even buttoning my trousers or moving my belt thru the belt loops. I thought this might have been normal soreness due to a shot but I still was having symptoms and pain 4-6 weeks post injection so I saw my Doctor.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Acute respiratory distress syndrome, Atypical pneumonia, C-reactive protein increased, CSF white blood cell count decreased, Computerised tomogram thorax abnormal
Clinical narrative: Two days after the flu shot, my mother developed a headache that became so bad that she went to the hospital. It was determined that she *might* have meningitis. There was nothing ever definitive. SED rates and CRP were extremely high. Very low WBC in spinal tap. After weeks of being in and out of the hospital, she came home. She never regained her strength. Towards the end of October, she was taken by ambulance yet again for a headache. However, while she was in the ambulance it was noted that her O2 level was at 80%. They treated her in the hospital for the headache, but after I pointed it out to them, the doctor became concerned at her O2 levels as well. X-ray showed nothing substantial, but at my insistence, she had a CT scan of her lungs. Bilateral pneumonia with ground glass appearance. Diagnosed with atypical pneumonia. Started in the general admission ward. Then was moved to step down unit. And was eventually moved to the CCU and passed away on November 7, 2017, her 74th birthday. Immediate COD was ARDS.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Death, Headache, Intensive care, Laboratory test, Pneumonia
Clinical narrative: Two days after the flu shot, my mother developed a headache that became so bad that she went to the hospital. It was determined that she *might* have meningitis. There was nothing ever definitive. SED rates and CRP were extremely high. Very low WBC in spinal tap. After weeks of being in and out of the hospital, she came home. She never regained her strength. Towards the end of October, she was taken by ambulance yet again for a headache. However, while she was in the ambulance it was noted that her O2 level was at 80%. They treated her in the hospital for the headache, but after I pointed it out to them, the doctor became concerned at her O2 levels as well. X-ray showed nothing substantial, but at my insistence, she had a CT scan of her lungs. Bilateral pneumonia with ground glass appearance. Diagnosed with atypical pneumonia. Started in the general admission ward. Then was moved to step down unit. And was eventually moved to the CCU and passed away on November 7, 2017, her 74th birthday. Immediate COD was ARDS.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate increased, X-ray normal
Clinical narrative: Two days after the flu shot, my mother developed a headache that became so bad that she went to the hospital. It was determined that she *might* have meningitis. There was nothing ever definitive. SED rates and CRP were extremely high. Very low WBC in spinal tap. After weeks of being in and out of the hospital, she came home. She never regained her strength. Towards the end of October, she was taken by ambulance yet again for a headache. However, while she was in the ambulance it was noted that her O2 level was at 80%. They treated her in the hospital for the headache, but after I pointed it out to them, the doctor became concerned at her O2 levels as well. X-ray showed nothing substantial, but at my insistence, she had a CT scan of her lungs. Bilateral pneumonia with ground glass appearance. Diagnosed with atypical pneumonia. Started in the general admission ward. Then was moved to step down unit. And was eventually moved to the CCU and passed away on November 7, 2017, her 74th birthday. Immediate COD was ARDS.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Crying, Pyrexia, Rash, Rash macular, Urine analysis
Clinical narrative: High fever, sandpaper rash, blotchy skin, inconsolable crying.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: X-ray
Clinical narrative: High fever, sandpaper rash, blotchy skin, inconsolable crying.
Age: 23.0
Sex: M
Vaccine: FLUC4
Symptoms: Back pain, Chills, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: About 20 min after shot patient felt lightheaded, an hour later chills/backaches, he then vomited 5-6 times and sweating profusely, he then blacked out for a few seconds. Then fell asleep for hours. Tried eating but vomited back up. Has not eaten since.
Age: 23.0
Sex: M
Vaccine: FLUC4
Symptoms: Vomiting
Clinical narrative: About 20 min after shot patient felt lightheaded, an hour later chills/backaches, he then vomited 5-6 times and sweating profusely, he then blacked out for a few seconds. Then fell asleep for hours. Tried eating but vomited back up. Has not eaten since.
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site pain
Clinical narrative: Patient complaining of tenderness/soreness in the injection site and radiating around to the back of the shoulder beginning shortly after receiving the vaccine and continuing x 1 month, recommended he follow up with primary care provider for evaluation.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Grip strength decreased, Injection site pain, Myalgia
Clinical narrative: Pt stated she has had muscle pain in the left arm since the vaccination. She states it starts in the back of the arm and radiates down the arm to the wrist/hand. She stated she is having difficulty grasping. She also told me that she had had reaction in the past to statin medication similair to this both occured in both arms.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Insomnia
Clinical narrative: PATIENT REPORTED ACHING PAIN THE FOLLOWING DAY AND HAD ERYTHEMA ABOVE AND BELOW THE INJECTION SITE. PATIENT THE INITIAL MYALGIA/ERYTHEMA WENT ABOVE THE INJECTION SITE TO THE SHOULDER AREA AND BELOW THE INJECTION SITE JUST ABOVE THE ELBOW. PATIENT HAD THE INJECTION ON 11/24 AND CAME BACK TO THE PHARMACY TO SHOW ME THE REACTION. SHE SAID IT HAD IMPROVED AND AFTER LOOKING AT THE REACTION IT WAS JUST SURROUND HER MIDDLE UPPER ARM AND SHE SAID IT WAS IMPROVING. SHE DID REPORT THAT THE PAIN KEPT HER UP THE FOLLOWING NIGHTS.
Age: 59.0
Sex: F
Vaccine: PNC13
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Pt exhibited a raised red, itchy rash/welt below the injection site on the left arm. Persisted through Saturday (11/25). Pt treated with topical BENADRYL, ice, and ibuprofen.
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Pain
Clinical narrative: Patient initially experienced general muscle pain in the right deltoid after vaccine was given, which went away after a couple days. Pain in the patient's right shoulder has persisted since receiving vaccine. He is currently only experiencing pain if he lifts/extends his right arm. Describes pain as a mild/moderate pain, dependent on what direction/how far he extends his arm. Has not noticed considerable improvement since vaccine was given.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Dull pain in left arm, continuous after 2 months since senior flu vaccination.
Age: 8.0
Sex: M
Vaccine: FLUC4
Symptoms: Anxiety, Fall, Syncope, Tension, Vomiting
Clinical narrative: The patient was anxious about getting the flu shot. He was very tense while I was injecting. The mother and I tried comforting him by telling him that the vaccine would prevent the flu (which is go in March of 2017). The boy was still for the injection and then afterwards said it was bad. He stood up next to his mother so his father could sit down and get his vaccine. The boy was talking with his parents and me while I completed the father's vaccine and while the family was getting ready to leave. Then the child fainted and fell to the floor. His fall was broken because he banged into me before hitting the ground. His mother immediately went to the ground to try and rouse him and I went to call 911. The boy awoke after about 10-15 seconds. He continued to lie on the ground and nod in response to his mother asking if he was okay. The boy asked for water and wanted to sit up. The father went to get water and the mother assisted the boy into the chair. He was giving short answers to our questions and then had some water the father brought to him. The EMTs arrived and talked to the parents about possible vasovagal reaction. While the EMTs were speaking with the parents the boy vomited. The parents decided to let the ambulance take the patient to the hospital to have him examined by a physician.
Age: 1.42
Sex: M
Vaccine: DTAP
Symptoms: Hypotonia, Lethargy, Loss of consciousness, Pyrexia, Resuscitation
Clinical narrative: Developed low grade fever after receiving the vaccine, became extremely lethargic. Fever continued into the next day. That next morning, patient had a seizure lasting about 8 minutes before falling completely limp, unresponsive, and required rescue breaths. Luckily, we were in public and emergency services came soon after. Patient regained consciousness and was breathing fine after his IV. Several hours later, we were discharged, but came in periodically to see the doctor.
Age: 1.42
Sex: M
Vaccine: DTAP
Symptoms: Seizure, Unresponsive to stimuli
Clinical narrative: Developed low grade fever after receiving the vaccine, became extremely lethargic. Fever continued into the next day. That next morning, patient had a seizure lasting about 8 minutes before falling completely limp, unresponsive, and required rescue breaths. Luckily, we were in public and emergency services came soon after. Patient regained consciousness and was breathing fine after his IV. Several hours later, we were discharged, but came in periodically to see the doctor.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema
Clinical narrative: Redness appeared at the site of injection. Patient was treated with Cephalexin 500mg. Patient is doing well as of 11-26-2017.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pain
Clinical narrative: Patient came into pharmacy today 11/26/17 complaining of pain from a flu shot given to her 10/01/2017. She states to have had this pain since the shot was given. She stated she went to the Urgent Care/ER and was given pain medication and was told it will go away. She also stated to have went to a doctor office, not her PCP, where she was also given pain medication and told that this will go away. Patient has dementia and is currently on Rivastigmine patches. I was the one who administered the vaccine to her. She did not recall me giving her this vaccine and was convinced it was another women, possibly an intern, however our store does not have any interns or other female pharmacists. She also was under the impression that the vaccine was given through the consultation gate. I explained to her that our policy is to go around the gate and give the vaccines sitting in the consultation room. I explained that we never give vaccines through the gate. She does not recall me giving her the shot, stating she would have remembered my face and believes it was someone else. I took down her phone number, primary care doctors name and number and told her that I will contact her PCP and my manager and will update her on the situation.
Age: 68.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Erythema, Headache, Myalgia, Pain, Pyrexia
Clinical narrative: Redness, swelling, rash, fever, pain, muscle aches, body aches, headache.
Age: 68.0
Sex: F
Vaccine: PPV, UNK
Symptoms: Rash, Swelling
Clinical narrative: Redness, swelling, rash, fever, pain, muscle aches, body aches, headache.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient fainted 15 mins after receiving the flu shot. She became conscious pretty fast within 2 approximately 3 minutes. First she fainted in her mother's arm then we laid her on the floor and kept calling her name to get a response. She became conscious within 2 approximately 3 minutes, pharmacist asked her if she had difficulty breathing which she said she didn't have. Patient did not have seizure, no allergy reaction. She was given a bottled water and candies, then watched for approximately 20 mins while she was resting in the cubicle. After 20 minutes of monitoring her, mother said she seemed fine and said they were going to leave. Pharmacist gave her our pharmacy phone number for her to call back if there were any further problems or for update.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain, Pain in extremity
Clinical narrative: My arm was abnormally sore for at least a week or more. I mentioned to a nurse on duty how sore my arm was and she dismissed me by stating the vaccine must have been admistered incorrectly. Very sore. Incredibly painful at injection site. Whole arm hurt when I lifted it at all.
Age: 1.17
Sex: F
Vaccine: DTAPIPVHIB, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Subcutaneous abscess
Clinical narrative: Presented to me 11/25/17 complaining of redness, swelling, pain at site of VARIVAX injection. Diagnosed with skin abscess treated with oral and topical antibiotics.
Age: 66.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pain in extremity
Clinical narrative: Pain swelling @ injection site , that night, the next AM pain in bicep worse with movement, then that evening  pain, swelling & redness on bicep area. Next AM (today) swelling & redness Spread to inner elbow.
Age: 66.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Pain in extremity
Clinical narrative: Pain swelling @ injection site , that night, the next AM pain in bicep worse with movement, then that evening  pain, swelling & redness on bicep area. Next AM (today) swelling & redness Spread to inner elbow.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal pain, Neck pain
Clinical narrative: Within one day of getting the shot my shoulder became increasingly painful and unable to move, get dressed, lift arm--classic rotator cuff symptoms which got worse over time.  It's been over 3 months with little improvement; I started physical therapy in September and will finish treatment (twice weekly) this week. There was no other activity I was engaging in which would cause this type of pain and limited range of motion--the only thing that was different was getting the flu shot. I can't reach or lift anything in front or at the side of my body. The pain extends to my neck as well, almost as if there is nerve damage.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Rotator cuff syndrome
Clinical narrative: Within one day of getting the shot my shoulder became increasingly painful and unable to move, get dressed, lift arm--classic rotator cuff symptoms which got worse over time.  It's been over 3 months with little improvement; I started physical therapy in September and will finish treatment (twice weekly) this week. There was no other activity I was engaging in which would cause this type of pain and limited range of motion--the only thing that was different was getting the flu shot. I can't reach or lift anything in front or at the side of my body. The pain extends to my neck as well, almost as if there is nerve damage.
Age: 1.0
Sex: F
Vaccine: IPV, MMR
Symptoms: Aggression, Confusional state, Injection site swelling, Irritability, Pyrexia
Clinical narrative: Became extremely unable to soothe, extremely irritable with large swelling in left thigh. Currently gets a high fever every day usually in the evening not associated with teething. Mental confusion and aggressive behavior after 48 hours.