chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: I developed a slight headache and soreness in arm after vaccine. Approx. around 7pm I had a throbbing pain in my right upper front and back shoulder as well as under my arm. This throbbing did not let up. My lymph node seemed to be inflamed. I called the clinic I received the shot the next  morning and they told me they had not rec'd any complaints of adverse effects like this. I was informed I might want to call my doctor. I got worked in at the doctors office on 7/12/19. My lymph node was slightly enlarged and very tender to palpation. The NP I saw, said that because it was in the localized area of the shot, she would say it was just my body's adverse reaction to the shot. I was told to take ibuprofen and ice it down and if better by Monday, it was probably the shot. If not better, come back to office for further testing.  By Monday morning, it was a lot better and not near as tender or painful. The lymph node was so inflamed I couldn't stand to wear a bra or put my arm down. Felt a lot better in cool water and with ice. No problems now. I was told that I might want to report this so if anyone else had a reaction this way, it would be logged.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Pyrexia, Rash, Varicella post vaccine
Clinical narrative: Fever of 103.2 degrees 2 hours after vaccines. Rash developed 2 days later. Parents took child to ER and md diagnosed as Chicken Pox.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema
Clinical narrative: Leg erythema at the injection site
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Hypoacusis, Vision blurred
Clinical narrative: Vaccines given, declined OJ, pt states had big breakfast, observed for 15 min, while observing pt felt light headed, muffled hearing, states "vision started to become blurry." Pt placed in supine position, cool compress to forehead, OJ provided. BP taken 10:47 AM 92/63 HR 93. Pt states vision has cleared, provided OJ and lollipop, 10:52 BP 91/68 HR 80, Pt states hearing is now normal.  10:58 AM 93/60 HR 83, pt verbalizes feeling normal.  Pt sitting up and standing w/no problems. Pt and mom feel comfortable heading home--discharged to home w/mom.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: Patient was injected with Shingrix intramuscularly. Patient suffered reaction (cellulitis) which was diagnosed on 7/12/19 at Urgent Care
Age: 76.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Feeling hot, Injection site pain, Injection site swelling, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Stiff, painful swelling of entire left arm. Not tender to the touch but emitting a lot of heat. Started afternoon after injection and continuing for now with marked improvement.  Mild fever. Starting afternoon after injection and ending in afternoon the day after injection.
Age: 76.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Stiff, painful swelling of entire left arm. Not tender to the touch but emitting a lot of heat. Started afternoon after injection and continuing for now with marked improvement.  Mild fever. Starting afternoon after injection and ending in afternoon the day after injection.
Age: 21.0
Sex: F
Vaccine: MENB
Symptoms: Vaccination site bruising, Vaccination site pain, Vaccination site rash
Clinical narrative: Patient presented with blisters on site of vaccination and rash and painful.  Treated with antibiotics today in clinic  07/22/19.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient noticed when she woke up the day after she received the shot that her arm was sore and thought she slept on it wrong.  Later in the day she observed that her arm was swollen, red and warm in a large circular area just above her elbow.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Eye pruritus, Peripheral swelling, Pruritus
Clinical narrative: Patient descriped swollen arm (twice her normal size) from shoulder to elbow, itchy eyes and scalp
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Induration, Injection site pain, Insomnia, Myalgia
Clinical narrative: 7/17-pt. stated that the injection site was painful, was not able to sleep on the left deltoid that night due to the pain 7/18-arm hurting, noticed some swelling. 7/22-swelling has been getting bigger since the injection, burning from inside the muscle going to surface, warmth on palpation, induration palpated with redness.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: 7/17-pt. stated that the injection site was painful, was not able to sleep on the left deltoid that night due to the pain 7/18-arm hurting, noticed some swelling. 7/22-swelling has been getting bigger since the injection, burning from inside the muscle going to surface, warmth on palpation, induration palpated with redness.
Age: 15.0
Sex: F
Vaccine: MENB
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis, Left deltoid
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Erythema, Jaundice, Joint swelling, Nausea
Clinical narrative: Swelling shoulder/elbow, nausea, dizziness, "jaundice", red and warm to touch.  Patient said she took Benadryl.  Saw patient today and she said she is feeling much better.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Swelling
Clinical narrative: Swelling shoulder/elbow, nausea, dizziness, "jaundice", red and warm to touch.  Patient said she took Benadryl.  Saw patient today and she said she is feeling much better.
Age: 11.0
Sex: M
Vaccine: IPV, MMR
Symptoms: Epistaxis
Clinical narrative: Client and mom report that client started having bloody noses every time he blew his nose starting 6/12/19 that lasted one week. Bloody noses stopped after one week. Client did not seek any medical evaluation or intervention.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Hypophagia
Clinical narrative: About 8 hours after the first shot at about 9am, I started feeling flu-like symptoms.   Had chills all night, called in sick, felt better by noon.   This time, I got the second done about 9am, started feeling flu-like symptoms around 4pm, by 9pm I had chills, sweats, raging headache, fever, nausea.  Spent the whole night dry-heaving, then slept until 1pm.   Haven't been able to eat anything but toast for the next 3 days.   Still have low grade nausea and fatigue, although it's improving slightly.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Nausea, Pyrexia, Retching
Clinical narrative: About 8 hours after the first shot at about 9am, I started feeling flu-like symptoms.   Had chills all night, called in sick, felt better by noon.   This time, I got the second done about 9am, started feeling flu-like symptoms around 4pm, by 9pm I had chills, sweats, raging headache, fever, nausea.  Spent the whole night dry-heaving, then slept until 1pm.   Haven't been able to eat anything but toast for the next 3 days.   Still have low grade nausea and fatigue, although it's improving slightly.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site pain, Musculoskeletal pain
Clinical narrative: Patient experienced flu-like symptoms (no fever) and mild pain at injection site for a few days. On 7/11/19 and 7/12/19, while working as a bus driver, he handled a large amount of luggage. Handling and lifting luggage is not a usual part of his work. The flu-like symptoms and pain intensified then stopped over the weekend. On 7/17/19 while driving his bus, the pain returned in his shoulder blade. On 7/20/19 while driving again, the pain in his shoulder blade intensified and has continued off and on since.
Age: 18.0
Sex: M
Vaccine: HEPA, HPV9, MNQ
Symptoms: Altered state of consciousness, Hyperhidrosis, Nausea, Pallor, Syncope
Clinical narrative: Patient received 3 injections (Hep A, Menveo, and Gardisil 9).  He fainted after receiving the last vaccination (Gardisil 9).  He states that when he stood up he felt naseous.  He said that when he got in the chair, not even a minute later, he felt like he was going to pass out.  The patient  became pale and sweatly and fainted.  He was not unconscious for maybe a minute or less.  The patient was placed on the exam table and his head lowered and legs elevated.  Color quickly returned to the patient, but we kept him and checked his BP 3 times before he exited the facility with his siblings.  He is one of triplets and his siblings received the same injections, but had no reactions.
Sex: M
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The patient was "off schedule" when receiving GARDASIL 9; No adverse effects were reported during the call; This spontaneous report was received from the patient's mother, referring to her son, a male patient of unknown age. Information regarding the patient's pertinent medical history, concurrent conditions, known allergies and concomitant medications was not provided.      On an unknown date, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (strength, dose, route of vaccination, lot # and expiration date were not provided) for prophylaxis.         The patient's mother stated that, on an unspecified date, the patient was "off schedule", when he was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9). No adverse effects were reported.
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL, HEP, MMR, TDAP, VARCEL
Symptoms: Mobility decreased, Rash, Rash vesicular
Clinical narrative: Makes it difficult to write; The patient developed a blister-like rash on her hands/ The rash is painful and makes it difficult to write; The pharmacist reported that the patient reports that she has never had the chickenpox disease before; Information has been received from a pharmacist, concerning an approximately 19-years old female patient. The patient had no medical history, drug reactions or allergies.  On 11-JUL-2019, the patient was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (VARIVAX) Lot # R006221 with expiration date: 29-FEB-2020 (route of administration and anatomical location were not provided) for prophylaxis (reported as "needed the vaccine for nursing school"). The patient was also vaccinated with a dose of Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (MMR II) for prophylaxis (lot number, expiration date, route of administration and anatomical location were not provided), one dose of diphtheria toxoid, pertussis acellular 3-component vaccine, tetanus toxoid (BOOSTRIX) (lot number, expiration date, route of administration, indication and anatomical location were not provided) and one dose of hepatitis B virus vaccine rHBsAg (yeast) (ENGERIX-B) (lot number, expiration date, route of administration, indication and anatomical location were not provided). These vaccines were also reported as concomitant medication.  Subsequently in 12-JUL-2019, the patient developed a "blister-like rash "(rash) on her hands. The rash was painful and made it difficult to write (movement disorder). The patient reported that she never had chickenpox before (varicella). The patient went to an unspecified urgent care clinic on 14-JUL-2019, where she was treated with a 40 mg triamcinolone acetonide (KENALOG) injection. There was no lab diagnostics or studies performed. The patient had not recovered from the abovementioned adverse events at the time of this report.  The causal relationship between the suspect therapies and the varicella, rash and movement disorder was not provided.
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL, HEP, MMR, TDAP, VARCEL
Symptoms: Blister, Rash pruritic, Skin exfoliation
Clinical narrative: Makes it difficult to write; The patient developed a blister-like rash on her hands/ The rash is painful and makes it difficult to write; The pharmacist reported that the patient reports that she has never had the chickenpox disease before; Information has been received from a pharmacist, concerning an approximately 19-years old female patient. The patient had no medical history, drug reactions or allergies.  On 11-JUL-2019, the patient was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (VARIVAX) Lot # R006221 with expiration date: 29-FEB-2020 (route of administration and anatomical location were not provided) for prophylaxis (reported as "needed the vaccine for nursing school"). The patient was also vaccinated with a dose of Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (MMR II) for prophylaxis (lot number, expiration date, route of administration and anatomical location were not provided), one dose of diphtheria toxoid, pertussis acellular 3-component vaccine, tetanus toxoid (BOOSTRIX) (lot number, expiration date, route of administration, indication and anatomical location were not provided) and one dose of hepatitis B virus vaccine rHBsAg (yeast) (ENGERIX-B) (lot number, expiration date, route of administration, indication and anatomical location were not provided). These vaccines were also reported as concomitant medication.  Subsequently in 12-JUL-2019, the patient developed a "blister-like rash "(rash) on her hands. The rash was painful and made it difficult to write (movement disorder). The patient reported that she never had chickenpox before (varicella). The patient went to an unspecified urgent care clinic on 14-JUL-2019, where she was treated with a 40 mg triamcinolone acetonide (KENALOG) injection. There was no lab diagnostics or studies performed. The patient had not recovered from the abovementioned adverse events at the time of this report.  The causal relationship between the suspect therapies and the varicella, rash and movement disorder was not provided.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Influenza like illness, Myalgia
Clinical narrative: Got chills and muscle aches, shivering,  headache. Just like the flu.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Eye movement disorder, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt received 3 vaccines Tdap and MCV 4 in the Left Arm and then HPV9 last in the left arm.  Immediately after receiving the last vaccine the patient stiffened with her eyes rolled back leading to LOC. Patient was then lowered to the ground and regained consciousness about 10-20 seconds after the after the start of the episode, pt was given a juice box as well as an ammonia inhalant.  about 2-3 minutes after regaining consciousness, Pt stated she felt normal.  We waited for a about 5 minutes and then started slowly moving her to a sitting position. She sat for about 5 minutes before goin go the standing position.  Pt still stating she " feels normal" so we walked to the waiting room and was instructed to sit for another 15 minutes before leaving, and to notify a nurse if dizziness or lightheadedness returns.  Pt was educated on future visits, to let the nurse know there is history of syncope with shots and the importance of eating before receiving any invasive procedures.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Headache, Pyrexia, Vomiting
Clinical narrative: PT DESCRIBED HERSELF HAVING THE WORSE HEADACHE SHE HAS EVER HAD IT LASTED THE DAY OF THE VACCINE ALONG WITH FEVER, CHILLS, AND VOMITTING.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Severe body aches, fever 101 degrees, headache, nausea. This reaction lasted three days.no
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient developed shingles in 7/2019
Age: 57.0
Sex: F
Vaccine: HEP
Symptoms: Feeling abnormal
Clinical narrative: After 1 hour, felt funny like if vaccine contained formaldehyde or embalming fluid--cannot describe symptoms. Patient reports no vaccine administration issues.   Symptoms lasted 2-3 weeks.  Patient not sure if left message with doctor's answering system; did not go back to the doctor.   Patient did not take or do anything at home to feel better.  Patient did not seek any other type of medical care during this time.  Patient did not have similar problems with previous Hepatitis doses.  Patient not bothered by it right now--at about 95% recovery.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Migraine, Neck pain, Pain in extremity
Clinical narrative: Patient received vaccine on 7/19/19, returned on Monday, 7/22/19, and reported the following to us: on evening of 7/19/19 (day of vaccination), she experienced a sore arm. By the next day (7/20/19), it had spread to her neck and side of abdomen. She also experienced a strong migraine.  By the next day though (7/21/19), she was back to normal.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Induration, Peripheral swelling, Rash erythematous, Rash maculo-papular
Clinical narrative: Developed swelling, firmness, and red erythematous maculopapular rash on L arm on 7/21/19, the day following vaccination. Seen in office on 7/22/19, reportedly decreased swelling and redness per parental report following application of ice.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Hypersomnia, Myalgia
Clinical narrative: Received first dose of Shingrix in same facility.  Next day, felt extremely tired so went back to bed. Slept for about 17 hours; when woke up sporadically noticed that she was sweating profusely, every muscle in body ached, had chills, fever, but no nausea or stomach pain.   Since patient had similar problems after first dose just decided to weathered it out and did not call doctor Took Tylenol which helped with symptoms.   Patient felt better after a couple of days.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Received first dose of Shingrix in same facility.  Next day, felt extremely tired so went back to bed. Slept for about 17 hours; when woke up sporadically noticed that she was sweating profusely, every muscle in body ached, had chills, fever, but no nausea or stomach pain.   Since patient had similar problems after first dose just decided to weathered it out and did not call doctor Took Tylenol which helped with symptoms.   Patient felt better after a couple of days.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Injection site erythema, Pyrexia
Clinical narrative: Patient came back when he was shopping one day and told me he had had some reactions to the shot. He went on to explain: redness at the injection site (no itching) that lasted several days and dizziness and mild fever with chills that lasted a few hours after the shot.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation error
Clinical narrative: the shingrix vaccine was mixed with merck sharp and dome sterile diluent.
Age: 72.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Uppper arm starting swelling up about 8 hours after vaccination. Red, painful to the touch.
Age: 72.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site rash
Clinical narrative: Uppper arm starting swelling up about 8 hours after vaccination. Red, painful to the touch.
Age: 66.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Rash
Clinical narrative: PATIENT DEVELOPED RASH ON UPPER TORSO AND BACK AND UNDERNEATH ARM 2 DAYS AFTER PREVNAR AND SHINGRIX VACCINES. TOLD PATIENT TO TAKE BENADRYL AND ZANTAC/PEPCID. SHE SHOULD GO TO ER IF SWELLING IN MOUTH OR TONGUE, AND TO CALL IF IT GETS WORSE AND NOT BETTER.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: No adverse event, Product preparation error
Clinical narrative: Vaccine given with sterile water instead of manufacturer's diluent. No reported adverse events by mother of patient in subsequent visits to the Immunizations clinic. Revaccination determined by local medical team with advice from the following medical professional.   *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes.
Age: 22.0
Sex: M
Vaccine: TYP, YF
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Possibly given compromised vaccine ( vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient in subsequent visit to the Immunizations clinic. Revaccination determined by local medical team with advice from the following medical professional. *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes. 22JUL2019
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR
Symptoms: Cellulitis
Clinical narrative: cellulitis treated with Keflex 250 mg/5 mL oral 350 mg = 7 mL PO TID X 7 Days
Age: 27.0
Sex: F
Vaccine: MNQ, TYP, YF
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Possibly given compromised vaccine ( vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient at this time.   Decision to not revaccinate was determined by local medical team with advice from the following medical professional(s).    *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes.   -22JUL2019
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Formication, Mobility decreased, Pain
Clinical narrative: Patient could not take Zostovax because has immune disease.  Patient had shingles last September.  As soon as vaccine was administered it was very painful, a sharp pain going down to elbow.  Patient moved arm around to see if it helped.  Arm got red and hot--it felt like if bruised.  It was hard to lift arm across shoulder; like if hit with a bat.  Patient iced it for 2 days.   On 4th/5th day starting having a crawling nerve feeling like if was going to get shingles.  Sinusitis has gotten worse; feels like more sensitive than ever been.  It took about 10 days for arm to start to improve.  Patient has not contacted pharmacist or doctor at any time.    Will talk to doctor at next scheduled wellness check appt. Patient took some Tylenol.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Sinusitis, Skin warm
Clinical narrative: Patient could not take Zostovax because has immune disease.  Patient had shingles last September.  As soon as vaccine was administered it was very painful, a sharp pain going down to elbow.  Patient moved arm around to see if it helped.  Arm got red and hot--it felt like if bruised.  It was hard to lift arm across shoulder; like if hit with a bat.  Patient iced it for 2 days.   On 4th/5th day starting having a crawling nerve feeling like if was going to get shingles.  Sinusitis has gotten worse; feels like more sensitive than ever been.  It took about 10 days for arm to start to improve.  Patient has not contacted pharmacist or doctor at any time.    Will talk to doctor at next scheduled wellness check appt. Patient took some Tylenol.
Age: 29.0
Sex: M
Vaccine: TYP, YF
Symptoms: No adverse event, Product preparation error
Clinical narrative: Possibly given compromised vaccine ( vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient at this time. Patient has no current phone contact. Clinic has reached out to patient through email with no response. Revaccination determined by local medical team with advice from the following medical professional.  *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes.
Age: 27.0
Sex: M
Vaccine: ANTH, YF
Symptoms: No adverse event, Product preparation error
Clinical narrative: Possibly given compromised vaccine ( vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient at this time. Patient has been contacted by staff and told to return to Immunizations clinic during appointment.  *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes.   Revaccination determined by local medical team with advice from the medical professional.
Age: 14.0
Sex: M
Vaccine: TYP, YF
Symptoms: No adverse event, Product preparation error
Clinical narrative: Possibly given compromised vaccine ( vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient, parent(s), or guardian at this time. Staff has reached out to patient's mother and determined patient did not need vaccine for area of travel.   *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes.   Decision to not revaccinate was determined by local medical team with advice from the medical professional(s).
Age: 14.0
Sex: M
Vaccine: HPV9, MNQ, TYP, YF
Symptoms: No adverse event, Product preparation error
Clinical narrative: Possibly given compromised vaccine ( vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient, parent(s), or guardian at this time. Staff has reached out to patient's mother and determined patient did not need vaccine for area of travel. Mother presented to clinic on behalf of the patient to have vaccine invalidated and has done so.  Decision to not revaccinate was determined by local medical team with advice from the medical professional(s).  Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes.
Age: 48.0
Sex: M
Vaccine: YF
Symptoms: No adverse event, Product preparation error
Clinical narrative: Possibly given compromised vaccine (vaccine reconstituted and administered with sterile water instead of manufacturer's diluent). No reported adverse health events by patient in subsequent visit to the Immunizations clinic. Patient revaccinated on 19JUL2019 with Yellow Fever, Lot #: UI933AA. Revaccination determined by local medical team with advice from the following medical professional. *Item 5 was filled due to form requirement but it is unknown if patient has experienced an adverse health event. This VAERS form is being filled out for documentation and education purposes. 22JUL2019.
Age: 13.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administration error: Shingrix is approved for adults 50 and older. Was given to a 13 year old child. No Immediate effect.
Age: 13.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Product administered to patient of inappropriate age, Rash, Wrong product administered
Clinical narrative: Administration error: Shingrix is approved for adults 50 and older. Was given to a 13 year old child. No Immediate effect.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Drug hypersensitivity, Ear swelling, Erythema, Pruritus, Swelling face
Clinical narrative: Patient began to break out in itchy hives.  Patient taken to the doctor who specified it was viral so no recommendation in terms of treatment except for Benadryl.  Patient got worse; ears swollen, red, and itchy even with Benadryl.  Patient taken to the ER on 7/17, patient given oral steroids and Motrin and then sent home.   On 7/18, patient followed up with Urgent Care doctor who prescribed more steroids. By 7/20, patient did not improve, face swelled up so went to ER at Hospital.  No testing was done at the ER but doctors mentioned that problems consistent with antibiotic allergy. Patient released and given Zyrtex and different dosage of steroids. Patient has appt with immunologist specialist on 7/31 to test for antibiotic allergy. New medication did help.   Patient is at 80% recovery at this point.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV
Symptoms: Urticaria
Clinical narrative: Patient began to break out in itchy hives.  Patient taken to the doctor who specified it was viral so no recommendation in terms of treatment except for Benadryl.  Patient got worse; ears swollen, red, and itchy even with Benadryl.  Patient taken to the ER on 7/17, patient given oral steroids and Motrin and then sent home.   On 7/18, patient followed up with Urgent Care doctor who prescribed more steroids. By 7/20, patient did not improve, face swelled up so went to ER at Hospital.  No testing was done at the ER but doctors mentioned that problems consistent with antibiotic allergy. Patient released and given Zyrtex and different dosage of steroids. Patient has appt with immunologist specialist on 7/31 to test for antibiotic allergy. New medication did help.   Patient is at 80% recovery at this point.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: FLU LIKE SYMPTOMS THE DAY AFTER
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Erythema, Fatigue, Influenza like illness, Injection site swelling
Clinical narrative: After the administration, patient reported feeling tired. next day around 10Am she woke up with flu like symptoms body aches, chills, fever, redness and swelling. Also her arm had a massive swollen hard band around most of her arm around the injection area. The flu like symptoms lasted 2 whole days. Patient got some relief with Advil as the treatment. Patient had similar reaction with the first shot, minus the swollen band around her arm.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: After the administration, patient reported feeling tired. next day around 10Am she woke up with flu like symptoms body aches, chills, fever, redness and swelling. Also her arm had a massive swollen hard band around most of her arm around the injection area. The flu like symptoms lasted 2 whole days. Patient got some relief with Advil as the treatment. Patient had similar reaction with the first shot, minus the swollen band around her arm.
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Angiogram abnormal, Chest pain, Dyspnoea, Fibrin D dimer increased, Insomnia
Clinical narrative: Chest pain in middle of night on 7/16. Was achy and had some pain but thought it was normal side effects.  She starting having a more difficult time sleeping unless she was sitting up. The pain continued through Sat 7/20 but it was being relieved with ice and Tylenol.  On 7/20 she went to the ER b/c she started having trouble breathing.  Testing was done and pt had an elevated ddimer and a chest angio was done.  The results showed plural effusion and pericardial effusion.  She has an apt with a cardiologist in 2 days.  No hx of cardiac events
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pericardial effusion, Pleural effusion
Clinical narrative: Chest pain in middle of night on 7/16. Was achy and had some pain but thought it was normal side effects.  She starting having a more difficult time sleeping unless she was sitting up. The pain continued through Sat 7/20 but it was being relieved with ice and Tylenol.  On 7/20 she went to the ER b/c she started having trouble breathing.  Testing was done and pt had an elevated ddimer and a chest angio was done.  The results showed plural effusion and pericardial effusion.  She has an apt with a cardiologist in 2 days.  No hx of cardiac events
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test normal, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Chest pain in middle of night on 7/16. Was achy and had some pain but thought it was normal side effects.  She starting having a more difficult time sleeping unless she was sitting up. The pain continued through Sat 7/20 but it was being relieved with ice and Tylenol.  On 7/20 she went to the ER b/c she started having trouble breathing.  Testing was done and pt had an elevated ddimer and a chest angio was done.  The results showed plural effusion and pericardial effusion.  She has an apt with a cardiologist in 2 days.  No hx of cardiac events
Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Insomnia, Pericardial effusion, Pericarditis, Pleural effusion
Clinical narrative: Chest pain in middle of night on 7/16. Was achy and had some pain but thought it was normal side effects.  She starting having a more difficult time sleeping unless she was sitting up. The pain continued through Sat 7/20 but it was being relieved with ice and Tylenol.  On 7/20 she went to the ER b/c she started having trouble breathing.  Testing was done and pt had an elevated ddimer and a chest angio was done.  The results showed plural effusion and pericardial effusion.  She has an apt with a cardiologist in 2 days.  No hx of cardiac events
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Pain in extremity
Clinical narrative: 5 days after the injections were given the  patient experience soreness/achiness in the lower forearms bilaterally.  The injections had been given in bilateral deltoids but there was no pain, swelling, ecchymosis, erythema at the injection sites -- only in the lower forearms.  There was no loss of strength, reflexes, nor sensation.  Treatment of heat and ibuprofen was recommended.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Injection site warmth, Pain, Pyrexia
Clinical narrative: Patient complains of chills and aches throughout her body, she self reported a fever, location of injection site is warm to the touch.  She said she felt dizzy.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Influenza like illness, Musculoskeletal pain, Pain in extremity, Pyrexia
Clinical narrative: Patient self-reported a fever,  stomach pain, pain between should blade, flu-like symptoms, and pain radiating down the back of his leg.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Fatigue, Influenza like illness, Injection site pain, Insomnia
Clinical narrative: First night: Flu-like symptoms: body aches and tiredness, very sore feet, difficulty sleeping First 2 days:  Very sore right upper arm muscle Day 4: Developed itchy rash on left upper thigh and abdomen Day 5: Developed 3 very itchy fluid-filled bumps on right upper thigh Day 7: Developed 1 additional itchy fluid-filled bump on right upper thigh Day 8, 07/22/19: All rashes still present and itchy
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Rash pruritic
Clinical narrative: First night: Flu-like symptoms: body aches and tiredness, very sore feet, difficulty sleeping First 2 days:  Very sore right upper arm muscle Day 4: Developed itchy rash on left upper thigh and abdomen Day 5: Developed 3 very itchy fluid-filled bumps on right upper thigh Day 7: Developed 1 additional itchy fluid-filled bump on right upper thigh Day 8, 07/22/19: All rashes still present and itchy
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: PATIENT'S WIFE REPORTED THAT PATIENT IS EXPERIENCING FEVER AND CHILLS.
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Bone pain, Dyspepsia, Injection site rash, Nausea, Somnolence
Clinical narrative: as of Mon July 22, 2019 small rash at puncture site diminishing sudden sleepiness not as often digestive issues, nausea random aching in bones continues at same frequency
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Pain
Clinical narrative: Patient experienced extreme pain (8 of 10) starting approximately 6 hours after administration of the vaccine. She also developed severe body aches, headache, nausea, and body chills. She tried to control symptoms with home remedies such as taking a bath, using a hot pad and blankets to help with the chills but they did not help. She thought about going into the hospital but decided against it. She felt bad for about a day and a half and started to feel slightly better by 11pm of Sunday night. Monday she was almost fully recovered. She said that she reacted more severely with the second dose but it was a shorter duration than the first dose.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ
Symptoms: Blindness, Immediate post-injection reaction, Mydriasis, Syncope
Clinical narrative: Patient had immediate Syncope, but was conscious through out the recovery process. Did say that he couldn't see anything. Pupils were dilated.  Suggested rest and called EMS. Patient regained normal breathing and pulse by the time EMS arrived at the pharmacy. Followed up with patient later in the day. Everything back to normal.
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Eye movement disorder, Fall, Nervousness, Pallor, Syncope
Clinical narrative: Patient came in for vaccine and told me she was nervous, but received the shot without issue. Patient was asked to stay for a few minutes before leaving. After 10 minutes, patient came to register counter to receive and sign paperwork. While ringing out, patient got extremely pale, her eyes rolled back and she collapsed onto the counter and then fell to the floor. By the time I got around the counter to her, she had already come-to and, with the help of a friend, was getting ready to leave despite my insistence that she stay for more time.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Neuralgia, Pain in extremity
Clinical narrative: PT HAVING SORE ARM AND SOME NERVE PAIN IN THE UPPER ARM AROUND THE SITE OF THE VACCINATION--DR PUT HER ON PREDNISONE TO SEE IF IT HELPS  BEEN ABOUT ONE MONTH SINCE THE VACCINATION--HAD NO TROUBLE WITH THE FIRST VACCINATION
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Erythema, Feeling abnormal, Pain in extremity, Rash
Clinical narrative: 17th - injection around 2pm at pharmacy and sore arm post shot 18th - sore arm, felt badly,   19th -  felt bad,  rash appeared on both arms - full length of forearms 20th - both  arms  rash worsened with rt. arm worse 21st - rash worsening and red appearing 22 nd - rash/blistering worsening and lots of red (took photos)
Age: 56.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Injection site pain, Injection site reaction, Muscle spasms
Clinical narrative: patient reports continuous pain/muscle spasms in injection area since time of immunization until now (7-7-19 to 7-22-19). she will consult with her primary care physcian. she had surgery on opposite arm/shoulder the day after she had the immunizations.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient currently has no issues to report. The patient was requesting to get the 2nd dose of his Shingrix and the pharmacist did not verify that it had been the appropriate 2 months since the first dose. The patient received a 2nd dose of shingrix just 17 days after receiving the first dose of shingrix.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Pain, swelling ,soreness at injection site  4x6inches, aching , back ache , low grade  temp.    Started   8 to 12 hours post injection. Swelling lasted > 50 hours.
Age: 1.25
Sex: M
Vaccine: DTAP
Symptoms: Diarrhoea, Lethargy, Vomiting projectile
Clinical narrative: Child started the day around 7am with watery, smelly diarrhea.  At 8am child projectile vomited over 6 times.  Then 10 minutes later had watery smelly diarrhea and became lethargic.  Child remained lethargic for the following hours. The diarrhea continued through out the day.
Age: 15.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Exposure during pregnancy, Pregnancy test urine positive, Prenatal care
Clinical narrative: Due date: 11/9/19. Patient received HPV vaccine prior to discovering pregnancy. Patient reported no sexual intercourse, irregular periods but was ~17 weeks pregnant at time of administration.
Age: 15.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Exposure during pregnancy, Human chorionic gonadotropin positive
Clinical narrative: Due date: 11/9/19. Patient received HPV vaccine prior to discovering pregnancy. Patient reported no sexual intercourse, irregular periods but was ~17 weeks pregnant at time of administration.
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: .
Age: 22.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Pyrexia
Clinical narrative: Fever & generalized body ache.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Back pain, Borrelia test negative, CSF culture negative, CSF glucose normal, CSF protein normal
Clinical narrative: fever nausea fatigue headache neck pain back pain began within 24 hrs of vaccine administration treatment- Tylenol, motrin supportive care intravenous fluids IV ceftriaxone x 2 days
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: CSF red blood cell count positive, CSF test normal, CSF white blood cell count negative, Enterovirus test, Fatigue
Clinical narrative: fever nausea fatigue headache neck pain back pain began within 24 hrs of vaccine administration treatment- Tylenol, motrin supportive care intravenous fluids IV ceftriaxone x 2 days
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Full blood count, Headache, Metabolic function test, Nausea, Neck pain
Clinical narrative: fever nausea fatigue headache neck pain back pain began within 24 hrs of vaccine administration treatment- Tylenol, motrin supportive care intravenous fluids IV ceftriaxone x 2 days
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Polymerase chain reaction, Pyrexia, Urine analysis
Clinical narrative: fever nausea fatigue headache neck pain back pain began within 24 hrs of vaccine administration treatment- Tylenol, motrin supportive care intravenous fluids IV ceftriaxone x 2 days
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient called pharmacy early Monday (7/22) AM reported injection site was sore/red Friday (7/19) but spiked a fever with chills Sat (7/20) which did relieve Sunday (7/21). Monday reported redness was growing came in pharmacy. Injection site was yellow (1" diam) and redness approx. 3" diam. reporting spread over 4 days & now itching. Going to PCP Tuesday.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient called pharmacy early Monday (7/22) AM reported injection site was sore/red Friday (7/19) but spiked a fever with chills Sat (7/20) which did relieve Sunday (7/21). Monday reported redness was growing came in pharmacy. Injection site was yellow (1" diam) and redness approx. 3" diam. reporting spread over 4 days & now itching. Going to PCP Tuesday.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Skin infection
Clinical narrative: Redness and swelling of entire upper arm. Continued to enlarge, was treated for skin infection after 3 days.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Redness and swelling around injection site. Some hardness & pain. Resolved in ~3 days
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Seizure
Clinical narrative: Patient received Shingrix vaccine on 7/8 & husband informed us she has fever & seizure episodes + had to be admitted at Hospital on 7/9.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Injection site erythema, Injection site rash, Injection site swelling, Injection site urticaria
Clinical narrative: July 16, 2019, On Jan 15, 2019 got Second Shingles shot by that evening got red bump, hives rash, around where I got shot. Jan-16-17, 2019 still had red bumps around shot area. Then on Jan 18, 2019 got more red bumps around shot and right side of Rib case. Started to take pictures of bumps. On Jan, 19, 2019 Went to ER got more hives rash all over body stomach, back, Upper Chest, Neck, Arms. Was told to just take Benadryl. Took benadryl the hives rash got a little better. But still getting out breaks. This our the dates of outbreaks Jan, 25, 2019 on my forearms. Jan 26, 2019 Neck shoulders, Jan 27, 2019 stomach. Jan-28, 2019 Neck face all over upper body. Jan 31, 2019 on hands. My hands would hurt I could not even make a fist. Feb 1, 2019 on Neck and stomach. On Feb 5, 2019 showed Dr. rash on neck and face told him I had gotten shingle shot. He prescribe me Prednisone 10mg 3 tabs for 2-days-2 tabs for 2 days then 1 tab for 2 days. Feb 6, 2019 still getting rash on neck stomach arms. Feb, 13, 2019 still getting rash on arms. The rash went away for a while on Mar-28, 2019 still getting rash on left arm. April 5, 2019 still getting outbreaks on left arm. May 18, 2019 still getting outbreak on left arm. May 29, 2019 still getting outbreak on left. June 12, 2019 left arm outbreak. July 16 2019, outbreak on left arm. This outbreak I get stay on my left arm for a couple of days. Then it take them awhile for them to disappear. it is a burning feeling when they come out on my left arm. Don't get them on my body only on left arm for know. Still getting on left arm where I got shot. Also was sent to see a Allergy Dr. For red rash bumps, on left Arm. On June 26, 2019 Dr. MD, Stated possible allergic reaction to shingle shot.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Rash erythematous, Rash generalised, Urticaria
Clinical narrative: July 16, 2019, On Jan 15, 2019 got Second Shingles shot by that evening got red bump, hives rash, around where I got shot. Jan-16-17, 2019 still had red bumps around shot area. Then on Jan 18, 2019 got more red bumps around shot and right side of Rib case. Started to take pictures of bumps. On Jan, 19, 2019 Went to ER got more hives rash all over body stomach, back, Upper Chest, Neck, Arms. Was told to just take Benadryl. Took benadryl the hives rash got a little better. But still getting out breaks. This our the dates of outbreaks Jan, 25, 2019 on my forearms. Jan 26, 2019 Neck shoulders, Jan 27, 2019 stomach. Jan-28, 2019 Neck face all over upper body. Jan 31, 2019 on hands. My hands would hurt I could not even make a fist. Feb 1, 2019 on Neck and stomach. On Feb 5, 2019 showed Dr. rash on neck and face told him I had gotten shingle shot. He prescribe me Prednisone 10mg 3 tabs for 2-days-2 tabs for 2 days then 1 tab for 2 days. Feb 6, 2019 still getting rash on neck stomach arms. Feb, 13, 2019 still getting rash on arms. The rash went away for a while on Mar-28, 2019 still getting rash on left arm. April 5, 2019 still getting outbreaks on left arm. May 18, 2019 still getting outbreak on left arm. May 29, 2019 still getting outbreak on left. June 12, 2019 left arm outbreak. July 16 2019, outbreak on left arm. This outbreak I get stay on my left arm for a couple of days. Then it take them awhile for them to disappear. it is a burning feeling when they come out on my left arm. Don't get them on my body only on left arm for know. Still getting on left arm where I got shot. Also was sent to see a Allergy Dr. For red rash bumps, on left Arm. On June 26, 2019 Dr. MD, Stated possible allergic reaction to shingle shot.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pyrexia, Rash
Clinical narrative: Patient stated had fever/chills day after vaccine. The 2nd day patient had rash start and it is from neck to groin - none on the legs.
Age: 30.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Extra dose of MMR given.   Adult patient (30 years old) walks in for college immunizations screened for previous last names at visit, denies previous names. After giving, vaccines, vaccines would not transfer, report states there is another matching client. Clinic emailed to merge accounts. After emailing clinic a clerk found a 3rd account. Patient questioned, states she only gives by the last name, not her married name.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Injection site rash, Rash
Clinical narrative: 7-18-19 Got rash at inj site (R) side 1/2 way down arm, pt did not tell mother until 7-20-19 mother states rash as raised bumps. Spoke to pts mother @ 938AM 7-22-19 pt still had rash, no fever, no swelling, no SOB, no pain. Mother states pt resisted any treatment of Antihistamine oral or topical cream. I did call Merck vaccine dept to report pts syptoms on 7-22-19 as well. Mother informed to give pt benadryl come in if symptoms worsen go to ER for SOB/breathing problems.