chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.08
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Metabolic function test, Respiratory syncytial virus test negative, Streptococcus test negative
Clinical narrative: Febrile seizure. Normal labs and work up in ER immediately following event and normal exam in PCP ofice following day.
Age: 23.0
Sex: M
Vaccine: FLUN4, HEPAB
Symptoms: Dermatitis
Clinical narrative: ATYPICAL DERMATITIS.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysphagia, Dyspnoea, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Pain, redness and swelling throughout entire arm including hands and fingers. Difficulty breathing/swallowing.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Loss of consciousness, Middle insomnia
Clinical narrative: Patient woke up in the middle of the night (night of the day the vaccine was given) and felt faint. Patient went out to kitchen to get something to eat and passed out. Went to couch for a couple of hours, tried to get up and felt as though she was going to pass out again. Patient was alone at the time. Patient said this feeling of being "faint" lasted about 2 weeks, each day getting slightly less.
Age: 47.0
Sex: U
Vaccine: FLU4
Symptoms: Bursitis, Injected limb mobility decreased, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Pain at time of injection. Unable to sleep on my left side that night and since- I thought it would eventually get better. Over next month, pain progressed and slowly began losing ROM, unable to lift my left hand over my head, behind my back, toward my right side. Difficulty dressing especially with any tops that do not stretch like my scrub tops. Called PCP request an MRl. They would not order tests unless l came in for a visit. X-ray was ordered at first visit. Xray on 12/24/2018 was negative. Was referred to a physical therapy, who then ordered an MRl and referred to PT, 2-3 times a week. MRl on 1/14/19 showed subdeltoid bursitis, tendons intact, synovitis, adhesive capsulitis, small subacromial/subdeltoid bursitis.
Age: 47.0
Sex: U
Vaccine: FLU4
Symptoms: Nuclear magnetic resonance imaging abnormal, Periarthritis, Synovitis, X-ray normal
Clinical narrative: Pain at time of injection. Unable to sleep on my left side that night and since- I thought it would eventually get better. Over next month, pain progressed and slowly began losing ROM, unable to lift my left hand over my head, behind my back, toward my right side. Difficulty dressing especially with any tops that do not stretch like my scrub tops. Called PCP request an MRl. They would not order tests unless l came in for a visit. X-ray was ordered at first visit. Xray on 12/24/2018 was negative. Was referred to a physical therapy, who then ordered an MRl and referred to PT, 2-3 times a week. MRl on 1/14/19 showed subdeltoid bursitis, tendons intact, synovitis, adhesive capsulitis, small subacromial/subdeltoid bursitis.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Tinnitus, Tremor
Clinical narrative: Patient experienced symptoms of ringing in the ears and hand shaking.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Aptyalism, Autoimmune disorder, Blood test normal, Burning sensation, Cellulitis
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Dark circles under eyes, Diplopia, Dysphagia, Dyspnoea, Eye swelling
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Grip strength decreased, Headache, Immediate post-injection reaction, Impaired work ability
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Insomnia, Laboratory test, Lacrimal disorder
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Malaise, Muscular weakness, Musculoskeletal discomfort, Neck mass
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Nerve injury, Neuralgia, Neuralgic amyotrophy, Pain, Product administered at inappropriate site
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rheumatoid factor increased, Sensory disturbance, Sensory loss, Sjogren's syndrome
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Skin lesion, Skin ulcer, Swelling, Vision blurred
Clinical narrative: The adverse event have progressed and aggravated since the date of vaccination requiring numerous doctor visits, visits with specialists and testing. Vaccine received at work site. There could have been issues in terms of the administration. The vaccine was administered on inside of left shoulder--which was odd; it felt like it struck a nerve. Immediately, the site was hurting/throbbing pain; got home and laid on the couch and took Ibuprofen. Around 2 AM awoke gasping for air; felt like couldn't breathe. Took more ibuprofen and paced the floor since could not go back to sleep because of pain. Pain continued for a few days, site was swollen; took ibuprofen. Within a few days, nerves on neck and shoulder felt on fire. Within 1-2 weeks felt sick and had possible bad case of flu. Patient sough care at Clinic; the NP commented on swelling at site. NP prescribed antibiotics and helped a little with the lung symptoms. A couple of weeks later went back and NP thought it was cellulitis and prescribed another antibiotic. The medicine, provided relief for remaining lung issues but neck and shoulders continued to bother. Followed up with the clinic at work and they thought it was an autoimmune reaction. Testing performed was not conclusive. Problems continued and started to get rashes, lump on neck, had swallowing issues, sores/lesions on arm, neck, legs, and could not breathe well. Started passing out at work and at home. On June neurologist specified that patient had a secondary autoimmune syndrome linked to vaccine; patient was diagnosed with brachial plexus neuralgia/neuropathology/Parsonage-Turner Syndrome. The tests showed that patient had High Inflammation Factor, RA=16.8. Patient started losing feeling on arm and legs; patient could not pick up even gallon of milk and started to feel weird sensations on legs, could not make tears, saliva or mucus. In October patient was diagnosed with Sjogren's syndrome; blood test were negative though. At the end of November, patient left neurologist's practice and is looking for a new one. Patient's PCP and has had numerous visits and referrals over time. Patient has gone to physical therapy, pain management (cortisol, epidural injection in neck/shoulder), spine surgeon, chiropractor and more. Patient is in chronic pain daily and still does not feel good enough to work; the adverse events have affected her mind, body and soul. Patient is scared that 1 year later she is not working and needs to be. Patient not sure what to do to get better since so far nothing has helped. Symptoms are now worse than in the beginning and even has new problems. She feels like she has aged 10 years in 1 year. In terms of symptoms, the patient reports currently also: weak arms, swelling, puffy eyes/deep circles under eyes, blurry, double vision and headaches. Patient is worried that if symptoms continue she will require home care/assistance.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Peripheral swelling, Pyrexia
Clinical narrative: Client reported that evening her arm began to swell. She had fever, redness and swelling to her Left deltoid area. She iced it and took BENADRYL. One week later she came for her second TWINRIX and showed this RN her Left arm. She reported the redness and swelling had gone down.  Still warm to touch. Measured 30mm x 30mm. Instructed to continue icing her arm and take TYLENOL or ADVIL. Instructed to report to her PCP.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Patient described an itchy rash that started about a week after getting vaccination. The rash presented as red, raised bumps on his arms, neck, mid back, and forehead/scalp area. It has lasted over a month, he went to dermatologist to get steroid creams. He says they seem to be getting better.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Vaccinations given today, please see immunization module for route, dose and assessment. Verified patient with two patient identifiers: Full Name and DOB. Consent form completed, reviewed and allergies verified with parent/guardian. Parent/guardian provided with VIS forms whom verbalized understanding and agreed with plan of care. Patient tolerated procedure well, approximately 5 minutes after administration, MOP reported redness and swelling at the site of varicella injection. Dr. assessed patient; 12.5mg BENADRYL ordered and administered PO. Vital signs take at time of administration. Parent was advised to remain in clinic for 10 additional minutes for monitoring. Vital signs taken and documented at the time of discharge. Patient discharged to home with parents with no limitations. No further adverse reactions noted.
Age: 16.0
Sex: U
Vaccine: MNQ
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Headache, nausea, vomiting, occurring 2 days after vaccination.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Cartilage injury, Circumstance or information capable of leading to medication error, Immediate post-injection reaction, Injected limb mobility decreased
Clinical narrative: Pharmacist gave the flu shot, jabbed a long needle in my upper left arm & felt pain immediately. I was sitting & he was standing over me when he injected the shot. Pain was not the usual 2-3 day discomfort. It was intermittent but has progressed over time. Cannot lift my arm overhead & behind me, cannot sleep on my left side. Researched arm pain after a flu vaccine and many articles popped up describing my exact pain as SIRVA. Never heard of this before. I have received a yearly flu shot due to my age & working in healthcare for 28 years, a RN always gave the shots. This was the first time going to a pharmacy for the flu shot.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Joint effusion, Nuclear magnetic resonance imaging abnormal, Osteoarthritis, Periarthritis
Clinical narrative: Pharmacist gave the flu shot, jabbed a long needle in my upper left arm & felt pain immediately. I was sitting & he was standing over me when he injected the shot. Pain was not the usual 2-3 day discomfort. It was intermittent but has progressed over time. Cannot lift my arm overhead & behind me, cannot sleep on my left side. Researched arm pain after a flu vaccine and many articles popped up describing my exact pain as SIRVA. Never heard of this before. I have received a yearly flu shot due to my age & working in healthcare for 28 years, a RN always gave the shots. This was the first time going to a pharmacy for the flu shot.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Shoulder injury related to vaccine administration, Synovitis, Tendon disorder, X-ray limb normal
Clinical narrative: Pharmacist gave the flu shot, jabbed a long needle in my upper left arm & felt pain immediately. I was sitting & he was standing over me when he injected the shot. Pain was not the usual 2-3 day discomfort. It was intermittent but has progressed over time. Cannot lift my arm overhead & behind me, cannot sleep on my left side. Researched arm pain after a flu vaccine and many articles popped up describing my exact pain as SIRVA. Never heard of this before. I have received a yearly flu shot due to my age & working in healthcare for 28 years, a RN always gave the shots. This was the first time going to a pharmacy for the flu shot.
Age: 20.0
Sex: M
Vaccine: ANTH, SMALL, TYP
Symptoms: Eczema, Rash, Rash erythematous
Clinical narrative: The patient presented to Medical Clinic 2 weeks post immunizations with small fine red raised bumps under his R eye, above both brows, on the bridge of his nose, and bilateral hands. The Patient thought the red raised areas may be a rash r/t his multiple immunizations. Upon inspection by the Provider it was determined that all of the areas of concern were/are weather related eczema. The Provider sent scripts for steroidal treatment in addition to salve/cream. The Patient was educated on adverse vs normal vaccine reactions, and re-educated on Smallpox aftercare. The Patient was also provided gloves and proper bandages for Pox site. The Patient verbalized understanding and was in agreement with the plan of care.
Age: 13.0
Sex: F
Vaccine: VARCEL
Symptoms: Incorrect route of product administration
Clinical narrative: Administered intramuscularly in deltoid instead of subcutaneously.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Cyanosis, Death, Intensive care, Seizure like phenomena
Clinical narrative: Child was in office on February 12th for his four month well visit where he received four vaccines, PEDIARIX, PREVNAR, Hib and Rotavirus. While in office he was alert and happy, smiling, and active. Per mother he was also alert and happy at home until he was put down for tummy time by the father around 5pm. Previously child was fed by dad and layed down on his stomach on the parent's bed for tummy time, per dad. Father stepped out of the room to the living room and fell asleep. Next time child was checked on was once mom got home from work at 10:30pm and mom noticed he was blue but still breathing. Mother called 911 and once paramedics arrived he seemed to be having a seizure and was given medication. Child was rushed to hospital where he was put in NICU, and doctors stated there was nothing else that could be done. Child was disconnected the morning of Feb. 13th, 2019.
Age: 55.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Chills, Erythema, Influenza like illness, Peripheral swelling, Pruritus
Clinical narrative: Patient said she experienced "Low grade fever, flu-like symptoms, and chills for about 3 days," and "Arm swelling the size of a plum, redness, and itchiness for about 7 days."
Age: 55.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient said she experienced "Low grade fever, flu-like symptoms, and chills for about 3 days," and "Arm swelling the size of a plum, redness, and itchiness for about 7 days."
Age: 17.0
Sex: M
Vaccine: HEP, HEPA, IPV, MEN, MMR, TDAP
Symptoms: Erythema multiforme, Rash, Skin lesion
Clinical narrative: had multiple vaccines at once: MMR, IPV, Hep A, Hep B, DTaP, Meningococcal. Erythema multiforme type rash on face primarily, multiple lesions.
Age: 10.0
Sex: M
Vaccine: HPV9
Symptoms: Headache, Injection site erythema, Injection site pain, Nausea, Vomiting
Clinical narrative: Primary symptom - pain at injection site. Redness in SQ tissue distal for 1 inch, no induration. Subsequent to vaccine child with nausea, later vomiting, mild headache. No signs of dehydration.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Anaphylactic reaction, Lethargy, Somnolence, Tachycardia, Urticaria
Clinical narrative: Called back into room after visit by Nurse that patient's mother was concerned after vaccination. Pt re-examined immediately -found to be vomiting, wheezing throughout, sleepy/lethargic, tachycardia, no skin changes, no grunting, no nasal flaring. Nurse obtained vitals 02 Sat low 90's EMS called for presumed anaphylaxis -child was perfectly well prior happy and smiling prior to vaccination EPI PEN JR administered by writer Oxygen was obtained but not given as EMS arrived Albuterol given via continuous nebulizer by EMS while in route to ED. Hives noted in ED Patient discharged from ED.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Vomiting, Wheezing
Clinical narrative: Called back into room after visit by Nurse that patient's mother was concerned after vaccination. Pt re-examined immediately -found to be vomiting, wheezing throughout, sleepy/lethargic, tachycardia, no skin changes, no grunting, no nasal flaring. Nurse obtained vitals 02 Sat low 90's EMS called for presumed anaphylaxis -child was perfectly well prior happy and smiling prior to vaccination EPI PEN JR administered by writer Oxygen was obtained but not given as EMS arrived Albuterol given via continuous nebulizer by EMS while in route to ED. Hives noted in ED Patient discharged from ED.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Rash papular
Clinical narrative: Id reaction: the next day, she developed a fine papular eruption on face, behind ears, on the front of the neck, back of the neck and upper back.
Age: 46.0
Sex: F
Vaccine: MMRV, TD
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient presented to the clinic for a nurse visit to recieve immunizations. The vaccines that were due at the time of visit were Td, Measles, Mumps and Rubella, and Varicella. Discussed injections to be given with other nurse. Was discussed that MMR and Varicella should be given separate and in separate arms. Went to prepare vaccines, and a different nurse was consulted about giving the patient MMRV instead of MMR and Varicella separately to avoid the patient getting multiple injections. Was told to give MMRV. Further information about the patient such as her age was not discussed prior to giving the MMRV injection.
Age: 34.0
Sex: M
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: Subcutaneous injection performed as intramuscular.
Age: 20.0
Sex: M
Vaccine: ANTH, JEV1
Symptoms: Rash
Clinical narrative: Member had rash on arm, torso, back and flank for 5 days.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Bladder dysfunction, Coronavirus test positive, Full blood count, Functional gastrointestinal disorder, Gait disturbance
Clinical narrative: Transverse Myletis characteristed initially by intense pain in think and low pain, gait changes, bowel/bladder dysfunction, mood changes progressing to weakness in lower extremities and numbness.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Hypoaesthesia, Laboratory test, Mood altered, Muscular weakness, Myelitis transverse
Clinical narrative: Transverse Myletis characteristed initially by intense pain in think and low pain, gait changes, bowel/bladder dysfunction, mood changes progressing to weakness in lower extremities and numbness.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Nuclear magnetic resonance imaging, Pain, Ultrasound kidney, Urine analysis
Clinical narrative: Transverse Myletis characteristed initially by intense pain in think and low pain, gait changes, bowel/bladder dysfunction, mood changes progressing to weakness in lower extremities and numbness.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Hypoaesthesia, Laboratory test, Magnetic resonance imaging, Mood altered, Muscular weakness
Clinical narrative: Transverse Myletis characteristed initially by intense pain in think and low pain, gait changes, bowel/bladder dysfunction, mood changes progressing to weakness in lower extremities and numbness.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, HPV9, MNQ, TDAP
Symptoms: Myelitis transverse, Pain, Ultrasound kidney, Urine analysis
Clinical narrative: Transverse Myletis characteristed initially by intense pain in think and low pain, gait changes, bowel/bladder dysfunction, mood changes progressing to weakness in lower extremities and numbness.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Chills, aches, fever, swelling and redness of injection site, headache.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Chills, aches, fever, swelling and redness of injection site, headache.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Blood immunoglobulin G, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram thorax, Dizziness
Clinical narrative: Diagnosed with Miller Fisher Syndrome variant of Guillian-Barre syndrome 12-26-2018 by Lumbar puncture on 12-23-2018. Hospitalized 12-22-2018 to 12-31-2018. IVIG treatments from 12-27-2018 to 12-31-2018. Symptoms included: left extremities tingling with numbness, bi-lat nystagmus, muscle weakness, dizziness, difficulty walking, and extreme fatigue.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy
Clinical narrative: Diagnosed with Miller Fisher Syndrome variant of Guillian-Barre syndrome 12-26-2018 by Lumbar puncture on 12-23-2018. Hospitalized 12-22-2018 to 12-31-2018. IVIG treatments from 12-27-2018 to 12-31-2018. Symptoms included: left extremities tingling with numbness, bi-lat nystagmus, muscle weakness, dizziness, difficulty walking, and extreme fatigue.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Laboratory test, Lumbar puncture abnormal, Miller Fisher syndrome, Muscular weakness, Nuclear magnetic resonance imaging brain
Clinical narrative: Diagnosed with Miller Fisher Syndrome variant of Guillian-Barre syndrome 12-26-2018 by Lumbar puncture on 12-23-2018. Hospitalized 12-22-2018 to 12-31-2018. IVIG treatments from 12-27-2018 to 12-31-2018. Symptoms included: left extremities tingling with numbness, bi-lat nystagmus, muscle weakness, dizziness, difficulty walking, and extreme fatigue.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Nystagmus, Paraesthesia, Positron emission tomogram
Clinical narrative: Diagnosed with Miller Fisher Syndrome variant of Guillian-Barre syndrome 12-26-2018 by Lumbar puncture on 12-23-2018. Hospitalized 12-22-2018 to 12-31-2018. IVIG treatments from 12-27-2018 to 12-31-2018. Symptoms included: left extremities tingling with numbness, bi-lat nystagmus, muscle weakness, dizziness, difficulty walking, and extreme fatigue.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Headache, Injection site bruising, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: I received a pneumonia shot (right arm) and flu shot (left arm) on the same day. I am still feeling side effects 4 months after receiving the shots. The Pneumonia shot caused unbelievable shoulder pain that is subsiding but still its very annoyingly sore. Both injection sites are still sore and on the Pneumonia   side I I have a yellow bruise at the site (4) month later. My fingers and hand on the Pneumonia sideis very sore. And I have developed headaches since the shot. I rarely ever got headaches before the shots - ask my doctor. The Flu Shot on the left arm caused a growth/sore about two months ago, about 1/15/2019. Its a raised red lumpy sore. Its is still there today 2/13/2019.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site reaction, Malaise, Neoplasm skin, Pain in extremity
Clinical narrative: I received a pneumonia shot (right arm) and flu shot (left arm) on the same day. I am still feeling side effects 4 months after receiving the shots. The Pneumonia shot caused unbelievable shoulder pain that is subsiding but still its very annoyingly sore. Both injection sites are still sore and on the Pneumonia   side I I have a yellow bruise at the site (4) month later. My fingers and hand on the Pneumonia sideis very sore. And I have developed headaches since the shot. I rarely ever got headaches before the shots - ask my doctor. The Flu Shot on the left arm caused a growth/sore about two months ago, about 1/15/2019. Its a raised red lumpy sore. Its is still there today 2/13/2019.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Lip swelling, Urticaria
Clinical narrative: Hives on back from buttocks to above the knees on both legs, on back of arms. Patient also had swollen upper lip. Patient took BENADRYL and saw his Dr whom prescribed a MEDROL dose pack.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, VARCEL
Symptoms: Mouth haemorrhage, Mouth swelling, Oral mucosal erythema, Stomatitis
Clinical narrative: Mouth sores, redness, swollen, bleeding.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMRV
Symptoms: Anxiety, Lethargy, Malaise, Pyrexia, Rash morbilliform
Clinical narrative: Developed measles rash, high temperatures, vomiting, lethargic, sick for two weeks. Now he has anxiety. He gets sick all the time.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, IPV, MMRV
Symptoms: Vomiting
Clinical narrative: Developed measles rash, high temperatures, vomiting, lethargic, sick for two weeks. Now he has anxiety. He gets sick all the time.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Swollen at the injection site. Pain, red rash at site only. Tiredness. Muscle ache.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Swollen at the injection site. Pain, red rash at site only. Tiredness. Muscle ache.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Patient experienced extreme pain in that arm and could not lift it up. She also noticed some swelling.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Hyperhidrosis, Influenza like illness, Injection site erythema
Clinical narrative: Dizziness, Flu like symptoms up to five days-achy all over, chills, sweating, pain in arm and red at vaccine site for six days.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Dizziness, Flu like symptoms up to five days-achy all over, chills, sweating, pain in arm and red at vaccine site for six days.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Influenza, Nausea, Pyrexia
Clinical narrative: Fever of 101, headache, flu symptoms, nausea.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Soreness in arm, swelling in upper arm, red circle 3" across at injection site which grew bigger during 2/13.
Age: 60.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Pain in extremity, Vomiting
Clinical narrative: Patient called in on 2/3/19 describing symptoms that began 1 or 2 days after receiving vaccine as experiencing severe tiredness, severe arm soreness, diarrhea, stomach pain, and throwing up. She believed it to be from the SHINGRIX vaccine. By 2/3 these symptoms had stopped or gotten much better and were resolving. She was referred to her doctor if symptoms persist and with the possibility of it being a stomach bug, that was already resolving (diarrhea and vomiting had stopped), tiredness and arm soreness still lingering, to continue fluids and rest.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Headache, Pyrexia
Clinical narrative: Fever, headache, shivering, diarrhea.
Age: 47.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pruritus, Injection site warmth
Clinical narrative: Warmth and itching at injection site.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the pediatric Hepatitis A vaccine instead of the adult vaccine for her age.
Age: 14.0
Sex: M
Vaccine: HEPA, HPV9, MMR, VARCEL
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: R arm redness, swelling, warmth, oval 2 inches dark red center, 1 inch additional pink around. C/O painful arm. Light pink on 2/13, resolving.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Pain, Swelling
Clinical narrative: Patient administered SHINGRIX, developed flu-like symptoms that lasted more than 5 days, experienced pain and felt swelling around waist but no appearance of swelling.
Age: 56.0
Sex: F
Vaccine: HEP
Symptoms: Dysphagia, Hepatitis B surface antibody, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia, Throat tightness
Clinical narrative: Had numbing, tingling sensation back throat. Throat felt full. Difficulty swallowing.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain
Clinical narrative: Patient came to pharmacy today (2/13/19) to report of pain and redness that has been present for a week. Patient reported that it is getting better but she was concerned.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Red rash encompassing left deltoid surrounding immunization site. Patient was instructed to take BENADRYL to alleviate symptoms.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA
Symptoms: Erythema, Pain, Skin warm, Swelling, Tenderness
Clinical narrative: Several cm of redness. Swelling redness and pain since 2/12/19 evening. Area is warm to touch and is slightly tender to touch. Patient has been moving his arm okay.