chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Nausea, Palpitations, Postural orthostatic tachycardia syndrome, Syncope, Wheezing
Clinical narrative: Approx 1 month after first vaccine, she began experiencing syncope, rapid heart rate, chest pain, dizziness, palpitations, headache, shortness of breath, wheezing and nausea. She has not experienced these symptoms before and was not ill at the time of vaccination or within the month prior. The first time she passed out (01Jun2018), she was transported to the hospital by ambulance and treated with oxygen, IV fluids, aspirin, ZOFRAN, TORADOL, and albuterol breathing treatment. She was diagnosed with postural orthostatic tachycardia syndrome in May2018. She was started on 1000 mg salt tablets twice a day and increased oral fluids. On June 8th she started treatment with midodrine, which is still continuing. She may also need to be treated with fludrocortisone if her symptoms do not improve.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Fall, Feeling abnormal, Gait inability, Headache, Injection site haematoma
Clinical narrative: That day felt "off" and had fever and pain at the site. Next day woke up still febrile with HA and nausea, fever to 102, and local hematoma/ pain at the site. Lasted 48 hours. All of those I realize do not require a VAERS. The VAERs is written because on complete discussion of the event with Mom, there is a concern for true ataxia vs just being unstable and in pain on the L side. Was unable to walk c/o mild pain but reeling to the right that Mom thought was just from pain in the leg; however, patient described the room "swimming" and would throw up / get nauseated with quick movements; she was unstable or falling over SITTING and to the right consistently so they allowed her to stay laying down. For 4 meals she stayed on the ground and ate her meals on the floor so she would "not be swimmy" and not fall.  By 48 hours symptoms markedly improved and just a hematoma at the site. She is 100% back to normal.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site pain, Nausea, Pyrexia, Vertigo, Vomiting
Clinical narrative: That day felt "off" and had fever and pain at the site. Next day woke up still febrile with HA and nausea, fever to 102, and local hematoma/ pain at the site. Lasted 48 hours. All of those I realize do not require a VAERS. The VAERs is written because on complete discussion of the event with Mom, there is a concern for true ataxia vs just being unstable and in pain on the L side. Was unable to walk c/o mild pain but reeling to the right that Mom thought was just from pain in the leg; however, patient described the room "swimming" and would throw up / get nauseated with quick movements; she was unstable or falling over SITTING and to the right consistently so they allowed her to stay laying down. For 4 meals she stayed on the ground and ate her meals on the floor so she would "not be swimmy" and not fall.  By 48 hours symptoms markedly improved and just a hematoma at the site. She is 100% back to normal.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient reported pain and swelling at the site of the injection, as well as red patches. The red swollen patch was about a 5 inch circle. 6/21/18 patient reported a fever, and was recommended to take ibuprofen.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Abnormal faeces, Back pain, Faeces soft, Gastrointestinal disorder
Clinical narrative: The day after the vaccine, my upper arm, the injection site, was really sore. I felt it and there were red bumps. The bumps were about 1/4 inch wide and were in the area from the injection site to almost my elbow. It took a few days for them to go away. In addition, when I went to run on my treadmill (day 2 - 5) I could not, because my arm hurt from the motion, the jumping. In addition, when I did any lifting with my left arm (the injected arm), pain radiated down to my finger tips. It then spread to my back and felt like it was going down my spine. The pain went away within 5 minutes. It is now 9 days after the vaccine and my upper arm is still slightly sore. I am able to exercise now. It is now 9 days after the vaccine and I have been having stomach issues since having the injection.  It isn't diarrhea, but very soft stools, very smelly and my stomach is bloated.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Loss of personal independence in daily activities, Pain
Clinical narrative: The day after the vaccine, my upper arm, the injection site, was really sore. I felt it and there were red bumps. The bumps were about 1/4 inch wide and were in the area from the injection site to almost my elbow. It took a few days for them to go away. In addition, when I went to run on my treadmill (day 2 - 5) I could not, because my arm hurt from the motion, the jumping. In addition, when I did any lifting with my left arm (the injected arm), pain radiated down to my finger tips. It then spread to my back and felt like it was going down my spine. The pain went away within 5 minutes. It is now 9 days after the vaccine and my upper arm is still slightly sore. I am able to exercise now. It is now 9 days after the vaccine and I have been having stomach issues since having the injection.  It isn't diarrhea, but very soft stools, very smelly and my stomach is bloated.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Spinal pain
Clinical narrative: The day after the vaccine, my upper arm, the injection site, was really sore. I felt it and there were red bumps. The bumps were about 1/4 inch wide and were in the area from the injection site to almost my elbow. It took a few days for them to go away. In addition, when I went to run on my treadmill (day 2 - 5) I could not, because my arm hurt from the motion, the jumping. In addition, when I did any lifting with my left arm (the injected arm), pain radiated down to my finger tips. It then spread to my back and felt like it was going down my spine. The pain went away within 5 minutes. It is now 9 days after the vaccine and my upper arm is still slightly sore. I am able to exercise now. It is now 9 days after the vaccine and I have been having stomach issues since having the injection.  It isn't diarrhea, but very soft stools, very smelly and my stomach is bloated.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Feeling cold, Hyperhidrosis, Injection site pain
Clinical narrative: Extreme shivering, feeling cold, sick and weak; started at 6pm on 6/22/2018; went to bed early at about 7pm; covered self with several blankets. No significant fever. Kept shivering overnight until about 3pm. Sweat profusely overnight and also the following two nights. Shivering sensation for 3 days (not actually shaking). Feeling weak for 3-4 days. Left arm hurt where injection applied for 4 days.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise
Clinical narrative: Extreme shivering, feeling cold, sick and weak; started at 6pm on 6/22/2018; went to bed early at about 7pm; covered self with several blankets. No significant fever. Kept shivering overnight until about 3pm. Sweat profusely overnight and also the following two nights. Shivering sensation for 3 days (not actually shaking). Feeling weak for 3-4 days. Left arm hurt where injection applied for 4 days.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain
Clinical narrative: Patient can't get out of bed due to overall pain, started morning of 6/22/18, hasn't resolved as of the evening.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Swollen tongue
Clinical narrative: And Swelling at arm at injection site, swelling tongue. Diphenhydramine.
Age: 85.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: On 6-20-18 Patient C/O pain to (R) deltoid area Upon assessment she had a 4"x1.5" red raised area. Slightly warm to touch. Medical provider ordered Diphenhydramine Q6 hours x 48 hour and ice packs as tolerated.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling cold, Headache, Impaired driving ability, Malaise
Clinical narrative: Chills, shivering violently, freezing cold, body and muscle aches, horrible headache-severe reaction, almost went to ER. Too sick to go. I thought I was dying. Told my dogs goodbye. This was an awful experience. I was sick for two days following the injection. It really scared me. I thought I was dying. I was too ill to drive myself to the emergency room. I told my dogs good-bye (I live alone). I thought I was actually dying. I would never recommend this vaccine to anyone.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Chills, shivering violently, freezing cold, body and muscle aches, horrible headache-severe reaction, almost went to ER. Too sick to go. I thought I was dying. Told my dogs goodbye. This was an awful experience. I was sick for two days following the injection. It really scared me. I thought I was dying. I was too ill to drive myself to the emergency room. I told my dogs good-bye (I live alone). I thought I was actually dying. I would never recommend this vaccine to anyone.
Age: 61.0
Sex: M
Vaccine: HEPA
Symptoms: Dysphemia
Clinical narrative: Patient started studdering 30-45 min - after getting vaccine. It continued for the next day. Patient hasn't noticed since day 2 of receiving vaccine. Patient is aware that it may not be the vaccine that caused the studdering episode.
Age: 79.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Mass, Pain in extremity, Pruritus, Skin warm
Clinical narrative: After 5 days of receiving vaccine I started with a lump, redness, itching and soreness. It began with a large red circle and spread quite a bit around my arm. It was very hot to the touch. Antibiotic was given Cephalexin 500 mg 3 x a day for 10 days, BENADRYL, anti itch cream, cold Pks. It's been over a month and arm still hurts.
Age: 11.0
Sex: F
Vaccine: HPV4, MENB, MNQ, TDAP
Symptoms: Injection site rash, Injection site urticaria, Rash
Clinical narrative: Initially has localized hives at Inj site of left leg only below TRUMENBA site. No other Sx. Told to give MENACTRA. By the 2nd day post injection area was large and had diffuse rash. C/O lower extremities and some on arms. Pt. was given steroids, BENADRYL and ZYRTEC.
Age: 68.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Abdominal distension, Back pain, Blood creatine phosphokinase normal, Chest pain, Coagulation test normal
Clinical narrative: Patient is a 68 y.o. male referred to Infectious Diseases Clinic for possible reaction to yellow fever vaccine. He is an orthopedic surgeon who is planning to travel in September 2018. In preparation for his trip, he had injectable typhoid vaccine, yellow fever vaccine and hepatitis A vaccine on June 1, 2018. On June 6, he developed mild headache, dizziness and chills, no documented fever. Soon after that, he then developed thoracic and low back pain. He was very fatigued with diffuse aches for several days, with skin sensitivity. These symptoms persisted for several days. On Saturday, June 9, he developed decreased appetite and bloating, associated with five mucousy loose bowel movements daily. He noted that certain food and wine did not taste good, and he discontinued. His appetite continued to worsen, still with GI symptoms, but muscle aches resolved. On 6/13, he weighed himself, and he was 6-8 pounds lower than baseline. On that day, he had labs performed at his work place on 6/13 and found WBC 2.5, plt 100,000; LFTs, coag studies and CK were normal. Yesterday, he called, when he felt much worse, and was unable to pack for a trip that he planned for this weekend. He notes that if he lies down and dozes, he feels much better, with less GI symptoms. His current symptoms are poor appetite, and fatigue with ongoing loose bowel movements. He is making himself eat and drinks plenty of liquids. He feels that the most problematic symptom is a feeling of panic, that resolves if he lies down. His wife had the same vaccinations is having no side effects. He has not been around anyone ill. He is a semi-retired orthopedic surgeon, but still runs his residency program. He has limited patient contact. He traveled in May (he did see a tick there, but had none on his body), in March, and in Feb.
Age: 68.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Dysgeusia, Fatigue
Clinical narrative: Patient is a 68 y.o. male referred to Infectious Diseases Clinic for possible reaction to yellow fever vaccine. He is an orthopedic surgeon who is planning to travel in September 2018. In preparation for his trip, he had injectable typhoid vaccine, yellow fever vaccine and hepatitis A vaccine on June 1, 2018. On June 6, he developed mild headache, dizziness and chills, no documented fever. Soon after that, he then developed thoracic and low back pain. He was very fatigued with diffuse aches for several days, with skin sensitivity. These symptoms persisted for several days. On Saturday, June 9, he developed decreased appetite and bloating, associated with five mucousy loose bowel movements daily. He noted that certain food and wine did not taste good, and he discontinued. His appetite continued to worsen, still with GI symptoms, but muscle aches resolved. On 6/13, he weighed himself, and he was 6-8 pounds lower than baseline. On that day, he had labs performed at his work place on 6/13 and found WBC 2.5, plt 100,000; LFTs, coag studies and CK were normal. Yesterday, he called, when he felt much worse, and was unable to pack for a trip that he planned for this weekend. He notes that if he lies down and dozes, he feels much better, with less GI symptoms. His current symptoms are poor appetite, and fatigue with ongoing loose bowel movements. He is making himself eat and drinks plenty of liquids. He feels that the most problematic symptom is a feeling of panic, that resolves if he lies down. His wife had the same vaccinations is having no side effects. He has not been around anyone ill. He is a semi-retired orthopedic surgeon, but still runs his residency program. He has limited patient contact. He traveled in May (he did see a tick there, but had none on his body), in March, and in Feb.
Age: 68.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Feeling cold, Haemoglobin normal, Headache, Liver function test normal, Mucous stools
Clinical narrative: Patient is a 68 y.o. male referred to Infectious Diseases Clinic for possible reaction to yellow fever vaccine. He is an orthopedic surgeon who is planning to travel in September 2018. In preparation for his trip, he had injectable typhoid vaccine, yellow fever vaccine and hepatitis A vaccine on June 1, 2018. On June 6, he developed mild headache, dizziness and chills, no documented fever. Soon after that, he then developed thoracic and low back pain. He was very fatigued with diffuse aches for several days, with skin sensitivity. These symptoms persisted for several days. On Saturday, June 9, he developed decreased appetite and bloating, associated with five mucousy loose bowel movements daily. He noted that certain food and wine did not taste good, and he discontinued. His appetite continued to worsen, still with GI symptoms, but muscle aches resolved. On 6/13, he weighed himself, and he was 6-8 pounds lower than baseline. On that day, he had labs performed at his work place on 6/13 and found WBC 2.5, plt 100,000; LFTs, coag studies and CK were normal. Yesterday, he called, when he felt much worse, and was unable to pack for a trip that he planned for this weekend. He notes that if he lies down and dozes, he feels much better, with less GI symptoms. His current symptoms are poor appetite, and fatigue with ongoing loose bowel movements. He is making himself eat and drinks plenty of liquids. He feels that the most problematic symptom is a feeling of panic, that resolves if he lies down. His wife had the same vaccinations is having no side effects. He has not been around anyone ill. He is a semi-retired orthopedic surgeon, but still runs his residency program. He has limited patient contact. He traveled in May (he did see a tick there, but had none on his body), in March, and in Feb.
Age: 68.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: Pain, Panic reaction, Platelet count decreased, Skin sensitisation, Weight decreased
Clinical narrative: Patient is a 68 y.o. male referred to Infectious Diseases Clinic for possible reaction to yellow fever vaccine. He is an orthopedic surgeon who is planning to travel in September 2018. In preparation for his trip, he had injectable typhoid vaccine, yellow fever vaccine and hepatitis A vaccine on June 1, 2018. On June 6, he developed mild headache, dizziness and chills, no documented fever. Soon after that, he then developed thoracic and low back pain. He was very fatigued with diffuse aches for several days, with skin sensitivity. These symptoms persisted for several days. On Saturday, June 9, he developed decreased appetite and bloating, associated with five mucousy loose bowel movements daily. He noted that certain food and wine did not taste good, and he discontinued. His appetite continued to worsen, still with GI symptoms, but muscle aches resolved. On 6/13, he weighed himself, and he was 6-8 pounds lower than baseline. On that day, he had labs performed at his work place on 6/13 and found WBC 2.5, plt 100,000; LFTs, coag studies and CK were normal. Yesterday, he called, when he felt much worse, and was unable to pack for a trip that he planned for this weekend. He notes that if he lies down and dozes, he feels much better, with less GI symptoms. His current symptoms are poor appetite, and fatigue with ongoing loose bowel movements. He is making himself eat and drinks plenty of liquids. He feels that the most problematic symptom is a feeling of panic, that resolves if he lies down. His wife had the same vaccinations is having no side effects. He has not been around anyone ill. He is a semi-retired orthopedic surgeon, but still runs his residency program. He has limited patient contact. He traveled in May (he did see a tick there, but had none on his body), in March, and in Feb.
Age: 68.0
Sex: M
Vaccine: HEPA, TYP, YF
Symptoms: White blood cell count decreased
Clinical narrative: Patient is a 68 y.o. male referred to Infectious Diseases Clinic for possible reaction to yellow fever vaccine. He is an orthopedic surgeon who is planning to travel in September 2018. In preparation for his trip, he had injectable typhoid vaccine, yellow fever vaccine and hepatitis A vaccine on June 1, 2018. On June 6, he developed mild headache, dizziness and chills, no documented fever. Soon after that, he then developed thoracic and low back pain. He was very fatigued with diffuse aches for several days, with skin sensitivity. These symptoms persisted for several days. On Saturday, June 9, he developed decreased appetite and bloating, associated with five mucousy loose bowel movements daily. He noted that certain food and wine did not taste good, and he discontinued. His appetite continued to worsen, still with GI symptoms, but muscle aches resolved. On 6/13, he weighed himself, and he was 6-8 pounds lower than baseline. On that day, he had labs performed at his work place on 6/13 and found WBC 2.5, plt 100,000; LFTs, coag studies and CK were normal. Yesterday, he called, when he felt much worse, and was unable to pack for a trip that he planned for this weekend. He notes that if he lies down and dozes, he feels much better, with less GI symptoms. His current symptoms are poor appetite, and fatigue with ongoing loose bowel movements. He is making himself eat and drinks plenty of liquids. He feels that the most problematic symptom is a feeling of panic, that resolves if he lies down. His wife had the same vaccinations is having no side effects. He has not been around anyone ill. He is a semi-retired orthopedic surgeon, but still runs his residency program. He has limited patient contact. He traveled in May (he did see a tick there, but had none on his body), in March, and in Feb.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Anaemia, Condition aggravated, Depressed level of consciousness, Impaired work ability, Incorrect dose administered
Clinical narrative: Gave an adult dose HAVRIX to 18 year old patient. She reported being extremely sick later in the day. Became very nauseous and had the feeling like she was going to pass out. Her whole body became sore that evening and the next day. Patient was unable to attend work the day after vaccine was given. Patient stated that her anemia was controlled beforehand but now she's having difficulty keeping it managed. She did contact her doctor on 6/22/2018 to ask about the vaccine after we called her. They are going to do steroid shots for her immune system.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Malaise, Nausea, Pain
Clinical narrative: Gave an adult dose HAVRIX to 18 year old patient. She reported being extremely sick later in the day. Became very nauseous and had the feeling like she was going to pass out. Her whole body became sore that evening and the next day. Patient was unable to attend work the day after vaccine was given. Patient stated that her anemia was controlled beforehand but now she's having difficulty keeping it managed. She did contact her doctor on 6/22/2018 to ask about the vaccine after we called her. They are going to do steroid shots for her immune system.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal pain lower, Back pain, Decreased appetite, Dyspepsia
Clinical narrative: Started feeling bad next day 6-1-18 upset stomach feeling a warm burning sensation in upper stomach in mid-afternoon in evening felt decreased appetite, upset stomach at times felt nauseous. In the evening got a hot flushed feeling to face. Sat 6-2-18 still same upset stomach upper burning sensation later in evening more belly pain more on left side and lower side of belly, sharp pains in lower left side of abdomen was bad pain for a hour of so almost went to E.R. but used a heating pad and the pain became less severe. Took a couple of TYLENOL P.M. also Sunday 6-3-18 felt a litter better stomach was sore feeling but not sharp pains dull sore pains. Still feeling a warm burning sensation in upper stomach for about a week. With the first dose all I felt was a very sore arm. The second dose a sore arm but all these other belly symptoms and also some upper back pain for 2 days.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Hot flush, Nausea, Pain in extremity
Clinical narrative: Started feeling bad next day 6-1-18 upset stomach feeling a warm burning sensation in upper stomach in mid-afternoon in evening felt decreased appetite, upset stomach at times felt nauseous. In the evening got a hot flushed feeling to face. Sat 6-2-18 still same upset stomach upper burning sensation later in evening more belly pain more on left side and lower side of belly, sharp pains in lower left side of abdomen was bad pain for a hour of so almost went to E.R. but used a heating pad and the pain became less severe. Took a couple of TYLENOL P.M. also Sunday 6-3-18 felt a litter better stomach was sore feeling but not sharp pains dull sore pains. Still feeling a warm burning sensation in upper stomach for about a week. With the first dose all I felt was a very sore arm. The second dose a sore arm but all these other belly symptoms and also some upper back pain for 2 days.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain, Pruritus, Skin lesion, Swelling face
Clinical narrative: That evening had aches, headache. Woke up next AM w/face puffy - urticaria. Terrible itching on face and lesions everywhere. Friday (2 days post-shot) increased facial swelling and neck also w/urticaria.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: That evening had aches, headache. Woke up next AM w/face puffy - urticaria. Terrible itching on face and lesions everywhere. Friday (2 days post-shot) increased facial swelling and neck also w/urticaria.
Age: 18.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Urticaria
Clinical narrative: Hives on face began on 6/20/18 around 7:00 AM. Patient took BENADRYL. Hives not itchy. Patient did not have this reaction with previous doses of HPV.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity, Skin warm
Clinical narrative: Per patient she went home and her arm hurt and was hot to touch. (This happened Monday). She said she put ice on it after church and at 3am Thursday morning she couldn't get out of bed. She believed she had some kind of reaction to SHINGRIX. She stated she was given a steroid and she felt fine now.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site of TRUMENBA 8-9 cm redness.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Have pain since getting the shot.
Age: 12.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Dizziness, Feeling hot, Hypotension, Loss of consciousness, Nausea
Clinical narrative: 9:30 am received vaccine, c/o dizziness 9:32 pass out - cold pack applied c/o hot, client pale and verbalized she feels like "throwing up". Client hypotensive. Client felt better 15 min later, went to bathroom 30 min after episode and after a few min. started feeling dizzy again. Client drank a coke and began to feel better. left clinic stated felt much better.
Age: 12.0
Sex: F
Vaccine: HEPA, TDAP
Symptoms: Pallor
Clinical narrative: 9:30 am received vaccine, c/o dizziness 9:32 pass out - cold pack applied c/o hot, client pale and verbalized she feels like "throwing up". Client hypotensive. Client felt better 15 min later, went to bathroom 30 min after episode and after a few min. started feeling dizzy again. Client drank a coke and began to feel better. left clinic stated felt much better.
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Injection site pain, Loss of personal independence in daily activities, Malaise
Clinical narrative: Date of shot: May 18, 2018. May 19, 2018 General Malaise; no strength. High pain at shot location. Unable to function at all.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Obstructive airways disorder, Swelling face, Urticaria
Clinical narrative: Face swelling, hives and mom states obstructed airway - received BENADRYL and steroids at ER.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Computerised tomogram normal, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Patient came into clinic today with complaints of left shoulder/arm pain in deltoid area. Received meningitis B vaccine in (L) deltoid muscle (IM) on 6/19/18. Patient reports pain started in the evening of 6/19/18. States no relief of pain with MOTRIN and cold/warm compress. Complaint of limited range of motion. Assessment today shows slight swelling at (L) deltoid muscle, tender to touch. Limited ROM. Referred to ER.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Induration, Injection site reaction, Rash macular, Tenderness
Clinical narrative: Mild induration, minimal tenderness. Erythematous macular rash to site, (R) thigh.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Gave an adult dose HAVRIX to 18 year old patient. No adverse events reported.
Age: 18.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Gave an adult dose VAQTA to an 18 year old patient. No adverse events reported.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Gave adult dose HAVRIX to 18 year old patient. No adverse events were reported.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Immediate post-injection reaction, Middle insomnia, Pain, Skin warm
Clinical narrative: Vaccine received 6/21/2018 hurt STAT swelling began 1 HR later and continued to swell. Pain enough to take TYLENOL 5pm, bedtime, 3Am woke from sleep took more TYLENOL icing all along. Red, swollen warm to touch. TYLENOL continued today no fever. Alternate arm normal. Today CLARITIN at bedtime, ice. Woke fever will cont MD.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Vaccine received 6/21/2018 hurt STAT swelling began 1 HR later and continued to swell. Pain enough to take TYLENOL 5pm, bedtime, 3Am woke from sleep took more TYLENOL icing all along. Red, swollen warm to touch. TYLENOL continued today no fever. Alternate arm normal. Today CLARITIN at bedtime, ice. Woke fever will cont MD.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain in extremity, Rash erythematous, Rash pruritic
Clinical narrative: Pt had a headache and a pain in the arm until 6/18. She also developed a bandage shaped rash on the arm. It was red and itchy. (A latex free bandage was used to cover the injection site.) No more headache and pain in arm. However, the rash has not gone away (as of 6/20/18).
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia, Rash
Clinical narrative: Within an hour of vaccine, itching at injection site. Within 6 hrs, body was itching with red patches. Noted slight fever. By next day, 3.5? (diameter) raised red bump at injection site. 36 hrs after injection, noted sever small red bumps (resembling bug bites) on neck and back.
Age: 22.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous
Clinical narrative: Within an hour of vaccine, itching at injection site. Within 6 hrs, body was itching with red patches. Noted slight fever. By next day, 3.5? (diameter) raised red bump at injection site. 36 hrs after injection, noted sever small red bumps (resembling bug bites) on neck and back.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Ophthalmic herpes zoster, Ophthalmological examination
Clinical narrative: I had herpes in my eye in 2017 after a series of hospitalizations. It was treated and resolved. My retina care physician I found there was herpes in my eye again in May of 2018. This was only two weeks after I had received my first Shingrix injection. I am concerned that it might be triggered as a reaction to the vaccination and am wondering whether or not it is safe to have the second injection.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Abdominal pain upper, Headache, Injection site pain, Pyrexia
Clinical narrative: Headache, fever, stomach and abdominal cramps, pain at injection spot, abdominal cramps were severe and lasted 48 hours. Fever lasted 48+ hours.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Ultrasound abdomen, White blood cell count
Clinical narrative: Headache, fever, stomach and abdominal cramps, pain at injection spot, abdominal cramps were severe and lasted 48 hours. Fever lasted 48+ hours.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: The Patient contacted the pharmacy the day after vaccination and complained about a very sore shoulder. She said she had trouble moving her arm without feeling pain, she also mentioned a sharp pain while putting on her clothes.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Asthenia, Back pain, Decreased appetite, Nausea, Pain
Clinical narrative: Patient reported nausea, back pain, body aches shortly after receiving vaccine (within 2 hours). Later developed fever (102 F, oral) increased back pain and body aches. Persistent nausea, generalized weakness and lack of appetite.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia
Clinical narrative: Patient reported nausea, back pain, body aches shortly after receiving vaccine (within 2 hours). Later developed fever (102 F, oral) increased back pain and body aches. Persistent nausea, generalized weakness and lack of appetite.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Concussion, Headache, Loss of consciousness, Lyme disease
Clinical narrative: I got the shot for a new job. A few hours after I got the shot I started experiencing chills. Those lasted all week. I also had a headache, sore muscles, and a fever. A week after I got the shot, I passed out. From that fall I got a concussion. I also ended up in the ER the night of my passing out because I was experiencing intense muscle spasms/convulsions. The shot also aggravated other issues that I went to the doctor for and it turns out they're symptoms of Chronic Lyme disease. So the flu shot brought out Lyme symptoms that I hadn't experienced in the past.
Age: 25.0
Sex: F
Vaccine: FLU3
Symptoms: Muscle spasms, Myalgia, Pyrexia
Clinical narrative: I got the shot for a new job. A few hours after I got the shot I started experiencing chills. Those lasted all week. I also had a headache, sore muscles, and a fever. A week after I got the shot, I passed out. From that fall I got a concussion. I also ended up in the ER the night of my passing out because I was experiencing intense muscle spasms/convulsions. The shot also aggravated other issues that I went to the doctor for and it turns out they're symptoms of Chronic Lyme disease. So the flu shot brought out Lyme symptoms that I hadn't experienced in the past.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: Patient had redness and warmth on arm surrounding vaccination area. Redness began night of vaccination, and kept spreading. As of 5 days after vaccination, the area was still spreading, sent patient to primary care, they thought it may be infection and were treating patient with antibiotics in case of that also.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: C-reactive protein normal, Full blood count normal, Gait disturbance, Hypersensitivity, Injection site discolouration
Clinical narrative: 6/22/18 Visit: Patient has what looks like some type of allergic reaction, possible it is to the vaccines but could also be to something else. Almost look like bug bites but I think it is more of an urticaria. Around the umbilicus I think he has scratched so much it is more irritated. With the redness and swelling of the left knee I want to get some labs today. No fever and looks well when he is in the hallway but concerned about him walking oddly. Will have him do BENADRYL every 6-8 hours and return in the morning for repeat evaluation. If overnight he has increased fussiness, new fever, looking more ill Mom to call or take him into the ED for further evaluation. Call with any questions or concerns. Should have the results on the labs back by tomorrow. Dr. came to evaluate the patient also and agreed with this plan. 6/23/2018 Visit: 2yo here with rash. Rash is most consistent with serum-sickness like reaction, given its appearance and the lack of fever and mucus membrane involvement. It could be related to recent vaccines (PREVNAR and Hep A); there are case reports of serum sickness like reaction after pneumococcal vaccine. Patient is now UTD on both Hep A and PREVNAR vaccines so he will not need them again. Rash scattered everywhere--red raised blanching patches, coalescing in bilat axillae, on lower belly and in diaper zone sparing penis and scrotum. A few spots on buttocks. Patch on lateral abdomen with raised and circular lesions. Purple discoloration in center of lesions around umbilicus and on post left knee.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Injection site erythema, Injection site swelling, Irritability, Metabolic function test normal, Pallor
Clinical narrative: 6/22/18 Visit: Patient has what looks like some type of allergic reaction, possible it is to the vaccines but could also be to something else. Almost look like bug bites but I think it is more of an urticaria. Around the umbilicus I think he has scratched so much it is more irritated. With the redness and swelling of the left knee I want to get some labs today. No fever and looks well when he is in the hallway but concerned about him walking oddly. Will have him do BENADRYL every 6-8 hours and return in the morning for repeat evaluation. If overnight he has increased fussiness, new fever, looking more ill Mom to call or take him into the ED for further evaluation. Call with any questions or concerns. Should have the results on the labs back by tomorrow. Dr. came to evaluate the patient also and agreed with this plan. 6/23/2018 Visit: 2yo here with rash. Rash is most consistent with serum-sickness like reaction, given its appearance and the lack of fever and mucus membrane involvement. It could be related to recent vaccines (PREVNAR and Hep A); there are case reports of serum sickness like reaction after pneumococcal vaccine. Patient is now UTD on both Hep A and PREVNAR vaccines so he will not need them again. Rash scattered everywhere--red raised blanching patches, coalescing in bilat axillae, on lower belly and in diaper zone sparing penis and scrotum. A few spots on buttocks. Patch on lateral abdomen with raised and circular lesions. Purple discoloration in center of lesions around umbilicus and on post left knee.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Pyrexia, Rash erythematous, Rash generalised, Red blood cell sedimentation rate increased, Scratch
Clinical narrative: 6/22/18 Visit: Patient has what looks like some type of allergic reaction, possible it is to the vaccines but could also be to something else. Almost look like bug bites but I think it is more of an urticaria. Around the umbilicus I think he has scratched so much it is more irritated. With the redness and swelling of the left knee I want to get some labs today. No fever and looks well when he is in the hallway but concerned about him walking oddly. Will have him do BENADRYL every 6-8 hours and return in the morning for repeat evaluation. If overnight he has increased fussiness, new fever, looking more ill Mom to call or take him into the ED for further evaluation. Call with any questions or concerns. Should have the results on the labs back by tomorrow. Dr. came to evaluate the patient also and agreed with this plan. 6/23/2018 Visit: 2yo here with rash. Rash is most consistent with serum-sickness like reaction, given its appearance and the lack of fever and mucus membrane involvement. It could be related to recent vaccines (PREVNAR and Hep A); there are case reports of serum sickness like reaction after pneumococcal vaccine. Patient is now UTD on both Hep A and PREVNAR vaccines so he will not need them again. Rash scattered everywhere--red raised blanching patches, coalescing in bilat axillae, on lower belly and in diaper zone sparing penis and scrotum. A few spots on buttocks. Patch on lateral abdomen with raised and circular lesions. Purple discoloration in center of lesions around umbilicus and on post left knee.
Age: 2.0
Sex: M
Vaccine: HEPA, PNC13
Symptoms: Serum sickness-like reaction, Skin discolouration, Skin irritation, White blood cell count increased
Clinical narrative: 6/22/18 Visit: Patient has what looks like some type of allergic reaction, possible it is to the vaccines but could also be to something else. Almost look like bug bites but I think it is more of an urticaria. Around the umbilicus I think he has scratched so much it is more irritated. With the redness and swelling of the left knee I want to get some labs today. No fever and looks well when he is in the hallway but concerned about him walking oddly. Will have him do BENADRYL every 6-8 hours and return in the morning for repeat evaluation. If overnight he has increased fussiness, new fever, looking more ill Mom to call or take him into the ED for further evaluation. Call with any questions or concerns. Should have the results on the labs back by tomorrow. Dr. came to evaluate the patient also and agreed with this plan. 6/23/2018 Visit: 2yo here with rash. Rash is most consistent with serum-sickness like reaction, given its appearance and the lack of fever and mucus membrane involvement. It could be related to recent vaccines (PREVNAR and Hep A); there are case reports of serum sickness like reaction after pneumococcal vaccine. Patient is now UTD on both Hep A and PREVNAR vaccines so he will not need them again. Rash scattered everywhere--red raised blanching patches, coalescing in bilat axillae, on lower belly and in diaper zone sparing penis and scrotum. A few spots on buttocks. Patch on lateral abdomen with raised and circular lesions. Purple discoloration in center of lesions around umbilicus and on post left knee.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Oral herpes, Pain in extremity
Clinical narrative: Patient had arm pain for several days and fatigue, however they also developed fever blisters around their mouth which was the adverse reaction they were reporting.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient presented this morning to share her vaccine response. Her arm is red along the shoulder area, on the same arm that vaccine was administered. Patient was unsure on what date symptom began.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Inflammation and redness at injection site that required steroid injection. Resolved 1 week after steroid injection.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Erythema at injection site - Patient was advised to keep close eye on area and to go to convenient care for possible treatment with antibiotic.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site reaction, Malaise, Urticaria
Clinical narrative: Flu-like symtpoms on 6/22/18. Feeling a little better today, but still rather ill. Red welt on arm at site of injection.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site reaction, Urticaria
Clinical narrative: Flu-like symptoms yesterday. Feeling slightly better by today. Large red welt on arm at site of injection.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Hypoaesthesia, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: The next day follow the immunization, patient states he experienced a reaction with symptoms that included arm numbness/tingling, fever/chills, could not move arm and arm was red, swollen and hard to the touch on a 4-5 inch radius of injection site. He came in on Saturday, June 23, and said felt better but arm still sore, red, and hard on about 4 to 5 inches radius of injection site. I told patient to take it easy, apply ice, take ibuprofen, take some benadryl and if no improvement or symptoms worsen to call physician.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling, Mobility decreased, Paraesthesia, Pyrexia
Clinical narrative: The next day follow the immunization, patient states he experienced a reaction with symptoms that included arm numbness/tingling, fever/chills, could not move arm and arm was red, swollen and hard to the touch on a 4-5 inch radius of injection site. He came in on Saturday, June 23, and said felt better but arm still sore, red, and hard on about 4 to 5 inches radius of injection site. I told patient to take it easy, apply ice, take ibuprofen, take some benadryl and if no improvement or symptoms worsen to call physician.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: The patient presented on 6/21/18 with a light red, slightly swollen rash on her left arm that was warm to the touch. The rash started just below the injection site and travelled roughly 6 inches down. The rash also started spreading inwards towards the bicep. The patient stated that the rash was continuing to spread from day 1 (6/19/18) to the time of our encounter on 6/21/18. My initial indication was that she may be experiencing cellulitis and recommended her to follow-up with her primary care physician.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Muscular weakness, Pyrexia
Clinical narrative: Extreme pain, redness, swelling at injection site for 3 days. Fever of 100.4 F. Weak, shaky legs for 4 hours. It started about 20 hours after shot.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Extreme pain, redness, swelling at injection site for 3 days. Fever of 100.4 F. Weak, shaky legs for 4 hours. It started about 20 hours after shot.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness
Clinical narrative: Pt complained of Headache and flu-like symptoms that persisted for 1 day after the vaccine was administered.
Age: 55.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Erythema, Malaise, Pain in extremity, Skin warm
Clinical narrative: SORE ARM, RED ON MOST OF SIDE UPPER ARM, WARM TO TOUCH, FEELS UNDER THE WEATHER        STARTED LAST NIGHT AND HE CAME IN TODAY. I MARKED THE RED AREA WITH A PEN AND TOLD HIM TO ICE IT. HE IS GOING TO THE DOCTOR IF NOT GETTING BETTER.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Pain, Pruritus, Rash erythematous
Clinical narrative: PATIENT DEVELOPED RED PATCHES (ABOUT 6 INCHES) ON THE INSIDE FOLD OF BOTH ELBOWS ON 06/18/2018, 3 DAYS AFTER GETTING THE SHINGRIX VACCINE, SHE COMPLAINED ABOUT ITCHING AND PAIN. SHE WENT AND SAW HER DOTOR ON 6/19/2018. PER PATIENT, HER DOCTOR WAS NOT SURE THAT IT WAS ALLERGIC REACTION TO VACCINE. SHE PRESCRIBED STEROID TO HELP WITH THE ITCHINESS. I JUST TALKED TO PATIENT TODAY 6/23/2018, SHE SAID THAT IT WAS A LITTLE BETTER, AND SHE STOPPED USING THE MED A COUPLE OF DAYS AGO. SHE ALSO NOTICED THAT THE SAME REDNESS WERE ON HER BREAST, BEHIND LEG, STOMACH THE DAY AFTER SHE STOPPED USING THE STEROID. THIS MORNING SHE NOTICED BLISTER ON HER BREAST AND SHE HAS AN APPOINTMENT WITH DOCTOR THIS COMING WEDNESDAY.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: None stated.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Rash vesicular
Clinical narrative: Shingle type rash at injection site size of 50 cent piece.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: She called in to the pharmacy yesterday and spoke to one of the girls reporting of pain around the injection site and also that it was red, swollen and hard. She didn't remember who she talked to, but she said they told her that was normal and not to worry about it. She woke up this morning and it was worse. She also had a fever and said it was hot around the injection site.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia, Staphylococcal infection, Staphylococcus test
Clinical narrative: She called in to the pharmacy yesterday and spoke to one of the girls reporting of pain around the injection site and also that it was red, swollen and hard. She didn't remember who she talked to, but she said they told her that was normal and not to worry about it. She woke up this morning and it was worse. She also had a fever and said it was hot around the injection site.
Age: 64.0
Sex: M
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Swelling to the left arm.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient states felt tingling and numbness in hands and arm after vaccination that resolved after about a month but returned after her RECLAST infusion.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site mass
Clinical narrative: After injection, patient developed a half-dollar size lump (1/2 inch high) at the site of injection. Applied cold pack and gave 25mg dose of BENADRYL. No other symptoms. Patient waited 20 minutes in store. Swelling resolved within 90 minutes at home.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Chest pain, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Myocardial necrosis marker increased, Pericarditis
Clinical narrative: Patient was awoken 3 days following the vaccination with acute onset of chest pain. He went to the ED and was found to have elevated cardiac enzymes, diffuse elevated ST changes on EKG, and fluid surrounding the heart on bedside U/S. he was diagnosed with pericarditis and treated with Motrin 800 mg. So far, no sequela. He is doing well, as symptoms have improved considerable.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Cellulitis - redness, swelling, hot to touch treated w/ cephalexin 25mg/kg BID Follow up in office 1 wk.