chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Urine analysis
Clinical narrative: Abdominal Pain started 8-22-19 Epigastric/periumbilacal Nexium/Hyoscyamine 8-29-2019 ED for abd pain  CBC, Amylase, CRP, CMP, sed rate, GGT,Lipase, U/A, UPT CT of Abdomen & Pelvis Trace free fluid thickened colon wall - colitis  Abd x-ray, abd. U/S 8-30-19 Back to ED CBC, CRP increased, CMP, ESR increased, U/A Lipase, Abd x-ray Hyoscyamine - Carafate, Tylenol  ED-> Hosp 9-1-19 Admitted to hospital intractable abd. 9-4-19 Narcotic pain control, Nexium  9-3 EGD & colonoscopy gastritis & duodenitis Acute colitis (ileocolitis) Minimal terminal ileol involvement  Patchy Colitis (Acute)  2 months of uceris (Budosemide) ulcers post hospital pentasu QID 1000 mg QID Nexium QAM
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Inflammation, Product administered at inappropriate site
Clinical narrative: injection was too high and pt experienced inflammation, MD prescribed her a steroid
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Metamorphopsia, Muscular weakness, Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient called the evening after (11/14/19) administration with complaints of left sided numbness and pain from her shoulder down to her foot. She stated it has started earlier in the day and that she had been taking Advil to try to cope with the pain. I told her that some arm pain was expected and that she should maintain awareness about her side effects over the evening and that I would follow up with her the following day. Friday, 11/15/19 around 5 pm she stated that all of her side effects were gone and that she was feeling much better. The patient called on Monday morning, 11/18/19, with complains of total left arm weakness, blurry/distorted vision and leg numbness/tingling. She stated these new symptoms had started Sunday evening. I told the patient to seek medical care for precautionary measures at this time.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Vision blurred
Clinical narrative: Patient called the evening after (11/14/19) administration with complaints of left sided numbness and pain from her shoulder down to her foot. She stated it has started earlier in the day and that she had been taking Advil to try to cope with the pain. I told her that some arm pain was expected and that she should maintain awareness about her side effects over the evening and that I would follow up with her the following day. Friday, 11/15/19 around 5 pm she stated that all of her side effects were gone and that she was feeling much better. The patient called on Monday morning, 11/18/19, with complains of total left arm weakness, blurry/distorted vision and leg numbness/tingling. She stated these new symptoms had started Sunday evening. I told the patient to seek medical care for precautionary measures at this time.
Age: 81.0
Sex: F
Vaccine: PNC13
Symptoms: Joint stiffness, Lip swelling, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Per pt, on 13 Nov at 2200 "I had horrendous pain down my left hip all the way to my heel. I say horrendous because I've never felt anything like that." "That night I took a Zyrtec because I thought if it is a reaction to stop it." Per pt, the next morning "I had swollen lips, swollen/stiff hands that I couldn't close my hands, and stiff wrists/knees/ankles. They weren't swollen like my hands but they were stiff. This is what has happened before with allergies." "I took my morning medications which includes a Zyrtec." "Over the day it resolved on its own. I did not have any shortness of breath but I usually don't have respiratory difficulty with my allergic reactions and hopefully it stays that way."
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Atrial fibrillation, Blood test, Cardiac failure congestive, Chest X-ray
Clinical narrative: the following day (10/04/19) after being administered the Flu vaccine on (10/03/19), my dad went from being able to walk without assistance to not being able to stand on his own and had to use a wheelchair. Severe pain in both legs, no energy and coughing up bloody mucus. On 10/05/19 the symptoms progressively got worse, breathing became weaker, no appetite, limited urinating, extremely tired, pale face.  On 10/09/19 he went to medical center via ambulance and was released same day.  10/14/19 went to Nephrologist and she stated to immediately take my dad to ER and as soon as we arrive, they tested him and they admitted him into ICU after test results showed Pulmonary Edema, Oxygen was 71% and heart rate was low. They diagnosed him with ESRD, CHF, AFib, Pulmonary Edema, Hypokalemia and started Dialysis in ICU.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Computerised tomogram, Decreased appetite, Dialysis, Dysstasia, End stage renal disease
Clinical narrative: the following day (10/04/19) after being administered the Flu vaccine on (10/03/19), my dad went from being able to walk without assistance to not being able to stand on his own and had to use a wheelchair. Severe pain in both legs, no energy and coughing up bloody mucus. On 10/05/19 the symptoms progressively got worse, breathing became weaker, no appetite, limited urinating, extremely tired, pale face.  On 10/09/19 he went to medical center via ambulance and was released same day.  10/14/19 went to Nephrologist and she stated to immediately take my dad to ER and as soon as we arrive, they tested him and they admitted him into ICU after test results showed Pulmonary Edema, Oxygen was 71% and heart rate was low. They diagnosed him with ESRD, CHF, AFib, Pulmonary Edema, Hypokalemia and started Dialysis in ICU.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Gait inability, Haemoptysis, Heart rate decreased, Hypokalaemia
Clinical narrative: the following day (10/04/19) after being administered the Flu vaccine on (10/03/19), my dad went from being able to walk without assistance to not being able to stand on his own and had to use a wheelchair. Severe pain in both legs, no energy and coughing up bloody mucus. On 10/05/19 the symptoms progressively got worse, breathing became weaker, no appetite, limited urinating, extremely tired, pale face.  On 10/09/19 he went to medical center via ambulance and was released same day.  10/14/19 went to Nephrologist and she stated to immediately take my dad to ER and as soon as we arrive, they tested him and they admitted him into ICU after test results showed Pulmonary Edema, Oxygen was 71% and heart rate was low. They diagnosed him with ESRD, CHF, AFib, Pulmonary Edema, Hypokalemia and started Dialysis in ICU.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Intensive care, Pain in extremity, Pallor, Productive cough, Pulmonary oedema
Clinical narrative: the following day (10/04/19) after being administered the Flu vaccine on (10/03/19), my dad went from being able to walk without assistance to not being able to stand on his own and had to use a wheelchair. Severe pain in both legs, no energy and coughing up bloody mucus. On 10/05/19 the symptoms progressively got worse, breathing became weaker, no appetite, limited urinating, extremely tired, pale face.  On 10/09/19 he went to medical center via ambulance and was released same day.  10/14/19 went to Nephrologist and she stated to immediately take my dad to ER and as soon as we arrive, they tested him and they admitted him into ICU after test results showed Pulmonary Edema, Oxygen was 71% and heart rate was low. They diagnosed him with ESRD, CHF, AFib, Pulmonary Edema, Hypokalemia and started Dialysis in ICU.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Respiration abnormal, Urine output decreased, Wheelchair user
Clinical narrative: the following day (10/04/19) after being administered the Flu vaccine on (10/03/19), my dad went from being able to walk without assistance to not being able to stand on his own and had to use a wheelchair. Severe pain in both legs, no energy and coughing up bloody mucus. On 10/05/19 the symptoms progressively got worse, breathing became weaker, no appetite, limited urinating, extremely tired, pale face.  On 10/09/19 he went to medical center via ambulance and was released same day.  10/14/19 went to Nephrologist and she stated to immediately take my dad to ER and as soon as we arrive, they tested him and they admitted him into ICU after test results showed Pulmonary Edema, Oxygen was 71% and heart rate was low. They diagnosed him with ESRD, CHF, AFib, Pulmonary Edema, Hypokalemia and started Dialysis in ICU.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Product administered at inappropriate site
Clinical narrative: Patient states she had a sore should for 3 weeks after vaccination due to vaccine being administered too high on her shoulder.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Grimacing, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Pain in extremity
Clinical narrative: attempted to administer vaccination in left arm pt immediately grimaced and complained of pain, removed needle and replaced with new needle and vaccinated in right arm.  patient complains of extreme pain in right arm, and unable to lift.  patient did speak with primary care provider.  Patient also experienced fever of 102 the evening of vaccination.  Per advise from patients primary care provider patient is treating pain and fever with ibuprofen
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: attempted to administer vaccination in left arm pt immediately grimaced and complained of pain, removed needle and replaced with new needle and vaccinated in right arm.  patient complains of extreme pain in right arm, and unable to lift.  patient did speak with primary care provider.  Patient also experienced fever of 102 the evening of vaccination.  Per advise from patients primary care provider patient is treating pain and fever with ibuprofen
Age: 62.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: red  patch at injection site with defend border (big oval) about 4" x2" ; Painful and tender; slight fever. this lasted for 7- 10 days
Sex: U
Vaccine: HIBV
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects reported for the patient; one dose of an improperly stored vaccine was administered to one patient; Information has been received from a medical assistant, referring to a patient of unknown age and gender. The patient's concurrent condition, historical condition and concomitant medication were not provided.  On 13-AUG-2019, the patient was vaccinated with improperly stored haemophilus b conjugate vaccine (meningococcal protein conjugate) (LIQUID PEDVAXHIB) (one dose; lot number R021075; expiration date 10-JUN-2021;  route unknown) for prophylaxis (Product storage error). No adverse effect was reported. Temperature was 54.8 Fahrenheit. Time frame was 3 hours and 30 minutes. Previous temperature excursion was 56 Fahrenheit for 45 minutes. The call was because of a data logger.
Sex: M
Vaccine: HPV9
Symptoms: Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: red raised rash that was itching; red raised rash that was itching; red raised rash that was itching; Information has been received from a patient's parent who is an employee, referring to a male patient of unknown age. The patient's concurrent condition, concomitant medication and historical condition were not provided.   On 29-OCT-2019, the patient was vaccinated with HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) dose 2 (route, dose, frequency, lot number and expiration date unknown) for prophylaxis.   On 31-OCT-2019, when the patient removed the Band-Aid, a red raised rash that was itching was observed. His brother received the same vaccination on the same day and had no symptoms. The patient would be taken back to the doctor if the rash did not go away in the next couple days. The outcome of a red raised rash that was itching was unknown. The reporter considered a red raised rash that was itching to be related to HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9).
Age: 46.0
Sex: F
Vaccine: FLUN3
Symptoms: Flushing, Headache
Clinical narrative: FELT FLUSHED; HEADACHE; A spontaneous report has been received from a consumer. The report concerns a female patient of unknown ethnic origin (age 42 years 26 weeks 2 days).    No medical history was reported.     No concomitant products were reported.    The patient received nasal Flumist (influenza vaccine (live, attenuated)), for flu prophylaxis on 17-Oct-2019.     On 18-Oct-2019, the patient experienced mild felt flushed (preferred term: Flushing) and mild headache (preferred term: Headache). By 19-Oct-2019 she felt much better.    The reporter assessed the felt flushed and headache as non-serious.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Hypersomnia
Clinical narrative: Roughly 4 hours after injection, patient was sitting at her desk in front of the computer.  She reached for the mouse and noticed her left arm began hurting.  She decided to get up and go to her family room chair, as soon as she stood up she began feeling very dizzy and needed to guide herself along the wall to get to the other room.  She sat down and rested, as she felt extremely dizzy.  After about an hour of resting, she then suddenly began shaking, and her teeth were chattering.  This lasted about 20 min.  Her shaking was so intense her spouse was not able to feel a pulse.  She felt very cold at her extremities, but core body felt very warm.  Spouse gave her tylenol and water to drink.   Weakness lasted though for almost two full days.  Her arm was also slightly swollen at the injection site, but denied any redness.  She felt very weak with ambulation, or any form of exertion.  She was extremely tired.  She slept a lot over the course of the two days after the injection, which she reports is abnormal.  Her arm remained sore also.  Two days later, the overall body weakness resided, but the arm remains sore.  No reports of redness at the injection site, denied swelling at the injection site.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral coldness, Peripheral swelling, Skin warm, Tremor
Clinical narrative: Roughly 4 hours after injection, patient was sitting at her desk in front of the computer.  She reached for the mouse and noticed her left arm began hurting.  She decided to get up and go to her family room chair, as soon as she stood up she began feeling very dizzy and needed to guide herself along the wall to get to the other room.  She sat down and rested, as she felt extremely dizzy.  After about an hour of resting, she then suddenly began shaking, and her teeth were chattering.  This lasted about 20 min.  Her shaking was so intense her spouse was not able to feel a pulse.  She felt very cold at her extremities, but core body felt very warm.  Spouse gave her tylenol and water to drink.   Weakness lasted though for almost two full days.  Her arm was also slightly swollen at the injection site, but denied any redness.  She felt very weak with ambulation, or any form of exertion.  She was extremely tired.  She slept a lot over the course of the two days after the injection, which she reports is abnormal.  Her arm remained sore also.  Two days later, the overall body weakness resided, but the arm remains sore.  No reports of redness at the injection site, denied swelling at the injection site.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: very painful injection site with RED patch rash about 2" x 4" with defined border; tender and warm.
Age: 53.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pain starts at forearm and goes up to where the shot was given. No pain is in the shoulder. Any pressure that is applied, he has a strong pain that. He can feel where the shot was given,
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Very Sore arm for four days and couldn't raise arm at all for two days. Shivering and fever for one day.  Tired and achy for three days.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Very Sore arm for four days and couldn't raise arm at all for two days. Shivering and fever for one day.  Tired and achy for three days.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Patient called this morning describing throbbing pain in arm. His words  "Pain feels like outside of arm, not back, not side, not inside" I asked if he had a rash or if it looks like site of injection is infected, he said it looks normal with no rash. His words "I can't sleep on the left side, having trouble putting on long sleeve shirts when putting arm back" I asked him about his arm range of motion by asking "Can you move your arm around in cirlcles?" He said he could do that fine its just trouble putting on long sleeve shirts where the pain bugs him. I asked him if the pain started right after vaccine, later that day or the next day following the vaccine and he responding by saying the next day is when he noticed the pain.  He got the Fluzone HD+ in the right arm the same day and has no complaints with that injection/arm.  I asked if the pain was from things rubbing on the skin but he said it doesn't bug him when it is touched; he just feels a throbbing pain. He called Doctor's office before calling us. Doctor's office advised him to call us first and I advised patient to try and use ice packs for no longer than 10 minutes at a time and try a OTC pain reliever for a few days and keep on eye on the pain. If no relief happens to call Doctor and schedule an appointment.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: very painful and tender at injection sit. Big red patch with defined border (oval) about 2"x 4" ,
Age: 0.42
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No symptoms. RN was told about the event.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Soreness in left arm for 5 weeks after administration of flu vaccine. Presents to pharmacy on 11/18/19 complaining of continuing soreness and pain when raising arm past shoulder
Age: 38.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt called pharmacy 11/18/2019 to report that she experienced redness, warmth and pain at the injection site overnight after influenza immunization.  She was prescribed cephalexin 500mg twice daily for 7 days on 11/17/19.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Itching all over arms and torso after immunization.  He took Benadryl and issue resolved
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Lethargy, Pain
Clinical narrative: General body ache, headache, lethargy. Took Tylenol, felt better after 24 hours, completely recovered after 48 hours
Age: 28.0
Sex: M
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: No adverse event noted. Patient was given high dose and is 28 years old on an off-site clinic visit. No high dose vaccine was brought. Possibility that this vaccine was placed in the wrong box and then administered to the patient. It would be beneficial to color code the flu vaccines to alert the person administering the vaccine. This could be another check prior to giving a vaccine.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness, Pain
Clinical narrative: Patient states that she started having pain a few hours after the vaccine. She states she has had flu shots previously without the same type of pain. She states that her arm gets very stiff at night. She ices her arm in the morning and take Tylenol and ibuprofen to get through the day.
Age: 24.0
Sex: F
Vaccine: ANTH, UNK
Symptoms: Abortion spontaneous, Culture urine positive, Decreased appetite, Enterococcus test positive, Exposure during pregnancy
Clinical narrative: Received AVA while pregnant. Miscarriage 15 Dec 18. 9 Nov 18 - for new OB orientation.  G2P1 (aborta).  c/o nausea and poor appetite.  Denies vomiting. EDD by LMP 4 July 19 w/ LMP being 27 Sept 18, thus 6+1 weeks pregnant. 13 Nov 18 -  Urine cx shows GBS (10-50K)  and enterococcus faecalis (50-100K). Rx'd Amoxicillin 500mg po bid x 10 days.   Symptoms: OTH SPEC ABN UTERINE&VAG BLEED(N938).
Age: 24.0
Sex: F
Vaccine: ANTH, UNK
Symptoms: Nausea, Streptococcus test positive, Ultrasound scan vagina normal, Uterine haemorrhage, Vaginal haemorrhage
Clinical narrative: Received AVA while pregnant. Miscarriage 15 Dec 18. 9 Nov 18 - for new OB orientation.  G2P1 (aborta).  c/o nausea and poor appetite.  Denies vomiting. EDD by LMP 4 July 19 w/ LMP being 27 Sept 18, thus 6+1 weeks pregnant. 13 Nov 18 -  Urine cx shows GBS (10-50K)  and enterococcus faecalis (50-100K). Rx'd Amoxicillin 500mg po bid x 10 days.   Symptoms: OTH SPEC ABN UTERINE&VAG BLEED(N938).
Age: 38.0
Sex: F
Vaccine: FLUC4
Symptoms: Musculoskeletal pain
Clinical narrative: Continuous shoulder pain without loss of range of motion. Patient is still experiencing the pain as of today. Patient took ibuprofen and massaged the area, with minor relief.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: c/o lt upper arm swollen and red, warm to touch. Pt received 11 y/o boosters on 11/16/19. Father has been applying ice packs to area WCC sat, left arm received Tdap and meningitis. Using ice and 1/2 tab ibuprofen given last night some itching noted, seems worse 11/18/19 than yesterday.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Pain
Clinical narrative: By the end of the day of administration, Right deltoid was very sore and formed a red rash that itched. Pt felt achy. After three weeks, slight redness in upper right arm is still present with slight itch.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Bursitis, Immediate post-injection reaction, Joint range of motion decreased, Mobility decreased
Clinical narrative: Injection felt to be very high up.  Immediate pain deep in the joint.  Very stiff arm.  Weakness and inability to lift arm progressively got worse in subsequent days until pain and lack of range of motion was very limited.  Evaluated by an orthopedic surgeon for definitive diagnosis and treatment.  X rays completed.  Diagnosed with subacromial bursitis of the L shoulder from incorrect placement of flu vaccine.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Muscular weakness, Musculoskeletal stiffness, Product administered at inappropriate site, X-ray limb
Clinical narrative: Injection felt to be very high up.  Immediate pain deep in the joint.  Very stiff arm.  Weakness and inability to lift arm progressively got worse in subsequent days until pain and lack of range of motion was very limited.  Evaluated by an orthopedic surgeon for definitive diagnosis and treatment.  X rays completed.  Diagnosed with subacromial bursitis of the L shoulder from incorrect placement of flu vaccine.
Age: 71.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: Soreness at site of injection, Headache, tiredness and loss of appetite.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Malaise, Pain, Pain in extremity, Pyrexia
Clinical narrative: Painful arm, low grade fever (99.5-100.5F) day 1 and 2 after vaccination, malaise, body aches, joint pain. Treated with acetaminophen and bed rest. Painful arm still persists 3 days after vaccination but other symptoms have resolved.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered
Clinical narrative: The patient received the same two vaccines at well care last year, she didn't not need the additional doses. Vaccines did not show in the patients EMR, visit was made in a time frame where we were switching  EMR's and lot all information migrated over.
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Dizziness, Palpitations, Pharyngeal swelling, Urticaria
Clinical narrative: dizzy, racing heart, throat swelling, hives, very weak
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Rash papular
Clinical narrative: Erythema at site of injection. Discrete satellite papules that were erythematous. Non-confluent at time of examination.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Muscular weakness, Musculoskeletal disorder, Nausea
Clinical narrative: Patient had soreness initially at the injection site for which she took OTC naproxen.  The pain continued to worsen - within 1/2 hour she describes as severe shooting/stabbing pain that radiated from her neck down her arm to her fingertips.   The pain became so bad she went to urgent care where they recommended heat, staggering OTC naproxen, acetaminophen and Rx tramadol (she had on hand) every 6 to 8 hours.  Patient is still experiencing significant pain and taking pain meds on schedule today (11/18).  Patient also states she experienced weakness of her arm and hand.  She states this started at 9pm on 11/15 evening and she was at one point unable to use her arm or hand.  She states Saturday morning (11/16) she did recover some movement, but is still experiencing some weakness today (11/18).   She also experienced severe chills & nausea (7pm on 11/15), and diarrhea (8pm on 11/15) - these symptoms resolved by 9pm on 11/15.    Her primary care prescriber has been consulted - waiting to hear back.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient had soreness initially at the injection site for which she took OTC naproxen.  The pain continued to worsen - within 1/2 hour she describes as severe shooting/stabbing pain that radiated from her neck down her arm to her fingertips.   The pain became so bad she went to urgent care where they recommended heat, staggering OTC naproxen, acetaminophen and Rx tramadol (she had on hand) every 6 to 8 hours.  Patient is still experiencing significant pain and taking pain meds on schedule today (11/18).  Patient also states she experienced weakness of her arm and hand.  She states this started at 9pm on 11/15 evening and she was at one point unable to use her arm or hand.  She states Saturday morning (11/16) she did recover some movement, but is still experiencing some weakness today (11/18).   She also experienced severe chills & nausea (7pm on 11/15), and diarrhea (8pm on 11/15) - these symptoms resolved by 9pm on 11/15.    Her primary care prescriber has been consulted - waiting to hear back.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted after receiving vaccines (MCV4, Tdap, influenza, and HPV). Less than 1 minute later she was alert and responsive. Vitals were stable. Pt vomited.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Lymphadenopathy
Clinical narrative: Took tylenol before vaccination, has swollen lymph nodes supra clavicular, no pain at the site. This has happened with previous vaccinations.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swollen leg/thigh, pain with walking, hot to the touch.
Age: 77.0
Sex: F
Vaccine: FLUA3
Symptoms: Asthenia, Palpitations
Clinical narrative: Patient said that on 11/9/19 she felt weakness and on 11/10/19 she got palpitations that lasted for several hours and then stopped.  On Monday she felt much better.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Localized sharp pain when moving and lifting the right arm. Pain does not radiate anywhere. I feel it in the muscle. Unable to lift arm higher than shoulder without feeling sharp pain. Pain has been going on for a month.
Age: 27.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No signs or symptoms, vaccine was administered 4 months too soon after first dose. Patient will get next dose in May when he is due and that dose will complete the Hep A series.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: cellulitis of left thigh that started the night of getting the flu shot; worsening in redness, warmth and induration by the next day; no fever. patient was treated with cool compresses and Benadryl with improvement by 48 hours after shot.
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain
Clinical narrative: Significant right arm that was relieved with the use of OTC medications. Heat was also ineffective at relieving pain. Pt reports that she was unable to raise arm over her head without significant pain for over 2 weeks.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Nodule, Pain in extremity, Swelling, Tenderness
Clinical narrative: Arm pain, swelling, redness, re-evaluated in clinic 11/15/2019 3x4 cm raised erythematous nodule with tenderness to palpation, treated with ice and NSAID, rechecked with mom 11/18/19, improved over the weekend and resolved
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Pt returned to pharmacy 11/18/19 swelling & pain around injections slight rash around injection site
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Candida infection
Clinical narrative: Pt states She has developed a severe case of thrush/candidiasis as a result of her Prevnar shot
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Dyspnoea, Epistaxis, Pharyngeal swelling, Rash, Vomiting
Clinical narrative: Patient reports 1 hour after receiving TDAP she noticed a rash on her face, arms, and legs. Also reports her throat swelling and difficulty breathing. Reports vomiting and nose bleed.
Sex: U
Vaccine: HEPA
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects were reported; the patient was administered an improperly stored dose of Vaqta; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided. On 22-OCT-2019, the patient was vaccinated with improperly stored dose of hepatitis a vaccine, inactivated (VAQTA) injection, lot # S007770 and expiration date 24-JUL-2020 (exact dose and route of administration were not reported) for prophylaxis. No adverse effects were reported. The temperature was below 37°F (32.7F) for 3 hours and 20 minutes, and above 47°F (52F) for 39 minutes. Previous temperature excursion was above 47°F (50.2F) for 31 minutes. Digital data logger was involved.
Age: 18.0
Sex: F
Vaccine: TYP
Symptoms: Dyspnoea, Eye pruritus, Eye swelling, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: I was @ work and my left eye got itchy & started to swell. I couldn't breath very well. My lips swelled up & my eye &l lips were numb. I went to the ER & they gave me Benadryl, epinephrine & another steroid shot to help.
Age: 18.0
Sex: F
Vaccine: TYP
Symptoms: Lip swelling
Clinical narrative: I was @ work and my left eye got itchy & started to swell. I couldn't breath very well. My lips swelled up & my eye &l lips were numb. I went to the ER & they gave me Benadryl, epinephrine & another steroid shot to help.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Eye movement disorder, Tremor, Unresponsive to stimuli
Clinical narrative: Patient was sleeping and started shaking at around 3am uncontrollably upper and lower extremities. Was not responsive to parents and eyes rolling back. No fevers. Per parents was not conscious, however no perioral cyanosis. They called 911 and after nearly 1 minute the shaking resolved. Paramedics examined child and deemed stable with no further recommendations. No further shaking episodes or fevers since then.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site pain, Muscular weakness, Pain in extremity, Peripheral swelling
Clinical narrative: Severe right arm pain from the infection site to the fingers. Right hand swelling with some numbness and weakness.
Age: 61.0
Sex: M
Vaccine: FLUX
Symptoms: Arthralgia, Disturbance in attention, Dizziness, Fatigue, Myalgia
Clinical narrative: Dizziness, extreme fatigue, muscle and joint aches, difficulty focusing since injection.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Contusion, Erythema, Swelling
Clinical narrative: Red arm, swelling and head > 10 cm bruising
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Patient had instant pain down left arm. Had increased swelling and redness from shoulder down to the elbow.  Severe pain that tylenol didn't even help. Did take tylenol and benadryl to help with pain. helped a little but redness returned and so did pain.
Age: 59.0
Sex: M
Vaccine: FLUC4
Symptoms: Fatigue, Injection site pain, Mobility decreased, Respiratory tract congestion
Clinical narrative: Patient returned to the pharmacy on 11/14/2019 and told the pharmacist he was experiencing continued muscle pain in the right deltoid that originated after receiving the flu shot on 10/8/2019. He struggles lifting his arm past shoulder height. He also complained of congestion and fatigue that has hindered his ability to leave his house. He denies any pain in his shoulder joint.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site haemorrhage, Injection site pain, Neck pain
Clinical narrative: Pt said she had bleeding under her bandaid when she got home.  She has also had pain in her neck since the day she got the shot.  It can shot up from the injection site into her neck when she sits down at a computer.  She has taken pain relievers and used ice.  I told her to try heat.  If that doesn't work, she will need to call her dr.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Fatigue, Headache, Odynophagia, Sensation of foreign body
Clinical narrative: First symptom was a sudden feeling of something lodged in my throat with pain when swallowing although there were no breathing issues.   By 7:00 pm i had swelling of my face particularly around my eyes and accompanied by a bad headache.   Feeling weak and fatigued.  Decided to wait to seek medical help mainly because there were no breathing issues.  By morning my throat felt a bit better but the swelling seemed a bit worse and the headache persisted.  Around 1:00 pm on 11/6/19, I took an antihistimine.  Felt better by evening but the swelling didn't subside completely until the morning o 11/7/19.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face, Swelling of eyelid
Clinical narrative: First symptom was a sudden feeling of something lodged in my throat with pain when swallowing although there were no breathing issues.   By 7:00 pm i had swelling of my face particularly around my eyes and accompanied by a bad headache.   Feeling weak and fatigued.  Decided to wait to seek medical help mainly because there were no breathing issues.  By morning my throat felt a bit better but the swelling seemed a bit worse and the headache persisted.  Around 1:00 pm on 11/6/19, I took an antihistimine.  Felt better by evening but the swelling didn't subside completely until the morning o 11/7/19.
Age: 68.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Patient had a swollen warm to touch arm which started 6 hours after the vaccine on 11/12/2017. Arm was improving when he came to the pharmacy on 11/15/2019 but arm was still warm to touch. Both shots were given in left arm. He was referred to the ER where he received prednisone and antibiotic as a precaution.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Shortly after receiving the vaccine client had soreness, redness, and swelling on left arm near site of injection. Client instructed to see primary care physician if symptoms worsened or did not improve.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Eye swelling, Heart rate increased, Injection site pain, Injection site pruritus
Clinical narrative: Rapid heart rate, throat tightening, trouble swallowing, nausea, lethargic, eye and lip swelling, injection site sore and itchy  Patient called physician and was told to take diphenhydramine 50mg every 4 hours.  Patient did this for 3 days until better.  Did not seek medical treatment at a facility
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Lethargy, Lip swelling, Nausea, Throat tightness
Clinical narrative: Rapid heart rate, throat tightening, trouble swallowing, nausea, lethargic, eye and lip swelling, injection site sore and itchy  Patient called physician and was told to take diphenhydramine 50mg every 4 hours.  Patient did this for 3 days until better.  Did not seek medical treatment at a facility
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, UNK
Symptoms: Intestinal obstruction, Intussusception
Clinical narrative: intussusception; INTESTINAL OBSTRUCTION; Information has been downloaded US-EMA-20110131-rtevhumanwt-190621250.  This spontaneous report was received from  a health professional referring to a 4 month old male patient with no relevant medical history and no concurrent conditions.    On 08-JUL-1999, the patient was vaccinated with a dose of hepatitis b vaccine (recombinant) (RECOMBIVAX HB) (dose, lot #, expiration date, route,  therapy type and indication were not reported).  Other suspect therapies included diphtheria toxoid, pertussis acellular 4-component vaccine, tetanus toxoid(ACEL-IMUNE), hib conj vaccine (crm197) (HIBTITER), poliovirus vaccine inactivated (unspecified)(POLIOVIRUS VACCINE INACTIVATED (UNSPECIFIED)) (dose, lot #, expiration date, route and indication were not reported) and one dose of rotavirus g1 g2 g3 g4 reassortant vaccine live (human-rhesus)(ROTASHIELD), orally, (dose, lot # and expiration date were not reported) for immunization; all vaccines were administered on 08-JUL-1999. Concomitant therapies were not reported.     On 13-JUL-1999, the patient experienced intestinal obstruction and was hospitalized. On an unknown date, the patient experienced intussusception and was hospitalized. Later, on an unknown date,, the patient recovered from intestinal obstruction. By the time of the report, the outcome of intussusception was unknown.   The reporter's causality assessment between the suspect vaccines and the above mentioned events was not reported.  The reporter considered intestinal obstruction and intussusception to be life threatening and medically significant.; Sender Comments:Fax-ref: F1081D1
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Decreased appetite, Dizziness, Injection site discolouration, Injection site erythema, Injection site induration
Clinical narrative: Huge red welt that is swollen and itchy.  My whole arm is very sore and hurts to move...each day it is getting worse, today it is darker in color than it was yesterday and the site is hard as a rock now.  I called the pharmacy yesterday to inform them of what has taken place and they let me know to ice it and take a Tylenol, but even with following the instructions to the point of sleeping with ice on it through the night, it is now itching immensely and really seems to be worse.  I continue to feel light headed, nausea and almost blacked out last night...no appetite whatsoever and have lost weight.  I am seeing a Dr. tomorrow and getting their professional opinion as to my symptoms.  I just wanted to do the right thing and let someone know that the site reaction where I received this injection is absolutely not conducive with other shot's or injections I receive.
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site pruritus, Injection site swelling, Injection site urticaria, Nausea, Pain in extremity
Clinical narrative: Huge red welt that is swollen and itchy.  My whole arm is very sore and hurts to move...each day it is getting worse, today it is darker in color than it was yesterday and the site is hard as a rock now.  I called the pharmacy yesterday to inform them of what has taken place and they let me know to ice it and take a Tylenol, but even with following the instructions to the point of sleeping with ice on it through the night, it is now itching immensely and really seems to be worse.  I continue to feel light headed, nausea and almost blacked out last night...no appetite whatsoever and have lost weight.  I am seeing a Dr. tomorrow and getting their professional opinion as to my symptoms.  I just wanted to do the right thing and let someone know that the site reaction where I received this injection is absolutely not conducive with other shot's or injections I receive.
Age: 42.0
Sex: F
Vaccine: HEPA
Symptoms: Presyncope, Weight decreased
Clinical narrative: Huge red welt that is swollen and itchy.  My whole arm is very sore and hurts to move...each day it is getting worse, today it is darker in color than it was yesterday and the site is hard as a rock now.  I called the pharmacy yesterday to inform them of what has taken place and they let me know to ice it and take a Tylenol, but even with following the instructions to the point of sleeping with ice on it through the night, it is now itching immensely and really seems to be worse.  I continue to feel light headed, nausea and almost blacked out last night...no appetite whatsoever and have lost weight.  I am seeing a Dr. tomorrow and getting their professional opinion as to my symptoms.  I just wanted to do the right thing and let someone know that the site reaction where I received this injection is absolutely not conducive with other shot's or injections I receive.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Pain in finger joints and hip on right side (opposite of injection site). Patient believes the flu shot to be the only change in medication/treatment since experiencing the new pains. She dose get some sort of injections in her spine or neck from a different provider. She recalls "feeling liquid going in" at the time of immunization, which was peculiar to her.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Musculoskeletal pain, X-ray limb abnormal
Clinical narrative: Pain  and limited range of motion at the shoulder following influenza vaccine. Pt currently in physical therapy and taking Naproxen for relief.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Impaired work ability, Influenza like illness, Pain, Pain in extremity, Pyrexia
Clinical narrative: Left arm pain, followed by flu-like symptoms (fever, aches).  Most severe last night, and continuing today (had to take a sick day.  Am not yet seeking medical attention as I am expecting partial recovery tomorrow (based on my experience with the first shot)
Sex: U
Vaccine: UNK
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness, Neck pain, Pain, Pain in extremity
Clinical narrative: The severe throbbing of pain in complete arm continuously.  Never-ending pain in the upper shoulder and pain and stiffness in the neck on the left side.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Swelling
Clinical narrative: The patient states she woke up the next day with a rash around the outer arm, extending from the injection site.  The rash was about 2 inches wide, and 3-4 inches long.  There was some light swelling, but no bruising or itching.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Tinnitus
Clinical narrative: patient said she had worsening of  ringing in her ears.  As of 11/18/19 the ringing is still happening
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Anaphylactic shock, Dyspnoea, Swelling face, Swelling of eyelid, Swollen tongue
Clinical narrative: Anaphalactic shock, difficulty breathing, facial swelling, eyelids swelling,  tongue swelling,
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Fatigue, Grip strength decreased, Headache, Hypoaesthesia
Clinical narrative: November 6th, Wednesday at approximately 3:00 pm I received the TDaP vaccine in my upper left arm at the Health Department Immunization Clinic. By 7:00 pm my left deltoid was very sore and swollen. November 7th, Thursday:  I woke up several times in the night to pain in my left deltoid.  I got up that morning to a lot of pain, very limited mobility, headache, and nausea.   Range of motion of 10-15 degrees.  Arm is still swollen and sensitive to the touch. 2:00pm: Same amount of pain and mobility and now I?m running a high fever.  Headache is still present.  Getting pain in the joints of my arm, hand and shoulder.  Fatigue is now setting in. November 8th, Friday:   Fever breaks about 3:40 am. 7:00 am:  Still sharp pain in my left deltoid.  Range of motion is about 45 degrees.  Headache is still present but other symptoms are fading - joint pain and fatigue. November 9th, Saturday:  No headache and arm is still swollen. Pain is not as sharp in my left deltoid.  Range of motion of about 90 degrees. November 10th, Sunday: Pain is about the same as yesterday in my left deltoid.  It is still swollen. Range of motion of about 90 degrees to the side and 120 degrees to the front.   All other symptoms have passed. November 11th, Monday: Contacted primary care doctor.  He suggested ice and doing some stretches.  And giving it time. November 18th, Monday:  Front mobility is 165 degrees.  Side mobility is 130 degrees.  No pain but I get some weakness in my grip and numbness in my arm that goes done to my hand.
Age: 44.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling, Joint range of motion decreased, Nausea
Clinical narrative: November 6th, Wednesday at approximately 3:00 pm I received the TDaP vaccine in my upper left arm at the Health Department Immunization Clinic. By 7:00 pm my left deltoid was very sore and swollen. November 7th, Thursday:  I woke up several times in the night to pain in my left deltoid.  I got up that morning to a lot of pain, very limited mobility, headache, and nausea.   Range of motion of 10-15 degrees.  Arm is still swollen and sensitive to the touch. 2:00pm: Same amount of pain and mobility and now I?m running a high fever.  Headache is still present.  Getting pain in the joints of my arm, hand and shoulder.  Fatigue is now setting in. November 8th, Friday:   Fever breaks about 3:40 am. 7:00 am:  Still sharp pain in my left deltoid.  Range of motion is about 45 degrees.  Headache is still present but other symptoms are fading - joint pain and fatigue. November 9th, Saturday:  No headache and arm is still swollen. Pain is not as sharp in my left deltoid.  Range of motion of about 90 degrees. November 10th, Sunday: Pain is about the same as yesterday in my left deltoid.  It is still swollen. Range of motion of about 90 degrees to the side and 120 degrees to the front.   All other symptoms have passed. November 11th, Monday: Contacted primary care doctor.  He suggested ice and doing some stretches.  And giving it time. November 18th, Monday:  Front mobility is 165 degrees.  Side mobility is 130 degrees.  No pain but I get some weakness in my grip and numbness in my arm that goes done to my hand.