chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse event; one dose of an improperly stored vaccine, VARIVAX, was administered to one patient; assistant confirmed route of administration was intramuscular; This spontaneous report has been received from a Medical assistant, referring to male patient of unknown age and gender. Information about current conditions, concomitant medications, pertinent medical history and previous drugs reactions and allergies were not provided.  On 12-SEP-2019, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (oka/merck) (VARIVAX), at a dose of 0,5 milliliter, once, lot number S002877 and expiration date reported as 23-AUG-2021, but upon internal validation established as 29-JAN-2121) for prophylaxis: by intramuscular administration (Incorrect route of product administration) (strength and concentration were not provided). The vaccine was reconstituted with properly stored sterile diluent (lot number S000130 and expiration date 23-AUG-2021).  The varicella virus vaccine live (oka/merck) (VARIVAX) was stored at a temperature of 8.1 degrees Fahrenheit for the time frame of 20 minutes with a previous temperature excursion of 8.1 degrees Fahrenheit for a time frame of 17 minutes and a temperature of 9.5 degrees Fahrenheit for the time frame of 21 minutes. It was reported that call was due to Data logger. No adverse effects reported.  It was unknown if the patient received treatment or if the patient sought for medical attention. It was unknown if any laboratory diagnostics or studies were performed.
Sex: U
Vaccine: MMRV
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: No adverse effects were reported in the patient; The patient received a dose of PROQUAD via ntramuscular route; This spontaneous report was received from a medical assistant, concerning a 4-year-old patient of an unknown gender. The patient's medical history, concurrent conditions, drug reactions, allergies and concomitant medications were not reported.   On 02-OCT-2019, the patient was vaccinated with a dose of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD), via intramuscular instead of subcutaneous (incorrect route of product administration), for prophylaxis (strength, dose, frequency, lot number and expiration date were not reported). No adverse effects were reported in the patient.
Sex: M
Vaccine: MMR
Symptoms: Extra dose administered, No adverse event
Clinical narrative: a 59 year old patient was administered two doses of MMRII about 4 months apart on unspecified dates/the patient did not think he was supposed to get two doses.; no adverse effects were reported; This spontaneous report was received from a pharmacist, referring to a 59-year-old male patient. The patient's pertinent medical history, concurrent conditions, concomitant medication and previously drug reactions or allergies was not provided.  About 4 months apart on an unspecified dates, the patient was vaccinated with two doses of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) (strength, formulation, dose, anatomical location of vaccination, dose, concentration, lot number and expiration date was not reported; indication was unknown by the reporter). For both vaccines was used a sterile diluent (MERCK STERILE DILUENT).  Furthermore, it was reported that the patient did not think he was supposed to get two doses, and thought he only needed one dose. He realized he got a second dose until he saw his medical bill (extra dose administered). No adverse effects were reported.
Sex: F
Vaccine: HEP
Symptoms: Asthma, Dyspnoea, Influenza like illness, Injection site pain, Oropharyngeal pain
Clinical narrative: sore throat; within an hour (she) developed flu-like symptoms; low-grade fever; sore arm, where the shot was administered; had shortness of breath and asthmatic attack; had shortness of breath and asthmatic attack; upper respiratory infection; This spontaneous report was received from a 66 year old female patient referring to herself. The patient's concurrent condition included diabetes. The patient's drug allergy/reactions included penicillin, sulfa-drugs, iodine. The patient's concomitant medications included unspecified insulin and heart pills.  On 26-SEP-2019 the patient was vaccinated with a dose of hepatitis b vaccine (recombinant)(RECOMBIVAX HB) (strength, dose number, route, anatomical location, lot/batch #, expiration date were not reported) for prophylaxis. Within an hour, the patient developed flu like symptoms (influenza like illness), had a low grade fever (pyrexia), sore throat (oropharyngeal pain) and sore arm where the shot was administered (vaccination site pain). The patient had shortness of breath (dyspnoea) and asthmatic attack (asthma). On 01-SEP-2019, the patient was treated with antibiotic, steroid and breathing treatment for upper respiratory infection (upper respiratory tract infection). Thorough physical examination was done. The patient sought medical attention. No product quality complaint was involved.  The outcome of asthma, vaccination site pain, pyrexia, upper respiratory tract infection, dyspnoea, influenza like illness and oropharyngeal pain was reported as not recovered/not resolved.  The reporter's causality assessment was reported.
Sex: F
Vaccine: HEP
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: sore throat; within an hour (she) developed flu-like symptoms; low-grade fever; sore arm, where the shot was administered; had shortness of breath and asthmatic attack; had shortness of breath and asthmatic attack; upper respiratory infection; This spontaneous report was received from a 66 year old female patient referring to herself. The patient's concurrent condition included diabetes. The patient's drug allergy/reactions included penicillin, sulfa-drugs, iodine. The patient's concomitant medications included unspecified insulin and heart pills.  On 26-SEP-2019 the patient was vaccinated with a dose of hepatitis b vaccine (recombinant)(RECOMBIVAX HB) (strength, dose number, route, anatomical location, lot/batch #, expiration date were not reported) for prophylaxis. Within an hour, the patient developed flu like symptoms (influenza like illness), had a low grade fever (pyrexia), sore throat (oropharyngeal pain) and sore arm where the shot was administered (vaccination site pain). The patient had shortness of breath (dyspnoea) and asthmatic attack (asthma). On 01-SEP-2019, the patient was treated with antibiotic, steroid and breathing treatment for upper respiratory infection (upper respiratory tract infection). Thorough physical examination was done. The patient sought medical attention. No product quality complaint was involved.  The outcome of asthma, vaccination site pain, pyrexia, upper respiratory tract infection, dyspnoea, influenza like illness and oropharyngeal pain was reported as not recovered/not resolved.  The reporter's causality assessment was reported.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site discolouration, Injection site erythema
Clinical narrative: Redness at injection site started the following day.  A friend of the patient looked at redness and noted blue areas around the erythema.  Patient presented to pharmacy on 10/7/19 and complained of numbness in right arm that started around 10/5/2019.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain
Clinical narrative: Patient called 10/7/2019 to state that shoulder has "ached" since vaccination
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Patient states her right arm has had a tingling effect since after getting her flu shot. She has gotten the flu vaccine in the past without any issues. She states it's tingling at bedtime when she's sleeping and occasionally throughout the day.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingles 10 days following vaccination.
Age: 33.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: readness, worm, hard area measuring 20 mm and itching at injection site
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Cough, Flushing, Heart rate increased, Immediate post-injection reaction
Clinical narrative: immediate onset of funny taste in mouth, repeated cough, flushed feeling, jaw pain BP elevated to 160/80,. Hrt rate elevated to about 90, pt flushed.  lungs completely clear over next 10 minutes sx began to abate; completely resolved after 20 minutes, except bp still up c/w earlier in the office visit
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in jaw, Taste disorder
Clinical narrative: immediate onset of funny taste in mouth, repeated cough, flushed feeling, jaw pain BP elevated to 160/80,. Hrt rate elevated to about 90, pt flushed.  lungs completely clear over next 10 minutes sx began to abate; completely resolved after 20 minutes, except bp still up c/w earlier in the office visit
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: Nurse called to room by patient's mother.  Mom guided patient to floor and reported LOC. Patient awake, alert and oriented upon nurse arrival to room. Patient safely moved to examination table and asked to remain in supine position.  Nurse performed vitals every 5 minutes for 30 minutes until patient was assessed as stable by attending physician.
Age: 67.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Rash, Rash erythematous
Clinical narrative: 2 weeks and 5 days after injection, patient developed a red patchy rash above the inside of the elbow of his right arm. it is slightly swollen and is warm to the touch. according the patient it is not painful
Age: 67.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site bruising, Rash
Clinical narrative: 2 weeks and 5 days after injection, patient developed a red patchy rash above the inside of the elbow of his right arm. it is slightly swollen and is warm to the touch. according the patient it is not painful
Age: 86.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Chest pain
Clinical narrative: Patient experienced chest pain approximately 10 minutes after receiving both vaccinations.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt has swelling and redness of arm above the elbow up until the sleeve area.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Headache, Paraesthesia, Swelling face, Urticaria
Clinical narrative: patient reported headache, tingling, generalized hives, difficulty breathing, swelling in face. headache and tingling started on october 5th and other symptoms started the day after
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dyspnoea, Headache, Paraesthesia, Urticaria
Clinical narrative: patient reported headache, tingling, generalized hives, difficulty breathing, swelling in face. headache and tingling started on october 5th and other symptoms started the day after
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: hives
Age: 34.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Cellulitis, Face injury, Peripheral swelling, Rash, Syncope
Clinical narrative: Patient stated that Friday evening she fainted and hit her face on her counter.  She then slept all day Saturday 10/5 and Sunday after brunch noticed a "12x4 inch" localized swelling/rash on her arm that reportedly did not respond to ice or Tylenol.  She then called her PCP who recommended she go to the hospital.  She states she was diagnosed with cellulitis, given 2 doses of vancomycin IV and was discharged this morning with a prescription for cephalexin.
Age: 19.0
Sex: M
Vaccine: PNC13
Symptoms: Abdominal pain, Band neutrophil count, Basophil count decreased, Blood lactic acid normal, Computerised tomogram abdomen normal
Clinical narrative: Patient received flu vaccine on 10/3/19, then following day in our office received PCV13 per GI recommendation as he will be starting on a biologic next week. ER was not sure if his symptoms were r/t the vaccine, but mom feels they were. She states they all had dinner on Saturday evening (10/5/19)  (the following day ?) but no one else got sick. Was awoken from sleep ~ 2am on 10/6/19 with projectile vomiting and abdominal pain. Mom states he felt feverish so she took his temp and was 101.2 Continued for about 5 hours with vomiting so mom took him to the ER. They did ABD CT which showed episode was not r/t current Ulcerative Colitis dx, no obstruction etc. ? was given IV fluids, Pepcid, Zofran and Morphine. Vomiting subsided, was able to get some sleep but was awoken again from his sleep in ER with episode of vomiting.  During the day while still at ER, temp spiked up to 103 (around 3pm on 10/6/19) ? discharged later the same day.
Age: 19.0
Sex: M
Vaccine: PNC13
Symptoms: Eosinophil count decreased, Eosinophil percentage, Haematocrit normal, Haemoglobin normal, Lymphocyte count normal
Clinical narrative: Patient received flu vaccine on 10/3/19, then following day in our office received PCV13 per GI recommendation as he will be starting on a biologic next week. ER was not sure if his symptoms were r/t the vaccine, but mom feels they were. She states they all had dinner on Saturday evening (10/5/19)  (the following day ?) but no one else got sick. Was awoken from sleep ~ 2am on 10/6/19 with projectile vomiting and abdominal pain. Mom states he felt feverish so she took his temp and was 101.2 Continued for about 5 hours with vomiting so mom took him to the ER. They did ABD CT which showed episode was not r/t current Ulcerative Colitis dx, no obstruction etc. ? was given IV fluids, Pepcid, Zofran and Morphine. Vomiting subsided, was able to get some sleep but was awoken again from his sleep in ER with episode of vomiting.  During the day while still at ER, temp spiked up to 103 (around 3pm on 10/6/19) ? discharged later the same day.
Age: 19.0
Sex: M
Vaccine: PNC13
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal
Clinical narrative: Patient received flu vaccine on 10/3/19, then following day in our office received PCV13 per GI recommendation as he will be starting on a biologic next week. ER was not sure if his symptoms were r/t the vaccine, but mom feels they were. She states they all had dinner on Saturday evening (10/5/19)  (the following day ?) but no one else got sick. Was awoken from sleep ~ 2am on 10/6/19 with projectile vomiting and abdominal pain. Mom states he felt feverish so she took his temp and was 101.2 Continued for about 5 hours with vomiting so mom took him to the ER. They did ABD CT which showed episode was not r/t current Ulcerative Colitis dx, no obstruction etc. ? was given IV fluids, Pepcid, Zofran and Morphine. Vomiting subsided, was able to get some sleep but was awoken again from his sleep in ER with episode of vomiting.  During the day while still at ER, temp spiked up to 103 (around 3pm on 10/6/19) ? discharged later the same day.
Age: 19.0
Sex: M
Vaccine: PNC13
Symptoms: Monocyte count increased, Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Platelet count normal
Clinical narrative: Patient received flu vaccine on 10/3/19, then following day in our office received PCV13 per GI recommendation as he will be starting on a biologic next week. ER was not sure if his symptoms were r/t the vaccine, but mom feels they were. She states they all had dinner on Saturday evening (10/5/19)  (the following day ?) but no one else got sick. Was awoken from sleep ~ 2am on 10/6/19 with projectile vomiting and abdominal pain. Mom states he felt feverish so she took his temp and was 101.2 Continued for about 5 hours with vomiting so mom took him to the ER. They did ABD CT which showed episode was not r/t current Ulcerative Colitis dx, no obstruction etc. ? was given IV fluids, Pepcid, Zofran and Morphine. Vomiting subsided, was able to get some sleep but was awoken again from his sleep in ER with episode of vomiting.  During the day while still at ER, temp spiked up to 103 (around 3pm on 10/6/19) ? discharged later the same day.
Age: 19.0
Sex: M
Vaccine: PNC13
Symptoms: Pyrexia, Red blood cell nucleated morphology, Red cell distribution width normal, Vomiting projectile, White blood cell count increased
Clinical narrative: Patient received flu vaccine on 10/3/19, then following day in our office received PCV13 per GI recommendation as he will be starting on a biologic next week. ER was not sure if his symptoms were r/t the vaccine, but mom feels they were. She states they all had dinner on Saturday evening (10/5/19)  (the following day ?) but no one else got sick. Was awoken from sleep ~ 2am on 10/6/19 with projectile vomiting and abdominal pain. Mom states he felt feverish so she took his temp and was 101.2 Continued for about 5 hours with vomiting so mom took him to the ER. They did ABD CT which showed episode was not r/t current Ulcerative Colitis dx, no obstruction etc. ? was given IV fluids, Pepcid, Zofran and Morphine. Vomiting subsided, was able to get some sleep but was awoken again from his sleep in ER with episode of vomiting.  During the day while still at ER, temp spiked up to 103 (around 3pm on 10/6/19) ? discharged later the same day.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Bacterial infection, Erythema, Injection site reaction, Peripheral swelling, Rash macular
Clinical narrative: Bright red, hot to touch, swelling, blotchy rash covering her entire upper thigh.  Returned to doctor 10/07/2019 and was told she had a bacterial infection in the injection site under her skin. She is taking  5 milliliters of Cephalexin for a week.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Skin warm
Clinical narrative: Bright red, hot to touch, swelling, blotchy rash covering her entire upper thigh.  Returned to doctor 10/07/2019 and was told she had a bacterial infection in the injection site under her skin. She is taking  5 milliliters of Cephalexin for a week.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient received vaccine at approximately 3;25 PM.  Mom states that patient began having a rash/hives and itching approximately 1 hour later.  Mom gave patient Benadryl and brought up to clinic.  Patient did not require any further medical intervention and hives had begun to diminish shortly after arrival.
Age: 83.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Dizziness, Fatigue, Pyrexia
Clinical narrative: PATIENT REPORTED FEVER (102), FATIGUE , DISCOMFORT AND DIZZINESS. SHE CALLED PARAMEDICS AND EMT'S CHECKED ALL VITALS AND SHE REMAINED WITH FEVER FOR NEXT 2 DAYS, BUT TODAY IS FEELING BETTER.
Age: 65.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Lip swelling, Throat tightness, Tremor
Clinical narrative: swollen lips, shaking, closing of throat, hard time breathing
Age: 65.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Lacrimation increased, Lip swelling, Syncope, Tremor, Vomiting
Clinical narrative: swollen lips, shaking, closing of throat, hard time breathing
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Head injury, Loss of consciousness, Pallor, Swelling face
Clinical narrative: Client collapsed while exiting vaccine room after vaccine administration. Client hit forehead against door handle as she fell forward and sideways against a staff member. Client landed on the floor on bilateral knees. Client was placed in supine position on the floor. Client lost consciousness for approximately 5 seconds. Client regained consciousness and answered questions appropriately . Client complained of feeling dizzy after regaining consciousness. Client denied nausea or vomiting. Cold compress was applied to forehead. Client's skin color was noted pale and non diaphoretic. A soft swelling 1inch by 1 inch  to right side of forehead was noted. Syncope symptoms resolved and client was discharged with instruction to have client evaluated by doctor.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Syncope
Clinical narrative: Client collapsed while exiting vaccine room after vaccine administration. Client hit forehead against door handle as she fell forward and sideways against a staff member. Client landed on the floor on bilateral knees. Client was placed in supine position on the floor. Client lost consciousness for approximately 5 seconds. Client regained consciousness and answered questions appropriately . Client complained of feeling dizzy after regaining consciousness. Client denied nausea or vomiting. Cold compress was applied to forehead. Client's skin color was noted pale and non diaphoretic. A soft swelling 1inch by 1 inch  to right side of forehead was noted. Syncope symptoms resolved and client was discharged with instruction to have client evaluated by doctor.
Age: 56.0
Sex: F
Vaccine: PPV
Symptoms: Lymphadenopathy
Clinical narrative: Axillary lymphadenopathy
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: Patient has red area that is warm to touch extending around vaccination area and halfway down upper arm mostly to outer area but some extension to inner arm.
Age: 46.0
Sex: F
Vaccine: FLU4, HEPA, TDAP
Symptoms: Pain in extremity
Clinical narrative: PATIENT HAD ALL 3 IMMUNIZATIONS ON THE SAME DAY 09/26/2019. HER LEFT ARM HAD BEEN IN PAIN AFTER THE IMMUNIZATIONS. SHE TRIED IBUPROFEN AND COLD/HEAT COMPRESS WITHOUT RELIEF. SHE WENT TO ER ON 10/07/2019 DUE TO THE PAIN.  ALFURIA QUAD AND BOOSTRIX WAS GIVEN ON LEFT ARM. HAVRIX WAS GIVEN ON RIGHT ARM. ER DISCHARGED HER WITH RX ON IBUPROFEN AND TRAMADOL.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 5 ml's of the vaccine instead of .5mls.  Poison control was called.   The parent was called and instructed to watch child closely.  Give Tylenol as directed.  Take child to ER for any adverse effects.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling
Clinical narrative: Patient received immunization at work place clinic, so actual formulation (brand), manufacturer and Lot Number is unknown.  Reaction was swelling/redness/discomfort at site of injection approximately 48 hours later.  Patient treated with antibiotics for possible cellulitis at injection site
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: Reaction at injection site - red, hard, swollen, and painful for 5-7 days, then redness, slight bruising, and itching through current, but improving.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Reaction at injection site - red, hard, swollen, and painful for 5-7 days, then redness, slight bruising, and itching through current, but improving.
Age: 66.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Back pain, Gastrointestinal disorder, Hypoaesthesia, Lethargy
Clinical narrative: 9/28 - GI disturbances,pain behind ears 9/29 -  Polyarthalgias lethargy and sleepiness 9/30 -  Severe low back pain - near vagal, thought I herniated a disc again 10/4 - Pain in fingers, some joints, and swelling in fingers 10/5 - Numb from elbows to fingers,  aching in arms, severe elbow, wrist, and finger pain- at night.  Improved during the day. 10/6 -  Severe numbness from elbows to fingers.  Arms aching and heavy.  Joint pain in wrists elbows and fingers. 10/7 - Pain lessened during the day.  Fingers swollen, painful.   Knees painful as well as other joints.  Comes and goes.  Numbness comes                   and goes in the arms.
Age: 66.0
Sex: F
Vaccine: MMR
Symptoms: Limb discomfort, Pain, Pain in extremity, Peripheral swelling, Presyncope
Clinical narrative: 9/28 - GI disturbances,pain behind ears 9/29 -  Polyarthalgias lethargy and sleepiness 9/30 -  Severe low back pain - near vagal, thought I herniated a disc again 10/4 - Pain in fingers, some joints, and swelling in fingers 10/5 - Numb from elbows to fingers,  aching in arms, severe elbow, wrist, and finger pain- at night.  Improved during the day. 10/6 -  Severe numbness from elbows to fingers.  Arms aching and heavy.  Joint pain in wrists elbows and fingers. 10/7 - Pain lessened during the day.  Fingers swollen, painful.   Knees painful as well as other joints.  Comes and goes.  Numbness comes                   and goes in the arms.
Age: 66.0
Sex: F
Vaccine: MMR
Symptoms: Somnolence
Clinical narrative: 9/28 - GI disturbances,pain behind ears 9/29 -  Polyarthalgias lethargy and sleepiness 9/30 -  Severe low back pain - near vagal, thought I herniated a disc again 10/4 - Pain in fingers, some joints, and swelling in fingers 10/5 - Numb from elbows to fingers,  aching in arms, severe elbow, wrist, and finger pain- at night.  Improved during the day. 10/6 -  Severe numbness from elbows to fingers.  Arms aching and heavy.  Joint pain in wrists elbows and fingers. 10/7 - Pain lessened during the day.  Fingers swollen, painful.   Knees painful as well as other joints.  Comes and goes.  Numbness comes                   and goes in the arms.
Age: 68.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Patient call and complained that her arm was sore, swollen, red and itchy. Referred patient to her physician or er, outcome unknown
Age: 49.0
Sex: M
Vaccine: FLUC4
Symptoms: Pain in extremity
Clinical narrative: pt  received on 9/30 and called pharmacy on 10/7 stating he was still having  pain from shoulder to elbow.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Abnormal behaviour, Confusional state, Crying, Fall, Pallor
Clinical narrative: She fainted about 3 minutes after the injection. She was sitting on the couch in the vaccine office and then collapsed/fell onto the floor. She was only on the floor for a second before her sister picked her up from off the floor and sat her back onto the couch. She looked pale and a little confused, but was able to answer questions from her mother. She stayed sitting on the couch for about another 10 minutes before she was taken out of the room by her mother under her own power. She seemed weepy and crying the rest of the night per her mother and "did not seem like herself. The next morning she was normal and "back to herself" per her mother and has not noticed anything out of the ordinary since then.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: She fainted about 3 minutes after the injection. She was sitting on the couch in the vaccine office and then collapsed/fell onto the floor. She was only on the floor for a second before her sister picked her up from off the floor and sat her back onto the couch. She looked pale and a little confused, but was able to answer questions from her mother. She stayed sitting on the couch for about another 10 minutes before she was taken out of the room by her mother under her own power. She seemed weepy and crying the rest of the night per her mother and "did not seem like herself. The next morning she was normal and "back to herself" per her mother and has not noticed anything out of the ordinary since then.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Pain in extremity, Peripheral swelling
Clinical narrative: THIS PATIENT RECEIVED HER FIRST DOSE OF SHINGRIX ON 9/27/19, SHE CAME IN ON 10/7/19, AND INFORMED ME THAT SHE WAS VERY SICK FOR ABOUT 1 WEEK AFTER THE SHOT, HER ARM WAS VERY SORE AND SHE DEVELOPED SWELLING INTO THE HAND, SHE STATED THAT AFTER 7 DAYS IT ALL RESOLVED AND SHE IS NOW OK.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear pain, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Full body ache beginning in the middle of the night following injection and lasting through the following day (09/10/19). On 09/11/19, body ache resolved and injection site reaction appeared - red, slightly raised, and approx. 2 inch in diameter. Injection site was painful, with pain moving up to the ear.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Hyperhidrosis, Musculoskeletal stiffness, Nausea, Pain in extremity
Clinical narrative: Arm soreness (could not move), shivering, fever, nausea, excessive sweating, neck stiffness, welts (not at injection site) all early the next morning after vaccine was administered.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Urticaria
Clinical narrative: Arm soreness (could not move), shivering, fever, nausea, excessive sweating, neck stiffness, welts (not at injection site) all early the next morning after vaccine was administered.
Age: 58.0
Sex: F
Vaccine: PPV, FLUX, PPV, PPV, UNK
Symptoms: Erythema, Pain, Pruritus, Swelling, Ultrasound scan
Clinical narrative: Redness, swelling, slight itchy, moderate to low pain, started after 4-5 hrs on same day of vaccination, Started on uperarm, spread toward for arm. Pt took trearment on staurday evening in ER , ( streoid injection, benadryl is given, advised to put ice pack on affected area
Age: 58.0
Sex: F
Vaccine: PPV, FLUX, PPV, PPV, UNK
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: Redness, swelling, slight itchy, moderate to low pain, started after 4-5 hrs on same day of vaccination, Started on uperarm, spread toward for arm. Pt took trearment on staurday evening in ER , ( streoid injection, benadryl is given, advised to put ice pack on affected area
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swelling, redness and pain for 1 week. Patient reported to pharmacy upon administration of second dose on 09/09/2019.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Nausea, Pain, Peripheral swelling, Vomiting
Clinical narrative: Patient begin experiencing nausea, vomiting, headache, and swelling of arm that has lasted until today (2 days later). Symptoms began approximately 4-5 hours after vaccination.  Patient has not taken OTC pain or stomach medicines to alleviate symptoms.  Vomiting subsided today (10/7), but still feels nauseous and in pain. Counseled on hydration and possible OTC products to alleviate symptoms. As of 8:00pm on 10/7, she has taken 2 Tylenol without relief.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Condition aggravated, Hypertension, Laboratory test normal
Clinical narrative: Patient had 2nd Shingrix vaccination on 10/2/19 and experienced an episode of high blood pressure on 10/3/19 (over 200 systolic per patient) which caused her to seek medical attention at urgent care and then subsequently the ER. She followed up with her doctor on 10/4. CT at ER was negative and all labs came back within normal limits per patient. Patient suggested that Shingrix vaccine could be the cause since no other cause was found.
Age: 22.0
Sex: M
Vaccine: FLU4, HEP
Symptoms: Dizziness, Fall, Loss of consciousness
Clinical narrative: I administered hep b and flu shot for the pt. I went to grab the paperwork for him to bring to his MD.  I had him wait out side of the pharmacy window while I printed them. When I came back out to provide him with the print out, he reported of feeling dizzy. I told him "lets go sit on the bench" and assisted him by his arm to walk him over to the bench. As we were walking, he started swerving and started falling. I believe he lost consciousness for a second or two, then he came back and got up and I assisted him to the bench.
Age: 70.0
Sex: F
Vaccine: UNK
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Pt experience painful bruise around the injection site
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Patient reported "a lot of pain" and no blood
Age: 1.08
Sex: F
Vaccine: DTAP
Symptoms: Abnormal behaviour, Decreased eye contact, Developmental regression, Disturbance in social behaviour, Motor dysfunction
Clinical narrative: Regression in Speech, loss of eye contact, social skills, motor skills, changed behavior
Age: 1.08
Sex: F
Vaccine: DTAP
Symptoms: Speech disorder developmental
Clinical narrative: Regression in Speech, loss of eye contact, social skills, motor skills, changed behavior
Age: 50.0
Sex: F
Vaccine: FLUR4
Symptoms: Abdominal discomfort, Chills, Epistaxis, Feeling cold, Influenza like illness
Clinical narrative: flu like symptoms-  chills, goosebumps, upset stomach, feeling cold.  Symptoms started somewhat on 10/6- with a bloody nose, however the flu-like symptoms started today on 10/7.  Pt plans to see doctor on 10/8
Age: 50.0
Sex: F
Vaccine: FLUR4
Symptoms: Piloerection
Clinical narrative: flu like symptoms-  chills, goosebumps, upset stomach, feeling cold.  Symptoms started somewhat on 10/6- with a bloody nose, however the flu-like symptoms started today on 10/7.  Pt plans to see doctor on 10/8
Age: 74.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pain, Sensory disturbance
Clinical narrative: The flu shot was administered at Pharmacy in the afternoon of Sunday, September 29, 2019. When I went to bed that evening, I felt fine except for the typical soreness at injection site. When I arose the following morning, I noticed a buzzing sensation in the soles of both feet. No pain, just the strange vibration/buzzing feeling. I noticed no inability to walk, bear weight, or otherwise impairment to ambulation. As the week progressed. The sensation gradually became less pronounced and was more intermittent in nature, usually more noticeable in the evening. One week from the beginning of symptoms, I still have buzzing sensation in both feet.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: rash on injection site and under breasts/across front torso. started night of vaccine or next day and continued a week. rash would go away and come back on torso/under breasts faintly. notices that rash begins after playing sports in the heat. rash has resolved now and patient doesn't have any ongoing issues. patient is consulting with md to see if can get dose 2.  update: patient came back in pharmacy on 10/7/19 and stated she had an additional rash on torso on 9/11 after playing tennis. she stated the rash lasted 24 hours and resolved. she has not had any issues since 9/11/19.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injury
Clinical narrative: Patients dad complaints of trauma and that the patient is now calm
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Fall, Loss of consciousness
Clinical narrative: Approximately 2 minutes after receiving the vaccination patient was in the store and passed out falling to the ground. Patient came to within seconds of passing out and reported no difficulty breathing. 911 was called and he was evaluated in the ambulance. Unknown outcome after taken to the ambulance.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: PATIENT REPORTED SWELLING OF UPPER ARM FROM ELBOW TO SHOULDER AND WARM TO TOUCH WITHIN HOURS OF RECEIVING VACCINE
Age: 45.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site discharge, Injection site pain, Injection site vesicles
Clinical narrative: Patient reports feeling localized pain at injection site and eventual development of a "bubble" under the skin. When patient put pressure on the area, clear fluid burst and ran down her arm.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Fall, Muscle spasms, Syncope
Clinical narrative: After immunization, the patient fainted and fell to the floor. There were also upper body spasms. EMS was called and evaluated the patient on site. She regained consciousness and EMS gave her an okay to go home. (
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: In addition to having fever, myalgias, joint pain, fatigue and arm soreness for 3 days, I also broke out in an erythematous pruritic macularpapular rash on all 4 extremities and torso which lasted about 1 week. I did not experience shortness of breath or wheezing. I am seeking guidance as to whether I should receive the 2nd dose.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: In addition to having fever, myalgias, joint pain, fatigue and arm soreness for 3 days, I also broke out in an erythematous pruritic macularpapular rash on all 4 extremities and torso which lasted about 1 week. I did not experience shortness of breath or wheezing. I am seeking guidance as to whether I should receive the 2nd dose.
Age: 60.0
Sex: M
Vaccine: FLUC4
Symptoms: Pruritus, Rash
Clinical narrative: Patient had itching and rash from waist down, including legs.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Bone pain, Headache
Clinical narrative: Ont 10/7/10 at approximately 8 pm,caregiver of patient (with the patient right by her) reported that patient has been experiencing headaches, bone pain and weakness since receiving the flushot on 10/3/19. It has not gotten better or worse and she is still feeling weak. I told her if her symptoms do not improve by tomorrow, to report to an urgent care of primary doctor.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Mass, Skin warm, Tenderness
Clinical narrative: hot, red and lumpy, tender to the touch, about 6 inches in diameter, lasting five days.
Age: 72.0
Sex: F
Vaccine: FLUA3
Symptoms: Erythema, Immediate post-injection reaction, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: Redness, swelling, pain , tenderness right after the shot in the left lower arm area.  These symptoms continued 3-4 days after the shot
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Bacterial infection, Cough, Erythema, Injection site erythema, Injection site swelling
Clinical narrative: Per Mother:  Leg started to look red and swollen on Saturday. Pt also started to develop a cough today. Mild fever on Friday and given Tylenol with improvement. Pt is stating that when she walks it hurts.  Per Dr.  "Leg swelling on the left thigh near insertion of the immunization needle with erythematous, warm and swollen thigh. Nonperulent in nature and causing some purities and pain with movement. Mother edu that this is likely a bacterial infection therefore will treat empirically with Keflex 4ml Q6hrs for 10 days (due to non purulence) and will have close follow up."
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site warmth, Pain
Clinical narrative: Per Mother:  Leg started to look red and swollen on Saturday. Pt also started to develop a cough today. Mild fever on Friday and given Tylenol with improvement. Pt is stating that when she walks it hurts.  Per Dr.  "Leg swelling on the left thigh near insertion of the immunization needle with erythematous, warm and swollen thigh. Nonperulent in nature and causing some purities and pain with movement. Mother edu that this is likely a bacterial infection therefore will treat empirically with Keflex 4ml Q6hrs for 10 days (due to non purulence) and will have close follow up."
Sex: F
Vaccine: UNK
Symptoms: Diarrhoea, Dizziness, Headache, Injection site bruising, Injection site erythema
Clinical narrative: Started with some dizziness, slight headache, following day very loose BM,  Then redness appeared about the size of a softball around at the injection sight and pretty hot to the touch, brusing at injection sight.   Redness and hot skin continuing for 3 days.  For vaccine lot #, mfg you'll need go contact the doctor, I do not have that information
Sex: F
Vaccine: UNK
Symptoms: Injection site warmth
Clinical narrative: Started with some dizziness, slight headache, following day very loose BM,  Then redness appeared about the size of a softball around at the injection sight and pretty hot to the touch, brusing at injection sight.   Redness and hot skin continuing for 3 days.  For vaccine lot #, mfg you'll need go contact the doctor, I do not have that information
Age: 19.0
Sex: M
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Pt awoke the morning after vaccination with hives all over body.  Pt does have new onset history of chronic hives and had a case that just recently cleared up.  Pt seeing primary care for antihistamine medication and further followup.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash, Rash pruritic
Clinical narrative: After getting the Shingrix vaccine, I contracted shingles. Rash on lower right back moving to stomach, fever.  Went back to doctor and he prescribed Valacyclovir hcl 1 g.   Started feeling better (no or low grade fever) in about 3 days.  Rash was still itchy and painful.
Age: 56.0
Sex: M
Vaccine: FLUR4
Symptoms: Dyspnoea, Eye swelling, Swelling face
Clinical narrative: PER PT, AFTER RECEIVING FLU SHOT ON MONDAY, STARTED EXPERIENCING SWELLING OF EYES, NOSE AND CHEECKS. NO SWELLING OF LIPS, TONGUE, THROAT ON WEDNESDAY. HAD DIFFICULTY BREATHING THROUGH NOSE, BUT NOT THE MOUTH. TOOK ANTIHISTAMINE, FELT BETTER WITHIN 24 HOURS STARTING THURSDAY/FRIDAY, SYMPTOMS COMPLETELY WENT AWAY SATURDAY AM. DENIES TAKING/TOUCHING ANYTHING ELSE NEW/UNUSUAL
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Blood test, Chills, Discomfort, Dry skin
Clinical narrative: Severe flu like symptoms to include fever/chills, headaches and extreme body aches along with extreme fatigue. was very uncomfortable for over 24 hours and could not function properly. The second day after injection my arm was extremely sore, hot to touch and red with a huge welt covering my entire shoulder.  I developed a dry, itchy, hot scaly rash on the left side of my neck within   3 weeks and my hips and back have ached badly for more than three weeks now. Everyday I have different joint and body aches and am fatigued easily. It hard to get through my daily life with the physical pain and mental anguish.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: Severe flu like symptoms to include fever/chills, headaches and extreme body aches along with extreme fatigue. was very uncomfortable for over 24 hours and could not function properly. The second day after injection my arm was extremely sore, hot to touch and red with a huge welt covering my entire shoulder.  I developed a dry, itchy, hot scaly rash on the left side of my neck within   3 weeks and my hips and back have ached badly for more than three weeks now. Everyday I have different joint and body aches and am fatigued easily. It hard to get through my daily life with the physical pain and mental anguish.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, Injection site warmth, Loss of personal independence in daily activities, Pain, Pyrexia
Clinical narrative: Severe flu like symptoms to include fever/chills, headaches and extreme body aches along with extreme fatigue. was very uncomfortable for over 24 hours and could not function properly. The second day after injection my arm was extremely sore, hot to touch and red with a huge welt covering my entire shoulder.  I developed a dry, itchy, hot scaly rash on the left side of my neck within   3 weeks and my hips and back have ached badly for more than three weeks now. Everyday I have different joint and body aches and am fatigued easily. It hard to get through my daily life with the physical pain and mental anguish.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic, Skin exfoliation, Skin warm
Clinical narrative: Severe flu like symptoms to include fever/chills, headaches and extreme body aches along with extreme fatigue. was very uncomfortable for over 24 hours and could not function properly. The second day after injection my arm was extremely sore, hot to touch and red with a huge welt covering my entire shoulder.  I developed a dry, itchy, hot scaly rash on the left side of my neck within   3 weeks and my hips and back have ached badly for more than three weeks now. Everyday I have different joint and body aches and am fatigued easily. It hard to get through my daily life with the physical pain and mental anguish.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Injection site pain, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: I did not feel well the morning following the injection.  I attributed it as a mild side effect and went to work on 9-6.  Early in the afternoon I began experiencing severe chills and by 5:00 pm I was on the couch.  My arm was sore and had a large red lump.  I checked my temperature at approximately 9:30 pm and had a fever of 102.4.  I treated the fever with ibuprofen and it persisted throughout the night.  My temperature came down to around 99 by 8:00 am on 9-7.  I phoned the clinic and advised medical staff of the problem.  I was told to use ice on the injection site and continue with ibuprofen if needed.  The redness and swelling in my arm continued to increase and remained hot to the touch. By the morning of 9-8 redness began developing in a secondary area of my left arm approximately 4" below the injection site.  The initial spot was approximately the size of a quarter and continued to spread throughout the day.  Both areas remained red, sore and hot to the touch.  I continued applying ice to the arm as instructed.  On the morning of 9-9, I awoke to find the secondary area had grown in size to be approximately 4" wide and 2 1/2" to 3" tall.  The areas were still very red, sore and hot to the touch.  I phoned the clinic once again to advise the medical providers of the change in the condition and was told I should be seen.  I visited the clinic that morning and was seen by two providers.  I was told that this was merely an injection site reaction and that it was "normal".  I was told to take antihistamines and continue icing.  An appointment was made for 9-13 if needed.  The pain in these areas did not subside and remained hot to the touch throughout 9-11.  The initial injection site was less red on 9-12 and I cancelled the appointment with the clinic.  The secondary site has been slow to recover with the lump and redness persisting through 9-23.  The skin then became flaky and discolored and there is an indentation approximately 1" high and 4" wide across my bicep with a lump directly below.  It appears there has been some type of tissue damage in this area and I do have continued pain and discomfort at this secondary site on my left arm.  I do not believe proper protocol was utilized in the administration of this vaccine.  The person administering the vaccine brought an uncovered syringe into the room, set it on the counter to look for a band aid, and stuck the opened band aid on her finger.  She was not wearing gloves and did not swab the injection site.  My deltoid was pinched tightly and the vaccine administered.  It was painful from the outset.  This was a stark contrast to the easy painless experience I had with the first vaccine two months prior.  I do not believe that large red hot areas encompassing most of the upper arm can be deemed a normal injection site reaction.  I was repeatedly told that the reaction was "better than having the shingles".  I disagree - I have had the shingles twice in the last four years and the fever and lingering pain in my arm has been worse.