chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: M
Vaccine: FLU4
Symptoms: Dysgraphia, Feeling abnormal, Full blood count, Headache, Influenza like illness
Clinical narrative: Within an hour I became pale, lethargic, weak and dizzy which only lasted 2-3 hours. The next several days I developed extreme joint pain in all joints, similar to flu like joint pain, however I never became sick. Joint pain lasted 2 months. Developed daily headaches, brain fog that caused ADD like symptoms. Difficulty concentrating, speaking, reading, writing, poor memory retention.
Age: 29.0
Sex: M
Vaccine: FLU4
Symptoms: Lethargy, Magnetic resonance imaging, Memory impairment, Pallor, Reading disorder
Clinical narrative: Within an hour I became pale, lethargic, weak and dizzy which only lasted 2-3 hours. The next several days I developed extreme joint pain in all joints, similar to flu like joint pain, however I never became sick. Joint pain lasted 2 months. Developed daily headaches, brain fog that caused ADD like symptoms. Difficulty concentrating, speaking, reading, writing, poor memory retention.
Age: 29.0
Sex: M
Vaccine: FLU4
Symptoms: Speech disorder
Clinical narrative: Within an hour I became pale, lethargic, weak and dizzy which only lasted 2-3 hours. The next several days I developed extreme joint pain in all joints, similar to flu like joint pain, however I never became sick. Joint pain lasted 2 months. Developed daily headaches, brain fog that caused ADD like symptoms. Difficulty concentrating, speaking, reading, writing, poor memory retention.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, IPV, MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Pt received a Kinrix (which is a combination vaccine that includes IPV) as well as a separate IPV vaccination on the same day. Pt sustained no known adverse effects. Pt's parent was notified as soon as the issue was discovered and asked to notify her PCP if any adverse effects became apparent.
Age: 65.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Neck pain, Pyrexia
Clinical narrative: Fever & Fever, headache, neck pain, chills, sweats
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Red, large swollen area to right upper arm at site of injection began gradually in the evening of 05/01/2020. Vaccines given earlier that morning. Symptoms include swelling, itch, slight stinging, redness. No pain or immobility. No reaction to left arm. No SOB, wheezing, oral edema, or other rashes. Follow up visit with PCP at clinic today, 05/04/2020, with symptoms already improved greatly with no treatments. Still very itchy and indurated. No redness and size slightly decreased, per parent and patient. 1 dose benadryl admin in clinic and well tolerated. Remaining physical exam WNL. Advised continued OTC benadryl use every 6 hours as needed for 24-48 hours or until symptoms resolve. Staff to call parent for update on child tomorrow and parent advised to call clinic if any new concerns. Overall, very mild reaction at time of visit today.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Lip blister, Oral herpes
Clinical narrative: herpes outbreaks (Jan and Feb) on my lips/herpes simplex on lips; tiny single blister; This case was reported by a consumer and described the occurrence of herpes on lip in a 66-year-old patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included herpes simplex labialis (outbreaks of herpes simplex several times per year on lips at 6 years of age) and pain.   In December 2019, the patient received the 1st dose of Shingrix. In January 2020, less than 2 months after receiving Shingrix, the patient experienced herpes on lip and lip blister. On an unknown date, the outcome of the herpes on lip and lip blister were recovered/resolved.   It was unknown if the reporter considered the herpes on lip and lip blister to be related to Shingrix.  Additional information was provided as follows: The patient received Shingrix and had two herpes outbreaks in January and February on lips and both were a tiny single blister that lasted less than a week. For tolerances of 2nd dose, refer case US2020AMR070650, reported by same reporter for the same patient.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Shingles; This case was reported by a physician via call center representative and described the occurrence of shingles in a 70-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, 10 weeks after receiving Shingrix, the patient experienced shingles. On an unknown date, the outcome of the shingles was unknown.   It was unknown if the reporter considered the shingles to be related to Shingrix.  Additional information was provided as follows: The age at vaccination was not reported. The patient experienced shingles 10 weeks after receiving the Shingrix No vaccines data was provided. The reporter consented to follow up.
Age: 52.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Joint range of motion decreased, Pain
Clinical narrative: There was a young lady before me who was in pain after her vaccine and said "my arm, my arm" as she held it.  I was hoping I wouldn't get the same person, I did.  As she was giving me my shot, I said, "owe that hurt", fairly loud, couldn't help it, it hurt.  I had never had a shot hurt like that before.   I don't know exactly when the painful range of motion was first noticed - but fairly soon after - maybe a day or two? However, the injection site hurt from the time she gave me the shot until now.  I can feel where the shot went into my arm when I press on the area.   There is a deep ache in my upper right arm when ever I do certain motions - sometimes the ache lasts 3-5 seconds and is very painful.  I have decreased ROM in probably every direction - depending on the position of my hand (thumbs up, palm up or palm down).   I haven't done much treatment as of yet due to I keep thinking surely this has to go away, but it hasn't.  I have gone to my husband twice for he is a chiropractor - but will have him treat it more now, since it hasn't gone away.  I have treated it myself with hot packs, trigger point therapy, stretches, but nothing is helping.  I have had a degree as a Physical Therapist Assistant so know some exercises and can use our therapy's at our clinic.  I have looked online to see what treatment can be done and there is nothing a medical doctor can do from what I can see, but give medications or surgery from the sounds of things and I don't want either of those, so one reason why I haven't gone to a medical doctor.  I will do all I can naturally to fix it.  I was treated once last year and once currently for my arm and I have done self care in between.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Influenza virus test negative, Pneumonia
Clinical narrative: Developed fever, congestion, rhinorrhea and cough the next day after vaccines. Wheezing and more labored respiration started 3 days later, and seen in the urgent care and ED the next day ( 4 days after vaccines). the patient was given an albuterol neb, and diagnosed with bronchopneumonia. The patient was treated outpatient with Azithromycin. Mom concerned that episode may be vaccine related and asked for to be reported.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Pyrexia, Respiratory syncytial virus test negative, Respiratory tract congestion, Rhinorrhoea, Wheezing
Clinical narrative: Developed fever, congestion, rhinorrhea and cough the next day after vaccines. Wheezing and more labored respiration started 3 days later, and seen in the urgent care and ED the next day ( 4 days after vaccines). the patient was given an albuterol neb, and diagnosed with bronchopneumonia. The patient was treated outpatient with Azithromycin. Mom concerned that episode may be vaccine related and asked for to be reported.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Injection site pain
Clinical narrative: PATIENT RECOVERED AND WAS SENT HOME TO CONTINUE RESTING AT HOME. PATIENT FELT BETTER PRIOR TO LEAVING CLINIC. Dizziness & DIZZINESS, CHILLS, SHOULDER PAIN AT INJECTION SITE
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: I had a slight fever; some chills; a slight overall achiness; This case was reported by a consumer via call center representative and described the occurrence of fever in a 67-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of injection site pain (received 1st dose on unknown date, refer case US2020AMR070624.).   On 22nd April 2020, the patient received the 2nd dose of Shingrix. In April 2020, 24 hrs after receiving Shingrix, the patient experienced fever, chills and general body pain. On an unknown date, the outcome of the fever, chills and general body pain were recovered/resolved.   It was unknown if the reporter considered the fever, chills and general body pain to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient could be 66 years or 67 years old at the time of vaccination. The patient received Shingrix and had a slight fever for about an hour 24 hour after the vaccine and also felt some chills and a slight overall achiness. The reporter wanted to know could that have been a vaccine response even though she did not have that reaction from the first one.
Age: 67.0
Sex: U
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Oral herpes, Paraesthesia oral, Vaccine positive rechallenge
Clinical narrative: had two occurrences that were only the familiar tingle on my lip; tingling on lip; This case was reported by a consumer and described the occurrence of herpes on lip in a 67-year-old patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of oral herpes (received 1st dose in December 2019, refer case US2020AMR070644).   In March 2020, the patient received the 2nd dose of Shingrix. In March 2020, immediately after receiving Shingrix, the patient experienced herpes on lip and tingling lips. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the herpes on lip and tingling lips were recovered/resolved.   It was unknown if the reporter considered the herpes on lip and tingling lips to be related to Shingrix.  Additional information was provided as follows: The patient received Shingrix and since had two occurrences that were only the familiar tingle on lip but no blister, and the tingle lasted about 24 hours. The reporter thought that the Shingrix vaccination has boosted immunity to herples simplex.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Blister, Fatigue, Injection site pain, Injection site reaction
Clinical narrative: Red rash at injection site and soreness.  Upset stomach.  Fatigue.    Blister on bottom of right foot behind small toe.  After walking on foot a large black/blue area formed on bottom and top of foot near the small toe.  This is day  six after shot and all is much better.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Skin discolouration
Clinical narrative: Red rash at injection site and soreness.  Upset stomach.  Fatigue.    Blister on bottom of right foot behind small toe.  After walking on foot a large black/blue area formed on bottom and top of foot near the small toe.  This is day  six after shot and all is much better.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Patient experienced hives in shoulder area for ~ 4 hours (under arm/front shoulder area) then went away completely after applying hydrocortisone 1% topical.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: red swollen and hot to touch
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Faeces discoloured, Swelling face
Clinical narrative: Dark stools and facial swelling the day after vaccination - unknown if resultant from vaccination, but no other identifiable cause (no exposures to any ill people, no symptoms of illness, no new foods or other exposures, etc). No treatment required yet - monitoring and seems to be slowly improving.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Myalgia, Rash vesicular
Clinical narrative: Shingles like Rash that slowly, over two days appeared but bit by bit, extending  from vaccination site.  Went about four inches down arm and is about 3 inches wide.  It is 3 days now and almost gone, but it is leaving bit by bit in order or arrival.  It is not hives as it hurts to touch and muscle under rash hurts to touch as well.  vaccination site had about a nickel size swollen red area but this  went away and muscle under vaccination site no longer hurts.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site pain, Vaccination site reaction, Vaccination site swelling
Clinical narrative: Shingles like Rash that slowly, over two days appeared but bit by bit, extending  from vaccination site.  Went about four inches down arm and is about 3 inches wide.  It is 3 days now and almost gone, but it is leaving bit by bit in order or arrival.  It is not hives as it hurts to touch and muscle under rash hurts to touch as well.  vaccination site had about a nickel size swollen red area but this  went away and muscle under vaccination site no longer hurts.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Chest pain, Dyspnoea, Influenza like illness
Clinical narrative: Patient states flu-like symptoms, difficulty breathing, and burning in chest began approximately 3 days following administration of vaccine.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: He received the vaccines on 4/27/20. A few hours after getting his vaccines he developed pain in his left arm. He received Bexsero in this arm.   The pain is in the upper 1/3 of his arm up to the shoulder joint.  He does not have pain in his lower arm. He had mild swelling and redness on his left arm around the injection site for two days but this has improved.  He has not had fever.  He has taken ibuprofen and naproxen for pain which helps some.  Pain is mostly constant but will resolve if he is very still.  He has been unable to lift his arm above the level of his chest in any direction.  Passive range of motion also causes severe pain.  He will see orthopedics on 5/5/20. Further evaluation and treatment recommendations per orthopedics.
Age: 0.5
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: Two vaccines (Daptacel and ActHIB) were administered at my daughter's routine 6 month well visit around noon on 5/1/2020. The following morning (5/2/2020) she woke up with a rash all over her body that was especially severe around her armpits, torso, and groin. I spoke with the triage nurse and was told to monitor the reaction and give Tylenol and/or Benadryl if needed, or to call back for high fever or refusal to eat. The rash spread and got worse as the day progressed, becoming a darker red color and raised, like welts. The following morning (5/3/2020), the rash was slightly better on her chest and stomach, but still concentrated around her groin, back, arms, and legs. On the morning of 5/4/2020 the rash was much better and mostly cleared. The doctor confirmed that this was a vaccine reaction and agreed that it should be reported to VAERS.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Pruritus, Rash, Viral test positive
Clinical narrative: Within 24 hours I experienced severe itching on the lower left side of my back.  I asked my husband to take a look because I felt some small raised bumps and he thought it looked like Shingles (verified with internet photos).  I had an appointment with my primary care provider within 48 hours, showed it to her and she confirmed through a viral skin test that it was indeed Shingles.  She put me on Acyclovir, 800 mg tablets - 1 tablet by mouth, five times daily for 7 days.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Student's arm became red and swollen. Student saw Physician and was prescribed antibiotics. Student recovered.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, PNC13
Symptoms: Product preparation issue
Clinical narrative: Medical assistant gave PT DTAP-IPV component of PENTACEL by it self Lot: U6584BA. Medical assistant gave PT Haemophilub B conjugate vaccine (Tetanux Toxoid Conjugate) Lot: UJ157AA with sterile diluent Lot:N029157 medical assistant also gave a sterile diluent by it self lot:N029157
Age: 1.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 29.0
Sex: M
Vaccine: TDAP
Symptoms: Myalgia, Pyrexia
Clinical narrative: fever muscle aches
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU4, DTAPIPVHIB, FLU4
Symptoms: Irritability, Skin warm, Urticaria
Clinical narrative: child broke out in hives all over his body
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU4, DTAPIPVHIB, FLU4
Symptoms: Urticaria
Clinical narrative: child broke out in hives all over his body
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm, Swelling
Clinical narrative: Patient described warmth and swelling that started 2 days following vaccination; Followed up with provider at that time. Reported to pharmacist on 5/5/20 @ 7:10 am
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Nausea, Oropharyngeal pain, Pain
Clinical narrative: Severe chills, body aches, and fever during the night.  Subsided during the night.  No fever the next morning but very weak the next day, (May 3).  Because it happened during the night I cannot state how long it lasted or what my temperature was during that time.  On May 4,  I experienced mild nausea and sore throat.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Severe chills, body aches, and fever during the night.  Subsided during the night.  No fever the next morning but very weak the next day, (May 3).  Because it happened during the night I cannot state how long it lasted or what my temperature was during that time.  On May 4,  I experienced mild nausea and sore throat.
Age: 33.0
Sex: F
Vaccine: ANTH, MMR, TYP
Symptoms: Burning sensation, Neuralgia
Clinical narrative: Patient reports "I  had MMR, Typhoid and Anthrax (think I was only one who got it). That evening my entire pointer finger and thumb on my right hand (dominant hand)burned (like a nerve burning pain); the next day my finger tips on those fingers burned but it would come and go.  Specifically when working (writing, gripping something, etc). Today they seem to be fine but I am monitoring."
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Dehydration, Headache, Hypersensitivity, Injection site erythema, Injection site induration
Clinical narrative: WED: injection site pain, redness, heat, area around actual injection site pain, swelling,hardness but alarmingly hives/rash 2-3" diameter that afternoon.  THURS: Half inch Bigger by morning. Hotter, more pain, tenderness. clothes hurt to touch. Bendryl made me sicker/  sever dehydration./ Headche.  PCP & 2 Urgent Cares  wouldn't see me.  FRIDAY: EMT saw it at 48 hrs- 4" diameter, hot, red, hives, tachycardia, low fever (99.7 previously was 97.6)). Pharmacist recommended Zyrtec instead of Benadryl, Tylenol for pain and fever (it helped).  Shape, tenderness, pain, redness, heat/warm off and on in the meantime.  NOW TUES : hives expanding, toward inside of arm. no fever, very tender, intermittent stings like a bee sting. Can't put weight on it, like clothes, sleeping. Pharmacist  recommend file this report. Gave me package insert for inert ingredients. He said it is an allergic reaction.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: WED: injection site pain, redness, heat, area around actual injection site pain, swelling,hardness but alarmingly hives/rash 2-3" diameter that afternoon.  THURS: Half inch Bigger by morning. Hotter, more pain, tenderness. clothes hurt to touch. Bendryl made me sicker/  sever dehydration./ Headche.  PCP & 2 Urgent Cares  wouldn't see me.  FRIDAY: EMT saw it at 48 hrs- 4" diameter, hot, red, hives, tachycardia, low fever (99.7 previously was 97.6)). Pharmacist recommended Zyrtec instead of Benadryl, Tylenol for pain and fever (it helped).  Shape, tenderness, pain, redness, heat/warm off and on in the meantime.  NOW TUES : hives expanding, toward inside of arm. no fever, very tender, intermittent stings like a bee sting. Can't put weight on it, like clothes, sleeping. Pharmacist  recommend file this report. Gave me package insert for inert ingredients. He said it is an allergic reaction.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Pyrexia, Tachycardia
Clinical narrative: WED: injection site pain, redness, heat, area around actual injection site pain, swelling,hardness but alarmingly hives/rash 2-3" diameter that afternoon.  THURS: Half inch Bigger by morning. Hotter, more pain, tenderness. clothes hurt to touch. Bendryl made me sicker/  sever dehydration./ Headche.  PCP & 2 Urgent Cares  wouldn't see me.  FRIDAY: EMT saw it at 48 hrs- 4" diameter, hot, red, hives, tachycardia, low fever (99.7 previously was 97.6)). Pharmacist recommended Zyrtec instead of Benadryl, Tylenol for pain and fever (it helped).  Shape, tenderness, pain, redness, heat/warm off and on in the meantime.  NOW TUES : hives expanding, toward inside of arm. no fever, very tender, intermittent stings like a bee sting. Can't put weight on it, like clothes, sleeping. Pharmacist  recommend file this report. Gave me package insert for inert ingredients. He said it is an allergic reaction.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Activated partial thromboplastin time, Albumin urine present, Alpha 1 microglobulin, Antinuclear antibody positive, Blood albumin increased
Clinical narrative: POST Vaccine and for years of feeling as if I was dying or becoming paralyzed -- Musculoskeletal and connective tissue disorders.  Symptoms described to Doctors included terms like "full body paralysis, limb paralysis, buzzing feeling, tingling in arms and legs, feeling of being crushed.  Enlarged lymph nodes.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood chloride increased, Blood immunoglobulin G normal, Blood immunoglobulin M normal, CD4 lymphocytes, CD4/CD8 ratio
Clinical narrative: POST Vaccine and for years of feeling as if I was dying or becoming paralyzed -- Musculoskeletal and connective tissue disorders.  Symptoms described to Doctors included terms like "full body paralysis, limb paralysis, buzzing feeling, tingling in arms and legs, feeling of being crushed.  Enlarged lymph nodes.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Complement factor C3 increased, Connective tissue disorder, Electrophoresis protein abnormal, Feeling abnormal, Flow cytometry
Clinical narrative: POST Vaccine and for years of feeling as if I was dying or becoming paralyzed -- Musculoskeletal and connective tissue disorders.  Symptoms described to Doctors included terms like "full body paralysis, limb paralysis, buzzing feeling, tingling in arms and legs, feeling of being crushed.  Enlarged lymph nodes.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Immunoglobulins decreased, Laboratory test, Light chain analysis, Lymphadenopathy, Musculoskeletal disorder
Clinical narrative: POST Vaccine and for years of feeling as if I was dying or becoming paralyzed -- Musculoskeletal and connective tissue disorders.  Symptoms described to Doctors included terms like "full body paralysis, limb paralysis, buzzing feeling, tingling in arms and legs, feeling of being crushed.  Enlarged lymph nodes.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Paralysis, Tinnitus, Urine leukocyte esterase
Clinical narrative: POST Vaccine and for years of feeling as if I was dying or becoming paralyzed -- Musculoskeletal and connective tissue disorders.  Symptoms described to Doctors included terms like "full body paralysis, limb paralysis, buzzing feeling, tingling in arms and legs, feeling of being crushed.  Enlarged lymph nodes.
Age: 1.08
Sex: M
Vaccine: DTAPIPVHIB, MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: FEVER 100.5'F RASH
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Angina pectoris, Neck pain
Clinical narrative: Angina & neck pain
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Arthritis, Arthroscopic surgery, Arthroscopy, Asthenia, Bursitis
Clinical narrative: Left shoulder pain shortly after injection.  Her left shoulder pain started suddenly in October of 2018 after getting a flu shot. She denies any injury to the shoulder immediately prior to her pain starting in October 2018. She has continued to have persistent left shoulder pain for the past year. She has pain with overhead activity, lifting and reaching. She points to the lateral upper arm as the main location of her pain. Her shoulder feels weak and becomes fatigued easily. She has pain at night that interferes with sleep. Her shoulder pain is affecting her daily life and limiting her activities. She completed a course of physical therapy which made her shoulder pain worse. She did two courses of oral steroids which only provided temporary improvement. She has had two CORTISONE injections performed by PCP. The first injection in January 2019 provided good relief of her symptoms for about eight months, but the second injection performed in August 2019 was not as effective. She gets some relief of her pain with ice and IBUPROFEN. Her shoulder pain has not improved despite conservative treatment. Assessment findings: Rotator cuff syndrome of left shoulder, Arthritis of left acromioclavicular joint, Nontraumatic incomplete tear of left rotator cuff, Superior glenoid labrum lesion of left shoulder.  Patient with persistent chronic left shoulder pain with an MRI and clinical exam consistent with high-grade bursal sided rotator cuff tear, subacromial impingement/bursitis, AC joint arthrosis and possible SLAP tear refractory to multiple injections and physical therapy directed program without improvement. Ultimately resulting in Left shoulder arthroscopy, arthroscopic rotator cuff repair, transosseous equivalent with dual row fixation, arthroscopic subacromial decompression with anterior acromioplasty, arthroscopic debridement degenerative labral tearing with biceps tenotomy, arthroscopic distal clavicle excision, open subpectoral biceps tenodesis. In discussion with surgeon, the vaccine injection could have caused the bursitis that led to the need for procedure.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Injection site pain, Insomnia, Joint debridement, Joint injection
Clinical narrative: Left shoulder pain shortly after injection.  Her left shoulder pain started suddenly in October of 2018 after getting a flu shot. She denies any injury to the shoulder immediately prior to her pain starting in October 2018. She has continued to have persistent left shoulder pain for the past year. She has pain with overhead activity, lifting and reaching. She points to the lateral upper arm as the main location of her pain. Her shoulder feels weak and becomes fatigued easily. She has pain at night that interferes with sleep. Her shoulder pain is affecting her daily life and limiting her activities. She completed a course of physical therapy which made her shoulder pain worse. She did two courses of oral steroids which only provided temporary improvement. She has had two CORTISONE injections performed by PCP. The first injection in January 2019 provided good relief of her symptoms for about eight months, but the second injection performed in August 2019 was not as effective. She gets some relief of her pain with ice and IBUPROFEN. Her shoulder pain has not improved despite conservative treatment. Assessment findings: Rotator cuff syndrome of left shoulder, Arthritis of left acromioclavicular joint, Nontraumatic incomplete tear of left rotator cuff, Superior glenoid labrum lesion of left shoulder.  Patient with persistent chronic left shoulder pain with an MRI and clinical exam consistent with high-grade bursal sided rotator cuff tear, subacromial impingement/bursitis, AC joint arthrosis and possible SLAP tear refractory to multiple injections and physical therapy directed program without improvement. Ultimately resulting in Left shoulder arthroscopy, arthroscopic rotator cuff repair, transosseous equivalent with dual row fixation, arthroscopic subacromial decompression with anterior acromioplasty, arthroscopic debridement degenerative labral tearing with biceps tenotomy, arthroscopic distal clavicle excision, open subpectoral biceps tenodesis. In discussion with surgeon, the vaccine injection could have caused the bursitis that led to the need for procedure.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Pain, Rotator cuff repair, Rotator cuff syndrome
Clinical narrative: Left shoulder pain shortly after injection.  Her left shoulder pain started suddenly in October of 2018 after getting a flu shot. She denies any injury to the shoulder immediately prior to her pain starting in October 2018. She has continued to have persistent left shoulder pain for the past year. She has pain with overhead activity, lifting and reaching. She points to the lateral upper arm as the main location of her pain. Her shoulder feels weak and becomes fatigued easily. She has pain at night that interferes with sleep. Her shoulder pain is affecting her daily life and limiting her activities. She completed a course of physical therapy which made her shoulder pain worse. She did two courses of oral steroids which only provided temporary improvement. She has had two CORTISONE injections performed by PCP. The first injection in January 2019 provided good relief of her symptoms for about eight months, but the second injection performed in August 2019 was not as effective. She gets some relief of her pain with ice and IBUPROFEN. Her shoulder pain has not improved despite conservative treatment. Assessment findings: Rotator cuff syndrome of left shoulder, Arthritis of left acromioclavicular joint, Nontraumatic incomplete tear of left rotator cuff, Superior glenoid labrum lesion of left shoulder.  Patient with persistent chronic left shoulder pain with an MRI and clinical exam consistent with high-grade bursal sided rotator cuff tear, subacromial impingement/bursitis, AC joint arthrosis and possible SLAP tear refractory to multiple injections and physical therapy directed program without improvement. Ultimately resulting in Left shoulder arthroscopy, arthroscopic rotator cuff repair, transosseous equivalent with dual row fixation, arthroscopic subacromial decompression with anterior acromioplasty, arthroscopic debridement degenerative labral tearing with biceps tenotomy, arthroscopic distal clavicle excision, open subpectoral biceps tenodesis. In discussion with surgeon, the vaccine injection could have caused the bursitis that led to the need for procedure.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Shoulder arthroplasty, Tenodesis, Tenotomy
Clinical narrative: Left shoulder pain shortly after injection.  Her left shoulder pain started suddenly in October of 2018 after getting a flu shot. She denies any injury to the shoulder immediately prior to her pain starting in October 2018. She has continued to have persistent left shoulder pain for the past year. She has pain with overhead activity, lifting and reaching. She points to the lateral upper arm as the main location of her pain. Her shoulder feels weak and becomes fatigued easily. She has pain at night that interferes with sleep. Her shoulder pain is affecting her daily life and limiting her activities. She completed a course of physical therapy which made her shoulder pain worse. She did two courses of oral steroids which only provided temporary improvement. She has had two CORTISONE injections performed by PCP. The first injection in January 2019 provided good relief of her symptoms for about eight months, but the second injection performed in August 2019 was not as effective. She gets some relief of her pain with ice and IBUPROFEN. Her shoulder pain has not improved despite conservative treatment. Assessment findings: Rotator cuff syndrome of left shoulder, Arthritis of left acromioclavicular joint, Nontraumatic incomplete tear of left rotator cuff, Superior glenoid labrum lesion of left shoulder.  Patient with persistent chronic left shoulder pain with an MRI and clinical exam consistent with high-grade bursal sided rotator cuff tear, subacromial impingement/bursitis, AC joint arthrosis and possible SLAP tear refractory to multiple injections and physical therapy directed program without improvement. Ultimately resulting in Left shoulder arthroscopy, arthroscopic rotator cuff repair, transosseous equivalent with dual row fixation, arthroscopic subacromial decompression with anterior acromioplasty, arthroscopic debridement degenerative labral tearing with biceps tenotomy, arthroscopic distal clavicle excision, open subpectoral biceps tenodesis. In discussion with surgeon, the vaccine injection could have caused the bursitis that led to the need for procedure.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pain, Laboratory test
Clinical narrative: painful sensation in the eye
Age: 46.0
Sex: M
Vaccine: TDAP
Symptoms: Chest pain, Headache, Heart rate increased, Hypotension
Clinical narrative: Patient call to the pharmacy. Inform he felt headache, chest pain. Also he said has low blood pressure and a rise in his pulse.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Breath holding, Crying, Dyskinesia, Eye movement disorder, Musculoskeletal stiffness
Clinical narrative: mom states child was crying and held his breath.  child then turned purple but did not come out of it right away.  child continued to hold breath and mom felt his body go stiff, his eyes seemed to go back and forth and his arms seemed to be stiff and kind of shaking/moving.  mom states he stayed like that for about a minute or so.   EMS was called and was taken to ED (child's primary care physician requesting form be completed)
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Skin discolouration, Tremor
Clinical narrative: mom states child was crying and held his breath.  child then turned purple but did not come out of it right away.  child continued to hold breath and mom felt his body go stiff, his eyes seemed to go back and forth and his arms seemed to be stiff and kind of shaking/moving.  mom states he stayed like that for about a minute or so.   EMS was called and was taken to ED (child's primary care physician requesting form be completed)
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient reports ongoing pain in her arm since the time the vaccine was given. Pain is intermittent and presents as a brief stabbing pain, or general soreness in the arm
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Pruritus, Rash maculo-papular
Clinical narrative: The patient developed an erythematous, slightly raised, maculopapular  rash to her face and arms with mild itching that lasted about 2 weeks.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Rash
Clinical narrative: Patient states that rash (tiny dots) appeared today (0505/2020). Patient was counseled to contact MD as soon as possible.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Lethargy, Musculoskeletal pain, Pain
Clinical narrative: Sore shoulder, body aches, chills, lethargy, indifference (mild), loosely flu-like symptoms
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: itchy rash starting with shoulders, currently it is spreading to his legs. The doctor prescribed steroid cream and gave him an injection
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: patient stated that he noticed the rashes on the back and below his chest. He said He will go see his PCP on 5/6/2020.
Age: 65.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: Severe pain in left arm from shoulder to elbow concentrated more around injection site. Unable to raise arm, pain goes down "front of arm" significant swelling. Taking Tylenol for pain, icing area qid
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Bedridden, Fatigue, Musculoskeletal pain, Nausea
Clinical narrative: I was sick to my stomach within 12 hours after the vaccine. I was bedridden from exhaustion for 3 days. I have had chronic shoulder pain ever since. I assumed the pain would get better. Then, because of Coronavirus, I didn't want to bother anyone about it. But recently, the pain has intensified and extended down my arm into my forearm, elbow and wrist. There is still a yellow bruise where the vaccine was injected.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Vaccination site bruising
Clinical narrative: I was sick to my stomach within 12 hours after the vaccine. I was bedridden from exhaustion for 3 days. I have had chronic shoulder pain ever since. I assumed the pain would get better. Then, because of Coronavirus, I didn't want to bother anyone about it. But recently, the pain has intensified and extended down my arm into my forearm, elbow and wrist. There is still a yellow bruise where the vaccine was injected.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Altered state of consciousness, Disturbance in attention, Glassy eyes, Lethargy, Pyrexia
Clinical narrative: Hours after receiving the first set of recommended vaccines for our daughter, she got a high fever and was extremely lethargic. She wasn't sleepy, it was like she was losing consciousness.  She was hard to wake up and had a glassy and glazed stare. She couldn't even focus on you while we spoke to her or tried to get her attention. This was completely out of character for her and first time we had ever witnessed such behavior/fever (around 101.0, 102.0 and climbing)
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Somnolence, Staring
Clinical narrative: Hours after receiving the first set of recommended vaccines for our daughter, she got a high fever and was extremely lethargic. She wasn't sleepy, it was like she was losing consciousness.  She was hard to wake up and had a glassy and glazed stare. She couldn't even focus on you while we spoke to her or tried to get her attention. This was completely out of character for her and first time we had ever witnessed such behavior/fever (around 101.0, 102.0 and climbing)
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Bed rest, Bedridden, Chills, Fatigue, Headache
Clinical narrative: I would not have submitted but my symptoms back in February were similar Covid-19. Headache, woke with  deep body chills in my core and shaking that took a several minutes to calm, mucous build-up, sore throat, fatigued (I was bed ridden while ill, my partner waited on me and I road it out like a flu or bad cold) )extreme vertigo followed about a week after, then I wrote the doctor in a portal for medication for spinning, nausea. She prescribed meclizine which I needed into early March 2020. Also in March, I was prescribed Trulicity which I have stopped. I have had one more deep chill that passed quickly in April. Fatigued linger, sore throat came and went several times throughout March and April. I am feeling much better this month of May. I am not one to ever go to the doctor for a basic cold or a rare flu caught by me. I mainly see the health center for follow-up diabetic and hypertension. Than you.
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Oropharyngeal pain, Tremor, Vertigo
Clinical narrative: I would not have submitted but my symptoms back in February were similar Covid-19. Headache, woke with  deep body chills in my core and shaking that took a several minutes to calm, mucous build-up, sore throat, fatigued (I was bed ridden while ill, my partner waited on me and I road it out like a flu or bad cold) )extreme vertigo followed about a week after, then I wrote the doctor in a portal for medication for spinning, nausea. She prescribed meclizine which I needed into early March 2020. Also in March, I was prescribed Trulicity which I have stopped. I have had one more deep chill that passed quickly in April. Fatigued linger, sore throat came and went several times throughout March and April. I am feeling much better this month of May. I am not one to ever go to the doctor for a basic cold or a rare flu caught by me. I mainly see the health center for follow-up diabetic and hypertension. Than you.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Starting on Monday evening employee starting feeling tired. Beginning Tuesday morning employee woke up and had "black spots" in vision and also felt lightheaded. Took Tylenol around 8:00am Tuesday morning and had a fever of 100.8 degrees Fahrenheit. Employee states Fever went away around noon on Tuesday. Body aches and headache throughout the day and symptoms continuing until Wednesday morning. Throbbing ache at site of injection. Injection site also swollen and red, warm to the touch.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Injection site swelling, Injection site warmth, Pain, Pyrexia, Visual impairment
Clinical narrative: Starting on Monday evening employee starting feeling tired. Beginning Tuesday morning employee woke up and had "black spots" in vision and also felt lightheaded. Took Tylenol around 8:00am Tuesday morning and had a fever of 100.8 degrees Fahrenheit. Employee states Fever went away around noon on Tuesday. Body aches and headache throughout the day and symptoms continuing until Wednesday morning. Throbbing ache at site of injection. Injection site also swollen and red, warm to the touch.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Swelling
Clinical narrative: Swollenness and pain
Age: 25.0
Sex: M
Vaccine: VARCEL
Symptoms: Erythema, Induration, Pain, Pruritus
Clinical narrative: redness measuring 70 x 70 cm , itchiness, hard dense area measuring 40 x 50 cm and soreness to touch that started 24 hours after vaccine given.  Afebrile.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Neuralgia, Pain, Sensitive skin
Clinical narrative: Two days after injection, I started experiencing preherpetic neuralgia of the left side of my body.  I was experiencing intense pain,  my skin was sensitive to touch. As a precaution to ward off a shingles outbreak I took 1500mg of Valacyclovir.  Afterwards,  blisters started to appear.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV9, MENB
Symptoms: Peripheral swelling, Rash, Urticaria
Clinical narrative: Hives on neck, mild swelling in right arm, and rash on both arms.  More severe rash per mom on right arm.
Age: 0.42
Sex: M
Vaccine: PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Child was given pneumoccal 23 instead of Prevnar 13.  Mother reports no adverse effect.  Mother was instructed to bring child in  for Prevnar 13 in 2 months.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Urticaria
Clinical narrative: Hives over entire body sparing groin and perineum
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: PATIENT REPORTED PAIN IMMEDIATELY AFTER INJECTION. I (PHARMACIST) INFORMED PATIENT THAT IS NORMAL TO HAVE INJECTION-SITE PAIN AFTER A SHINGRIX VACCINATION. PATIENT CALLED BACK TO STORE MANAGEMENT AND STATED HER PAIN HAS PERSISTED FOR A MONTH.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site erythema, Injection site pain, Pain
Clinical narrative: high fever 104 degrees body aches chills injection site pain and redness extreme fatigue
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: high fever 104 degrees body aches chills injection site pain and redness extreme fatigue
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Anal sphincter atony, Bladder sphincter atony, Computerised tomogram head normal, Computerised tomogram normal, Computerised tomogram spine
Clinical narrative: Developed severe shingles on left torso (along T11 dermatome). This was treated with Valtrex 100mg TID x 7 days; pt had so much pain that Percocet 5/325mg and Gabapentin 100mg TID had to be added. He then had to be hospitalized April 18-21, 2020 for progressive LUE & LLE numbness and sphincter weakness (anal and urinary). He had extensive testing (LP, CTs & MRIs) and was seen by neurology and infectious disease specialists whom suspected acute viral myelitis related to recent shingles.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging brain normal, Magnetic resonance imaging spinal abnormal
Clinical narrative: Developed severe shingles on left torso (along T11 dermatome). This was treated with Valtrex 100mg TID x 7 days; pt had so much pain that Percocet 5/325mg and Gabapentin 100mg TID had to be added. He then had to be hospitalized April 18-21, 2020 for progressive LUE & LLE numbness and sphincter weakness (anal and urinary). He had extensive testing (LP, CTs & MRIs) and was seen by neurology and infectious disease specialists whom suspected acute viral myelitis related to recent shingles.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Vertebral osteophyte, Viral myelitis
Clinical narrative: Developed severe shingles on left torso (along T11 dermatome). This was treated with Valtrex 100mg TID x 7 days; pt had so much pain that Percocet 5/325mg and Gabapentin 100mg TID had to be added. He then had to be hospitalized April 18-21, 2020 for progressive LUE & LLE numbness and sphincter weakness (anal and urinary). He had extensive testing (LP, CTs & MRIs) and was seen by neurology and infectious disease specialists whom suspected acute viral myelitis related to recent shingles.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Chromaturia, Dysuria, Headache, Injection site rash
Clinical narrative: Patient experienced fever of 101-103, night sweats, chills, body aches, headaches, increased urinary urgency,  burning upon urination, dark colored urine, rash on left thigh, and gained 4 lbs in course of 1 week after vaccine.  Patient had visit with primary care provider  1 week after vaccine.  Primary care provider communicated that patient's symptoms are now 80% better.  Provider is going to follow up with patient for further monitoring and treatment.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Micturition urgency, Night sweats, Pain, Pyrexia, Weight increased
Clinical narrative: Patient experienced fever of 101-103, night sweats, chills, body aches, headaches, increased urinary urgency,  burning upon urination, dark colored urine, rash on left thigh, and gained 4 lbs in course of 1 week after vaccine.  Patient had visit with primary care provider  1 week after vaccine.  Primary care provider communicated that patient's symptoms are now 80% better.  Provider is going to follow up with patient for further monitoring and treatment.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Atrophy, Fatigue, Headache, Injection site erythema, Irritability
Clinical narrative: Patient came home and slept all day. The following day she complained of headache and the arm injected was very swollen. She had no "knot" in the arm, but it was hot, had a red appearance around the injection site, much larger than the site, and when I measured her arm, it was almost 2" larger than her other arm (the arm injected was her L arm; the left side of her body is smaller and has more atrophy than the R, as it is). By the evening, her headache was severe and all she wanted to do was sleep. Patient continued to have severe headaches, almost daily, for 3 months and was very exhausted and intolerant (this was not her typical disposition or pattern).