chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Hyperhidrosis, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Within 30 minutes of receiving vaccine, developed dripping sweat, no fever. This continued for whole day. Shot site became red, Swollen, warm to touch,  and painful. Took Tylenol/Benadryl. By next morning 0930 ( 24 hours later) increased redness, swelling, warmth, and pain. Seen in the ER since worsting. The redness on right upper arm measured 4 1/2 inches by 8 inches. Took Tylenol/ Benadryl, and iced that evening after work. Redness remains. Same on day three which is today. Now the area that is red now itches.,slight reduction in redness and warmth. Arm aches from shoulder joint to 1/2 way down right upper arm. Will continue to monitor over this weekend and follow up with PMD hopefully on Monday or Tuesday.
Age: 53.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Within 30 minutes of receiving vaccine, developed dripping sweat, no fever. This continued for whole day. Shot site became red, Swollen, warm to touch,  and painful. Took Tylenol/Benadryl. By next morning 0930 ( 24 hours later) increased redness, swelling, warmth, and pain. Seen in the ER since worsting. The redness on right upper arm measured 4 1/2 inches by 8 inches. Took Tylenol/ Benadryl, and iced that evening after work. Redness remains. Same on day three which is today. Now the area that is red now itches.,slight reduction in redness and warmth. Arm aches from shoulder joint to 1/2 way down right upper arm. Will continue to monitor over this weekend and follow up with PMD hopefully on Monday or Tuesday.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Eye pruritus, Oropharyngeal pain, Pain, Pyrexia, Wheezing
Clinical narrative: Wheezing, itchy eyes, body aches, sore throat, fever
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Cold sweat, Dizziness, Feeling hot, Injection site haemorrhage
Clinical narrative: After administering the vaccine, there was a small amount of blood at the injection site    Patient became hot and clammy and said he felt lightheaded.   Patient 's Mom was there and said he usually will have a reaction(headache) but usually several hours later.   Patient never passed out or had any type of a seizure.   I placed   a cold pack on back of his neck and he soon felt better and his Mom took him to the car where his physician father was there to watch for any more reactions.   Mom came back by a little later to say he was feeling much better.   Mom later called to say he was resting and that she and her husband were going home and that he was okay
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Chills, Headache, Injection site pain
Clinical narrative: Sore right arm, chills and shaking, body joint aches, headache, woozy stomach
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Sore right arm, chills and shaking, body joint aches, headache, woozy stomach
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Administration site swelling, Hypoaesthesia
Clinical narrative: patients reports facial numbness and swelling at the site of administration
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, HEPA, MMR, VARCEL
Symptoms: Acute disseminated encephalomyelitis, Aphasia, Arthropod bite, Blood culture, Bradycardia
Clinical narrative: Patient presented to ED on 9-14-2020 after reportedly 8 days of symptoms including fatigue , fevers, loss of speech. CT and MRI of brain showed ADEM (acute disseminated encephalomyelitis). Patient was admitted and discharged on 9-21-2020
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, HEPA, MMR, VARCEL
Symptoms: CSF culture, Computerised tomogram head abnormal, Culture urine, Drug screen, Electrocardiogram abnormal
Clinical narrative: Patient presented to ED on 9-14-2020 after reportedly 8 days of symptoms including fatigue , fevers, loss of speech. CT and MRI of brain showed ADEM (acute disseminated encephalomyelitis). Patient was admitted and discharged on 9-21-2020
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, HEPA, MMR, VARCEL
Symptoms: Extrasystoles, Fatigue, Immunoglobulin therapy, Laboratory test, Magnetic resonance imaging brain abnormal
Clinical narrative: Patient presented to ED on 9-14-2020 after reportedly 8 days of symptoms including fatigue , fevers, loss of speech. CT and MRI of brain showed ADEM (acute disseminated encephalomyelitis). Patient was admitted and discharged on 9-21-2020
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEP, HEPA, MMR, VARCEL
Symptoms: Muscle rigidity, Parasitic test, Parkinsonism, Pyrexia, Sinus arrhythmia
Clinical narrative: Patient presented to ED on 9-14-2020 after reportedly 8 days of symptoms including fatigue , fevers, loss of speech. CT and MRI of brain showed ADEM (acute disseminated encephalomyelitis). Patient was admitted and discharged on 9-21-2020
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Dizziness, Hyperhidrosis, Malaise, Nausea
Clinical narrative: 1-2 minutes post vaccination, patient reported that she  felt dizzy after she got off from the seat. She was advised to take a seat. Within few minutes, she complained of blurred vision.. 'not able to see things clearly.. and 'not feeling well.' She broke out into sweat and her face started to look pale.   Her mom was at her side.  Upon obtaining permission from her mom, EMS was called to avoid patient's  condition getting worse . Cold /wet cloth was  applied to the patient's face and she was alert and responsive.  Within 5 minutes, EMS arrived.  Her vitals were normal. Patient complained of feeling nauseous and stomach cramps (she did mention that her menstrual cycle was to start soon. ).  After 20 minutes or so after EMS arrived, patient seemed to be better and decided to go home.  I followed up with the patient after few hours, patient reported of feeling fine.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Pallor, Vision blurred, Visual impairment
Clinical narrative: 1-2 minutes post vaccination, patient reported that she  felt dizzy after she got off from the seat. She was advised to take a seat. Within few minutes, she complained of blurred vision.. 'not able to see things clearly.. and 'not feeling well.' She broke out into sweat and her face started to look pale.   Her mom was at her side.  Upon obtaining permission from her mom, EMS was called to avoid patient's  condition getting worse . Cold /wet cloth was  applied to the patient's face and she was alert and responsive.  Within 5 minutes, EMS arrived.  Her vitals were normal. Patient complained of feeling nauseous and stomach cramps (she did mention that her menstrual cycle was to start soon. ).  After 20 minutes or so after EMS arrived, patient seemed to be better and decided to go home.  I followed up with the patient after few hours, patient reported of feeling fine.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia, Rash pruritic
Clinical narrative: Fever 5 hours after injection lasting 1.5 days, itchy rash on torso, arms, and legs 3.5 days after injection still present after 5 days post injection (treating with over the counter meds)
Age: 4.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Within hours of receiving Kinrix and Varicella Vaccines, developed redness and warmth at the site that progressed over the following 48 hours.  No c/o pain, no itching, no fevers, acting completely normally.  No improvement with benadryl X `1 the day prior
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever over 100, chills, body aches, sore arm, joint pain.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Influenza, Urticaria
Clinical narrative: Influenza- unsure which. Developed urticaria day after administration. No dyspnea/stridor/N/V.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Lymphoedema
Clinical narrative: lymphedema
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Blood pressure increased, Cough, Fatigue, Heart rate increased
Clinical narrative: Day of injection: Increased pulse, increased blood pressure, increased anxiety, panic attacks that would not go away with medication or self soothing activities,  muscle rigidity from head to toe, legs went numb but were painful Day 1 after injection: small decrease in symptoms from day before, legs back to normal Day 2 after injection: felt fluish, body aches and pains, very fatigued, cough started Day 3 after injection: same symptoms as previous day, went to urgent care, tested for covid antigen, it was negative
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Influenza like illness, Muscle rigidity, Pain, Pain in extremity
Clinical narrative: Day of injection: Increased pulse, increased blood pressure, increased anxiety, panic attacks that would not go away with medication or self soothing activities,  muscle rigidity from head to toe, legs went numb but were painful Day 1 after injection: small decrease in symptoms from day before, legs back to normal Day 2 after injection: felt fluish, body aches and pains, very fatigued, cough started Day 3 after injection: same symptoms as previous day, went to urgent care, tested for covid antigen, it was negative
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Panic attack, SARS-CoV-2 test negative
Clinical narrative: Day of injection: Increased pulse, increased blood pressure, increased anxiety, panic attacks that would not go away with medication or self soothing activities,  muscle rigidity from head to toe, legs went numb but were painful Day 1 after injection: small decrease in symptoms from day before, legs back to normal Day 2 after injection: felt fluish, body aches and pains, very fatigued, cough started Day 3 after injection: same symptoms as previous day, went to urgent care, tested for covid antigen, it was negative
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: The patient was a 17 year old female there with her family (her parents and two sisters). About 5 minutes after administration, her sister alerted me to grab some alcohol prep pads to put under the patient's nose and she (and her parents) informed me that she faints after she receives vaccines. I alerted the technicians to call a code white over the intercom, and used the ammonia inhalant to revive the patient (she was unconscious in her mother's arms). The technicians grabbed the patient a chair and she was seated and asked questions about her surroundings until management arrived. Management brought her water, orange juice, and ice and our team fanned her with air. The event lasted approximately 20-30 minutes around 5:30pm, and her parents were appreciative of our attentiveness. After the patient was fully conscious, I informed her family that I would call them this evening to check-in. At 6:50pm, I spoke with the father and he informed me that the patient was doing well. No injuries were reported.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: within a few hrs after receiving first dose of shingrix( previously had zostavax 3 yr prior and had local reaction only) I developed headache, nausea, tiredness, chills, had low grade fever, shivering, soreness and mild rash at site of injection, overnight had rash develop on chest and back and neck area, slightly itchy and red and flat.  s/s lasted about 36 hr, although rash persisted up to 72 hr and mild headache feeling had some stomach pains first day with nausea.  fever about 24 hr.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Nausea, Pyrexia, Rash, Rash erythematous
Clinical narrative: within a few hrs after receiving first dose of shingrix( previously had zostavax 3 yr prior and had local reaction only) I developed headache, nausea, tiredness, chills, had low grade fever, shivering, soreness and mild rash at site of injection, overnight had rash develop on chest and back and neck area, slightly itchy and red and flat.  s/s lasted about 36 hr, although rash persisted up to 72 hr and mild headache feeling had some stomach pains first day with nausea.  fever about 24 hr.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: within a few hrs after receiving first dose of shingrix( previously had zostavax 3 yr prior and had local reaction only) I developed headache, nausea, tiredness, chills, had low grade fever, shivering, soreness and mild rash at site of injection, overnight had rash develop on chest and back and neck area, slightly itchy and red and flat.  s/s lasted about 36 hr, although rash persisted up to 72 hr and mild headache feeling had some stomach pains first day with nausea.  fever about 24 hr.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: The patient states she received vaccine at 8:30am and we she got home she had some swelling as the day moved on she had a Red Line about finger width all around her arm just below vaccine site.  Throughout the day she said she was fine but her swelling  extended from her arm up to her neck by 6:30 pm that day. She went to the emergency room and received pepcid AC and benadryl. She states she had already taken some benadryl.  She says she stayed at hospital for 2 and 1/2 hours then was sent home with a prescription for Prednisone. She says she did get dizzy and lightheaded but that passed and she did not have any discomfort only swelling on her arm. She says she is fine now but did want for someone to report her occurence. She states she had Prevnar vaccine last year with issues. Her flu vaccines have always been ok.
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Diarrhoea, Dizziness, Headache, Hyperhidrosis, Lymphadenopathy
Clinical narrative: Right arm soreness day of vaccine. Extreme headache night of vaccine and  day after vaccine sweaty, dizzy, fainting. Fever of 100 F. 2 days after vaccine  swollen lymph node right side of neck, low grade fever 99 F, diarrhea,  and rash under both arms.
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Pain in extremity, Pyrexia, Rash, Syncope
Clinical narrative: Right arm soreness day of vaccine. Extreme headache night of vaccine and  day after vaccine sweaty, dizzy, fainting. Fever of 100 F. 2 days after vaccine  swollen lymph node right side of neck, low grade fever 99 F, diarrhea,  and rash under both arms.
Age: 81.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Pyrexia
Clinical narrative: fever and chills
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Facial pain, Fatigue, Headache
Clinical narrative: Symptoms came on sudden and fast.  Thumping in back of my head, severe headache, face pain below eyes, stuffy nose, pain all over body, streaks of pain in wrists, head, neck, hips, chest,  fast heart rate, (95) extreme chills that eventually turned into hot flashes, nausea, stomach pain, fatigue.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Hot flush, Nasal congestion, Nausea, Pain
Clinical narrative: Symptoms came on sudden and fast.  Thumping in back of my head, severe headache, face pain below eyes, stuffy nose, pain all over body, streaks of pain in wrists, head, neck, hips, chest,  fast heart rate, (95) extreme chills that eventually turned into hot flashes, nausea, stomach pain, fatigue.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: pt came in on 9/25 with her upper arm swollen (~1 INCH ) AROUND INJECTION SITE AND IT WAS WARM TO THE TOUCH AND WAS VERY HARD.  Said that it hurted to touch it or to lay on it.  Advised patient to place ice on it and take apap or ibuprofen.  if it was not any better by 9/26 to contact provider or have us call provider to inform them
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: I was never given a paper with information  Within 12 hrs I had a fever, muscle aches, headache, nausea,
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB, DTAPIPVHIB, DTAPIPVHIB, PPV, RVX
Symptoms: Autopsy, Sudden death
Clinical narrative: Baby was completely healthy and died suddenly on July 2, 2020.  ME finds cause of death Sudden Unexpected Death, Natural Causes.  We need to be sure these vaccines had nothing to do with his death.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Pallor
Clinical narrative: Patient at 11 year old well child check.  Seconds after receiving Tdap vaccine, patient felt lightheaded and became pale,  but never passed out. Patient laid flat on exam table. Ice pack applied to head Dr. came in shortly after and assessed patient. Apple juice provided Blood pressure taken and was 92/56.  Patient felt much better after this and walked out office with mom and brother with no symptoms after being reassed by Dr.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Lip swelling, Swelling face
Clinical narrative: Patient said that on Tues/Wed (9/15, 9/16) he developed swelling of his top lip and right face.  He took some antibiotics which seemed to help.  By that Thurs/Fri (9/17, 9/18), the swelling had gone down.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Needle issue
Clinical narrative: I gave her the shot and she said it went fine. I right away gave her a bandaid.  When I was disposing the syringe with needle, the needle was not there anymore. I am scared the needle is in her arm.  She said she does not feel anything. I am not sure if needle fell on the floor.
Age: 31.0
Sex: M
Vaccine: FLU4
Symptoms: Cyanosis, Fatigue, Feeling cold, Pyrexia, Somnolence
Clinical narrative: Patient states that his body got extremely cold, to the point that his lips were blue approximately 1.5 hours after receiving the vaccine.  The patient continued to feel cold for approximately half an hour, then turned into a fever.  The patient's fever at 7:30pm was 103 degrees Fahrenheit.  He woke up again the next morning feeling groggy and his fever was still 102 degrees.  He reports no flu-like symptoms, just fatigue and a high fever,
Age: 39.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: Patient received first dose of influenza and was fine.  I waited a minute and administered boostrix.  Within a minute of receiving the boostrix vaccination, he showed signs of vasovagal syncope.  He was sitting in a chair the whole time so he was safe and there was no injury.  He came to within a minute but was showing signs of sweating.  He was fine within 5 minutes and was under careful watch for the next 15-20 minutes.  During this time he was given a lollipop and water.  After this time he said he was fine.  He stayed at the location for another 15 minutes, walked around,  and then was driven home by his wife.  I followed up with wife an hour later and she reported that he was fine.  Patient reported this had happened previously when he received 2 shots in the same visit over 10 years ago but could not recall which vaccinations were given at that time.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased, Blood pressure increased, Chills, Culture urine, Differential white blood cell count
Clinical narrative: Shivering for over 3 1/2 hours starting about 4:00 p.m., severe headache, nausea, muscle pain in left arm for 3 days after shot, warm at shot site, fever over 100 up to 101.  I was told by triage nurse to report to ER on Thursday morning because of fever and my diabetes.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Full blood count, Headache, Injection site warmth, Metabolic function test, Myalgia
Clinical narrative: Shivering for over 3 1/2 hours starting about 4:00 p.m., severe headache, nausea, muscle pain in left arm for 3 days after shot, warm at shot site, fever over 100 up to 101.  I was told by triage nurse to report to ER on Thursday morning because of fever and my diabetes.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test
Clinical narrative: Shivering for over 3 1/2 hours starting about 4:00 p.m., severe headache, nausea, muscle pain in left arm for 3 days after shot, warm at shot site, fever over 100 up to 101.  I was told by triage nurse to report to ER on Thursday morning because of fever and my diabetes.
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Dizziness, Feeling cold, Heart rate increased, Pain
Clinical narrative: Vomiting,rapid heartbeat ,freezing shivers, aches dizziness
Age: 67.0
Sex: M
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Vomiting,rapid heartbeat ,freezing shivers, aches dizziness
Age: 66.0
Sex: M
Vaccine: FLUA3
Symptoms: Diarrhoea, Headache, Vomiting
Clinical narrative: Vomiting, diarrhea, headache
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Vaccine was administered in the right arm not centered in the deltoid muscle.  Patient came back after vaccine was administered with numbness and pain radiating down the arm.  Patient was assessed by NP and advised to use an ice pack.  NP will followup with patient.  Nurse that administered vaccine was educated on correct site to administer vaccines in the deltoid.
Age: 43.0
Sex: M
Vaccine: FLUC4, HEPAB
Symptoms: Injection site haemorrhage
Clinical narrative: Patient bled at time of vaccine just a small amount not enough to fill inject safe bandage. Bleeding stopped before he left. Patient states that when he got home there was more blood than when he left the pharmacy. Blood was not oozing or gushing out but there was blood on his arm. He was concerned that since he bled perhaps the entire dose did not enter body as it should. He said he did not have any problems and did not bleed alot but I told him more than likely all the medication stayed in since it went in the muscle but it would be a good question to find out about since it is a series of vaccines I wanted to make sure he had complete coverage. I contacted and they referred me to the CDC. CDC referenced doses not properly administered as the category it would be and they stated that the dose should be repeated. The CDC stated that for Twinrix if the full dose was not properly administered the dose should be repeated and there is no wait time to do it whereas if it had been a live vaccine the patient would have to wait 4 weeks. The patient came in on 9/24/20 and a repeated 2nd dose was administered. Patient vaccination was uneventful.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Patient was getting the influenza vaccine and had stated how she gets nervous prior to immunizations, but did not exhibit any symptoms besides general uneasiness prior to administration. After vaccine administration, patient soon turned a pale color and loss consciousness. Patient regained consciousness a few seconds later. I, the pharmacist at the immunization booth, along with staff, the pharmacist that was in the pharmacy at the time, attended to the patient. Patient then passed out twice more while still sitting down in the chair, in the care of both me and staff. EMS had already been called at this time, and until their arrival both staff and I cared for the patient.  We gave the patient water and took blood pressure to assess the patient's status as best we could before arrival of EMS.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Lymphoedema
Clinical narrative: lymphedema
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient states her arm is red, swollen and warm to the touch from her shoulder down to her elbow.
Age: 14.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Seizure, Vomiting
Clinical narrative: immediately after getting flu shot , patient said to her mom "i think i am going to faint" ,went unconscious and her mom assisted her to the floor where patient looked to have a seizure for seconds then vomited and regained consciosuness. emergency personnel  checked patient out . bp 120/80 and glucose 80 . emergency  personnel then escorted patient to er for further evaluation.  patient did walk out of store on her own.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Lip swelling, Peripheral swelling
Clinical narrative: patient husband called on 9/25 and said patients arm was red, swollen and her bottom lip had started swelling up.  I told him he should contact her primary care doctor about the swollen lip.  Patients husband came to pharmacy on 9/26 and said her top lip had started swelling today.  He had contacted the doctor on 9/25 and he advised pt to take Benadryl, Pepcid and to not get the second dose of Shingrix
Age: 82.0
Sex: F
Vaccine: FLUA4
Symptoms: Bursitis, Injected limb mobility decreased, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: On night of vaccine 9/14/20, developed pain and mild swelling at injection site of right deltoid.  One week later, developed inability to raise RUE without help of left hand. On 9/22/20, developed severe pain "8 of 10" right shoulder; pain resolved with 2 Tylenol.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Muscle spasms, Pruritus
Clinical narrative: Patient received flu shot on 9/21. She has a rash on the site of injection a few days after the shot and some muscle cramps along her right thigh. Patient came to the pharmacy to speak with the pharmacist in regard to the reaction on 9/26. Patient has been using Benadryl cream to help with the itching.  She said the rash has improved over the past few days. Pharmacy will follow up with the patient in next week.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Oral mucosal eruption, Rash vesicular, Skin exfoliation
Clinical narrative: Patient got Shingrix on 9-18-2020. Four days after shingrix shot on 9-21-20, patient noticed a rash on the corner of the mouth that extended between the nose and lips. No rash on the lips, and no other symptoms reported. He described the rash had blisters with burning sensation. A pain scale (1-10) with a grading of 4 to him. On 9-26-20, he reported the symptoms to pharmacy. He noted the rash got better and it is currently peeling. He was advised to see his primary doctor, which he said he will if he finds the symptoms worsening.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Approximately 7 hours later noticed a pear shape, light pink lump about a third of the way down outer arm from the injection site.  About 24 hours later noticed the lump was gone and there was a pink, slightly swollen area about 6 inches above elbow joint and saggy skin from that point under arm to about 4 inches below the elbow.  Would wiggle back and forth when I shook arm.  No pain and no other unusual symptoms.
Age: 68.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Anaphylactic reaction, Throat tightness
Clinical narrative: Patient reported an anaphylactic-type reaction; throat closed up, went to the ER.
Age: 68.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Chills, Cough, Dysphagia, Dyspnoea, Sensation of foreign body
Clinical narrative: Patient reported an anaphylactic-type reaction; throat closed up, went to the ER.
Age: 68.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Throat irritation, Wheezing
Clinical narrative: Patient reported an anaphylactic-type reaction; throat closed up, went to the ER.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: swelling at injection site, redness, hot to touch, achy joints
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Myalgia
Clinical narrative: muscle pain especially when dressing or drying off after shower still hurting today He thinks he needs to go to doctor.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Dysphagia, Hyperhidrosis, Palpitations
Clinical narrative: PATIENT WAS SWEATING, DIFFICULTY SWALLOWING AND INTENSE HEART POUNDING AFTER 5 TO 10 MINS OF ADMIN.  RPH GAVE EPIPEN JR SHOT ON RIGHT THIGH.  CALL 911 AFTER EPIPEN SHOT.  PARAMEDICS ARRIVED AND TOOK VITALS.  BREATHING, PULSE, BLOOD PRESSURE AND HEART RATE WERE STABLE.  PATIENT DID NOT NEED TO GO TO ER.  PATIENT WALKED AWAY WITH NO ISSUE.
Age: 64.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: redness  and warmth at injection site
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Peripheral swelling, Swelling, Ultrasound scan normal
Clinical narrative: Patient came to pharmacy to get Pneumovax 23 immunization on 9/23/20, used appropriate PPE, swabbed site with alcohol swab and injected vaccine as per usual guidelines. Discussed adverse events with patient. Patient returned to the pharmacy on 9/25/20 and received an rx for cephalexin and described cellulitis following the vaccination. Patient stated she had redness and a little swelling the night of 9/23/20, took ibuprofen and benadryl and used an ice pack. Patient then stated in subsequent days, the redness disappeared from the original site and both sides of her arm became red and swollen, she went to the doctor and the determined it to be cellulitis but did an ultrasound to rule out blood clot as well.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient's arm was swollen and very red around injection site extending down the arm in a diameter of about 6 inches.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Pyrexia
Clinical narrative: After injection, the patient reported having difficult breathing. She remained in the pharmacy to rest and being observed for 30 minutes. During that time, she drank some water and felt better and was taken home by her mother with advice to seek emergency medical care if symptoms got worse. The next day follow up call, her mother reported that the patient had some fever and difficult breathing over night. She was given Tylenol and got better in the morning. We advised the mother to continue giving her Tylenol along with Benadryl every 6 hours for the next 2 days and if symptoms get any worse then seek emergency medical care.
Age: 69.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site rash, Injection site swelling, Rash macular
Clinical narrative: Patient has red swollen splotches traveling slowly down her arm starting from the vaccination site where the pneumovax was given. It hurts to move her arm.
Age: 74.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient is stating their arm is sore in which they received the flu vaccine
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Contusion, Inflammation, Injection site pain, Pain in extremity
Clinical narrative: On the evening of vaccination (9/20/20) the patient developed an inflamed area about 3x3" ~3" BELOW the administration site. She stated the area was warm to the touch and sore. She confirmed that the vaccination was given in the middle of her deltoid and it was not noticeably painful during administration.  The inflamed area persisted through 9/24. Her physician was notified and initially diagnosed it as cellulitis. However on 9/25 she had an in person visit and the appearance shifted a bruise. Starting on 9/25 she also reported pain in all of her joints (shoulder, elbow, wrist, and knuckles) on her left arm. Her physician had her discontinued her bactrim and started a prednisone taper.
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Skin warm
Clinical narrative: On the evening of vaccination (9/20/20) the patient developed an inflamed area about 3x3" ~3" BELOW the administration site. She stated the area was warm to the touch and sore. She confirmed that the vaccination was given in the middle of her deltoid and it was not noticeably painful during administration.  The inflamed area persisted through 9/24. Her physician was notified and initially diagnosed it as cellulitis. However on 9/25 she had an in person visit and the appearance shifted a bruise. Starting on 9/25 she also reported pain in all of her joints (shoulder, elbow, wrist, and knuckles) on her left arm. Her physician had her discontinued her bactrim and started a prednisone taper.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Induration, Peripheral swelling
Clinical narrative: Arm above elbow swelled and felt hard, joint pain all over body, occured after vaccine and continued to worsen
Age: 58.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Syncope, Vomiting
Clinical narrative: Patient experienced syncope after the second vaccine (the shingrix) was adminstered and stated they were close to passing out. This was the patients first time receiving immunizations. The syncope lasted for approximately 5 minutes, the patient also vomited during this time. After the 5 minutes the patient stated they felt a lot better and were experiencing no further symptoms. The patient remained seated under supervision for about ten more minutes before they left the pharmacy.  The patient did not have any other symptoms during the immunization process.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Body temperature increased, Diarrhoea, Fatigue, Influenza like illness
Clinical narrative: Nausea, diarrhea (2) days, weakness, flu like body aching, 100.5 temp, tiredness,
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Nausea, diarrhea (2) days, weakness, flu like body aching, 100.5 temp, tiredness,
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: patient experienced swelling, redness, hot to the touch and pain above elbow in right arm after injection of flu shot the day of and the day after administration. She said it is getting better each day.
Age: 58.0
Sex: M
Vaccine: FLUA4
Symptoms: No adverse event
Clinical narrative: no adverse reaction from patient reported. patient was not 65 years old at the time of administration.
Age: 42.0
Sex: F
Vaccine: FLUA4
Symptoms: Aphonia, Arthralgia, Dizziness, Dysgeusia, Oropharyngeal pain
Clinical narrative: Metallic taste in my mouth within 15 minutes of the shot. Sharp pain on left shoulder blade. Around 7 pm sore throat and I began to lose my voice.  Throat started swelling and my heart was racing.  I alsoI began feeling lightheaded like I was going to faint. My husband rushed me to the ER.
Age: 42.0
Sex: F
Vaccine: FLUA4
Symptoms: Palpitations, Pharyngeal swelling
Clinical narrative: Metallic taste in my mouth within 15 minutes of the shot. Sharp pain on left shoulder blade. Around 7 pm sore throat and I began to lose my voice.  Throat started swelling and my heart was racing.  I alsoI began feeling lightheaded like I was going to faint. My husband rushed me to the ER.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Body temperature increased, Dizziness, Pain
Clinical narrative: temp of 102, profound weakness, body aches, faintness
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion
Clinical narrative: PATIENTS WHOLE ENTIRE ARM TURNED BLACK AND BLUE DISTALLY FROM THE INJECTION SITE WHICH COINCIDED WITH WHERE THE PHARMACIST HAD HIS HAND AROUND HER ARM. A WEEK LATER, SHE STILL HAD REMNANTS OF THE BRUISING IN THE PATTERN OF 5 FINGERS
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: patient reports arm pain x 1 month , alleviated with massage/pressure, persistent x 1 month.
Age: 65.0
Sex: M
Vaccine: FLUR4
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Patient had a red rash that he reported was itching approx 10 minutes after injection on the same arm. Pharmacist gave the patient 10mls of Benadryl liquid. Patient waited for 20 minutes. Pharmacist checked the site again and it didn't worsen.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Pain
Clinical narrative: Pt reports pain shortly after injection 2 days post   red , raised, hard below site
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Patient had redness about the size of her palm and slight itching
Age: 9.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event
Clinical narrative: none yet known
Age: 58.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pruritus
Clinical narrative: She reported back to the pharmacy after receiving her vaccine stating that underneath her arm was itchy (approx. 10-15 mins post vaccination). She reported the itchiness to be under her left arm (closer to the armpit). She said the itchiness was no where near the actual injection site and it was only on the bottom half of the top part of her arm. She denied any other symptoms and I advised her to take Benadryl. She contacted her PCP office when she got home and the provider on call told her that she does not need to take Benadryl because she takes a maintenance allergy medication already. He told her to take the Benadryl only if the itchiness gets worse. I called her about 4 hours later and she said that about 90% of the itchiness has resolved. I called a second time 2-3 hours later to follow up again and she said she is completely fine.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Dizziness, Feeling cold, Nausea
Clinical narrative: Patient presented with severe lightheadedness about 3-4 hours post vaccination. He also presented with nausea and feeling cold. Patient was monitored for 30 minutes post presentation notification and symptoms completely resolved by 6 hours post vaccination.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Muscle rigidity, Muscle tightness
Clinical narrative: Within seconds of receiving the vaccination, patient stated she was starting to feel lightheaded, vision splotchy. After roughly 20 seconds she had a full syncope episode including losing consciousness for ~5 seconds. During this time she moved her arms in a way that seemed like her muscles tensed and became rigid. She recovered within seconds complaining of sweating, splotchy vision, ringing in ears. I gave her orange juice and monitored her at least 15 minutes. She stated her symptoms were improving at that time.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Syncope, Tinnitus, Visual impairment
Clinical narrative: Within seconds of receiving the vaccination, patient stated she was starting to feel lightheaded, vision splotchy. After roughly 20 seconds she had a full syncope episode including losing consciousness for ~5 seconds. During this time she moved her arms in a way that seemed like her muscles tensed and became rigid. She recovered within seconds complaining of sweating, splotchy vision, ringing in ears. I gave her orange juice and monitored her at least 15 minutes. She stated her symptoms were improving at that time.
Age: 74.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Signifant redness and urticaria/swelling below(not directly at) site of injection on the left arm that stopped just before the elbow.
Age: 23.0
Sex: F
Vaccine: FLUC4
Symptoms: Abdominal pain upper, Muscle spasms, Posture abnormal, Syncope
Clinical narrative: patient stated that she had fainted a while ago after gettin a shot. Today, after about 10 minutes patient began slumping in the chair. I gave her an ice pack to place on her stomach and some water, she did not want to lie down. Repeatedly checked on her, she left after 25-25minutes. Unknown amount of time passed, security came to get me because patient has collapsed in rest room, complaint of stomach cramping, a little leg cramping and then her legs felt like jelly and would not support her. We set her up in the baby nursing room with her feet up.
Age: 81.0
Sex: M
Vaccine: FLUA4
Symptoms: Injection site bruising
Clinical narrative: Bruising at injection site still remains on 9-26-20 (13 days post injection).
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Loss of consciousness, Malaise, Pallor, Pyrexia, Unresponsive to stimuli
Clinical narrative: 25 min after injection, pt complained of not feeling well.  Pt turned pale and lost consciousness - his eyes were open, but he was completely no responsive.  He began vomiting. He regained conscious and didn't know what had happened.  He vomited several more times, was very pale and had a high fever. His skin was clammy wet.  He was able to drink some water while we transported him ourselves to the ER.   At the ER, his first EKG showed abnormal QT.  Other labs were in normal range.  Iv fluids given. Second ekg was normal.  Discharged with referral for home EKG monitoring.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: 25 min after injection, pt complained of not feeling well.  Pt turned pale and lost consciousness - his eyes were open, but he was completely no responsive.  He began vomiting. He regained conscious and didn't know what had happened.  He vomited several more times, was very pale and had a high fever. His skin was clammy wet.  He was able to drink some water while we transported him ourselves to the ER.   At the ER, his first EKG showed abnormal QT.  Other labs were in normal range.  Iv fluids given. Second ekg was normal.  Discharged with referral for home EKG monitoring.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: pt came in and informed me she noticed redness and swelling around the injection site. Painful and itchy the size of about a softball. Pt thinks it was cellulitis.
Age: 11.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Syncope
Clinical narrative: Pt was given Tdap 1 minutes after receiving Flu vaccine. Pt experienced syncope after receiving Tdap when she attempted to stand up from Chair. Pt was helped back to chair. Pt did not hit her head. No loss of consciousness . Pt was monitored in clinic for 45 mins and was able to walk out of clinic without difficulty. Father was present throughout episode.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Headache, Nausea, Pain, Pyrexia
Clinical narrative: This was my second sharif vaccine first was 2/4 and the only symptom I had was a sore arm with some redness around injection site. I have vaccine around 6-6:30 pm on 9/25 and the Fever 100.6, very bad body aches that awoke me from sleep, headache, nausea, diarrhea.  Started around 4am slightly better after Tylenol but have returned. Still have all of the above symptoms.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Sleep disorder
Clinical narrative: This was my second sharif vaccine first was 2/4 and the only symptom I had was a sore arm with some redness around injection site. I have vaccine around 6-6:30 pm on 9/25 and the Fever 100.6, very bad body aches that awoke me from sleep, headache, nausea, diarrhea.  Started around 4am slightly better after Tylenol but have returned. Still have all of the above symptoms.
Age: 75.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Swelling
Clinical narrative: Patient got a vaccine for Pneumovax23 and Fluzone HD in Left arm on  9/24/2020. Patient presented to pharmacy on 9/26/2020 with redness and localized swelling extending from her shoulder to her elbow. Referred patient to medical care to rule out cellulits and to be treated for possible allergic reaction.
Age: 12.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This vaccine is not indicated for people 17 years-old or less. It was administered to a 12 year-old. No adverse events were observed or expected, but filled out the form because reported vaccine errors is strongly encouraged.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: ARM SWELLING, REDNESS, TENDERNESS
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Axillary pain, Chills, Erythema, Pain, Swelling
Clinical narrative: Pain, swelling, readiness, pain in armpit, chills
Age: 57.0
Sex: M
Vaccine: FLUC4
Symptoms: Syncope
Clinical narrative: Fainted after vaccination - got back up and left store. Contacted wife, she said he has a history of fainting with needles / blood draws.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Hypotension, Injection site rash, Injection site swelling, Vomiting
Clinical narrative: Patient states 9/24 being hypotensive and vomitting, but those symptoms have since resolved.  Patient has a rash from injection site down and swollen.   She was advised to take bendryl and she will be following up with a  doctor.
Age: 73.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Headache, Pain
Clinical narrative: body aches, headache, temperature 99.5
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Pain in arm from (deltoid to elbow) started in the night of vaccine has lasted two weeks
Age: 71.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea
Clinical narrative: patient received two immunizations (fluzone hd and pneumovax 23) on 9.24.20. patient presented to the pharmacy on 9.26.20 explaining adverse effects from the immunizations. The night of 9.24.20 she began experiencing these effects of feeling nauseous and vomiting.  She stated that this occurs every year with the flu shot and she is able to manage it without significant issues. However, this year starting 9.25.20 morning she had a slight fever and the injection site began to turn red, warm to the touch, and was painful. She treated it with calamine lotion with no relief. On 9.26.20, she came to the pharmacy and asked what type of treatments the pharmacist would recommend. She presented her arm and it did appeared moderately irritated with red slightly raise patches starting at shoulder and ending mid arm. She stated her fever, nausea, and vomiting was gone, but her injection site was still painful and warm to the touch. Pharmacist instructed patient to take diphenhydramine, ibuprofen, and a cold compress. Also, instructed patient to seek medical care if the reaction worsened over the next 24 hours despite treatment. Patient agreed that she would follow this advice.
Age: 71.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pyrexia, Vomiting
Clinical narrative: patient received two immunizations (fluzone hd and pneumovax 23) on 9.24.20. patient presented to the pharmacy on 9.26.20 explaining adverse effects from the immunizations. The night of 9.24.20 she began experiencing these effects of feeling nauseous and vomiting.  She stated that this occurs every year with the flu shot and she is able to manage it without significant issues. However, this year starting 9.25.20 morning she had a slight fever and the injection site began to turn red, warm to the touch, and was painful. She treated it with calamine lotion with no relief. On 9.26.20, she came to the pharmacy and asked what type of treatments the pharmacist would recommend. She presented her arm and it did appeared moderately irritated with red slightly raise patches starting at shoulder and ending mid arm. She stated her fever, nausea, and vomiting was gone, but her injection site was still painful and warm to the touch. Pharmacist instructed patient to take diphenhydramine, ibuprofen, and a cold compress. Also, instructed patient to seek medical care if the reaction worsened over the next 24 hours despite treatment. Patient agreed that she would follow this advice.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Dysphonia, Glossitis, Injection site erythema, Muscular weakness, Pruritus
Clinical narrative: Within 15-20 minutes of receiving the flu shot I experienced a red patch around the injection site followed by patches of hives on my chest, neck, shoulder back, under my arms, wrist, and palms of my hands. The hives and itchy continued to my ears, eyebrows, scalp and eventually my throat and tongue became irritated. My voice turned hoarse.  Both of my legs became weak. I received the flu shot at work. The pharmacy came to my place of employment. I was given a benedryl and had to be picked up from a family member. The symptoms did not improve, so my doctor office is treating me with a 5 day dose of steroids twice a day for 5 days. Tomorrow morning will be 48 hours since the shot, and I am still experiencing the above symptoms. My skin is itchy and almost feels hot. I continue to take the benedryl and steroid.