chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Inappropriate schedule of vaccine; This case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a 65-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix  (1st dose was received in 24th March 2019).   In September 2019, the patient received the 2nd dose of Shingrix. In September 2019, unknown after receiving Shingrix, the patient experienced drug dose administration interval too long. On an unknown date, the outcome of the drug dose administration interval too long was unknown.  Additional details were received as follows: The pharmacist reports a patient was supposed to come in tomorrow to get their second dose of Shingrix vaccine, which was late, which led to lengthening of vaccination schedule. The reporter consented to follow up.
Age: 0.42
Sex: M
Vaccine: PNC13
Symptoms: Allergy test positive, Hypersensitivity, Urticaria
Clinical narrative: Allergic reaction to vaccine; Hives; This is a spontaneous report from a contactable consumer. An 8-month-old male patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), second dose (lot number: X90022, expiry date: 01Nov20120) at 5-month-old via an unspecified route of administration in right thigh on 26Feb2019 14:37 at a single dose, then third dose (lot number: AF5647, expiry date: 31May20121) intramuscular in left thigh on 18Jul2019 10:32 at 0.5 ml single at 10-month-old for immunization. Medical history included diagnosed allergies. The patient's concomitant medication were not reported. The patient previously received first dose of pneumococcal 13-val conj vac (dipht crm197 protein), diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (DTAP), and hib vaccine (HIB); all on 12Nov2018 at 2-month-old for immunization. On May2019, the patient had an allergic reaction after receiving pneumococcal 13-val conj vac (dipht crm197 protein). The patient added that the patient had 2 instances of hives and was sent to an allergist. In Aug2019, the allergist said he felt the reaction was caused by the pneumococcal 13-val conj vac (dipht crm197 protein). The 1st hives reaction was in May2019 and the 2nd instance was in Jul2019. She said he got the vaccine on 18Jul2019 and broke out in hives on the 19Jul2019. She said the office was beginning to look into the ingredients in the vaccines. He was treated with over-the-counter Benadryl and the parents were given an epinephrine auto-injector, as a precaution, that was not used. He was seen on 05Aug2019. She said he had blood work for allergy testing including the ImmunoCap, IgE with component reflex. On 06Jul2019, IgE peanut, IgE Ara H2, IgE Ara h6, allergy testing to Egg white and allergy testing to Dog dander was positive. The outcome of the event allergic reaction to vaccine was recovered while the outcome of was unknown.
Age: 64.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Chills, Influenza like illness, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Slight nausea/flu like symptoms  evening day 1, intermittent for 6 + days. Chills evening of day 2-3. soreness at injection site right arm day 1pm-day 3 redness at injection site (2-3" diameter) day 2-4
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient called office today stating that she feels nausea, vomiting, fever and abdominal pain since Tuesday, September 10th.
Age: 1.4
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Rash
Clinical narrative: 16  mo with rash which started 9/10/19  no fever
Age: 70.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Malaise, Sepsis
Clinical narrative: Patient claimed to her Health Insurance that she felt ill and had sepsis reaction after vaccination.
Age: 1.92
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Poor quality sleep
Clinical narrative: Pt had 2 restless nights, Mon & tuesday, developed a hard lump & redness at site. Improved today, slept well last night & redness gone. Hard lump remains
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient describes redness, swelling and warmth. Also said the redness is moving across arm.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: No adverse event, Unevaluable event
Clinical narrative: baby received vaccines on 5-6-19. 2 days later at around 3:00 pm. Mother had sudden onset of chest pain, nausea and severe vomiting. they called 911. the symptoms lasted around 20 minutes and were gone. she did not go to the hospital   then baby received same vaccines on 7-5-19 at 4 month well visit. the next day mother had same symptoms at around 11 at night. again lasted around 20 minutes. they did not go to the ER. mother just notified the pediatrician at the 6 month well visit.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, heat, swelling present at the injection site.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Myalgia
Clinical narrative: The shot hurt pretty significantly, then the arm truly hurts at shot site muscle. Extreme uncontrollable shivering and teeth chattering in the night, that I could not control. Today, 9/13/2019 such extreme pain in all muscles.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain, Peripheral swelling, Skin hyperpigmentation
Clinical narrative: Patient had a Tdap injection in her left deltoid on August 13, 2019 in the office.  She complains of sharp pain at the injection site and it radiates down to her forearm.  Her left arm is slightly swollen.  She has pain when she moves or lifts her arm.  She has pain when turning steering wheel, and grabbing items.  She has a permanent bandage mark where the band-aid was applied.   Patient was seen in the office on August 30, 2019 for pain and was advised to take OTC ibuprofen at night and during the day as needed. She was advised to  apply alternating heat and ice to the area to relieve pain.  For the hyperpigmentation from the band aid mark she was prescribed triamcinolone (ARISTOCORT) 0.1 % topical cream; Apply topically 2 (two) times daily.
Age: 50.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: She developed several markedly tender, swollen, red areas both at and adjacent to the area the pneumovax was given in the upper arm.  First noted the next morning.  Denies itching, other rash, oral/mucosal lesions, resp symptoms, fever, joint pain. On exam, there are 5 distinct oval to round areas of redness, warmth, tenderness, induration on left upper arm.  (see physical exam notes below) Treated with naproxen and cold compresses, Benadryl at bedtime. Plan to recheck next clinic in 4 days. The patient did not recall prior pneumovax but review of the state vaccine registry, shows she had a  pneumovax on 1/7/11. Physical exam notes: The spot where the injection was given is present over the left deltoid. There is an 8x5cm area of mild redness, warmth, mild induration and moderate tenderness around that. There is no fluctuance or streaking. Medial to that she has two similar areas (but more red and tender) approx 1.5x2cm; inferomedial to that a similar 3x2cm area and inferomedial to that a 7x4cm area. The areas are adjacent rather than confluent. There is no central clearing.  There are no vesicles, papules or pustules.  Has FROM.  CMS intact distally.  Mild, tender left axillary lymphadenopathy without erythema.  The right deltoid where the Shingrix was given is mildly tender but there is no erythema, rash or induration.
Age: 50.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Lymphadenopathy
Clinical narrative: She developed several markedly tender, swollen, red areas both at and adjacent to the area the pneumovax was given in the upper arm.  First noted the next morning.  Denies itching, other rash, oral/mucosal lesions, resp symptoms, fever, joint pain. On exam, there are 5 distinct oval to round areas of redness, warmth, tenderness, induration on left upper arm.  (see physical exam notes below) Treated with naproxen and cold compresses, Benadryl at bedtime. Plan to recheck next clinic in 4 days. The patient did not recall prior pneumovax but review of the state vaccine registry, shows she had a  pneumovax on 1/7/11. Physical exam notes: The spot where the injection was given is present over the left deltoid. There is an 8x5cm area of mild redness, warmth, mild induration and moderate tenderness around that. There is no fluctuance or streaking. Medial to that she has two similar areas (but more red and tender) approx 1.5x2cm; inferomedial to that a similar 3x2cm area and inferomedial to that a 7x4cm area. The areas are adjacent rather than confluent. There is no central clearing.  There are no vesicles, papules or pustules.  Has FROM.  CMS intact distally.  Mild, tender left axillary lymphadenopathy without erythema.  The right deltoid where the Shingrix was given is mildly tender but there is no erythema, rash or induration.
Age: 88.0
Sex: M
Vaccine: FLUA3
Symptoms: Syncope
Clinical narrative: Syncope after roughly 3 minutes after vaccination.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, FLU4, HEPA
Symptoms: Wrong product administered
Clinical narrative: I gave the Dtap Guadracel  when I should have given Dtap Daptacel
Age: 1.83
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Injection site bruising, Injection site reaction, Injection site swelling, Skin exfoliation
Clinical narrative: Mom called today, 9/12/19, stating that the day after vaccination on 9/5/19 the child's right leg was very swollen the following day.  She states that it finally went down and now is left with a scaly almost bruised looking circular area to the right thigh.  I advised mom to take the child to see his PCP for evaluation.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea
Clinical narrative: patient has diarrhea
Sex: U
Vaccine: HIBV, RV5
Symptoms: Product storage error
Clinical narrative: a patient received improperly stored vaccine; This spontaneous report has been received from a medical assistant referring to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not provided.  On 15-APR-2019, the patient was administrated with improperly stored one dose of rotavirus vaccine, live, oral, pentavalent (ROTATEQ)  (strength, frequency and route were not reported) (lot # R028189, Expiration Date: 06-JUN-2020) for prophylaxis and with haemophilus b conjugate vaccine (meningococcal protein conjugate)(LIQUID PEDVAXHIB) (strength, dose, frequency and route were not reported) (lot # R021078, Expiration Date: 12-JUN-2021) for prophylaxis. The stored temperature was 52.5 Fahrenheit (F) for 4 hours 40 minutes and the data logger was involved. There was no previous temperature excursion.; Sender's Comments:  US-009507513-1908USA013062:
Age: 4.0
Sex: U
Vaccine: VARCEL, VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effect reported; On 9/5/2019, one patient received an improperly stored VARlVAX; This spontaneous report was received from a registered nurse and refers to a 4-year-old patient of unknown gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided.  On 05-SEP-2019, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (oka/merck)(VARIVAX) injection, lot # R006221 with expiration date on 29-FEB-2020 or lot # R029517, expiration date reported as "14/2020", upon an internal verification expiration date was established on 14-OCT-2020 (exact dose, injection site and route of administration were not provided) for prophylaxis. The vaccine was reconstituted with properly stored sterile diluent (MERCK) injection (exact dose, injection site, route of administration, indication, lot # and expiration date were not provided). On 12-AUG-2019 and 13-AUG-2019, administered dose experienced the temperature excursions of -14 degrees Celsius to -10 degrees Celsius (-11.91 degrees Celsius, multiple) for 8 hours. The digital data logger was involved in recording the temperature excursion details. No previous temperature excursion had occurred. No adverse effects were reported.
Sex: U
Vaccine: RV5
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse effects; inadvertently administered an expired dose of ROTATEQ; This spontaneous report was received from a medical assistant and refers to a patient of unspecified age and gender.   The patient's concurrent conditions, medical history, drug reaction/allergies or concomitant medications were not reported.  On 07-JUN-2019, the patient was inadvertently administered an expired dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) orally as prophylaxis (dose and frequency were not reported) (lot number R003148 with expiration date 05-JUN-2019). No adverse effects were reported nor temperature excursion.
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects reported.; Patient received unspecified dose of ROTATEQ on 9/3/2019 after temperature excursion on 8/30/2019; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, drug reactions or allergies and concomitant therapies was provided.  On 03-SEP-2019, the patient was vaccinated with an improperly stored dose of rotavirus vaccine, live, oral, pentavalent (ROTATEQ) orally, lot # R026541, expiration date: 11-JUL-2020 (exact dose was not provided) for prophylaxis. Administered dose experienced the temperature excursions of 34.1 degrees Fahrenheit for 20 minutes and 47.6 degrees Fahrenheit for 40 minutes on 30-AUG-2019. The digital data logger was involved in recording the temperature excursion details. No previous temperature excursion had occurred. No adverse effects were reported.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Extensive swelling of vaccinated limb, Injection site swelling
Clinical narrative: Swelling the size of a goose egg at the site of Injection; This case was reported by a other health professional via call center representative and described the occurrence of extensive swelling of vaccinated limb in a 11-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 43E4T, expiry date 1st October 2021) for prophylaxis.   On an unknown date, the patient received Boostrix. On an unknown date, unknown after receiving Boostrix, the patient experienced extensive swelling of vaccinated limb. On an unknown date, the outcome of the extensive swelling of vaccinated limb was unknown.   It was unknown if the reporter considered the extensive swelling of vaccinated limb to be related to Boostrix.  Additional details were provided as follows: The batch number was updated from 43E47 to 43E4T as per sales data sheet. The health care professional reported that the patient had swelling the size of a goose egg at the site of Injection with Boostrix. Th reporter consented to follow up. This case linked with US2019160466, US2019160503, US2019160497 and US2019160491, reported by same reporter.
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Pruritus, Rash vesicular
Clinical narrative: Redness on all four of her extremities; Pruritis on all four of her extremities; Areas has a vesicular appearance; Mild chills; This case was reported by a physician and described the occurrence of erythema of extremities in a 57-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   In August 2019, the patient received the 2nd dose of Shingrix. On an unknown date, less than 3 weeks after receiving Shingrix, the patient experienced erythema of extremities, pruritus, vesicular rash and chills. The patient was treated with benadryl (nos) (Benadryl). On an unknown date, the outcome of the erythema of extremities, pruritus, vesicular rash and chills were not recovered/not resolved.   It was unknown if the reporter considered the erythema of extremities, pruritus, vesicular rash and chills to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received dose of Shingrix, 3 weeks ago from the date of reporting. Past few days after vaccination, the patient experinced few areas of redness and pruritis on all four of her extremities and few of the areas has a vesicular appearance and mild chills. The reporter at first thought it was related to some kind of bites, but inquiring if this could be related to the vaccine. The patient had no fever and no sweats and had no improvement on benadryl.
Sex: U
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Felt numbness; Achiness in left bicep down to elbow; This case was reported by a pharmacist and described the occurrence of numbness in a patient who received Herpes zoster (Shingrix) (batch number 2AH5M, expiry date unknown) for prophylaxis.   On 3rd January 2019, the patient received Shingrix. On an unknown date, less than 9 months after receiving Shingrix, the patient experienced numbness and pain in arm. On an unknown date, the outcome of the numbness and pain in arm were recovering/resolving.   It was unknown if the reporter considered the numbness and pain in arm to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and felt numbness and achiness in left bicep down to elbow. At the time of this report, the felt numbness and achiness in left bicep down to elbow was persisting.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: The injection site started hurting / felt sore/painful; Redness at the injection site; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 70-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   In April 2019, the patient received Shingrix. In April 2019, 4 hrs after receiving Shingrix, the patient experienced injection site pain and injection site erythema. On an unknown date, the outcome of the injection site pain and injection site erythema were recovered/resolved.   It was unknown if the reporter considered the injection site pain and injection site erythema to be related to Shingrix.  Additional details were provided as follows: The reporter stated that four hours after receiving the Shingrix vaccine, the injection site started hurting, and felt sore. She said it was painful for two days and then resolved. Redness at the injection site started sometime on the first day, and the injection site stayed the same shade of red for the first three days. Subsequently, the redness began to fade a little every day until it was fully resolved within a week.  The reporter did not consent to follow up. The reporter would not provide any additional details.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Headache, Hyperhidrosis, Influenza like illness
Clinical narrative: worst flu I have ever had; weakness; sweats; headache; body ache; dizziness; This case was reported by a nurse via call center representative and described the occurrence of influenza like illness in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 29th August 2019, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, less than a week after receiving Shingrix, the patient experienced influenza like illness, weakness, sweating, headache, general body pain and dizziness. On an unknown date, the outcome of the influenza like illness, weakness, sweating, headache, general body pain and dizziness were recovering/resolving.   It was unknown if the reporter considered the influenza like illness, weakness, sweating, headache, general body pain and dizziness to be related to Shingrix.  Additional details were provided as follow: The patient received Shingrix and experienced weakness, sweats, headache, body ache, dizziness. The caller describes it as the worst flu the have ever had.  The caller reports that symptoms have improved but not totally resolved yet.  The reporter consented to follow up. The caller requests that any follow up be directed to herself.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: worst flu I have ever had; weakness; sweats; headache; body ache; dizziness; This case was reported by a nurse via call center representative and described the occurrence of influenza like illness in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 29th August 2019, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, less than a week after receiving Shingrix, the patient experienced influenza like illness, weakness, sweating, headache, general body pain and dizziness. On an unknown date, the outcome of the influenza like illness, weakness, sweating, headache, general body pain and dizziness were recovering/resolving.   It was unknown if the reporter considered the influenza like illness, weakness, sweating, headache, general body pain and dizziness to be related to Shingrix.  Additional details were provided as follow: The patient received Shingrix and experienced weakness, sweats, headache, body ache, dizziness. The caller describes it as the worst flu the have ever had.  The caller reports that symptoms have improved but not totally resolved yet.  The reporter consented to follow up. The caller requests that any follow up be directed to herself.
Sex: F
Vaccine: PNC13
Symptoms: Chest discomfort, Chronic obstructive pulmonary disease
Clinical narrative: COPD; Chest problems; This is a spontaneous report from a contactable consumer. A 73-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), via an unspecified route of administration on 15Jun2016 at a single dose for immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient had chronic obstructive pulmonary disease (COPD), and chest problems. Possible adverse event. Her physician was suggesting her to update her vaccine with PSSV 23 but she did not feel she needed it, PSSV 23 was not a Pfizer Product. The outcome of events was unknown.
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Inflammation, Peripheral swelling
Clinical narrative: Arm is not quite twice the size of his other arm but it is very inflamed; very red; Arm is not quite twice the size of his other arm but it is very inflamed; very red; Back of upper arm is red; This is a spontaneous report from a contactable Nurse who reported for a male patient (Brother-in-Law). A male patient of an unspecified age received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13) , intramuscular on an unspecified date at single dose for immunisation. The patient medical history and concomitant medications were not reported.On an unspecified date the patient reported "his arm was not quite twice the size of his other arm but it was very inflamed" and it was very red and back of upper arm was red. Events were non serious with outcome of unknown.  The nurse was wondering will he have to repeat that injection intra-muscularly for it to be effective. Information on the batch number has been requested.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Diarrhoea
Clinical narrative: PATIENT REPORTS DIARRHEA (WATERY STOOLS)
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Unresponsive to stimuli
Clinical narrative: @0825am, patient sitting in chair,, HEP A VACCINE was administered. Right after receiving HEP A VACCINE, noted patient went unresponsive. CODE BLUE was paged overhead. Put patient on a lying position with both legs elevated. Multiple staff rushed and came to help and assessed the patient. VS 134/61, 59 HR, 20 rr, 99% 02 sat at RA.   @0827AM, patient alert and verbally responsive. Patient stated "i'm fine ". No c/o pain or discomfort. No sob. Patient still remains in lying position with both legs elevated.   @0832am, patient alert and verbally responsive. No c/o pain or discomfort. No s/sx of resp distress. VS 129/7, 76 HR, 20 RR, 99% 02 SAT at RA. Advised patient to stay in the room for 15 more minutes to be monitored.   @0847am, patient stated he feels fine. No c/o pain or discomfort. No s/sx of resp distress. Advised patient to f/u with his PCC/COMMAND regarding the incident that happened today.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Erythema, Feeling hot, Pallor, Rash papular
Clinical narrative: Parent describes that approximately 24 hours following vaccination the bottom of the feet were both red and hot  Also had some white bumps on feet that were fine  On exam in ED the treating physician described blanching erythema of both soles of feet with papular lesions up leg Also noted blanching erythema of both arms
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain in extremity, Pyrexia
Clinical narrative: Intense soreness of the arm, felt feverish, and nauseous
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes simplex
Clinical narrative: Patient received second herpes zoster vaccine, reported signs of herpes simplex on right shoulder. No issues. Patient gets this reaction outbreaks occasionally since 18 years of age.
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEPAB, PNC13, RV1
Symptoms: C-reactive protein increased, Culture urine negative, Full blood count normal, Metabolic function test normal, Peripheral swelling
Clinical narrative: Pt developed fiver of 101.6  on  8/24/19, swelling of  hands, feet, eyelids, generalized rash
Age: 0.58
Sex: M
Vaccine: DTAPIPVHIB, HEPAB, PNC13, RV1
Symptoms: Pyrexia, Rash, Swelling of eyelid
Clinical narrative: Pt developed fiver of 101.6  on  8/24/19, swelling of  hands, feet, eyelids, generalized rash
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth, Local reaction
Clinical narrative: injection site rxn, localized to location of shringix shot given red hot painful
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Pain at site radiating to left thumb, redness, and warm to touch. Symptoms developed day of vaccination. Redness and site warmth have resolved after oral diphenhydramine 3 days post-vaccination. Continues to have pain 4 days post-vaccination.
Age: 35.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Full blood count, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Patient is 28 weeks pregnant EDD 12/1/2019, presented to hospital on 9/11/2019.  Received the vaccine on 9/5/2019 and since then the injection site got worse. She started with redness on 9/8/2019 that spread and has a hard area at the center. It is very tender to touch. No fever or chills.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: White wheel , approximately 2.5 cm, formed around the injection site of the mid-deltoid muscle of the patient's left arm.  It was red and indurated and painful to the touch.  Patient's son is a medical physician, of which she consulted.  He instructed her to use ice to the area and to take acetaminophen as needed.
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Cough, Feeling hot, Headache, Nasopharyngitis
Clinical narrative: I don?t know the exact manufacturer or vax but it was for meningitis and the lot number is U6543AA Symptoms include fever pain chills hot and cold cough headache
Age: 15.0
Sex: F
Vaccine: MNQ
Symptoms: Pain, Pyrexia
Clinical narrative: I don?t know the exact manufacturer or vax but it was for meningitis and the lot number is U6543AA Symptoms include fever pain chills hot and cold cough headache
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Rash pruritic, Rash vesicular
Clinical narrative: While showering 7AM Monday 9/2/19 morning, ankles were itching on left leg. Monday evening rash moved up. Tuesday spread to knee. Wednesday, spread to groin. Bumps blisters, very itchy. He has been using cortisone cream. Patient has dermatology appointment Monday.
Sex: M
Vaccine: DTAPIPV
Symptoms: Cough, Dyspnoea, Swelling face, Wheezing
Clinical narrative: Within 10min pt returned to office w/cough, wheezing and SOB. Pt also had facial swelling. Benadryl and Duo Neb given in office.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Rash vesicular
Clinical narrative: Chicken pox type rash and general malaise - still have this one week after receiving shot
Age: 9.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain, Vomiting
Clinical narrative: Severe abdominal pain following final dose. Vomiting and unable to keep food in stomach throughout the second day (9/11/2019).
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, MMRV
Symptoms: Injection site erythema, Injection site irritation, Injection site pain, Injection site warmth
Clinical narrative: Mom called stating Babysitter called her at 10:14am today reporting the following:  front arm near shoulder (HBV)vaccine has a light red circular mark, warm and sore to touch, no swelling nor rash noted.  The injection on the back side of the arm (MMRV), is redder in color, also warm and sore to touch, redness is 1/2 inch in diameter with it moving down the arm toward the elbow by 1 inch, no rash or swelling noted.  baby sitter applied a cold pack to area and will repeat process for 30m every hour as child tolerates.  no fever no headache, no nausea/vomiting, no irritability of patient.   Tylenol given per weight/age (mom said got over the counter and followed label directions.)  advised Urgent care should the areas of irritation/redness get larger, get more painful or a fever of over 102.5'F develops.  will follow up with mom tomorrow. she is aware this report is being done.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Hypertension, Induration, Mobility decreased, Neuralgia
Clinical narrative: Starting 8/31 - Rash and Swelling of the legs (red circle with striations) on both legs the size of of an orange for a week, then it went away, and there's only a single spot the size of a quarter on each leg now. Self resolving. Patient also has had nerve pain that's shooting up from her knee up to her hip, but given gabapentin at the ER but it has not been helping. Patient's usual oxycodone that she gets for her arthritis isn't helping either.  9/5 - left hand was swollen like a blown up latex glove, patient was unable to move fingers of hand. Patient was seen on day 1 of hand symptoms by urgent care and referred to ER and was given cephalexin , and the swelling went down after 4 days. ER Dr stated it can possibly be cellulitis. Patient's blood pressure was measured at urgent care and it was 187/97. Patient has never been diagnosed with high blood pressure before, previously patient had always been 120/80.  9/11 - patient's blood pressure has been high since measuring at her doctor's office as 168/88. circular rash (swollen and hard) has occurred on her right forearm the size 6 inches in length, 3-4 inches in width. Patient's PCP (who doesn't believe that the patient should have been given shingrix in the first place) believes it's also cellulitis.   9/12 - measured patient's blood pressure as well and it measured at 148/88. patient's forearm rash has doubled in size since the markings made yesterday.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Rash, Swelling
Clinical narrative: Starting 8/31 - Rash and Swelling of the legs (red circle with striations) on both legs the size of of an orange for a week, then it went away, and there's only a single spot the size of a quarter on each leg now. Self resolving. Patient also has had nerve pain that's shooting up from her knee up to her hip, but given gabapentin at the ER but it has not been helping. Patient's usual oxycodone that she gets for her arthritis isn't helping either.  9/5 - left hand was swollen like a blown up latex glove, patient was unable to move fingers of hand. Patient was seen on day 1 of hand symptoms by urgent care and referred to ER and was given cephalexin , and the swelling went down after 4 days. ER Dr stated it can possibly be cellulitis. Patient's blood pressure was measured at urgent care and it was 187/97. Patient has never been diagnosed with high blood pressure before, previously patient had always been 120/80.  9/11 - patient's blood pressure has been high since measuring at her doctor's office as 168/88. circular rash (swollen and hard) has occurred on her right forearm the size 6 inches in length, 3-4 inches in width. Patient's PCP (who doesn't believe that the patient should have been given shingrix in the first place) believes it's also cellulitis.   9/12 - measured patient's blood pressure as well and it measured at 148/88. patient's forearm rash has doubled in size since the markings made yesterday.
Age: 72.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Back pain, Injected limb mobility decreased, Injection site pain, Insomnia, Neck pain
Clinical narrative: Patient reported not being able to move her arm right arm with lots of pain this morning. It started with pain around the injection site then radiating down her neck and back starting the night she received the vaccine. Pt was unable to sleep lying down due to the pain in her arm. Took Tylenol for pain but seems to not have helped with pain. Pt says the pain is getting better from when it initially happened.
Age: 72.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient reported not being able to move her arm right arm with lots of pain this morning. It started with pain around the injection site then radiating down her neck and back starting the night she received the vaccine. Pt was unable to sleep lying down due to the pain in her arm. Took Tylenol for pain but seems to not have helped with pain. Pt says the pain is getting better from when it initially happened.
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Fatigue, Headache, Herpes zoster, Pain
Clinical narrative: Suffered an itchy, burning rash all over the left side of her body and was diagnosed with herpes zoster; fever; headache; fatigue; Information has been received from a lawyer, regarding a case in litigation, referring to a female pt of unknown age. Information regarding the pt's pertinent medical history, concurrent conditions, known allergies and concomitant medications was not provided. On or about 25-SEP-2014, the pt was vaccinated with zoster vaccine live (ZOSTAVAX) (route of administration, strength, dose, lot # and expiration date were not provided) for routine health maintenance and for its intended purpose: the prevention of shingles. On an unknown date, shortly after receiving, the pt suffered an itchy, burning rash all over the left side of her body and was diagnosed with herpes zoster. The pt also suffered from fever, headaches, and fatigue during her painful herpes zoster outbreaks. As a direct and proximate result of the pt's use of the zoster vaccine live (ZOSTAVAX) vaccine, symptoms have resulted in physical limitations not present prior to vaccination. The pt also experienced mental and emotional distress due to resulting physical limitations and seriousness of her condition. As a result, the pt sustained severe, serious, progressive, incurable and permanent personal injuries. At the time of the report, the outcome of herpes zoster, fatigue, headache and pyrexia was considered as not recovered. The lawyer considered herpes zoster, fatigue, headache and pyrexia to be related to Zoster Vaccine Live (ZOSTAVAX). The pt's experiences were considered to be disabling, due to permanent and incurable personal injuries.
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash generalised, Rash pruritic
Clinical narrative: Suffered an itchy, burning rash all over the left side of her body and was diagnosed with herpes zoster; fever; headache; fatigue; Information has been received from a lawyer, regarding a case in litigation, referring to a female pt of unknown age. Information regarding the pt's pertinent medical history, concurrent conditions, known allergies and concomitant medications was not provided. On or about 25-SEP-2014, the pt was vaccinated with zoster vaccine live (ZOSTAVAX) (route of administration, strength, dose, lot # and expiration date were not provided) for routine health maintenance and for its intended purpose: the prevention of shingles. On an unknown date, shortly after receiving, the pt suffered an itchy, burning rash all over the left side of her body and was diagnosed with herpes zoster. The pt also suffered from fever, headaches, and fatigue during her painful herpes zoster outbreaks. As a direct and proximate result of the pt's use of the zoster vaccine live (ZOSTAVAX) vaccine, symptoms have resulted in physical limitations not present prior to vaccination. The pt also experienced mental and emotional distress due to resulting physical limitations and seriousness of her condition. As a result, the pt sustained severe, serious, progressive, incurable and permanent personal injuries. At the time of the report, the outcome of herpes zoster, fatigue, headache and pyrexia was considered as not recovered. The lawyer considered herpes zoster, fatigue, headache and pyrexia to be related to Zoster Vaccine Live (ZOSTAVAX). The pt's experiences were considered to be disabling, due to permanent and incurable personal injuries.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site swelling, Pain
Clinical narrative: Patient came in yesterday reporting her reaction to the vaccine that has last greater than one month. Her arm swelled around the injection site and wrapped around her arm. She ended up going to see the doctor and received prednisone to relieve the swelling and pain. The prednisone helped some but her arm is still red with slight swelling over a month later.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Malaise, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient called pharmacy 9/12/19 to report feeling sick since 12:30 AM. Patient reports chills, fever, nausea and vomiting. Patient made appointment with physician for today (9/12/19) at 3 PM for follow up.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient  had extensive swelling and redness of injection site within 24 hours of receiving Pediarix on 08/06/2019, no fever or other symptoms.  Ice applied to site.  Mother wanted reported
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Dizziness, Headache, Myalgia
Clinical narrative: Headache, chills, nausea, sore muscles and joints, dizzy
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Headache, chills, nausea, sore muscles and joints, dizzy
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Gait disturbance, Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: 6cm X 5.75cm area on anterior left with erythema and induration and tender to palpation.  Cellulitis of left thigh . Limping Prescribed Amoxicillin-Pot Clavulanate 875-125 MG
Age: 17.0
Sex: F
Vaccine: VARCEL
Symptoms: Exposure during pregnancy, Human chorionic gonadotropin positive
Clinical narrative: Before administering the vaccine the nurse with interpreter assistance asked  patient "is there any chance you may be pregnant". Patient replied no and the vaccine was administered. While walking the patient out to the lobby the patient turned to the nurse and stated " I think I'm pregnant". At that time nurse obtained urine to test for pregnancy and test was positive. Patient was immediately seen by an MD who referred her to an OBGYN.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Feeling cold, Malaise, Pain
Clinical narrative: Malaise, loss of appetite, chills, aches,  just did not feel like doing anything except trying to get warm under a blanket on the sofa. i was freezing. I am due for the 2nd vaccine this month and I am not looking forward to it. i did not have any problems with the original Shingles vaccine.
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Biopsy skin abnormal, Hypersensitivity, Laboratory test normal, Local reaction, Perivascular dermatitis
Clinical narrative: Patient initially developed a local reaction on the Friday she received the vaccine. On Sunday, she presented to the emergency department with a rash that was treated with Benadryl. After the Benadryl, she had improvement in her symptoms and was discharged home. On Monday, she presented to our emergency department with return of her symptoms, diffuse urticarial, and fevers to 101. Biopsy of the rash returned as superficial and deep perivascular dermatitis with eosinophils consistent with dermal hypersensitivity reaction. Her infectious disease workup remained negative. During her hospitalization, her highest temperature recorded was 102.5F. She is presently being treated with famotidine, hydroxyzine, loratadine, diphenhydramine, and IV methylprednisolone. Her skin rash is visibly improving, although she remains febrile and still has the rash. She at present still hospitalized.
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: Patient initially developed a local reaction on the Friday she received the vaccine. On Sunday, she presented to the emergency department with a rash that was treated with Benadryl. After the Benadryl, she had improvement in her symptoms and was discharged home. On Monday, she presented to our emergency department with return of her symptoms, diffuse urticarial, and fevers to 101. Biopsy of the rash returned as superficial and deep perivascular dermatitis with eosinophils consistent with dermal hypersensitivity reaction. Her infectious disease workup remained negative. During her hospitalization, her highest temperature recorded was 102.5F. She is presently being treated with famotidine, hydroxyzine, loratadine, diphenhydramine, and IV methylprednisolone. Her skin rash is visibly improving, although she remains febrile and still has the rash. She at present still hospitalized.
Age: 17.0
Sex: F
Vaccine: FLUC4
Symptoms: Cheilitis, Eye swelling, Eyelid rash, Lip swelling, Malaise
Clinical narrative: PATIENT'S  MOM REPORTED PATIENT HAVING SWOLLEN LIPS WITH BUMPS AND  SWOLLEN LEFT EYE WITH BUMPS ON THE SKIN SAC BELOW THE LEFT EYE ON TUESDAY NIGHT (09/10/2019) DAY AFTER THE SHOT (09/09/2019).  PT ALSO COMPLAINED ABOUT "NOT FEELING WELL " ON WEDNESDAY (09/11/2019).
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Peripheral swelling
Clinical narrative: Left arm extremely swollen from shoulder to just past the elbow,  Bicep diameter in left arm 2 inches larger than the unaffected arm.  pain, redness, and hot to the touch. First noticed the morning of 9/11, has persisted and is still present at this current time 9/12 3:12 PM.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Contusion, Differential white blood cell count, Full blood count, Haematocrit normal, Haemoglobin normal
Clinical narrative: Excessive bleeding & bruising due to thrombocytopenia (plt count of 6K), confirmed by hematology, who also feels that it is most likely due to Proquad
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Haemorrhage, Platelet count decreased, Thrombocytopenia
Clinical narrative: Excessive bleeding & bruising due to thrombocytopenia (plt count of 6K), confirmed by hematology, who also feels that it is most likely due to Proquad
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature, Injection site pain, Injection site reaction, Injection site swelling, Pain
Clinical narrative: Patient had pain at previous site where he had shingles in the past. Also had a temperature the evening after the vaccine. He also had swelling and pain at site of injection along with rash that Dr. thought looked similar to shingles.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: Patient had pain at previous site where he had shingles in the past. Also had a temperature the evening after the vaccine. He also had swelling and pain at site of injection along with rash that Dr. thought looked similar to shingles.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Guillain-Barre syndrome, Imaging procedure
Clinical narrative: Guillian Barre Syndrome
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: The patient called at 3:05pm on 09-12-2019 saying that since her flu shot on 09-10-2019 she has had some arm soreness and swelling that has occured. I also double checked with the patient to make sure she had no shoulder pain or tingling and she does not. She said she did not feel any pain while giving her flu shot or in the immediate time after but her arm began to swell later. I also discussed with her the location of the shot and how she and I both remember that it was not given high up in the arm, but in the muscle. I reassured the patient that this is something that can happen occasionally when you get a flu shot. We will notify her MD.
Age: 0.17
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Haemoglobin, Seizure, Skin reaction, Swelling
Clinical narrative: Red, swollen, seizures started shortly after
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling at injection site. Treated with Benadryl oral and applied ice.
Age: 57.0
Sex: U
Vaccine: VARZOS
Symptoms: Histamine intolerance, Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient stated she had a rash (redness), swelling, and warmth around injection site. I explained this was a histamine reaction and to take benadryl for a few days to resolve and if it does not resolve to contact the pharmacy again.
Age: 18.0
Sex: F
Vaccine: MENB, TD
Symptoms: Burning sensation, Erythema, Hypersensitivity, Mobility decreased, Muscular weakness
Clinical narrative: 3/13/19 - Seen in office with complaint of  arm pain, weakness, difficulty with lifting, difficulty with pulling and pushing, redness and swelling.  Per MD, small patches of redness approximately the size of a quarter, warm, red and mildly tender. Doctor recommended - Ice, Benadryl and Motrin. 3/15/19 - Seen in office for complaint of redness, burning sensation in left arm and neck. Per MD, there were red round patches approximately quarter sized on right shoulder, chest and back. Suspect allergic reaction to vaccine, prescription given for Prednisone 5mg oral tablets, taper for 6 days.
Age: 18.0
Sex: F
Vaccine: MENB, TD
Symptoms: Pain in extremity, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: 3/13/19 - Seen in office with complaint of  arm pain, weakness, difficulty with lifting, difficulty with pulling and pushing, redness and swelling.  Per MD, small patches of redness approximately the size of a quarter, warm, red and mildly tender. Doctor recommended - Ice, Benadryl and Motrin. 3/15/19 - Seen in office for complaint of redness, burning sensation in left arm and neck. Per MD, there were red round patches approximately quarter sized on right shoulder, chest and back. Suspect allergic reaction to vaccine, prescription given for Prednisone 5mg oral tablets, taper for 6 days.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness swelling at injection site immediately following injection
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site macule
Clinical narrative: reddened macular area on the vaccine injection site.  It was demarcated
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Dizziness, Nausea, Nervousness
Clinical narrative: Patient reported feeling nauseous, anxious, dizzy, shaky about 15 minutes after receiving her flu vaccination. Patient was nervous at time of vaccination.