chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Poor quality sleep, Vaccination site pain, Viral infection
Clinical narrative: Had the shot at 1:00 PM on June 18, 2019.  Within an hour I felt a bit dizzy and a bit out of it.  By 8:00 PM I felt  tired, achy, had a headache, felt chilly, on and off nauseated, and my left arm at the vaccine sight, was very sore.  These symptoms  continued through the night-I didn't sleep well at all!  The  next day I had to go to work.  I was very close to calling in sick.  However, I went to work, but felt like I had the a virus or flu the whole day.  Came  home and went to bed.  Except for a quick fixed dinner, I stayed in bed.  Went to bed early-8:30 PM.  On Thursday, June 20, 2019, I started feeling better.  These are the same symptoms I had with the first Shingrix shot on April 1, 2019.  I just didn't report them.
Age: 63.0
Sex: M
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Seizure, Snoring
Clinical narrative: Patient verbalized feeling dizzy shortly after shot administration. He went unconscious for less than a minute and appeared to convulse. He was snoring and abruptly came back to consciousness. He was sweaty and lightheaded. Patient was instructed to lay on the floor with his feet elevated. He felt much better after resting.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Patient reported chills, high fever, body sores at 1;30 AM. Patient took ibuprofen and reported to be better and near 100%.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Peripheral swelling, Skin discolouration, Skin warm
Clinical narrative: Patient's arm is swollen and shows redness and discoloration.  Patient reports no fever, and the area feels warm.  Not itchy, slight pain when pushed down
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia
Clinical narrative: Patient called back and said her left arm feels numb. she is able to move it and has no swelling yet but it feels numb. no fever or difficulty breathing.
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Basophil count normal, Basophil percentage decreased, Blood immunoglobulin G normal, C-reactive protein increased, Culture wound negative
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Diagnostic aspiration, Diarrhoea, Eosinophil count normal, Eosinophil percentage, Full blood count
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Gait disturbance, Gram stain negative, HIV test negative, Haematocrit normal, Haemoglobin normal
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Incisional drainage, Inflammatory marker increased, Injection site induration, Injection site movement impairment, Injection site nodule
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site pain, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin decreased, Mean cell volume decreased
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Measles antibody positive, Monocyte count increased, Monocyte percentage, Neutrophil count increased, Neutrophil percentage decreased
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Platelet count normal, Pyrexia, Red blood cell count decreased, Red blood cell sedimentation rate increased, Ultrasound scan abnormal
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Upper respiratory tract infection, Vaccination site abscess, White blood cell count increased
Clinical narrative: Patient is a otherwise healthy 4 yo female with mild eczema that was admitted from 4/28 to 5/2 due to concern for a abscess in her right thigh at the site of a recent vaccination.  Of note, patient last had vaccines at 6 months of age which were complicated by a abscess requiring I&D at a vaccine site.  Patient had vaccinations on 4/8/19, which were her first vaccinations since 6 months of age.  On 4/26, patient developed pain in her right thigh to the point where she was refusing to wear pants.  She then developed a limp and hard knot in her right thigh.  At this time Mom took her to a urgent care who referred her to the PED.  Mom notes that at this time patient had fevers that were associated with URI symptoms.   On admission, patient was started on clindamycin.  She had elevated inflammatory markers with ESR 44 and CRP 1.6.  WBC 11.7 with 30% PMN.  A fluid collection in her right thigh was confirmed on ultrasound imaging with concern for possible pyomyositis-related abscess. The fluid collection was incised and drained on 5/1 via ultrasound guided needle aspiration. Abscess cultures were negative although Gram stain showed 3+ WBC and no organisms.  Patient did well after drainage so was discharged with a total 3 week course of clindamycin 40 mg/kg/day divided TID (end date 5/19). Due to recurrent vaccine-related reactions, patient had general assessment of her immune function which raised no concerns. Notable results are negative HIV, normal respiratory burst, measurable measles IgG, and normal humoral immune competence profile (total Ig's and Tdap responses).  On 05/06/19 Peds ID clinic follow-up, her mother reports that patient is doing well.  Her gait has improved but is not completely normal.  Sometimes she bends at her waist to pick up toys and seems to not want to bend her right knee.  Overall, Mom feels that patient is significantly improved. She is taking 16 ml three times daily - using a 10 ml syringe.  Mom reports that patient had diarrhea in the hospital but this resolved prior to discharge.  Patient eats Gogurt most days and has a normal appetite. No other rashes or abscesses have been noted. Interval decrease in size of R thigh collection/induration (from 6x5cm to 0.5cmx0.5cm).
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: pt called 6/22 complaining about body aches all over. she said arm hurts too and did not remember having these symptoms with the first shot. she had to travel right away,so not sure she had/had not symptoms with first one. advised pt to take tylenol 500 mg otc and will check back in 4 hrs,if no relief or worsening s/sx,to goto er. pt called back in the aft saying she felt much better. advised pt to continue apap twice daily till monday when she can get hold of her dr. tried calling pt again 6/23 but no answer.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Pain in extremity
Clinical narrative: pt received vaccine on 6/17, arm was sore until today when he developed a 2 1/2" very itchy red circular spot around the injection site,   he took several doses of advil per recommendation of pharmacist and is now feeling much better
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Injection site, hot to touch, swelling, red welts appeared and extended approx. 6 inches around site. Reported should pain of "arthritic type"
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain
Clinical narrative: Injection site, hot to touch, swelling, red welts appeared and extended approx. 6 inches around site. Reported should pain of "arthritic type"
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Chills, Fatigue, Headache
Clinical narrative: Patient had pain at vaccination area starting on 6/22/2019. On 6/23/2019 he had muscle pain, weakness, tiredness, headache, upset stomach and was shivering.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Vaccination site pain
Clinical narrative: Patient had pain at vaccination area starting on 6/22/2019. On 6/23/2019 he had muscle pain, weakness, tiredness, headache, upset stomach and was shivering.
Age: 25.0
Sex: M
Vaccine: HEPA
Symptoms: Nervousness, Pallor, Syncope, Vomiting
Clinical narrative: PATIENT WAS VERY NERVOUS WHEN HE CAME TO GET HIS HAVRIX VACCINE AT 1 PM. ABOUT 2 MINUTES AFTER ADMINISTERING THE VACCINE IN HIS RIGHT ARM IM, HE HAD A SHORT FAINTING SPELL. HE CAME TO AND ADMITTED THAT HE WAS NERVOUS. HIS PARENTS SAID THAT HE PASSED OUT AT LEAST ONE OTHER TIME WHEN HE RECEIVED HIS FLU VACCINE AS WELL. HE WAS PALE BUT AFTER DRINKING SOME COLD WATER HE STARTED FEELING BETTER. ABOUT 5 MINUTES LATER, HE THREW UP AND SAID THAT HE WAS FEELING MUCH BETTER. I DO NOT FEEL LIKE THIS ADVERSE EFFECT WAS AN ALLERGIC REACTION AS IT HAS HAPPENED BEFORE AND HE WAS FEELING "BACK TO NORMAL" PER PATIENT. I OFFERED TO CALL AN ABULANCE BUT THEY SAID NO AND AGREED THAT IT WAS JUST HIM BEING NERVOUS. I MONITORED THE PATIENT IN THE WAITING AREA FOR A TOTAL OF ABOUT 40 MINUTES UNTIL HE SAID THAT HE FELT NORMAL AND WANTED TO LEAVE. I TOLD THE MOM AND DAD TO GIVE US A CALL IF HE HAD ANY OTHER SYMPTOMS. INJECTION SITE LOOKED NORMAL UPON LEAVING. I FOLLOWED UP WITH THE PATIENT AT 5 PM THAT DAY AND HIS MOTHER SAID HE WAS DOING MUCH BETTER.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Lethargy, Pain, Vomiting
Clinical narrative: Uncontrollable shivering, vomiting, body pain, lethargy, no appetite
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pain in extremity, Peripheral swelling
Clinical narrative: On 06/20/2019,  patient reports her left arm was sore and swollen the evening after receiving the first dose of the Shingrix  vaccine.   Patient also reported the injection site was red, had "fever" and hard.  She said she felt fine other than her arm being sore.   Patient was advised to take Benadryl and Aleve.   Pharmacist followed up with patient on 06/23/2019.  Patient reports her arm is much better.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Dizziness, Fatigue, Headache, Heart rate irregular
Clinical narrative: Patient is complaining of widespread rash across her back and waist.  She has felt dizzy, fatigue, nausea, and had an irregluar heart rate feeling (caffeine like). She had injection site pain/soreness and has had headaches and body/joint aches.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Nausea, Pain, Rash generalised
Clinical narrative: Patient is complaining of widespread rash across her back and waist.  She has felt dizzy, fatigue, nausea, and had an irregluar heart rate feeling (caffeine like). She had injection site pain/soreness and has had headaches and body/joint aches.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Muscle tightness, Pain, Pain in extremity
Clinical narrative: Patient describes experiencing body ache, muscle tightness in her legs, flu-like symptoms, light headache and pain in the injected arm the day following the vaccination. On day 2 she felt much better and on day 3 she was fine. She reported her experience to the pharmacy on day 3.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site reaction
Clinical narrative: adverse reaction locally at site
Age: 50.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Muscle tightness, Pain in extremity
Clinical narrative: Patient states he experiences prolonged muscle tightness and soreness in the arm he received his vaccines.
Age: 5.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Marked swelling and erythema of left upper arm, down to elbow.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: marked swelling and erythema left deltoid, tenderness
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Nausea, injection site redness/swelling, fatigue.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site pain, Insomnia, Pain in extremity
Clinical narrative: Patient called pharmacy on Sunday morning (6/23/2019). Patient is complaining of pain on the entire right arm and shoulder. The pain started shortly after vaccine administration. Patient states that she cannot sleep at night because of the pain, and she is not able to move the affected arm and shoulder. Pharmacist recommended taking Tylenol and Advil for pain and also instructed patient to see a doctor. Patient reports that doctor approved the pharmacist recommendation and said the pain could be due to the needle damaging a nerve. Patient will contact her family doctor on Monday morning. Pharmacist will contact the same doctor Monday (6/24/2019) morning.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Nasal congestion
Clinical narrative: pt didn't notice anything until this morning, came in and showed me approx 5-6 small inflammatory patches (without any other symptoms ie no itching) on same arm as the shot but different location.  pt is also experiencing nasal congestion.  Advised patient to take benadryl, keep area cool, inform her md's tomorrow, keep a close watch on symptoms, and get help immediately if experience any breathing issues.  She said she will go into primary care doctors office tommorrow.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Migraine, Mobility decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: migraine headache. pounding headache. shoulder and arm pain (hard to lift arm)
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Decreased appetite, Dizziness, Headache, Myalgia
Clinical narrative: Woke up 36 hours after receiving vaccine in the ER with muscle aches and chills. Had low appetite throughout day and felt lightheaded and headachey. By early evening had begun to break out in spontaneous hives all over body. Hives progressed and continued for about 7 daya while muschle aches, chills, and headache persisted.
Age: 25.0
Sex: M
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: Woke up 36 hours after receiving vaccine in the ER with muscle aches and chills. Had low appetite throughout day and felt lightheaded and headachey. By early evening had begun to break out in spontaneous hives all over body. Hives progressed and continued for about 7 daya while muschle aches, chills, and headache persisted.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Peripheral swelling, Pyrexia
Clinical narrative: Patient came in complaining that on the second day after the shot, she had a fever and arm was swollen. Looked like there were blisters on her arm as well.
Age: 11.0
Sex: F
Vaccine: HPVX, MNQ
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus, Loss of consciousness, Syncope
Clinical narrative: -10 mins after vaccine patient had vasovagal syncope passed out for 10-15 seconds w/o memory of incident -Friday - 6/21 - AM - patient had 2 dots on L deltoid (injection site) that were very itchy.  -6/21 evening patient arm red & inflamed at injection site 10cm x 7.5cm in diameter  -6/21 evening patient given single dose of Children's benadryl 200mg ibuprofen, and ice pack.  -6/22 - around noon patient started to develop white ring around injection site surrounded by larger red ring total diameter about 10.5cm x 10 cm. Patient states that rash is no longer itchy at this time. Given PO Bendadryl one Children's tablet and 200mg ibuprofen. -6/22 - at 3:45pm patient came into urgent care  Patient Rx'd prednisone 20mg oral tablet - 1 tab PO BID x 3 days  Heat & ice packs for 20mins with 1 hour breaks PRN alternating.  1% hydrocortisone cream, twice daily PRN  -Patient following up with Pediatrics on Monday June 24, 2019
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Wrist, Shoulder, Arm Pain within 24 hours of Vaccine
Age: 44.0
Sex: M
Vaccine: ANTH, MNQ, SMALL, TYP
Symptoms: Blood thyroid stimulating hormone normal, Chest discomfort, Chest pain, Decreased appetite, Echocardiogram normal
Clinical narrative: 44 yo patient received primary Smallpox vaccine 9/25/2018 with MEN, AVA1 and typhoid vaccine for upcoming travel (in Feb 2019).    He advised on 10/5/2018 (Friday) he was fine with no complaints.  Advised SPV site had pus-like appearance that itched and site mildly sore, but no streaking or redness around site (day.  On 10/6/2018 (day 11 post SPV) he ran some errands at 8am and had breakfast (French toast, 2 eggs, 3 slices toast, turkey sausage), however he was unable to finish (this was abnormal for him).  He walked back to car service center about 9am and reports tightness in chest 6-7/10 pain scale thinking it was indigestion. About 1030-1100am he drove to store for antacids with no relief.  He went home and took either Tylenol or Motrin and the pain faded to 3/10.  He skipped lunch, but did eat dinner and pain increased to 4-5/10. He described his chest pain as a dull pain with something pushing into/on his chest. He advised leaning over to tie shoes worsened his left chest pain and stated position changes did not help alleviate the pain.  He went to nearby ER about 1030pm.      Patient presented to medical 0003 10/7/2018 complaining of sudden sharp constant 7/10 substernal chest pain and headache x 12 hours with no radiation, nausea/vomiting, shortness of breath, abdominal pain, or other systemic symptoms. He advised sensation of fever yesterday otherwise no recent cold like symptoms, exposure to anyone ill, etc.  EKG normal with bedside echo with decreased contractility, no pericardial effusion, and Troponin elevated at 0.251.  Patient treated for myocarditis and transferred to MC 10/7/2018 at 0345am where he was admitted x4 days and released on 10/8/2018 with intermittent 1/10 chest pain on meds.      Patient advised pain began to resolve 10/7/2018 after on colchicine and by 10/10/2018 had fully resolved and has not returned (on Motrin and colchicine).  He went to work 10/9/2018 but was sent home by supervisor as on light duty.  On 10/10/18 he was doing routine housework w/without issues but was walking slower than usual.  He will f/u with cardiologists on 10/12 for MRI and HCP afterwards.  He again denies any cp/sob at this time and no pain with positional changes.  On 10/15/2018 follow up with HCP reports 1/10 intermittent chest pain on meds and Dr. consulted.  1/11/2019 Patient cleared for travel.  Patient reports excellent health with no chest pain and back to pre-illness exertion baseline and normal ADLs.
Age: 44.0
Sex: M
Vaccine: ANTH, MNQ, SMALL, TYP
Symptoms: Electrocardiogram normal, Full blood count normal, Glycosylated haemoglobin normal, Headache, Injection site pain
Clinical narrative: 44 yo patient received primary Smallpox vaccine 9/25/2018 with MEN, AVA1 and typhoid vaccine for upcoming travel (in Feb 2019).    He advised on 10/5/2018 (Friday) he was fine with no complaints.  Advised SPV site had pus-like appearance that itched and site mildly sore, but no streaking or redness around site (day.  On 10/6/2018 (day 11 post SPV) he ran some errands at 8am and had breakfast (French toast, 2 eggs, 3 slices toast, turkey sausage), however he was unable to finish (this was abnormal for him).  He walked back to car service center about 9am and reports tightness in chest 6-7/10 pain scale thinking it was indigestion. About 1030-1100am he drove to store for antacids with no relief.  He went home and took either Tylenol or Motrin and the pain faded to 3/10.  He skipped lunch, but did eat dinner and pain increased to 4-5/10. He described his chest pain as a dull pain with something pushing into/on his chest. He advised leaning over to tie shoes worsened his left chest pain and stated position changes did not help alleviate the pain.  He went to nearby ER about 1030pm.      Patient presented to medical 0003 10/7/2018 complaining of sudden sharp constant 7/10 substernal chest pain and headache x 12 hours with no radiation, nausea/vomiting, shortness of breath, abdominal pain, or other systemic symptoms. He advised sensation of fever yesterday otherwise no recent cold like symptoms, exposure to anyone ill, etc.  EKG normal with bedside echo with decreased contractility, no pericardial effusion, and Troponin elevated at 0.251.  Patient treated for myocarditis and transferred to MC 10/7/2018 at 0345am where he was admitted x4 days and released on 10/8/2018 with intermittent 1/10 chest pain on meds.      Patient advised pain began to resolve 10/7/2018 after on colchicine and by 10/10/2018 had fully resolved and has not returned (on Motrin and colchicine).  He went to work 10/9/2018 but was sent home by supervisor as on light duty.  On 10/10/18 he was doing routine housework w/without issues but was walking slower than usual.  He will f/u with cardiologists on 10/12 for MRI and HCP afterwards.  He again denies any cp/sob at this time and no pain with positional changes.  On 10/15/2018 follow up with HCP reports 1/10 intermittent chest pain on meds and Dr. consulted.  1/11/2019 Patient cleared for travel.  Patient reports excellent health with no chest pain and back to pre-illness exertion baseline and normal ADLs.
Age: 44.0
Sex: M
Vaccine: ANTH, MNQ, SMALL, TYP
Symptoms: Injection site pruritus, Injection site pustule, Lipids normal, Metabolic function test normal, Myocarditis
Clinical narrative: 44 yo patient received primary Smallpox vaccine 9/25/2018 with MEN, AVA1 and typhoid vaccine for upcoming travel (in Feb 2019).    He advised on 10/5/2018 (Friday) he was fine with no complaints.  Advised SPV site had pus-like appearance that itched and site mildly sore, but no streaking or redness around site (day.  On 10/6/2018 (day 11 post SPV) he ran some errands at 8am and had breakfast (French toast, 2 eggs, 3 slices toast, turkey sausage), however he was unable to finish (this was abnormal for him).  He walked back to car service center about 9am and reports tightness in chest 6-7/10 pain scale thinking it was indigestion. About 1030-1100am he drove to store for antacids with no relief.  He went home and took either Tylenol or Motrin and the pain faded to 3/10.  He skipped lunch, but did eat dinner and pain increased to 4-5/10. He described his chest pain as a dull pain with something pushing into/on his chest. He advised leaning over to tie shoes worsened his left chest pain and stated position changes did not help alleviate the pain.  He went to nearby ER about 1030pm.      Patient presented to medical 0003 10/7/2018 complaining of sudden sharp constant 7/10 substernal chest pain and headache x 12 hours with no radiation, nausea/vomiting, shortness of breath, abdominal pain, or other systemic symptoms. He advised sensation of fever yesterday otherwise no recent cold like symptoms, exposure to anyone ill, etc.  EKG normal with bedside echo with decreased contractility, no pericardial effusion, and Troponin elevated at 0.251.  Patient treated for myocarditis and transferred to MC 10/7/2018 at 0345am where he was admitted x4 days and released on 10/8/2018 with intermittent 1/10 chest pain on meds.      Patient advised pain began to resolve 10/7/2018 after on colchicine and by 10/10/2018 had fully resolved and has not returned (on Motrin and colchicine).  He went to work 10/9/2018 but was sent home by supervisor as on light duty.  On 10/10/18 he was doing routine housework w/without issues but was walking slower than usual.  He will f/u with cardiologists on 10/12 for MRI and HCP afterwards.  He again denies any cp/sob at this time and no pain with positional changes.  On 10/15/2018 follow up with HCP reports 1/10 intermittent chest pain on meds and Dr. consulted.  1/11/2019 Patient cleared for travel.  Patient reports excellent health with no chest pain and back to pre-illness exertion baseline and normal ADLs.
Age: 44.0
Sex: M
Vaccine: ANTH, MNQ, SMALL, TYP
Symptoms: Nuclear magnetic resonance imaging heart, Nuclear magnetic resonance imaging normal, Pain, Thyroxine free normal, Troponin increased
Clinical narrative: 44 yo patient received primary Smallpox vaccine 9/25/2018 with MEN, AVA1 and typhoid vaccine for upcoming travel (in Feb 2019).    He advised on 10/5/2018 (Friday) he was fine with no complaints.  Advised SPV site had pus-like appearance that itched and site mildly sore, but no streaking or redness around site (day.  On 10/6/2018 (day 11 post SPV) he ran some errands at 8am and had breakfast (French toast, 2 eggs, 3 slices toast, turkey sausage), however he was unable to finish (this was abnormal for him).  He walked back to car service center about 9am and reports tightness in chest 6-7/10 pain scale thinking it was indigestion. About 1030-1100am he drove to store for antacids with no relief.  He went home and took either Tylenol or Motrin and the pain faded to 3/10.  He skipped lunch, but did eat dinner and pain increased to 4-5/10. He described his chest pain as a dull pain with something pushing into/on his chest. He advised leaning over to tie shoes worsened his left chest pain and stated position changes did not help alleviate the pain.  He went to nearby ER about 1030pm.      Patient presented to medical 0003 10/7/2018 complaining of sudden sharp constant 7/10 substernal chest pain and headache x 12 hours with no radiation, nausea/vomiting, shortness of breath, abdominal pain, or other systemic symptoms. He advised sensation of fever yesterday otherwise no recent cold like symptoms, exposure to anyone ill, etc.  EKG normal with bedside echo with decreased contractility, no pericardial effusion, and Troponin elevated at 0.251.  Patient treated for myocarditis and transferred to MC 10/7/2018 at 0345am where he was admitted x4 days and released on 10/8/2018 with intermittent 1/10 chest pain on meds.      Patient advised pain began to resolve 10/7/2018 after on colchicine and by 10/10/2018 had fully resolved and has not returned (on Motrin and colchicine).  He went to work 10/9/2018 but was sent home by supervisor as on light duty.  On 10/10/18 he was doing routine housework w/without issues but was walking slower than usual.  He will f/u with cardiologists on 10/12 for MRI and HCP afterwards.  He again denies any cp/sob at this time and no pain with positional changes.  On 10/15/2018 follow up with HCP reports 1/10 intermittent chest pain on meds and Dr. consulted.  1/11/2019 Patient cleared for travel.  Patient reports excellent health with no chest pain and back to pre-illness exertion baseline and normal ADLs.
Age: 19.0
Sex: M
Vaccine: TDAP, DTAP
Symptoms: Syncope
Clinical narrative: I almost lost my 19 yr old son because he was scared into getting a college vaccine still exempt in this state but they told him it was mandatory.  I was dead against it but he took it anyway with the ex husband the father.    He collapsed 10 mins later as he was at store laughing and getting a drink.  His blood pressure went to 45 he couldnt see before he collapsed and became  unconscious and lost his memory for the next 8 hrs as he was rushed to the hospital with a possible concussion.  Thank God I knew to detox his system of the heavy metals thimersol and aluminum in the adjuncts  that could have killed him with a concussion and he had stitches in his chin.  All because he took the DTap.    We hope there are no more adverse effects as his memory eventually came back that next day after 24 hrs of no memory of that day.
Age: 19.0
Sex: M
Vaccine: TDAP, DTAP
Symptoms: Blindness, Blood pressure decreased, Brain contusion, Computerised tomogram head abnormal, Concussion
Clinical narrative: I almost lost my 19 yr old son because he was scared into getting a college vaccine still exempt in this state but they told him it was mandatory.  I was dead against it but he took it anyway with the ex husband the father.    He collapsed 10 mins later as he was at store laughing and getting a drink.  His blood pressure went to 45 he couldnt see before he collapsed and became  unconscious and lost his memory for the next 8 hrs as he was rushed to the hospital with a possible concussion.  Thank God I knew to detox his system of the heavy metals thimersol and aluminum in the adjuncts  that could have killed him with a concussion and he had stitches in his chin.  All because he took the DTap.    We hope there are no more adverse effects as his memory eventually came back that next day after 24 hrs of no memory of that day.
Age: 19.0
Sex: M
Vaccine: TDAP, DTAP
Symptoms: Loss of consciousness, Memory impairment, Skin laceration, Suture insertion, Syncope
Clinical narrative: I almost lost my 19 yr old son because he was scared into getting a college vaccine still exempt in this state but they told him it was mandatory.  I was dead against it but he took it anyway with the ex husband the father.    He collapsed 10 mins later as he was at store laughing and getting a drink.  His blood pressure went to 45 he couldnt see before he collapsed and became  unconscious and lost his memory for the next 8 hrs as he was rushed to the hospital with a possible concussion.  Thank God I knew to detox his system of the heavy metals thimersol and aluminum in the adjuncts  that could have killed him with a concussion and he had stitches in his chin.  All because he took the DTap.    We hope there are no more adverse effects as his memory eventually came back that next day after 24 hrs of no memory of that day.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Dermatitis, Erythema, Feeling hot, Herpes zoster, Pruritus
Clinical narrative: 2 days after vaccine I started experiencing red, puffy, blistering blotches, that were very itchy and hot as if feverish.  I notified the doctor and was seen the next week. She advised me to take Benadryl.  Each day I have experienced red, puffy, blistering blotches, that were very itchy and hot as if feverish. Yesterday morning at 3 am I wakened to unbearably severe itching, red puffy botches all over my body. So bad that I had to take a cold shower and oil with baby oil. I was up for hours before I got any relief! Later in the day my right arm flared up with red, puffy, blistering blotches, that were very itchy and hit as if feverish which included pain. This morning I am experiencing pain in the right arm with itching.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Skin warm, Swelling
Clinical narrative: 2 days after vaccine I started experiencing red, puffy, blistering blotches, that were very itchy and hot as if feverish.  I notified the doctor and was seen the next week. She advised me to take Benadryl.  Each day I have experienced red, puffy, blistering blotches, that were very itchy and hot as if feverish. Yesterday morning at 3 am I wakened to unbearably severe itching, red puffy botches all over my body. So bad that I had to take a cold shower and oil with baby oil. I was up for hours before I got any relief! Later in the day my right arm flared up with red, puffy, blistering blotches, that were very itchy and hit as if feverish which included pain. This morning I am experiencing pain in the right arm with itching.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash, Rash erythematous, Rash generalised, Rash macular, Rash pruritic
Clinical narrative: 2 days after vaccine I started experiencing red, puffy, blistering blotches, that were very itchy and hot as if feverish.  I notified the doctor and was seen the next week. She advised me to take Benadryl.  Each day I have experienced red, puffy, blistering blotches, that were very itchy and hot as if feverish. Yesterday morning at 3 am I wakened to unbearably severe itching, red puffy botches all over my body. So bad that I had to take a cold shower and oil with baby oil. I was up for hours before I got any relief! Later in the day my right arm flared up with red, puffy, blistering blotches, that were very itchy and hit as if feverish which included pain. This morning I am experiencing pain in the right arm with itching.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Rash vesicular, Skin warm
Clinical narrative: 2 days after vaccine I started experiencing red, puffy, blistering blotches, that were very itchy and hot as if feverish.  I notified the doctor and was seen the next week. She advised me to take Benadryl.  Each day I have experienced red, puffy, blistering blotches, that were very itchy and hot as if feverish. Yesterday morning at 3 am I wakened to unbearably severe itching, red puffy botches all over my body. So bad that I had to take a cold shower and oil with baby oil. I was up for hours before I got any relief! Later in the day my right arm flared up with red, puffy, blistering blotches, that were very itchy and hit as if feverish which included pain. This morning I am experiencing pain in the right arm with itching.