chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at injection site immediately following administration of influenza vaccine.
Age: 94.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site bruising
Clinical narrative: Area of injection site is bruised.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Flank pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Pain side and chest, fever 101.0 F, shooting leg pain 10/10.
Age: 73.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient reported extreme redness in a large circumference on the arm where Prevnar was administered. She also has some injection site pain but no impaired mobility.
Age: 15.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Hypersensitivity, Rash generalised, Rash pruritic
Clinical narrative: Mom states patient woke up 10/14/15, the morning after vaccine administration, with itchy rash all body. Taken to PMD who believes allergic reaction to HPV since had been given previous dose of Hep A. Given steroid injection and skin cream. Advised not to continue HPV vaccine series.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Pain in shoulders, hands, elbows, feet (bottoms) ("every joint in body").
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Hypoaesthesia
Clinical narrative: Numbness in Rt hand (fingers) which was the arm used for injection. Pt also reports being diagnosed w/ lupus in September. Pt took some BENADRYL on 10/14 per RPh reported that was helping.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pain, bruising, warm to touch, swelling at injection site.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Nerve injury
Clinical narrative: Bruise on left arm and nerve damage in left leg.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain, Skin warm, Swelling
Clinical narrative: Pain, bruising, swelling, warm to touch.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Bruising, swelling, pain radiating from injection site to hand.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Injection site swelling, Nausea, Pyrexia, Tenderness
Clinical narrative: Patient called the morning following vaccine and complained of fever/chills/nausea and tenderness and swelling at injection site.
Age: 86.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Dysphagia, Dyspnoea, Endotracheal intubation, Hypersensitivity, Mechanical ventilation
Clinical narrative: This is an 86-year-old female who was admitted to medical center on 10/08/2015 after an allergic reaction to combined flu and pneumonia shot. After receiving a flu shot and pneumonia shot in the Emergency Room, the patient was about to be sent home and she developed diffuse erythematous rash all over her body and increased swelling of her tongue. ER physician was concerned and intubated the patient preventatively to protect her airway since she was starting to have difficulty swallowing and breathing. The patient currently is on the vent, hemodynamically stable, sedated with propofol.
Age: 86.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Rash erythematous, Rash generalised, Swollen tongue
Clinical narrative: This is an 86-year-old female who was admitted to medical center on 10/08/2015 after an allergic reaction to combined flu and pneumonia shot. After receiving a flu shot and pneumonia shot in the Emergency Room, the patient was about to be sent home and she developed diffuse erythematous rash all over her body and increased swelling of her tongue. ER physician was concerned and intubated the patient preventatively to protect her airway since she was starting to have difficulty swallowing and breathing. The patient currently is on the vent, hemodynamically stable, sedated with propofol.
Age: 56.0
Sex: M
Vaccine: FLU3, VARZOS, VARZOS
Symptoms: Formication, Headache, Herpes zoster, Lymphadenopathy, Pyrexia
Clinical narrative: This spontaneous report was received from a 56 year old male patient (field representative) regarding himself. The patient did not have any pertinent medical history or drug allergies. On 29-JUL-2015 the patient was vaccinated with ZOSTAVAX, (1 vial, route unspecified, batch number-L00049, Expiry date-08-MAR-2016). The pharmacist is the one who was administered the ZOSTAVAX. Other suspect therapies included FLUARIX. The patient was on some unspecified concomitant medications. On 27-SEP-2015, 61 days after onset of therapy the patient developed fever, headache, swollen glands and a creepy crawly sensation. No laboratory tests were performed. On 01-OCT-2015 he was diagnosed with shingles and was treated with Famdiclvir, Prednisolone, TYLENOL and NAPROXEN (dosing regimens and manufacturers unspecified). It was also reported that the field representative was under duress because he was the patient. No product Quality Complaint (PQC) was involved. Cancer and overdose were not reported. The outcome of the event was reported as recovered/resolving. The causality assessment was not provided. Additional information has been requested.
Age: 56.0
Sex: M
Vaccine: FLU3, VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: This spontaneous report was received from a 56 year old male patient (field representative) regarding himself. The patient did not have any pertinent medical history or drug allergies. On 29-JUL-2015 the patient was vaccinated with ZOSTAVAX, (1 vial, route unspecified, batch number-L00049, Expiry date-08-MAR-2016). The pharmacist is the one who was administered the ZOSTAVAX. Other suspect therapies included FLUARIX. The patient was on some unspecified concomitant medications. On 27-SEP-2015, 61 days after onset of therapy the patient developed fever, headache, swollen glands and a creepy crawly sensation. No laboratory tests were performed. On 01-OCT-2015 he was diagnosed with shingles and was treated with Famdiclvir, Prednisolone, TYLENOL and NAPROXEN (dosing regimens and manufacturers unspecified). It was also reported that the field representative was under duress because he was the patient. No product Quality Complaint (PQC) was involved. Cancer and overdose were not reported. The outcome of the event was reported as recovered/resolving. The causality assessment was not provided. Additional information has been requested.
Sex: U
Vaccine: FLUX, PNC13, VARZOS, FLUX, PNC13, VARZOS
Symptoms: Respiratory symptom
Clinical narrative: Information was received from a physician via Pfizer (reference No. W2015222779 and 4CPYZGKQ) referring to a patient of unknown age and gender. Concurrent conditions or pertinent medical history were not reported. On an unknown date, the patient went to a retail store to get their unspecified influenza virus vaccine (lot#, dose, frequency and route of administration were unspecified) and they received at the same time, PREVNAR 13 (lot#, dose, frequency and route of administration were unspecified), as well as ZOSTAVAX (also reported as ZOSTERVAX) (lot#, dose, frequency and route of administration were unspecified). On an unknown date, the pharmacist gave all three vaccines together, and the patient ended up admitted in an unspecified hospital (dates and duration of the hospitalization were unknown) because of respiratory symptoms. At the time of the report, it was unknown if the patient was still hospitalized. The outcome of respiratory disorder was unknown. The relatedness of ZOSTAVAX with respiratory disorder was not reported. This is one of several cases from the same source. Additional information has been requested.
Sex: U
Vaccine: FLUX, PNC13, VARZOS, FLUX, PNC13, VARZOS
Symptoms: Respiratory symptom
Clinical narrative: This spontaneous report was received from a physician via Pfizer and refers to a patient of unknown age and gender. The patient's concurrent conditions and medical history were not reported. On an unknown date, at the same time, the patient was vaccinated with ZOSTAVAX, PREVNAR 13 and influenza virus vaccine (manufacturer unknown) (doses, routes of administration, anatomical locations, lot numbers and expiration dates were not provided). Subsequently, the patient experienced respiratory symptoms than caused hospitalization. At the time of the report, it was unknown if the patient still hospitalized. The outcome of respiratory disorder was not reported. The reporter did not assess the relatedness of respiratory disorder with ZOSTAVAX, PREVNAR 13 and influenza virus vaccine (manufacturer unknown). Additional information has been requested.
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Pt. had complaints of throat closing/difficulty breathing within 5-10 minutes of receiving Flu vaccine gave 1 EPIPEN. Recovered ok.
Age: 75.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Back pain, Chills, Pollakiuria, Pyrexia
Clinical narrative: By 8 pm had chills, fever (did not take temp), pain from neck to lower back worse than usual chronic pain. Urination frequency increased and becasue of pain in back it.
Age: 58.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site pain, Pain
Clinical narrative: Bruise at injection site. Pain on 2nd day unable to move arm w/o intense pain. Starting to get better today (10/13/15). No fever, no inflammation otherwise okay.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction, Pain in extremity, Peripheral swelling
Clinical narrative: Swelling extreme sharp pain - right arm limited range of motion, tightness pain upper right arm.
Age: 39.0
Sex: F
Vaccine: FLU3
Symptoms: Skin tightness
Clinical narrative: Swelling extreme sharp pain - right arm limited range of motion, tightness pain upper right arm.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Eye pain
Clinical narrative: 10/7/15-Rapid onset of light headed, weakness and "warmth" loose stool and vomiting. Went to leave work and developed blurred vision (bilat) lasting approximately 5 mins. Family picked her up b/c not able to drive, layed down prior to leaving. "Shivering" and "chills"  no temp checked. Felt "clammy". Felt over all achiness especially behind eyes. Symptoms resolved by 10/9/15.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Vision blurred, Vomiting
Clinical narrative: 10/7/15-Rapid onset of light headed, weakness and "warmth" loose stool and vomiting. Went to leave work and developed blurred vision (bilat) lasting approximately 5 mins. Family picked her up b/c not able to drive, layed down prior to leaving. "Shivering" and "chills"  no temp checked. Felt "clammy". Felt over all achiness especially behind eyes. Symptoms resolved by 10/9/15.
Age: 26.0
Sex: F
Vaccine: MMR
Symptoms: Burning sensation, Erythema, Pruritus, Rash, Rash pustular
Clinical narrative: Itchy, erythematous pustule burning rash over upper chest area along dermatome.
Age: 51.0
Sex: M
Vaccine: FLUC3
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient presented to the clinic 10/14/2015 with complaint of left arm/shouler pain since receiving the flu shot 09/15/15.
Age: 37.0
Sex: F
Vaccine: FLUC3
Symptoms: Injection site pain
Clinical narrative: Patient presented to the clinic 10/13/2015 with complaint of left arm/shouler pain since receiving the flu shot 09/15/15.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling hot, Generalised erythema, Pruritus, Urticaria
Clinical narrative: At the time of injection she was alert & oriented around 1 pm she returned starting to feel hot with noticable redness around face, hands, knees, and elbows, also reports feeling of itchiness. Notified of occurring incident were RN, DON and another. Employee stated she would go to a emergency walk in clinic. Employee was looked completely over, assessed locations for redness, hives, warmth, no first aid measures taken by myself or any other employee at this time. Employee sought care from a walk in clinic.
Age: 37.0
Sex: M
Vaccine: FLUC3
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient presented to the clinic 10/14/2015 with complaint of left arm/shouler pain since receiving the flu shot 09/15/15.
Age: 6.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness and swelling at the injection site - R deltoid - patient describes itching.
Age: 64.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Neck pain, Pyrexia, Urticaria
Clinical narrative: Patient received flu shot with PPSV23. The following day, the patient developed a fever, hives that covered her body, and neck pain. She visited her doctor and the symptoms began to resolve in less than 48 hours.
Age: 76.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Cardiovascular evaluation, Chest discomfort, Injection site reaction, Laboratory test normal, Limb discomfort
Clinical narrative: WHEN WALKING OUT OF CLINIC, HAD A SENSATION OF HEAVINESS STEMMING FROM INJECTION SITE ACROSS SCAPULA TO LEFT SHOULDER.  SENSATION DISSIPATED ALMOST IMMEDIATELY. SAME EXACT ONSET 3 DAYS LATER AND AGAIN 1 WEEK LATER.  YESTERDAY (10/14/15), SAME SYMPTOMS, BUT AFTER RADIATED ACROSS SCAPULA, RADIATED ACROSS FRONT OF CHEST AND DOWN RIGHT ARM.  CLIENT FELT A "PANIC" FEELING BUT THAT WENT AWAY AFTER A FEW MINUTES. RN DISCUSSED CONCERNS FOR HEART SYMPTOMS AND CLIENT STATED SHE HAD FULL WORK UP @ CARDIOLOGIST AS PART OF REGULARLY SCHEDULED APPT (FOR UNSTABLE ANGINA).
Age: 76.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Panic reaction
Clinical narrative: WHEN WALKING OUT OF CLINIC, HAD A SENSATION OF HEAVINESS STEMMING FROM INJECTION SITE ACROSS SCAPULA TO LEFT SHOULDER.  SENSATION DISSIPATED ALMOST IMMEDIATELY. SAME EXACT ONSET 3 DAYS LATER AND AGAIN 1 WEEK LATER.  YESTERDAY (10/14/15), SAME SYMPTOMS, BUT AFTER RADIATED ACROSS SCAPULA, RADIATED ACROSS FRONT OF CHEST AND DOWN RIGHT ARM.  CLIENT FELT A "PANIC" FEELING BUT THAT WENT AWAY AFTER A FEW MINUTES. RN DISCUSSED CONCERNS FOR HEART SYMPTOMS AND CLIENT STATED SHE HAD FULL WORK UP @ CARDIOLOGIST AS PART OF REGULARLY SCHEDULED APPT (FOR UNSTABLE ANGINA).
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Headache, Pain, Tremor
Clinical narrative: 4 HOURS AFTER SHE GOT HER VACCINE AFTER DINNER SHE HAD A BAD HEADACHE, CHILLS, SHAKING, WEAKNESS, ACHES AND VOMITING.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: 4 HOURS AFTER SHE GOT HER VACCINE AFTER DINNER SHE HAD A BAD HEADACHE, CHILLS, SHAKING, WEAKNESS, ACHES AND VOMITING.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injected limb mobility decreased, Pain
Clinical narrative: Soreness, can't left her arm, chills.
Age: 46.0
Sex: F
Vaccine: FLUX
Symptoms: Asthenia, Disorientation, Pyrexia
Clinical narrative: Started running a low-grade fever and been running one consistently for over a week. Feel generally weak, somewhat disoriented and not well AT ALL! What the heck are those people putting in the flu vaccine this year?!
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Initially there was a red dot at injection site.  The next day it got more red and the area enlarged and started to itch.  By 10/15/15 the area was about 3.5" x 2.5" and very itchy.
Age: 66.0
Sex: M
Vaccine: FLU3, PNC13, VARZOS
Symptoms: Erythema, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: In right arm pt was administered flu shot and pneumonia shot. Arm was shown to me on 10/15/15. Arm was red, warm and swollen.  Pt also reported fever on 10/10/15.
Age: 48.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Influenza A virus test positive, Influenza B virus test positive, Pyrexia
Clinical narrative: Fever, cough, tested positive for influenza A/B.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Pyrexia
Clinical narrative: Fever (100.8) extreme chills with shivering lasting several hours.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Bronchospasm, Dyspnoea, Hypertension, Laryngospasm
Clinical narrative: Patient developed Broncho and Laryngo spasm, hypertension, pulse 108 and difficulty breathing. .03 ephinephrine was administered after shot and resolved.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pruritus, Fatigue, Feeling cold, Headache, Oropharyngeal pain
Clinical narrative: On Tuesday the 13th I developed a sore throat.  Wednesday the 14th - sore throat, fatigue, and itching eyes.  Thursday the 15th - fever/chills, fatigue, headache, runny nose.
Age: 61.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Rhinorrhoea
Clinical narrative: On Tuesday the 13th I developed a sore throat.  Wednesday the 14th - sore throat, fatigue, and itching eyes.  Thursday the 15th - fever/chills, fatigue, headache, runny nose.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling at injection site, Hot. Site was Iced; patient was treated with 1GM of Rocephin IM.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP, VARCEL
Symptoms: Hypotonia, Lethargy, Syncope
Clinical narrative: Pt. had an episode of syncope which lasted only a few seconds after administration of final vaccine HPV 9. Pt. was alert and orientated. Pt. given juice and cool cloths. Pt. laid down. After pt. a few min. pt. retained color. Pt. then began to become very lethargic for about 30 min. Pt. would respond to name and open eyes. Pt.s body noted to be limp. After approx. 1 hour in office pt. was still not completely functional.
Age: 26.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Injection site rash, Nausea
Clinical narrative: Major Headache. Nausea. Rash around injection site. Lasted for 48 hours. Treatment was sleep and naproxen, lots of water, and some Gatorade.
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Skin reaction
Clinical narrative: R shoulder swollen, warm to touch, pruritis, skin reaction.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Slight swelling from injection site (RA) down to the elbow on back/side of arm, Warm to touch. Patient noticed the next morning and took Benadryl for the time until she came into pharmacy on 10/16/15 where she talked with me about interaction, I notified MD and told her to continue with Benadryl and to see doctor if anything gets worse or does not get better. MD suggested that the patient needed to come in only if the patient felt the need and did not require being seen.
Age: 47.0
Sex: F
Vaccine: FLUX
Symptoms: Back pain, Dysarthria, Musculoskeletal pain, Pain, Painful respiration
Clinical narrative: At a bought 10:30 AM I felt the usual symptom shoulder aches. At around 12:30 PM my shoulder and scapula became sore then it quicly progressed to my left back thoracic side. It was painful to move my left side and it also hurt to inhale. I was scrubbed in surgery and 2 doctors noticed that there was something wrong. The surgeon asked me a couple of questions and stated that my words were slurring and that I needed to excused from my duties. The injection site was on my left upper arm. My right side was not affected at anytime.
Age: 48.0
Sex: F
Vaccine: FLUR3
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Exrtreme warm, soreness, redness, and swelling to injections site and area 2 inches below injection site (measuring 2 inches X 3 inches in width and height). Sudden onset of headache. Treated w/ ice compresses and NSAIDs.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pt has a erythema around injection site (about 1.5" - 2" in diameter).  Pt reports itchiness, swelling, redness, and tenderness at the injection site. No fever.
Age: 77.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness, itchiness at injection site, not localized.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Pt initially felt no pain when vaccine administered on Friday 10/9/15. Sunday 10/11/15 in the evening arm started to hurt. By Monday patient was in "agony" and saw physician. Pt said she couldn't move her arm without pain at this time. Pain also sometimes radiates through shoulder into neck. MD prescribed muscle relaxant and Tylenol with codeine. Pt did not take Tylenol with codeine but did take muscle relaxant at night and took 600 mg of ibuprofen which she said helped. Spoke with patient on Wed 10/14 and again on Thurs 10/15/15. She said pain is getting lesser every day but still present somewhat. Advised massaging the muscle, moving it as much as possible and icing it if necessary.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre.
Age: 24.0
Sex: F
Vaccine: MMR
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: MISCARRAGE.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient came into the pharmacy today and showed us a raised red area at the injection site. Patient said it hurt but did not itch and it had a bruise as well. Patient did not seek medical treatment.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Nodule, Scan with contrast abnormal
Clinical narrative: Patients lymph nodes were swollen on the left side, same as injection site. Location was on the neck. Contrast dye indicated nodules.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Headache, Injection site erythema, Injection site warmth, Insomnia, Musculoskeletal pain
Clinical narrative: Headache, pain across forehead, at back of head, down back of neck, shoulders, fever 99deg F insomnia, nausea - redness and warm at site of injection - I recommended pt to contact her physician, and with pt approval, I contacted her physician and relayed all information to his assistant.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Nausea, Neck pain, Pyrexia
Clinical narrative: Headache, pain across forehead, at back of head, down back of neck, shoulders, fever 99deg F insomnia, nausea - redness and warm at site of injection - I recommended pt to contact her physician, and with pt approval, I contacted her physician and relayed all information to his assistant.
Age: 1.84
Sex: M
Vaccine: FLU4
Symptoms: Chest X-ray normal, Cough, Epistaxis, Eye discharge, Nasal congestion
Clinical narrative: Pt developed nasal congestion and cough, yesterday received his flu shot, felt warm at bedtime, dropped off at daycare this am, mother was called that child had a slight nose bleed, this afternoon and then they also noted fever with cough and eye dc, mother was told to have child pickup and evaluated in order to return to daycare. Hx of eczema and has used an MDI in the past, neg rash, vomiting, diarrhea, signs of pain, or drooling. No medications given for fever prior to arrival to ED. Pt reported to ED at 1820 with fever, cough, transcient epistaxis, and eye dc, all onset in the afternoon while at daycare, hx of wheezing related to URI, fever 103 responded to Motrin, CXR neg pna, did note faint exp wheezing, neg OM, active epistaxis, or rashes, supportive care for fever with URI and RAD.
Age: 1.84
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia, Skin warm, Wheezing
Clinical narrative: Pt developed nasal congestion and cough, yesterday received his flu shot, felt warm at bedtime, dropped off at daycare this am, mother was called that child had a slight nose bleed, this afternoon and then they also noted fever with cough and eye dc, mother was told to have child pickup and evaluated in order to return to daycare. Hx of eczema and has used an MDI in the past, neg rash, vomiting, diarrhea, signs of pain, or drooling. No medications given for fever prior to arrival to ED. Pt reported to ED at 1820 with fever, cough, transcient epistaxis, and eye dc, all onset in the afternoon while at daycare, hx of wheezing related to URI, fever 103 responded to Motrin, CXR neg pna, did note faint exp wheezing, neg OM, active epistaxis, or rashes, supportive care for fever with URI and RAD.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthralgia, Neck pain
Clinical narrative: Patient had severe pain in neck and behind knees about 5 minutes after vaccine. Paramedics were called and patient was taken to hospital.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Arthralgia, Blood pressure increased, Blood test, Chest pain, Dry mouth
Clinical narrative: Patient had severe pain in neck and behind knees about 5 minutes after vaccine. Paramedics were called and patient was taken to hospital.
Age: 70.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Electrocardiogram, Headache, Hyperhidrosis
Clinical narrative: Patient had severe pain in neck and behind knees about 5 minutes after vaccine. Paramedics were called and patient was taken to hospital.
Age: 62.0
Sex: F
Vaccine: FLUX
Symptoms: Muscular weakness, Pain in extremity, Sleep disorder
Clinical narrative: Left arm is painful in the area of shot 9 days after the shot, can't put any pressure on it, can't sleep on it. VERY SORE ARM and there is weakness in the arm to lift.
Age: 94.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Breath sounds abnormal, Dyspnoea, Fatigue, Flushing
Clinical narrative: Weak, tired, shaky, nose running that evening. Slightly sore throat. Oct. 13: Fever was 101.8, vomited, weak, shaky, flushed face, nose running, lungs very congested and noisy, cannot clear mucus out of them. Very short of breath, on oxygen 4 lpm. at home. Multiple bowel movements that night. Oct. 14: Fever 100.4, face flushed and swollen, vomited twice by 5 p.m. Cannot keep food or liquids (soup, Ensure) down. Second vomit: bile. Weak, shaky, lungs very congested, cannot cough out mucus, wheezing, short of breath.
Age: 94.0
Sex: F
Vaccine: FLU3
Symptoms: Frequent bowel movements, Oropharyngeal pain, Pulmonary congestion, Pyrexia, Rhinorrhoea
Clinical narrative: Weak, tired, shaky, nose running that evening. Slightly sore throat. Oct. 13: Fever was 101.8, vomited, weak, shaky, flushed face, nose running, lungs very congested and noisy, cannot clear mucus out of them. Very short of breath, on oxygen 4 lpm. at home. Multiple bowel movements that night. Oct. 14: Fever 100.4, face flushed and swollen, vomited twice by 5 p.m. Cannot keep food or liquids (soup, Ensure) down. Second vomit: bile. Weak, shaky, lungs very congested, cannot cough out mucus, wheezing, short of breath.
Age: 94.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face, Tremor, Vomiting, Wheezing
Clinical narrative: Weak, tired, shaky, nose running that evening. Slightly sore throat. Oct. 13: Fever was 101.8, vomited, weak, shaky, flushed face, nose running, lungs very congested and noisy, cannot clear mucus out of them. Very short of breath, on oxygen 4 lpm. at home. Multiple bowel movements that night. Oct. 14: Fever 100.4, face flushed and swollen, vomited twice by 5 p.m. Cannot keep food or liquids (soup, Ensure) down. Second vomit: bile. Weak, shaky, lungs very congested, cannot cough out mucus, wheezing, short of breath.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Pharyngeal oedema, Pruritus
Clinical narrative: Patient stated feeling itchy and throat swelling.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Diarrhoea, Insomnia, Pain
Clinical narrative: Diarrhea, sleeplessness, achy, upset stomach.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Burning sensation, Injection site pain, Nerve compression, Paraesthesia
Clinical narrative: Intermittent pain in area of injection radiating across deltoid.  At times a burning sensation with tingling down inner and outer forearm.  Occasional pain in upper left shoulder in area of injection.
Age: 59.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: The patient had bruising on the left arm around the injection site where she received her Pneumovax injection. She also had redness from injection site down to her elbow. It was warm to the touch. The patient also had pain that radiating from the injection site down to the elbow area.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site swelling
Clinical narrative: Patient was given Fluzone quadrivalent vaccine and at time of vaccination it began to swell.
Age: 83.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Discomfort, Peripheral swelling
Clinical narrative: Patient returned to our pharmacy 3 days and 3 hours after receiving Prevnar immunization with swollen arm.  Her left arm was visibly swollen and enlarged.  We encouraged patient to follow up with her primary care provider or local instacare for treatment.  The patient did state that she was experiencing discomfort and wanted to inform our pharmacy.
Age: 14.0
Sex: F
Vaccine: MENB
Symptoms: Headache, Injection site rash, Injection site swelling, Pain
Clinical narrative: Headache, body aches, rash and swelling at injection site.
Age: 1.11
Sex: F
Vaccine: FLU4
Symptoms: Balance disorder, Vomiting
Clinical narrative: Daycare staff describe vomiting (8 times in 1 hour) and "wobbly" on her feet.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: LITTLE REDNESS AROUND THE INJECTION SITE.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion, Induration, Pain, Tenderness
Clinical narrative: Stinging hard plus bruise, pain on touch and extending to elbow. No fever or decrease range of motion.
Age: 36.0
Sex: M
Vaccine: TDAP
Symptoms: Rash, Urticaria
Clinical narrative: Awakened with rash/hives on chest & abdomen. No other symptoms. Patient did no treatment.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site pain, Injection site reaction, Skin exfoliation
Clinical narrative: Pt received Fluzone HD on 9/23/2015. The site of injection still sore, inflammed with flakes. Advised pt to apply ice on site and call her physician.
Age: 11.0
Sex: F
Vaccine: HEPA, HPV9, MNQ
Symptoms: Syncope
Clinical narrative: Pt was administered HPV vaccine & during administration pt had a syncopal episode.
Age: 13.0
Sex: F
Vaccine: MENB
Symptoms: Headache, Injection site rash, Injection site swelling, Pain
Clinical narrative: Patient reported headache, body aches, rash and swelling at injection site.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus generalised
Clinical narrative: Patient reports itching all over body and redness.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV9
Symptoms: Arthralgia, Dizziness, Fall, Head injury, Headache
Clinical narrative: Patient attended clinic to receive Flu and HPV-9 dose #2. Mom stated that when received first HPV dose 7/30/2015 patient had nausea and dizziness. Denied any allergies or health problems. Mom stated patient ate lunch before coming to clinic and a juice box was provided prior to vaccine administration. At 1:55pm Flu was administered IM to right deltoid and HPV-9 IM to left deltoid. Immediately after administration patient stated felt "ok". Patient was told to remain seated. Five (5) minutes after vaccine administration patient lost consciousness and fell out of chair and hit head and right elbow on floor. Patient regained consciousness in less than 30 seconds. Called for assistance and RNs entered room to assist. Patient legs were elevated. Affirmed after questioning that could breathe without difficulty but that right elbow and head "hurt". EMS was called at 2:05pm. Ice pack was provided for patient to place on head. EMS arrived at 2:14pm. Upon patient assessment EMS was concerned patient stated he had blurred vision and was having a hard time staying upright in the chair. Patient was transported by EMS to Hospital for futher evaluation at 2:25pm. Mom remained in clinic with other three children and flu shots were administered to her and two other children. Confirmed phone number and told her will call to follow-up tomorrow, 10/16/15.
Age: 11.0
Sex: M
Vaccine: FLU3, HPV9
Symptoms: Joint injury, Loss of consciousness, Nausea, Posture abnormal, Vision blurred
Clinical narrative: Patient attended clinic to receive Flu and HPV-9 dose #2. Mom stated that when received first HPV dose 7/30/2015 patient had nausea and dizziness. Denied any allergies or health problems. Mom stated patient ate lunch before coming to clinic and a juice box was provided prior to vaccine administration. At 1:55pm Flu was administered IM to right deltoid and HPV-9 IM to left deltoid. Immediately after administration patient stated felt "ok". Patient was told to remain seated. Five (5) minutes after vaccine administration patient lost consciousness and fell out of chair and hit head and right elbow on floor. Patient regained consciousness in less than 30 seconds. Called for assistance and RNs entered room to assist. Patient legs were elevated. Affirmed after questioning that could breathe without difficulty but that right elbow and head "hurt". EMS was called at 2:05pm. Ice pack was provided for patient to place on head. EMS arrived at 2:14pm. Upon patient assessment EMS was concerned patient stated he had blurred vision and was having a hard time staying upright in the chair. Patient was transported by EMS to Hospital for futher evaluation at 2:25pm. Mom remained in clinic with other three children and flu shots were administered to her and two other children. Confirmed phone number and told her will call to follow-up tomorrow, 10/16/15.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Headache, Myalgia, Nausea, Scleral hyperaemia
Clinical narrative: Difficulty breathing, severe muscle pain, red sclera, nausea, headache.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Raised, red itchy wheal at site of injection.  Aprox 6 cm by 8 cm.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth, Mobility decreased
Clinical narrative: The patient had a sore arm and inability to raise it. She iced it and used ibuprofen. The next day the arm became swollen, red and hot to the touch from the administration site to the elbow with a burning type pain. The patient continued to ice, used Benadryl and loratadine and over the course of the next few days the reaction dissipated.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: The patient had a sore arm and inability to raise it. She iced it and used ibuprofen. The next day the arm became swollen, red and hot to the touch from the administration site to the elbow with a burning type pain. The patient continued to ice, used Benadryl and loratadine and over the course of the next few days the reaction dissipated.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Loss of consciousness, Seizure
Clinical narrative: Patient experiences loss of consciousness and seizures within the same minute of recieving immunization.
Age: 69.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: A RED RASH DEVELOPED AT THE INJECTION SITE WHERE THE PREVNAR 13 WAS ADMINISTERED.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Nausea, Rash, Vomiting
Clinical narrative: Patient have rash few hours later and feel nausea and vomiting symptoms along with dull pain at the injection site and arm which is more pronounce on moving the arm. Rash resolved 3 to 4 days later but pain is still exising. Using advil to help the pain.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Large swollen area over the elbow down from site of injection, very hard and warm to touch, pt reported severe pain and immobility of arm for a couple days.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Dry mouth, Headache, Malaise, Pain
Clinical narrative: I awoke with uncontrollable shaking, lasting approx. 4 min.  Internal shaking followed for approx. 15 min.  Body aches, dry mouth, low grade fever and headache followed over the next hour.  Light headedness and general malaise lasted for approx. 12 hours.
Age: 58.0
Sex: M
Vaccine: FLU3
Symptoms: Pyrexia, Tremor
Clinical narrative: I awoke with uncontrollable shaking, lasting approx. 4 min.  Internal shaking followed for approx. 15 min.  Body aches, dry mouth, low grade fever and headache followed over the next hour.  Light headedness and general malaise lasted for approx. 12 hours.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Cyanosis, Skin discolouration
Clinical narrative: Patient arm turned black and blue and spread across arm. Patient felt fine, no fever, just very black and blue.
Age: 41.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Swollen tongue
Clinical narrative: Swelling of one side toward back of tongue lasting approximately 45 minutes - no treatment sought; symptoms resolved without medical intervention.
Age: 54.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity
Clinical narrative: Patient said he had a very sore right arm for about three days following his two immunizations.  Ten days after administraction, while lifting heavy objects, he experienced a sharp pain in the injection site area.  Since then he periodically experinces sharp pain and numbness, associated with lifting and other work.  As of yet has not sought any medical treatment at the time of reporting (10/15/15).
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Immune thrombocytopenic purpura, Platelet count decreased
Clinical narrative: ITP.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, chills, muscle ache, fever 102 1/2.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Feeling cold, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: Patient experienced severe soreness in the injection site on 10/13/15, then swelling and redness about 3 inches in diameter in the injection was observed the following day and had feverish and cold feeling, weakness and flu like symptoms was experienced the next day. Patient was referred to the physician on the 3rd day 10/15/15 and was given antibiotic.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Patient experienced severe soreness in the injection site on 10/13/15, then swelling and redness about 3 inches in diameter in the injection was observed the following day and had feverish and cold feeling, weakness and flu like symptoms was experienced the next day. Patient was referred to the physician on the 3rd day 10/15/15 and was given antibiotic.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Asthenia, Chills, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: Patient experienced severe soreness in the injection site on 10/13/15, then swelling and redness about 3 inches in diameter in the injection was observed the following day and had feverish and cold feeling, weakness and flu like symptoms was experienced the next day. Patient was referred to the physician on the 3rd day 10/15/15 and was given antibiotic.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site swelling, Injection site urticaria, Injection site warmth, Pyrexia
Clinical narrative: Patient experienced severe soreness in the injection site on 10/13/15, then swelling and redness about 3 inches in diameter in the injection was observed the following day and had feverish and cold feeling, weakness and flu like symptoms was experienced the next day. Patient was referred to the physician on the 3rd day 10/15/15 and was given antibiotic.
Age: 11.0
Sex: F
Vaccine: MEN
Symptoms: Abdominal pain upper, Blood test normal, Chest pain, Computerised tomogram normal, Confusional state
Clinical narrative: A tingling/numbness began at her hand in her right arm and continued upward toward her face and then a pain progressed down to chest.  Her speech was impaired, almost as if her tongue was swollen.  Also, she was confused and began mixing up words.  ie) tried to say "my arm hurts" but said "my fan hurts".  She understood she was mixing up her words and then would correct herself.  This is a display of stroke like symptoms.  She continued to have a headache and stomach ache and diarrhea for several days after this episode.  She was healthy prior to receiving the vaccination.
Age: 11.0
Sex: F
Vaccine: MEN
Symptoms: Diarrhoea, Electrocardiogram normal, Headache, Hypoaesthesia, Neurological examination normal
Clinical narrative: A tingling/numbness began at her hand in her right arm and continued upward toward her face and then a pain progressed down to chest.  Her speech was impaired, almost as if her tongue was swollen.  Also, she was confused and began mixing up words.  ie) tried to say "my arm hurts" but said "my fan hurts".  She understood she was mixing up her words and then would correct herself.  This is a display of stroke like symptoms.  She continued to have a headache and stomach ache and diarrhea for several days after this episode.  She was healthy prior to receiving the vaccination.
Age: 11.0
Sex: F
Vaccine: MEN
Symptoms: Paraesthesia, Speech disorder
Clinical narrative: A tingling/numbness began at her hand in her right arm and continued upward toward her face and then a pain progressed down to chest.  Her speech was impaired, almost as if her tongue was swollen.  Also, she was confused and began mixing up words.  ie) tried to say "my arm hurts" but said "my fan hurts".  She understood she was mixing up her words and then would correct herself.  This is a display of stroke like symptoms.  She continued to have a headache and stomach ache and diarrhea for several days after this episode.  She was healthy prior to receiving the vaccination.
Age: 23.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient received vaccination and approximately two minutes later started to experiance dizziness and nausea. Patient began to actively vomit. Patient did not produce high quantity of emesis. After lying down and receiving cold compress symptoms began to resolve.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Malaise, Musculoskeletal stiffness, Pain in extremity, Rash
Clinical narrative: Chills, malaise, pain in arm, stiff neck and welts/rash on injection arm.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria
Clinical narrative: Chills, malaise, pain in arm, stiff neck and welts/rash on injection arm.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Immediate post-injection reaction, Injection site erythema, Injection site reaction, Injection site swelling
Clinical narrative: Local reaction at injection site of influenza vaccine immediately. Given in left arm. Red and hot. As day went on, site became swollen. By 8 pm, site was 2x normal size. 6 am on 10/14/2015, woke up with pain in left axilla. Found this site was swollen to 2x the normal size. The is pain in axilla. By 7 pm on 10/14/2015, lymph nodes in left supravicular area are swollen also.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth, Local reaction, Lymphadenopathy
Clinical narrative: Local reaction at injection site of influenza vaccine immediately. Given in left arm. Red and hot. As day went on, site became swollen. By 8 pm, site was 2x normal size. 6 am on 10/14/2015, woke up with pain in left axilla. Found this site was swollen to 2x the normal size. The is pain in axilla. By 7 pm on 10/14/2015, lymph nodes in left supravicular area are swollen also.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Back pain, Blood test, Fatigue, Grip strength decreased, Heart rate irregular
Clinical narrative: SEVERE UNUSUAL PAIN AT SHOULDERS BILATERALLY. OCT I 7PM UNABLE TO USE EITHER HAND OR FINGERS. SHAKING OF HANDS. OCT 3-8 PROGRESSIVE LOSS OF USE OF ABILITY TO MOVE LEGS. WAS USING CANE THEN WALKER THEN WHEELCHAIR.  DIFFICULT TRANSFER BUT COULD BEAR WT ON FEET IF WE COULD GET HER UP SHE HAD SEVERE LOWER BACK PAIN WITH INABILITY TO STAND THE SLIGHTEST TOUCH SHOULDERS ESPECIALLY LEFT ALSO SEVERE PAIN. THESE SYMPTOMS STABILLIZED PAIN CONTROLLED WITH TRAMADOL. NO FURTHER PROGRESSION HOWEVER HR IRREGULAR, FATIGUE INCREASED WITHOUT BREATHING DISABILITY. SOME IMPROVEMENT NOTED IN USE OF LEFT HAND AND RIGHT FINGERS BUT NO PINCER STRENGTH OR SQUEEZE.  ABILITY TO WALK WITH WALKER HAS NOT RETURNED.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Mobility decreased, Musculoskeletal pain, Nuclear magnetic resonance imaging spinal, Spinal X-ray
Clinical narrative: SEVERE UNUSUAL PAIN AT SHOULDERS BILATERALLY. OCT I 7PM UNABLE TO USE EITHER HAND OR FINGERS. SHAKING OF HANDS. OCT 3-8 PROGRESSIVE LOSS OF USE OF ABILITY TO MOVE LEGS. WAS USING CANE THEN WALKER THEN WHEELCHAIR.  DIFFICULT TRANSFER BUT COULD BEAR WT ON FEET IF WE COULD GET HER UP SHE HAD SEVERE LOWER BACK PAIN WITH INABILITY TO STAND THE SLIGHTEST TOUCH SHOULDERS ESPECIALLY LEFT ALSO SEVERE PAIN. THESE SYMPTOMS STABILLIZED PAIN CONTROLLED WITH TRAMADOL. NO FURTHER PROGRESSION HOWEVER HR IRREGULAR, FATIGUE INCREASED WITHOUT BREATHING DISABILITY. SOME IMPROVEMENT NOTED IN USE OF LEFT HAND AND RIGHT FINGERS BUT NO PINCER STRENGTH OR SQUEEZE.  ABILITY TO WALK WITH WALKER HAS NOT RETURNED.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Tenderness, Tremor, Walking aid user, Wheelchair user
Clinical narrative: SEVERE UNUSUAL PAIN AT SHOULDERS BILATERALLY. OCT I 7PM UNABLE TO USE EITHER HAND OR FINGERS. SHAKING OF HANDS. OCT 3-8 PROGRESSIVE LOSS OF USE OF ABILITY TO MOVE LEGS. WAS USING CANE THEN WALKER THEN WHEELCHAIR.  DIFFICULT TRANSFER BUT COULD BEAR WT ON FEET IF WE COULD GET HER UP SHE HAD SEVERE LOWER BACK PAIN WITH INABILITY TO STAND THE SLIGHTEST TOUCH SHOULDERS ESPECIALLY LEFT ALSO SEVERE PAIN. THESE SYMPTOMS STABILLIZED PAIN CONTROLLED WITH TRAMADOL. NO FURTHER PROGRESSION HOWEVER HR IRREGULAR, FATIGUE INCREASED WITHOUT BREATHING DISABILITY. SOME IMPROVEMENT NOTED IN USE OF LEFT HAND AND RIGHT FINGERS BUT NO PINCER STRENGTH OR SQUEEZE.  ABILITY TO WALK WITH WALKER HAS NOT RETURNED.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Complex partial seizures, Computerised tomogram head normal, Culture negative, Nuclear magnetic resonance imaging brain normal, Pyrexia
Clinical narrative: Onset fever and vomiting about 36 hours after vaccines followed by seizure activity 48 hours later. Admitted with status epilepticus with complex seizures.
Age: 0.53
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Seizure, Status epilepticus, Vomiting
Clinical narrative: Onset fever and vomiting about 36 hours after vaccines followed by seizure activity 48 hours later. Admitted with status epilepticus with complex seizures.
Sex: F
Vaccine: FLU4
Symptoms: Incorrect route of drug administration, Injection site nodule, Pain in extremity
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of pain in arm in a adult female patient who received FLUARIX QUADRIVALENT. On 6th October 2015, the patient received FLUARIX QUADRIVALENT (subcutaneous) .5 ml. On 6th October 2015, 30 min after receiving FLUARIX QUADRIVALENT, the patient experienced pain in arm and intramuscular formulation administered by other route. On 7th October 2015, the patient experienced injection site nodule. On 7th October 2015, the outcome of the pain in arm was recovered/resolved. On an unknown date, the outcome of the injection site nodule was not recovered/not resolved and the outcome of the intramuscular formulation administered by other route was unknown. The reporter considered the pain in arm and injection site nodule to be almost certainly related to FLUARIX QUADRIVALENT. Additional details were provided as follows: Concomitant medications were unknown. The patient might had received FLUARIX QIV subcutaneously instead of intramuscular route. On the same day, about 30 minutes after the vaccination, the patient experienced diffuse pain that surged down her arm. The pain continued throughout the night. On 7th October 2015, in the morning, 1 day after receiving the vaccine, the patient noticed a knot at the injection site. At the time of reporting, the pain was resolved during the morning but the know was present. The batch number and injection site for the vaccine were unknown.