chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Ultrasound pelvis, Urine organic acid test, West Nile virus test negative
Clinical narrative: d/c summary: "Patient was floridly psychotic at start of her stay, hallucinating, speaking of herself in 3rd person, disoriented, agitated, bizzare speech with a morbid theme.  Because of some reported buccal sxs (yawning like mouth movements), and the morbid thinking with hallucinations anti NMDA encephalitis was entertained.  Additional w/u included neg urine drug screen, head CT, T4/TSH, syphilis, HIV, ceruloplasmin, Anti DNAse B and strep PCR throat, serum lactate. An LP was traumatic but tested neg for HSV and Enterovirus.  Acyclovir was started and stopped.   An MRI of brain was normal but no contrast used.   She was treated empirically with IVIG even before MRI and Pulse Solumedrol started 1gm/day x 5 days. We repeated LP to send for autoimmune encephalitis panel at clinic 8/5 as a more sensitive test.  This sample was not traumatic and had 10 WBC.   IGM and IGG for WNV were neg on this sample.  15 ml CSF was obtained with plenty of extra available for further testing if needed.  Clinic contacted Dr, and recommended some other testing (see pending).  She felt it unlikely by sx that this represented an infectious cause. She required doses of Ativan early in her course. Her sx improved dramatically by the 3rd day of Solumedrol and we no longer needed Ativan. She had only subtle sx by 8/8 with some odd ideations/recollections of events but by that time was eating, cooperative, socially engaging w/o any evidence of hallucinations or morbid thinking or speaking of herself in 3rd person. Treating per the Protocol until the Enc 2 panel comes back negative.  After pulse solumedrol completed she started Prednisone 60mg/day until further instructions from peds neuro as outpatient.  IVIG would be tentatively scheduled for 8/18.  Rituximab is on hold and would only be given if testing positive for anti NMDAR encephalitis. Psych consulted prior to discharge, considered psych meds but felt that due to lack of prodromal symptoms this would more likely represent acute medical encephalitis rather than a psychiatric diagnosis-- >prefer to not start psych meds yet and instead have close follow-up in psych clinic in parallel with peds neuro clinic follow-up.   On day of discharge pt much improved, behavior appropriate, walking around the room oriented with pleasant affect, brushing her hair after showering.  "
Age: 11.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Extra dose administered, Product administered at inappropriate site
Clinical narrative: They first  gave the tdap shot in the forearm instead of the deltoid. They thought they were giving a TB instead of a tdap. In addition they gave him the tdap in the deltoid.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Lipoma, Ultrasound scan, Vaccination site discomfort, Vaccination site reaction
Clinical narrative: The patient experienced flu-like symptoms following the vaccine. Additionally, she developed a lipoma at the vaccination site which still appears very swollen and causes discomfort (nearly 3 months after vaccine was administered).
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site swelling
Clinical narrative: The patient experienced flu-like symptoms following the vaccine. Additionally, she developed a lipoma at the vaccination site which still appears very swollen and causes discomfort (nearly 3 months after vaccine was administered).
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Arthralgia, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Left arm pain began after receiving vaccine. The day prior to ER eval pain worsened in the elbow. On 819/19 at 10PM pain worsened further, becoming severe and with associated numbness and tingling in the ring and pinky fingers. Referred to ER. Placed in a sling.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: (1) Soreness @ injection site (immediate, lasting 4 days) (2) Body aches, weakness, chills, tired, sweaty. (Began Day 2, Lasting 3 days)
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: (1) Soreness @ injection site (immediate, lasting 4 days) (2) Body aches, weakness, chills, tired, sweaty. (Began Day 2, Lasting 3 days)
Sex: U
Vaccine: TDAP
Symptoms: Arthralgia, Full blood count, Injection site pain, Metabolic function test, Muscle tightness
Clinical narrative: C/O pruritic rash to abd & polyarthralgias, pain & tenderness at inj site, massefe, muscles tight per pt
Sex: U
Vaccine: TDAP
Symptoms: Rash, Rash pruritic, Urine analysis
Clinical narrative: C/O pruritic rash to abd & polyarthralgias, pain & tenderness at inj site, massefe, muscles tight per pt
Age: 0.17
Sex: M
Vaccine: HIBV
Symptoms: Bacterial infection, Bacterial test positive, Full blood count
Clinical narrative: On 15th of December 2009, two months old patient got Rocephin 350 mg I'M after seeing Dr.
Age: 56.0
Sex: F
Vaccine: HEP, HEPA, MMR
Symptoms: Rash
Clinical narrative: Patient called and reported that at 430 pm of 08/19/2019 she developed a rash under her Left arm, across abdomen and on left leg. No complaints of itching
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Dysstasia
Clinical narrative: Patient received vaccination and afterward was shopping in the store with her mother.  Patient felt dizzy and her mother supported her and guided her down to the floor.  Her mom stated patient never actually seemed to pass out, she just got woozy and couldn't stand.  No other injuries were reported.   Patient stayed on the floor for a few minutes while we watched her and then felt well enough to get up.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Balance disorder, Dizziness, Hyperhidrosis
Clinical narrative: Three minutes after the injection patient stood up, walked with the nurse to go to another room with a copy machine to make a copy of the record, patient stood unsteadily, almost fell, was hold by the nurse. Then two nurses helped the patient to lie down on the physical check bed to observe. Checked BP 96/60, patient was sweating, verbalized he was dizzy. After 30 minutes observation, patient felt ok, then left the clinic.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Chest pain, Cough
Clinical narrative: -Severe cough and severe chest pain -patient was prescribed a take home nebulizer for frequent use -patient was prescribed doxycycline and prednisone
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea, Fatigue, Sensitive skin
Clinical narrative: sensitive skin was tired all day dizzy and little bit hard to breathe.
Age: 94.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Decreased appetite, Diarrhoea, Fatigue, Feeding disorder
Clinical narrative: On July 30, 2019 at 11 a.m. I received the Shingrix shot in my right deltoid muscle. By mid afternoon I felt nauseated and was unable to eat any food at dinner time At 11 pm. I experienced a piersing headache accompanied by flashing yellow lights and I felt as if my head would explode. I prayed that I would not have a stroke. This pain lasted for a couple of hours. I was cold; my right arm pained from the shoulder down to my fingers; was nauseated and had diarrhea. In getting out of bed I was unsteady and had to grab the bed post to keep from falling.  By 5 a.m. my headache had almost subsided, but I was still nauseated and wobbly on my feet.  After my care-giver arrived in the morning, I called C.D.C. (at 9 a.m) as the vaccine info' statement suggested. I spoke to employee and told her of my reaction to the vaccine. She stated that the adverse reaction would last 3 days and that I should contact my doctor.  I reported this reaction to the nurse in the doctor's office, since my doctor was on vacation. She immediately called my doctor who responded by saying she was knowledgeable about such adverse side effects and said that I should take Tylenol every 8 hours for the pain.  During the course of the week of July 31 - I experienced headaches, pain in my legs, total exhaustion and a poor appetite. The following week I was extremely tired, napped frequently, and was unable to perform my routine daily tasks which I take pleasure in doing.  Beginning on Aug. 12. I was able to resume multiple household tasks, cooking, hiking etc.  Unfortunately, I feel that I have lost ground which I can ill-afford to do.
Age: 94.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Headache, Injection site pain, Loss of personal independence in daily activities, Nausea
Clinical narrative: On July 30, 2019 at 11 a.m. I received the Shingrix shot in my right deltoid muscle. By mid afternoon I felt nauseated and was unable to eat any food at dinner time At 11 pm. I experienced a piersing headache accompanied by flashing yellow lights and I felt as if my head would explode. I prayed that I would not have a stroke. This pain lasted for a couple of hours. I was cold; my right arm pained from the shoulder down to my fingers; was nauseated and had diarrhea. In getting out of bed I was unsteady and had to grab the bed post to keep from falling.  By 5 a.m. my headache had almost subsided, but I was still nauseated and wobbly on my feet.  After my care-giver arrived in the morning, I called C.D.C. (at 9 a.m) as the vaccine info' statement suggested. I spoke to employee and told her of my reaction to the vaccine. She stated that the adverse reaction would last 3 days and that I should contact my doctor.  I reported this reaction to the nurse in the doctor's office, since my doctor was on vacation. She immediately called my doctor who responded by saying she was knowledgeable about such adverse side effects and said that I should take Tylenol every 8 hours for the pain.  During the course of the week of July 31 - I experienced headaches, pain in my legs, total exhaustion and a poor appetite. The following week I was extremely tired, napped frequently, and was unable to perform my routine daily tasks which I take pleasure in doing.  Beginning on Aug. 12. I was able to resume multiple household tasks, cooking, hiking etc.  Unfortunately, I feel that I have lost ground which I can ill-afford to do.
Age: 94.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Photopsia, Somnolence
Clinical narrative: On July 30, 2019 at 11 a.m. I received the Shingrix shot in my right deltoid muscle. By mid afternoon I felt nauseated and was unable to eat any food at dinner time At 11 pm. I experienced a piersing headache accompanied by flashing yellow lights and I felt as if my head would explode. I prayed that I would not have a stroke. This pain lasted for a couple of hours. I was cold; my right arm pained from the shoulder down to my fingers; was nauseated and had diarrhea. In getting out of bed I was unsteady and had to grab the bed post to keep from falling.  By 5 a.m. my headache had almost subsided, but I was still nauseated and wobbly on my feet.  After my care-giver arrived in the morning, I called C.D.C. (at 9 a.m) as the vaccine info' statement suggested. I spoke to employee and told her of my reaction to the vaccine. She stated that the adverse reaction would last 3 days and that I should contact my doctor.  I reported this reaction to the nurse in the doctor's office, since my doctor was on vacation. She immediately called my doctor who responded by saying she was knowledgeable about such adverse side effects and said that I should take Tylenol every 8 hours for the pain.  During the course of the week of July 31 - I experienced headaches, pain in my legs, total exhaustion and a poor appetite. The following week I was extremely tired, napped frequently, and was unable to perform my routine daily tasks which I take pleasure in doing.  Beginning on Aug. 12. I was able to resume multiple household tasks, cooking, hiking etc.  Unfortunately, I feel that I have lost ground which I can ill-afford to do.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Hyperhidrosis, Injection site pain, Palpitations
Clinical narrative: Soreness at injection site - Day one Weakness + tired - Day two Sweaty but no fever - Day two Slight heart palps(one occurrence) -Day two Lasting 2 1/2 days
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Injection site pain, Injection site swelling, Neck pain, Pyrexia, Swelling of eyelid
Clinical narrative: Fever Pain & swellin of R. shoulder Pain on neck Swelling (L) eyelids
Age: 8.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: rash developed after 1st dose; This spontaneous report has been received from a medical assistant referring to a 8 years old female patient. Information about medical history, concurrent conditions, concomitant therapies and drug allergies was not provided.      On 15-MAY-2015 the patient administered 1st dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (lot #, expiration date and route were unknown) for prophylaxis.         On an unknown date in 2015 the patient experienced rash. The outcome and causality between rash and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) were unknown.  This is one of two reports received from the same reporter regarding the same patient.; Sender's Comments:  US-009507513-1907USA013489:same reporter
Sex: F
Vaccine: HPV9
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: injection site pain; Information has been received from a pharmacist referring to a female patient of unknown age via company representative. The patient's pertinent medical history, concurrent condition and concomitant therapy were not reported.      On an unspecified date in July 2019 (reported as within the last month), the patient was vaccinated with a dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (strength, dose, route, lot # and expiration date were not reported) for prophylaxis.         Immediately after the dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9), she experienced injection site pain. She went to see the pharmacist, sought for medical attention. The patient's present status was unknown.     The reporter did not provide causal relationship between the event and suspect vaccine.
Sex: F
Vaccine: MMRV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event; the patient was vaccinated with expired PROQUAD; Information has been received from a healthcare business professional who stated she was a nurse, referring to a female patient of unknown age. The patient's pertinent medical history, concurrent condition and concomitant therapy were not reported.         On 06-AUG-2019, the patient was vaccinated with expired measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (lot # R002935, expiration date: 29-JUL-2019; strength, dose and route were not reported) for prophylaxis (expired product administered). The reporter stated that the vaccine did not have any temperature excursions prior to administration. No adverse symptoms reported.
Age: 1.0
Sex: U
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects; the patient was administered PROQUAD and VARIVAX on the same day; Information has been received from a physician referring to a one-year-old patient of unknown gender. Information of concomitant therapy, pertinent medical history and drug reactions/allergies was not reported.  On an unknown date in May 2019 (reported as 3 months ago), the patient was administered Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) (batch/lot #, strength, dose, frequency and route were unknown) and varicella virus vaccine live (Oka/Merck) (VARIVAX) (batch/lot #, strength, dose, frequency and route were unknown) on the same day (overdose). No adverse effects were reported.
Sex: U
Vaccine: MMR
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: No adverse effect; M-M-R II administered by intramuscular rather than subcutaneous route; This spontaneous report as received from a medical assistant refers to a patient of unknown demographics. The patient's concurrent conditions, medical history and drug reactions/allergies were not reported. The patient's concomitant therapy included sterile diluent(STERILE DILUENT).  On 14-AUG-2019, the patient was inadvertently vaccinated with a dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) injection (dose and frequency was not reported) (lot # R030809, expiry date: 24-OCT-2020) via intramuscular route rather than subcutaneous route for prophylaxis. It was reported that, the reporter wanted to vaccinate at 45 degree angle, but the patient moved which may have caused the injection to be administered by intramuscular route (incorrect route of product administration). No adverse effects were reported. No product quality complaint was involved.
Sex: M
Vaccine: HPV4
Symptoms: Lymphoma
Clinical narrative: male patient was given the GARDASIL Quadrivalent vaccine on an unspecified date and subsequently developed lymphoma; This spontaneous report was received from a physician via company representative and refers to an unspecified male patient of unknown age. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On an unknown date over ten years ago, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (exact dose, site, route of administration, lot # and expiration date were not reported) for prophylaxis, and subsequently developed lymphoma on an unspecified date. The physician reported the patient had unspecified treatment for the lymphoma and was doing fine since an unspecified date. He sought for medical attention, but it was unknown by the reporter if any laboratory diagnostic studies were performed. The outcome of lymphoma was reported as recovered. The relatedness between the lymphoma and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was not reported.  Upon internal review, lymphoma was determined to be medically significant.  This is one of two reports received from the same reporter.; Sender's Comments:  US-009507513-1908USA006586:
Sex: U
Vaccine: PPV
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect; patient received improperly stored pneumovax23; This spontaneous report was received from a pharmacy technician refers to a patient of unknown age. Information on pertinent medical history, concomitant medications and drug reactions or allergies were not reported. On 15-AUG-2019, the patient was vaccinated with improperly stored dose of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) (lot # R010724, expiry date: 13-JUN-2020, anatomical location and dose were not reported) via intramuscular route for prophylaxis (product storage error). The vaccine was exposed to a temperature of temperature above 470F/90C (70 F) for a time frame of 4 days which was recorded in a digital data logger. There was no previous temperature excursion noted. No adverse effects reported. No PQC involved.  This is one of three reports received from same reporter.; Sender's Comments:  US-009507513-1908USA007171: US-009507513-1908USA007170:
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Presyncope
Clinical narrative: the patient became light headed; the patient became lightheaded and was about to faint; This spontaneous report was received from a registered nurse via field representative refers to a male patient of unknown age. The patient's pertinent medical history, drug reactions/allergies and concomitant medication were not reported. On an unknown date, (reported as a couple of months ago) the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (dose, units, frequency, route of administration, lot# and expiration date unknown) for prophylaxis. On the same day, the administration of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) the patient was vaccinated with diphtheria toxoid, pertussis acellular 5-component vaccine, tetanus toxoid(ADACEL) (dose, units, frequency, route of administration, lot# and expiration date unknown) and meningococcal acyw conj vaccine (dip toxoid)(MENACTRA) (dose, units, frequency, route of administration, lot# and expiration date unknown). On an unknown date, the patient experienced lightheaded (dizziness) and was about to faint (presyncope). The outcome of dizziness and presyncope was reported as recovered. Causality assessment of the events was not reported.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: no adverse effect; the patient was inadverently administered one dose of expired MMRII along with one dose of expired diluent; This spontaneous report was received from a registered pharmacist referred to a patient of unknown age and gender. The patient's pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On 16-AUG-2019, the patient was vaccinated with one dose of expired measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (recombinant Human albumin) (M-M-R II) with lot # N027780 expiry date 08-AUG-2019 for prophylaxis along with 1 dose of expired sterile diluent with lot # M029027 with expiry date 14-MAR-2019 (route of administration was not reported) (expired product administered). The pharmacist verified that, the products were stored properly with no temperature excursions through the date of administration. No adverse effects were reported. Product quality complaint was not involved.
Sex: U
Vaccine: PPV
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect; patient received improperly stored pneumovax23; This spontaneous report was received from a pharmacy technician refers to a patient of unknown age. Information on pertinent medical history, concomitant medications and drug reactions or allergies were not reported. On 14-AUG-2019, the patient was vaccinated with improperly stored dose of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) (lot # R010724, expiry date: 13-JUN-2020, anatomical location and dose were not reported) via intramuscular route for prophylaxis (product storage error). The vaccine was exposed to a temperature of temperature above 470F/90C (70 F) for a time frame of 4 days which was recorded in a digital data logger. There was no previous temperature excursion noted. No adverse effects reported. No PQC involved.  This is one of the linked reports from same reporter.; Sender's Comments:  US-009507513-1908USA007080:
Sex: U
Vaccine: PPV
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse effect; patient received improperly stored pneumovax23; This spontaneous report was received from a pharmacy technician refers to a patient of unknown age. Information on pertinent medical history, concomitant medications and drug reactions or allergies were not reported. On 14-AUG-2019, the patient was vaccinated with improperly stored dose of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23) (lot # R010724, expiry date: 13-JUN-2020, anatomical location and dose were not reported) via intramuscular route for prophylaxis (product storage error). The vaccine was exposed to a temperature of temperature above 470F/90C (70 F) for a time frame of 4 days which was recorded in a digital data logger. There was no previous temperature excursion noted. No adverse effects reported. No PQC involved.  This third of three cases received from same reporter; Sender's Comments:  US-009507513-1908USA007080:
Sex: U
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: Pain; This case was reported by a pharmacist via call center representative and described the occurrence of pain in an unspecified number of adult patient's who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received Shingrix at an unknown dose. On an unknown date, less than 2 years after receiving Shingrix, the patient experienced pain. On an unknown date, the outcome of the pain was unknown.   It was unknown if the reporter considered the pain to be related to Shingrix.  Additional details were provided as follows: The age vaccination was not applicable for this report. The age group was not reported but was selected as adult as per vaccine indication. The reporter stated that, the patient had pain with the injection. The reporter did not consent to follow up. The reporter stated that it was just something she heard. The reporter does not even know if it was for patients that received the product at the hospital she works.
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: injection site is sore; injection site is red; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a male patient who received Herpes zoster (Shingrix) for prophylaxis.   On 12th August 2019, the patient received the 1st dose of Shingrix. In August 2019, less than a week after receiving Shingrix, the patient experienced injection site pain and injection site erythema. On an unknown date, the outcome of the injection site pain and injection site erythema were not recovered/not resolved.   It was unknown if the reporter considered the injection site pain and injection site erythema to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received a dose of Shingrix vaccine on his right arm. The patient stated the injection site was red with a 4 inch circle and the injection site was sore. Till the time of reporting, the sore arm and redness did not resolved. Additional information were not provided by the patient. The patient did not consent to follow up.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: I received Shingrix on 8/13/19. Approximately 8/15 in the evening I observed a rash on my Upper Left Arm , Left shoulder and Left Upper back. It did not particularly itch as I didn't notice it until I rubbed lotion on my arm and felt small bumps. It slowly began to resolve on its own. I took a photo of the resolving rash on the early evening of 8/17/19. the rash seems to have resolved now.
Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site rash, Rash
Clinical narrative: I received Shingrix on 8/13/19. Approximately 8/15 in the evening I observed a rash on my Upper Left Arm , Left shoulder and Left Upper back. It did not particularly itch as I didn't notice it until I rubbed lotion on my arm and felt small bumps. It slowly began to resolve on its own. I took a photo of the resolving rash on the early evening of 8/17/19. the rash seems to have resolved now.
Age: 47.0
Sex: M
Vaccine: TDAP
Symptoms: Dyspnoea, Influenza like illness, Injection site pain
Clinical narrative: received vaccine without incident, left office and went back to work, left arm very painful at injection site and began to get short of breath and felt like difficult to breath, went to doctors office and was given nebulizers. Unsure if related to vaccination or allergy/cold symptoms, but felt flu like symptoms that had quick onset after vaccination.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Altered state of consciousness, Blood test, Chills, Confusional state, Disorientation
Clinical narrative: Less than 24 hours after receiving her vaccines, my daughter complained of feeling dizzy, lightheaded, and thought she might pass out.  About 20 minutes later, she had a tonic-clonic seizure for about 30-45 seconds.  Afterward, she was very confused, disoriented, and was not making sense.  She also vomited several times.  She was taken to a hospital by ambulance.  During the post-ictal period, she was unsresponsive, had a migraine with vomiting, chills (no fever), somnolence, and the doctors could not perform a neuro exam because she would not wake up.  They admitted her overnight.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Electroencephalogram, Generalised tonic-clonic seizure, Migraine, Postictal state
Clinical narrative: Less than 24 hours after receiving her vaccines, my daughter complained of feeling dizzy, lightheaded, and thought she might pass out.  About 20 minutes later, she had a tonic-clonic seizure for about 30-45 seconds.  Afterward, she was very confused, disoriented, and was not making sense.  She also vomited several times.  She was taken to a hospital by ambulance.  During the post-ictal period, she was unsresponsive, had a migraine with vomiting, chills (no fever), somnolence, and the doctors could not perform a neuro exam because she would not wake up.  They admitted her overnight.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Somnolence, Unresponsive to stimuli, Vomiting
Clinical narrative: Less than 24 hours after receiving her vaccines, my daughter complained of feeling dizzy, lightheaded, and thought she might pass out.  About 20 minutes later, she had a tonic-clonic seizure for about 30-45 seconds.  Afterward, she was very confused, disoriented, and was not making sense.  She also vomited several times.  She was taken to a hospital by ambulance.  During the post-ictal period, she was unsresponsive, had a migraine with vomiting, chills (no fever), somnolence, and the doctors could not perform a neuro exam because she would not wake up.  They admitted her overnight.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: PATIENT REPORTED FEVER OF 101 AND BODY ACHES. ADVISED PT TO TAKE TYLENOL OR MOTRIN. AND TO CALL US IF NOT RESOLVED IN 1-2 DAYS.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Peripheral swelling
Clinical narrative: SWELLING/ INFLAMMATION BEYOND THE DELTOID, SPREAD INTO BICEP; PATIENT REPORTS SWELLING HAS REDUCED
Age: 67.0
Sex: M
Vaccine: FLUR4, PNC13
Symptoms: Fatigue, Injection site rash, Nausea, Pyrexia
Clinical narrative: Pt felt fatigued and nauseated after immunizations and for several days afterward.  Pt believes he also had fever.  These symptoms were mostly resolved as of 8/19/19.  After immunization, pt also developed small rash at injection site.  It has grown somewhat larger over last several days.  No other symptoms directly at injection site.  Pt has not received medical attention.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash, Rash vesicular
Clinical narrative: The patient broke out in a rash on her left knee and under her right leg under her knee and on both arms.  the rash was the worst on the left knee and had vesicles which appeared to look like a shingles rash. pt had the shingles in the past.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Headache, Injection site pain, Muscle spasms
Clinical narrative: In about 2 minutes got muscle cramp in arm. During night got fever, chills, nausea, headachy which lasted for 6 days. Shot was near shoulder in muscle in left arm. About Day 6, redness traveled down from shoulder area to near elbow, which went away after the second week. It will be one month tomorrow and the muscle in that upper arm is still sore since the beginning, like someone punched me in the arm and also like someone is giving me the shot all over again.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pyrexia
Clinical narrative: In about 2 minutes got muscle cramp in arm. During night got fever, chills, nausea, headachy which lasted for 6 days. Shot was near shoulder in muscle in left arm. About Day 6, redness traveled down from shoulder area to near elbow, which went away after the second week. It will be one month tomorrow and the muscle in that upper arm is still sore since the beginning, like someone punched me in the arm and also like someone is giving me the shot all over again.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Erythema, Headache, Nausea, Pain in extremity
Clinical narrative: Intense arm pain, swelling, redness within 1 hour. Weakness, nausea, vomiting, headache within 24 hours
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling, Vomiting
Clinical narrative: Intense arm pain, swelling, redness within 1 hour. Weakness, nausea, vomiting, headache within 24 hours
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Mother states on 8/20/19 with last vaccine, localized redness and warmth noted on Right arm around injection sight. Worse day of vaccine and got better over next 2 days. No medical attention was required or received.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Injection site rash, Rash, Rash erythematous
Clinical narrative: Patient received Kinrix vaccine in left arm on 08/14/19. He developed localized redness on 08/16/19, this improved, then on 08/18/19 he developed an extensive rash on left upper arm over deltoid, medial aspect of both knees and thighs, and was beginning to develop the rash on his torso with small red spots. Patient did not have any noted fever, and denied any discomfort at the sites. Parents reported no behavioral changes, no lethargy, no loss of appetite or other concerns beyond the rash.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Injection site reaction, Local reaction
Clinical narrative: Mild local injection site reactions of both thighs.  Started the day after vaccines were administered.  Recommended supportive care with cool compresses and Tylenol as needed.  Expect full recovery with no negative consequences.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Blood pressure decreased, Dizziness, Nausea, Presyncope
Clinical narrative: 5 minutes after injection patient got dizzy, light headed, nauseated, had near syncopal event. blood pressure dropped. took about 1-2 hours to recover back to normal.
Age: 4.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Developed right thigh redness, pain, and induration. Erythema later spread to cover greater area 3-4 days after. No fever.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site pruritus, Injection site swelling, Nausea
Clinical narrative: PATIENT STATES AFTER SHE RECEIVED THE VACCINE, SHE EXPERIENCED A LITTLE BIT OF ITCHYNESS, REDNESS, AND SWELLING FROM INJECTION SITE TO ALMOST ELBOW AREA THE VERY NEXT DAY INCLUDING FEELING NAUSEOUS AND CHILL/FEVER. THEN PATIENT CALLED TO NOTIFY DOCTOR AND WAS INSTRUCTED TO COME TO PHARMACY TO LET US KNOW ABOUT IT. PATIENT ALSO STATED USING A HOMEOPATHIC MEDICATION TO HELP RELIEVE HER SYMPTOMS.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: PATIENT STATES AFTER SHE RECEIVED THE VACCINE, SHE EXPERIENCED A LITTLE BIT OF ITCHYNESS, REDNESS, AND SWELLING FROM INJECTION SITE TO ALMOST ELBOW AREA THE VERY NEXT DAY INCLUDING FEELING NAUSEOUS AND CHILL/FEVER. THEN PATIENT CALLED TO NOTIFY DOCTOR AND WAS INSTRUCTED TO COME TO PHARMACY TO LET US KNOW ABOUT IT. PATIENT ALSO STATED USING A HOMEOPATHIC MEDICATION TO HELP RELIEVE HER SYMPTOMS.
Age: 17.0
Sex: M
Vaccine: HEP, HPV9, IPV, TD
Symptoms: Pruritus, Urticaria
Clinical narrative: Client stated on 8/19/19 he noticed red welts to back, chest, abdomen and arms with itching. Referred client to PCP.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nerve damage, Injection site pain, Injection site rash, X-ray
Clinical narrative: Patient reported that she experienced pain and redness/rash at injection site for a few days after receiving second dose of shingrix. The redness went away, but the pain persisted.
Age: 0.08
Sex: F
Vaccine: HEPA
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine administered
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Amnesia, Memory impairment
Clinical narrative: Patient experienced temporary memory loss 2 days after vaccination given ( by afternoon/evening of day 2 ). Patient states, she is still experiencing some forgetfulness one week after the initial incident, however to a lesser extent.
Age: 54.0
Sex: F
Vaccine: FLUR4, TDAP, VARZOS
Symptoms: Blood glucose decreased, Dizziness, Impaired work ability, Mobility decreased, Pyrexia
Clinical narrative: Starting on the day of vaccination, patient's both arm on the vaccine sites  swelled and hot to touch. She felt dizziness and also had high fever and was not able to move both arms. She was at work so she asked her supervisor to allow her to check the blood sugar and it turned out to be decreased down to 50. She left work early and  skipped work until 8/19/2019. She is planning to go work starting 8/20/2019
Age: 54.0
Sex: F
Vaccine: FLUR4, TDAP, VARZOS
Symptoms: Vaccination site swelling, Vaccination site warmth
Clinical narrative: Starting on the day of vaccination, patient's both arm on the vaccine sites  swelled and hot to touch. She felt dizziness and also had high fever and was not able to move both arms. She was at work so she asked her supervisor to allow her to check the blood sugar and it turned out to be decreased down to 50. She left work early and  skipped work until 8/19/2019. She is planning to go work starting 8/20/2019
Age: 1.08
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Pyrexia, Rash, Respiratory tract congestion
Clinical narrative: Child started with fever on day of vaccination (8/9) and according to mom has had fevers daily since then (11 days ago). 3 days following vaccination she developed a rash behind her neck that has since spread over body, extremities and face. Mom also reports congestion and decreased appetite. Fevers reducible with tylenol and motrin--- Tmax 104.
Age: 17.0
Sex: M
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Dizziness, Nausea, Pallor
Clinical narrative: After nurse administered all vaccines at 10:53 on 08/19/19 , pt. c/o dizziness & nausea, found pt's face & lips turn  pale, pt is alert, O x3, instructed pt. to put head down, check BP 66/40, P 42, R 18 at 10:55 am. BP 73/32, P 44, R 18 at 11:00 am. Nurse with other RN used wheelchair to transfer & assisted pt. to lie on the bed with both legs elevated at 11:02 am. Nurse stayed with pt. & assessed pt. Pt can answered questions, awake  & responsive. Check BP 110/62, P 56, R 18 at 11:09 am. Pt said that he had no more nausea & dizziness. Assisted pt. to sit up. Checked BP 89/55, P61, R 18 at 11:17 am. Pt left with father without acute distress noted.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site reaction, Myalgia, Pyrexia, Rash vesicular
Clinical narrative: patient's wife reports fever, muscle aches, headache which started next day and lasted a few days but patient also experienced what looked liked chicken pox at the injection site and a few places on the body that occurred about one week later.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Eye irritation, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, fever, soreness throughout joints and at injection site, fatigue, burning eyes  Treated with tylenol and rest.  Symptoms persist but are easing.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Headache, fever, soreness throughout joints and at injection site, fatigue, burning eyes  Treated with tylenol and rest.  Symptoms persist but are easing.
Age: 53.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: a nurse called from health food fair and reported that the patient was having a reaction in the left arm in which he received pneumovax and fluarix.  red sore swollen and warm.....
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injected limb mobility decreased, Skin warm, Tenderness
Clinical narrative: Patient presents with redness on her left arm 2 days after receiving this vaccine . She said she could barely lift her left arm on the previous day. She said she felt better today. However, her arm felt warm and tender after touching it. This is a mild case of cellulitis based on patient's symptoms. I referred her to her doctor for treatment immediately
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site rash, Injection site swelling, Pyrexia, Rash
Clinical narrative: Severe swelling of the leg, large rash covering leg and parts of body, fever >102 (symptoms became present within, or less than , one hour after vaccine was administered)  I called the on-call Nurse line to report the reaction. However, I do not think the nurse or anyone documented any of my safety concerns or the reaction. I asked the nurse to let the doctor know of the adverse reaction.  I do not believe that was done either.  I closely watched my daughter for the next 24 hours and the rash and extremely swollen leg began to clear. I believe a small dose of Benadryl was given to her.   I am still trying to resolve future vaccination alternatives not including pertussis vaccine.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Injection site rash
Clinical narrative: Patient is a nurse practitioner reported to pharmacy a shingles rash that started after second dose of shingrix that appeared 2 days after injection close to injection site.   She says it was different kind of rash than one you get with local site reaction
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood glucose normal, Dizziness, Hypoacusis, Pallor
Clinical narrative: Consent provided by patient and after discussion of previous event years ago with Td vaccine with patient and her father, it was agreed upon to continue with administration of this vaccine. Less than 5 minutes after administration patient's father approached pharmacy counter and asked for pharmacist to come look at his daughter. She was starting to become light headed and claimed she couldn't hear very well, her color was becoming more pale.  Pharmacist asked other pharmacist on duty to call 911.  Administering pharmacist never left patient's side.  EMS personnel arrived and checked blood pressure, oxygen levels, and blood glucose.  After discussion with EMS personnel, father and patient decided she was feeling better and would leave on her own.  Administering pharmacist and EMS personnel walked beside/behind patient as she walked out of the pharmacy on her own.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Decreased appetite, Fatigue
Clinical narrative: Pain in injection site (expected). Tiredness, chills, joint and back pain. No headache. No nausea but weak appetite.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Pain in injection site (expected). Tiredness, chills, joint and back pain. No headache. No nausea but weak appetite.
Age: 34.0
Sex: M
Vaccine: TDAP
Symptoms: Loss of consciousness
Clinical narrative: Patient lost consciousness 5 seconds after administration of vaccine for < 30 seconds.
Age: 56.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Peripheral swelling, Rash, Skin warm
Clinical narrative: Post given varicella vaccine, patient went home and later that evening felt left arm feeling warm to touch and a red swollen rash about 2x1 1/2 inch.  Patient called into office today morning 8/20/19 and provider had advise patient to put ice compression
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Patient showed up 2 days after getting the vaccine.  He arm was red and swollen from the injection site to a couple of inches above the elbow.  Arm was very sore.  No muscle weakness or fever.  Used ice and motrin for discomfort.
Age: 76.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The patient has a red, swollen, and warm to the touch area. She stated it is in the arm where she had the pneumococcal vaccine (her left arm).  She has been icing it off an on.  She has taken a Benadryl tablet and she stated that has helped with the swelling and redness.  She stated that it was painful around 4 pm.  She called the pharmacy with the complaint of the red swollen and warm to the touch area (below the injection site) around 730 pm the day of vaccination.  I called the patient back around 835 pm to see how she was doing and she stated the Benadryl that she took was helping the redness and it is not sore.  She said the soreness wore off before she called me around 730 pm.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site erythema
Clinical narrative: Red arm from shoulder to elbow and down the side of his left ribs. The redness lasted about 4 hours. Patient was given Benadryl 12.5 mg tablets every 4-6 hours. Patient was better the next day.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling abnormal, Myalgia, Pyrexia, Skin warm
Clinical narrative: Muscle ache and feeling poorly starting 24 hours after vaccination. Sometimes felt chilled as if she had a fever. But this evening (August 20th, 7:00p), she did feel warm to me (husband).  So took her temperature.... 101.3  If she is feeling bad tomorrow (August 21), we will take her to our primary care physician. We have been reluctant to contact that office because the doctor is against vaccinations, and we got our shots without their knowledge.  My wife had shingles attacks twice in years past.  We had the previous vaccine. She did  not have any reaction to the first dose of Shingrix two months ago.
Age: 42.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Asthenia, Fatigue, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Fever of 103,  erythema , edema and tenderness on site of injection.  Weakness, tired.
Age: 42.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pyrexia
Clinical narrative: Fever of 103,  erythema , edema and tenderness on site of injection.  Weakness, tired.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Visibly red and swollen spot on arm, spreading down from the deltoid and intowards her elbow.
Age: 17.0
Sex: M
Vaccine: MENB, MNQ, TDAP
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient had a 10 day history of swelling and pain in the affected arm after the injection.  He had the booster on 8/13/2019 on the left arm with a similar reaction but not as severe as with the first injection.
Age: 29.0
Sex: F
Vaccine: MENB
Symptoms: Back pain, Blood test, Electrocardiogram normal, Injection site erythema, Injection site swelling
Clinical narrative: patient had swelling and redness in a circular shape around the injection site. It was warm to the touch. patient experienced vomiting and back pain several days after vaccination. Patient reported feeling very ill after getting the vaccine as well.
Age: 29.0
Sex: F
Vaccine: MENB
Symptoms: Injection site warmth, Malaise, Vomiting
Clinical narrative: patient had swelling and redness in a circular shape around the injection site. It was warm to the touch. patient experienced vomiting and back pain several days after vaccination. Patient reported feeling very ill after getting the vaccine as well.
Age: 22.0
Sex: F
Vaccine: MENB
Symptoms: Axillary pain, Fatigue, Nausea, Vomiting
Clinical narrative: Patent states she was nauseated with vomiting fatigue and pain under her arm. This started the Saturday following the vaccine
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Mobility decreased, Musculoskeletal pain
Clinical narrative: Headache Muscle Aches Joint Pain Extreme Fatigue Shoulder & arm so sore could not lift arm up
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Headache Muscle Aches Joint Pain Extreme Fatigue Shoulder & arm so sore could not lift arm up
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Electroencephalogram normal, Intensive care, Nuclear magnetic resonance imaging normal, Seizure
Clinical narrative: Pt received Tdap, Gardasil9, Menveo on 8/14/19. Pt had seizure on 8/18 x3. Required ER visit & then transfer admission to PICU. MRI & EEG neg. No prior hx of seizures. D/c hosp 8/20/19. Put on Keppra 600mg BID by neurology.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, HPV4, MNQ, VARCEL
Symptoms: Fall, Immediate post-injection reaction, Seizure like phenomena, Syncope
Clinical narrative: Patient fainted fell from chair with seizure like posture in less than 1 minute after administering vaccines.