chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Peripheral swelling, Tenderness
Clinical narrative: Patient is a 31 y.o  female G9P1 approx 31w4d with EDC of 4/5/20. Patient has a past medical h/o abnormal pap smear, migraines, ectopic pregnancy, and chlamydia. This pregnancy has been healthy. She does has a positive antibody screen for Anti-Leb which is relatively insignificant. She was seen at the office for a prenatal visit on 2/4/20 and was given a 3rd trimester TDAP injection in (L) deltoid. Injection was tolerated well but patient reported increased swelling in arm and around injection site the next day and increased shoulder and upper back pain. She was instructed to come into the office today, 2/6/20, for evaluation. Upon assessing her arm, writer noticed (L) upper arm was swollen with a circumference measuring 39.5cm (right arm which is dominant measured 38.2cm) with a 2cmx4cm raised, red hive. Writer also noted that patient's (L) upper arm, shoulder and scapula were very tender to touch and patient reported pain with any arm movement. Midwife, CNM came and evaluated patient as well.  No numbness, tingling, or weakness noted but swelling, hives and shoulder pain are concerning for brachial neuritis. Patient was instructed to take Benadryl and Tylenol and to monitor symptoms. Since swelling and pain were slightly improved from the day before, midwife was hopeful that patient is recovering from reaction. She was instructed to call her PCP immediately if pain or swelling worsens.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Patient began to have fatigue, body aches, and headache 4 hours after vaccine given and intensified over the next 24 hours.  She then developed fevers/chills approximately 12 hours after the dose that continued for 48 hours. These symptoms resolved at approximately 48 hours, but then she noticed a warm, red, itching rash on the inside from shoulder to elbow on the left arm. This rash continued for 2-3 days. During this time she applied diphenhydramine cream and hydrocortisone cream. Rash did resolve. She notified the pharmacy that gave the injection 4 days after vaccine was given about side effects. They recommended benadryl orally, but patient refused.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: Patient began to have fatigue, body aches, and headache 4 hours after vaccine given and intensified over the next 24 hours.  She then developed fevers/chills approximately 12 hours after the dose that continued for 48 hours. These symptoms resolved at approximately 48 hours, but then she noticed a warm, red, itching rash on the inside from shoulder to elbow on the left arm. This rash continued for 2-3 days. During this time she applied diphenhydramine cream and hydrocortisone cream. Rash did resolve. She notified the pharmacy that gave the injection 4 days after vaccine was given about side effects. They recommended benadryl orally, but patient refused.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Full blood count, Injection site pain
Clinical narrative: Patient was given the smallpox vaccination  on 4 JAN 2020. She had a robust take on her site. She had excessive site pain and subsequent chest pain with shortness of breath. A rare side effect is inflammation of the heart muscle. She had been emailing and texting me and I told her to go to the ER for evaluation, which she did on 15 JAN 2020. She is fine now and symptom free.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Metabolic function test, Myocarditis, Troponin
Clinical narrative: Patient was given the smallpox vaccination  on 4 JAN 2020. She had a robust take on her site. She had excessive site pain and subsequent chest pain with shortness of breath. A rare side effect is inflammation of the heart muscle. She had been emailing and texting me and I told her to go to the ER for evaluation, which she did on 15 JAN 2020. She is fine now and symptom free.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Muscle spasms, Myalgia
Clinical narrative: Severe cramping of all muscles of body: a 10 on "0-10" pain scale; each lasted about 5 minutes and occurred several times over the night Headache
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Full blood count, Metabolic function test, Nausea, Pain, Urine analysis
Clinical narrative: Patient received the smallpox vaccine on 4 JAN 2020 and had problems with pain, nausea and vomiting about 6-7 days later. He went to the ER at Hospital on 13 JAN 2020 and saw his PCP for follow up on 17 JAN 2020. He took 2 days off work; 14-15 JAN 2020. I spoke with him and he is fully recovered and should not need any more follow up care.
Age: 28.0
Sex: M
Vaccine: SMALL
Symptoms: Vomiting
Clinical narrative: Patient received the smallpox vaccine on 4 JAN 2020 and had problems with pain, nausea and vomiting about 6-7 days later. He went to the ER at Hospital on 13 JAN 2020 and saw his PCP for follow up on 17 JAN 2020. He took 2 days off work; 14-15 JAN 2020. I spoke with him and he is fully recovered and should not need any more follow up care.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, C-reactive protein, Chest X-ray, Computerised tomogram thorax, Dyspnoea
Clinical narrative: The team gave him Anthrax vaccine shot # 4 on 18 JAN 2020. 2 days later on 20 JAN 2020, he began to experience bilateral leg swelling, shortness of breath and significant joint pain. He contacted me and I recommended he be seen at a hospital or with his PCM. Patient saw his PCM at the Clinic on 23 Jan 2020 who put him a short course of oral steroids, for an unknown diagnosis. He finished the steroids, but had a relapse of the same symptoms around 1-2 FEB 2020. He contacted me again and I recommended an evaluation on an emergent basis. Patient was evaluated at the Hospital ED, on 3 FEB 2020 and was discharged home. His symptoms worsened less than 24 hours later and he contacted me again and I recommended going to a larger medical center for a more in depth evaluation. Patient was seen at the Medical Center on 4 FEB 2020  and admitted. He was diagnosed with serum sickness and discharged the following day.  He has missed several days of work due to this and took personal time off (PTO) from his job for recovery. These are the dates: 23-24 JAN and 3-7 FEB 2020.  He is scheduled to be released to work on 10 FEB 2020.  He has since fully recovered and is asymptomatic presently.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Electrocardiogram, Full blood count, Impaired work ability, Metabolic function test, Peripheral swelling
Clinical narrative: The team gave him Anthrax vaccine shot # 4 on 18 JAN 2020. 2 days later on 20 JAN 2020, he began to experience bilateral leg swelling, shortness of breath and significant joint pain. He contacted me and I recommended he be seen at a hospital or with his PCM. Patient saw his PCM at the Clinic on 23 Jan 2020 who put him a short course of oral steroids, for an unknown diagnosis. He finished the steroids, but had a relapse of the same symptoms around 1-2 FEB 2020. He contacted me again and I recommended an evaluation on an emergent basis. Patient was evaluated at the Hospital ED, on 3 FEB 2020 and was discharged home. His symptoms worsened less than 24 hours later and he contacted me again and I recommended going to a larger medical center for a more in depth evaluation. Patient was seen at the Medical Center on 4 FEB 2020  and admitted. He was diagnosed with serum sickness and discharged the following day.  He has missed several days of work due to this and took personal time off (PTO) from his job for recovery. These are the dates: 23-24 JAN and 3-7 FEB 2020.  He is scheduled to be released to work on 10 FEB 2020.  He has since fully recovered and is asymptomatic presently.
Age: 35.0
Sex: M
Vaccine: ANTH
Symptoms: Red blood cell sedimentation rate, Serum sickness, Troponin
Clinical narrative: The team gave him Anthrax vaccine shot # 4 on 18 JAN 2020. 2 days later on 20 JAN 2020, he began to experience bilateral leg swelling, shortness of breath and significant joint pain. He contacted me and I recommended he be seen at a hospital or with his PCM. Patient saw his PCM at the Clinic on 23 Jan 2020 who put him a short course of oral steroids, for an unknown diagnosis. He finished the steroids, but had a relapse of the same symptoms around 1-2 FEB 2020. He contacted me again and I recommended an evaluation on an emergent basis. Patient was evaluated at the Hospital ED, on 3 FEB 2020 and was discharged home. His symptoms worsened less than 24 hours later and he contacted me again and I recommended going to a larger medical center for a more in depth evaluation. Patient was seen at the Medical Center on 4 FEB 2020  and admitted. He was diagnosed with serum sickness and discharged the following day.  He has missed several days of work due to this and took personal time off (PTO) from his job for recovery. These are the dates: 23-24 JAN and 3-7 FEB 2020.  He is scheduled to be released to work on 10 FEB 2020.  He has since fully recovered and is asymptomatic presently.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema multiforme, Skin lesion
Clinical narrative: 3 lesions with classic target appearance. Diagnoses with erythema multiforme
Age: 81.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema
Clinical narrative: The patient had like insect bites on her arms. The patient took CLARITIN at home and said they stop coming out. We recommended BENADRYL.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: inner arm(back of arm) is red two spots that look like fingers, rectangle shape by site of injection.  not hot or itchy.
Age: 68.0
Sex: M
Vaccine: VARZOS, PPV, PPV, VARZOS
Symptoms: Erythema, Hypoaesthesia
Clinical narrative: patient had red down arm which is common but he experienced numbness on the back of his arm that he sought medical  and still having  this issue. he does want to get the second dose, but afraid to second dose.
Age: 68.0
Sex: M
Vaccine: VARZOS, PPV, PPV, VARZOS
Symptoms: Arthralgia, Blood test normal, Erythema, Hyperaesthesia, Hypoaesthesia
Clinical narrative: patient had red down arm which is common but he experienced numbness on the back of his arm that he sought medical  and still having  this issue. he does want to get the second dose, but afraid to second dose.
Age: 68.0
Sex: M
Vaccine: VARZOS, PPV, PPV, VARZOS
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity, Tremor, X-ray normal
Clinical narrative: patient had red down arm which is common but he experienced numbness on the back of his arm that he sought medical  and still having  this issue. he does want to get the second dose, but afraid to second dose.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Injection site initially was slightly painful and became more painful the day following the injection.  Side effects included:  muscle soreness, chills, headache, fatigue, upset stomach (slight).
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Injection site initially was slightly painful and became more painful the day following the injection.  Side effects included:  muscle soreness, chills, headache, fatigue, upset stomach (slight).
Age: 60.0
Sex: U
Vaccine: FLU4
Symptoms: Back pain, Chest X-ray normal, Chest pain, Cough, Muscle spasms
Clinical narrative: Had been sick with URI since 11/16/19. Flu shot under duress* 11/27/19 @ 0700 after night shift while still recovering and on Prednisone. (*manager threatened suspension if I did not take shot). Approx.. 7hrs post shot,  debilitating chest/back pain and  severe back spasms bilaterally with most pain left mid scapula to spine at approximately T6  level. The area of pain quickly  expanded to involve the entire rib cage., mostly felt left side making breathing uncomfortable and coughing excruciatingly painful lasting for 2 weeks. Pain continued, for a month. No other precipitating factor other than having had the  flu shot.  Saw PCP x3 for care.
Age: 60.0
Sex: U
Vaccine: FLU4
Symptoms: Musculoskeletal chest pain, Musculoskeletal pain, Respiration abnormal, Spinal X-ray normal
Clinical narrative: Had been sick with URI since 11/16/19. Flu shot under duress* 11/27/19 @ 0700 after night shift while still recovering and on Prednisone. (*manager threatened suspension if I did not take shot). Approx.. 7hrs post shot,  debilitating chest/back pain and  severe back spasms bilaterally with most pain left mid scapula to spine at approximately T6  level. The area of pain quickly  expanded to involve the entire rib cage., mostly felt left side making breathing uncomfortable and coughing excruciatingly painful lasting for 2 weeks. Pain continued, for a month. No other precipitating factor other than having had the  flu shot.  Saw PCP x3 for care.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Redness, itching, swelling of arm
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersomnia, Lethargy, Nausea, Sinus headache, Vomiting
Clinical narrative: Severe sinus headache, nausea and vomiting, lethargy, sleeping. After 51 hours, of sleeping and small sips of ice with Gatorade, I am feeling good enough to use a computer.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Aphthous ulcer, Chills, Headache, Hypoaesthesia, Influenza like illness
Clinical narrative: Right after the vaccination arm was in pain which was out of norm--could not even put coat on.  Later that night had chills, headache and flu-like symptoms started and lasted for 3 days total.  Two days after vaccine developed canker sore and was very painful. The sore was on the outside not on the inside so it felt like a cut in the middle of the lip. Patient waited 2 days before calling doctor and prescribed Valacyclovir-HCL.  Medication helped with cold sore.  2-3 days after vaccine, numbness started going up and down arm of vaccination. Symptoms eventually resolved.    Today back to normal. Contacted the pharmacy to explain symptoms; they did not provide any recommendations just specified some of the symptoms were typical and some were not.  Patient received 2nd dose of vaccine on 2/4/2020.  The symptoms were not as severe and only had pain and flu-like symptoms.  Symptoms also lasted about 24 hours.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity
Clinical narrative: Right after the vaccination arm was in pain which was out of norm--could not even put coat on.  Later that night had chills, headache and flu-like symptoms started and lasted for 3 days total.  Two days after vaccine developed canker sore and was very painful. The sore was on the outside not on the inside so it felt like a cut in the middle of the lip. Patient waited 2 days before calling doctor and prescribed Valacyclovir-HCL.  Medication helped with cold sore.  2-3 days after vaccine, numbness started going up and down arm of vaccination. Symptoms eventually resolved.    Today back to normal. Contacted the pharmacy to explain symptoms; they did not provide any recommendations just specified some of the symptoms were typical and some were not.  Patient received 2nd dose of vaccine on 2/4/2020.  The symptoms were not as severe and only had pain and flu-like symptoms.  Symptoms also lasted about 24 hours.
Age: 34.0
Sex: F
Vaccine: HEPA, IPV, MNQ, YF
Symptoms: Erythema, Feeling abnormal, Feeling hot, Flushing, Injection site erythema
Clinical narrative: Patient was given 4 injections today with the last injection of Yellow Fever given at 11:01 am. Hepatitis A and Yellow Fever were both given in the left arm.  Hepatitis A given in the left deltoid and Yellow Fever given subcutaneous in left upper arm. The other two vaccine given were in the right arm. Polio given subcutaneous in right upper arm and meningitis (Menactra) given in the right deltoid. At approximately 11:07 patient started itching left deltoid area.  Asked patient if she was feeling itchy and she stated just a little on her arm.  Had her show me her left arm and it was reddened from her itching the area; so hard to tell if red from itching or a reaction.  Applied an ice pack to the area.   Asked it she had any shortness of breath, difficulty breathing - patient stated no.  Shortly after this, she stated that she was feeling warm and not feeling quite right.  Had patient lie on table and again made sure she was not having difficulty breathing. Had patient show me her arm that had been itchy and there was diffuse redness all around the shot area. Patient began to having the shakes in her legs and arms and lower chin.  Her face was looking very flushed and bright red as well as her neck and upper chest. No hives.  Provider examined her.  She was having heart palpations but Blood Pressure was stable as well as blood sugars.  Provider called a code. Code Team came.  She was given 50 ml oral benadryl.  After code team left she was monitored and kept hydrated  until symptoms resolved which was approximately 45 minutes. We had patient hang around for a little while longer until provider felt it was ok for her to leave. Patient was instructed to take 10 mg Zyrtec once daily for the next 3 to 4 days. To call if any questions or concerns.    VIS was given prior to administration.   Site aseptically cleansed and Immunization(s) given per protocol.     For Medications I am Administering I have verified:  Patients immunization history - Epic, HM, Verbal and Immunization Registry Proper/ correct PATIENT  identifiers included) - Yes  Proper ROUTE of administration - Yes Proper DOSE as ordered by the provider - Yes Proper TIME (sequence/ age included) - Yes Proper DRUG as ordered by the provider - Yes
Age: 34.0
Sex: F
Vaccine: HEPA, IPV, MNQ, YF
Symptoms: Injection site pruritus, Palpitations, Pruritus, Tremor
Clinical narrative: Patient was given 4 injections today with the last injection of Yellow Fever given at 11:01 am. Hepatitis A and Yellow Fever were both given in the left arm.  Hepatitis A given in the left deltoid and Yellow Fever given subcutaneous in left upper arm. The other two vaccine given were in the right arm. Polio given subcutaneous in right upper arm and meningitis (Menactra) given in the right deltoid. At approximately 11:07 patient started itching left deltoid area.  Asked patient if she was feeling itchy and she stated just a little on her arm.  Had her show me her left arm and it was reddened from her itching the area; so hard to tell if red from itching or a reaction.  Applied an ice pack to the area.   Asked it she had any shortness of breath, difficulty breathing - patient stated no.  Shortly after this, she stated that she was feeling warm and not feeling quite right.  Had patient lie on table and again made sure she was not having difficulty breathing. Had patient show me her arm that had been itchy and there was diffuse redness all around the shot area. Patient began to having the shakes in her legs and arms and lower chin.  Her face was looking very flushed and bright red as well as her neck and upper chest. No hives.  Provider examined her.  She was having heart palpations but Blood Pressure was stable as well as blood sugars.  Provider called a code. Code Team came.  She was given 50 ml oral benadryl.  After code team left she was monitored and kept hydrated  until symptoms resolved which was approximately 45 minutes. We had patient hang around for a little while longer until provider felt it was ok for her to leave. Patient was instructed to take 10 mg Zyrtec once daily for the next 3 to 4 days. To call if any questions or concerns.    VIS was given prior to administration.   Site aseptically cleansed and Immunization(s) given per protocol.     For Medications I am Administering I have verified:  Patients immunization history - Epic, HM, Verbal and Immunization Registry Proper/ correct PATIENT  identifiers included) - Yes  Proper ROUTE of administration - Yes Proper DOSE as ordered by the provider - Yes Proper TIME (sequence/ age included) - Yes Proper DRUG as ordered by the provider - Yes
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Muscular weakness
Clinical narrative: Patient reports severe upper arm pain at site of reaction, without redness or swelling at injection site. Patient also reports arm weakness. Patient reports pain is unrelieved with OTC acetaminophen and ibuprofen. Patient reported severe pain starting two days after receiving vaccine and has not subsided to date.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperaesthesia, Injection site erythema, Injection site reaction, Injection site warmth
Clinical narrative: Patient reported red area around injection site about the size of an avocado.  Reports redness, warm to the touch and sensitive to the touch.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The person received the 3rd dose within a 8 months time frame when the schedule for this vaccine (SHINGRIX) is only 2 doses lifetime. Spoke with the patient, he had no adverse effect due the vaccine.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Pt had red, raised rash around site of injection on left deltoid that spread across entirety of upper left, outer arm. Rash started the morning after administration (2/5/2020). It was warm to the touch. No swelling of lips, tongue, or throat. Pt reported that the rash has reduced in redness and size on 2/6/2020. Pt has not used any topical or oral medications to treat. Recommended diphenhydramine 25mg every six hours and to apply ice to affected area. Follow-up with PCP if not resolved in 48 hours (2/8/2020 15:00)
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: 1. Fatigue lasting about 3 days 2. Soreness, stiffness, and redness at the injection site lasting about 6 days
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: PT WAS RECEIVED 2 FLU SHOT BY ACCIDENT-- CALLED PAT LATER THAT DAY AND HE WAS FINE
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal disorder, Pain in extremity
Clinical narrative: Stated left arm became very sore for several weeks after administration and still is sore at this time. Did not complain of redness, just pain.  Pt already has limited use of arm, and did not notice any additional loss of mobility in arm. I recommended she talk to her physician.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site haematoma, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Patient seen 2/5/20 for localized pain at injection site in R arm that she received 1/14/20. Had first HPV9 in 2018 without adverse reaction. Exam unremarkable except for pain in area and some induration. Likely hematoma or injection site nodule
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills
Clinical narrative: Extreme shivering with teeth clicking and this lasted 10 minutes
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site rash, Injection site warmth, Pain in extremity
Clinical narrative: I received a flu vaccine at my doctor's office.  Later that evening my arm was really sore, to be expected, but the pain got worse, it felt liked I had been punched in the arm along with a large, red, hot, rash around the injection site.  It was about the size of sliced kiwi.   The pain was worse at night and I had to sleep with a cold compress on my arm.... it took about 5 days for the redness to fade and the pain to subside.  It's now 2/6... there is a shadow of the rash on my arm still and a tolerable soreness that when I'm still and quiet am aware of its presence.   I did report this to my doctor and was told to keep an eye on it and let them know if it got worse.  I never called back as it did get better.  Last year I received a flu vaccine at a pharmacy and had no reaction at all.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, aches
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Chest discomfort, Malaise, Oxygen saturation normal
Clinical narrative: HE RECIEVED THE VACCINE IN THE MID AFTERNOON.  WOKE OVERNIGHT AND PATIENT REPORTS " HIS LUNGS FELT HEAVY" AND HAD GENERAL MALAISE THAT LASTED THROUGH THE DAY.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Lethargy, Pain, Pyrexia
Clinical narrative: Fever, chills, aches, lethargy
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Erythema, Pain
Clinical narrative: PT HAD REDNESS ON THE FRONT OF THE VACCINATED ARM.  SHE ALSO DEVELOPED JOINT PAIN IN HER LEGS, HIPS, BACK, SHOULDERS AND BACK OF NECK AND HAD BODY ACHES THROUGHOUT.    SHE HAD HER FIRST SHOT IN OCTOBER 2019 AND HAD SOME NAUSEA AND SOME BODY ACHES BUT NOT TO THE EXTENT THAT SHE HAS HAD THIS TIME.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test abnormal, Dysstasia, Inflammation, Mobility decreased, Myalgia
Clinical narrative: PT HAD REDNESS ON THE FRONT OF THE VACCINATED ARM.  SHE ALSO DEVELOPED JOINT PAIN IN HER LEGS, HIPS, BACK, SHOULDERS AND BACK OF NECK AND HAD BODY ACHES THROUGHOUT.    SHE HAD HER FIRST SHOT IN OCTOBER 2019 AND HAD SOME NAUSEA AND SOME BODY ACHES BUT NOT TO THE EXTENT THAT SHE HAS HAD THIS TIME.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain in extremity, Screaming
Clinical narrative: PT HAD REDNESS ON THE FRONT OF THE VACCINATED ARM.  SHE ALSO DEVELOPED JOINT PAIN IN HER LEGS, HIPS, BACK, SHOULDERS AND BACK OF NECK AND HAD BODY ACHES THROUGHOUT.    SHE HAD HER FIRST SHOT IN OCTOBER 2019 AND HAD SOME NAUSEA AND SOME BODY ACHES BUT NOT TO THE EXTENT THAT SHE HAS HAD THIS TIME.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Several hours after injection I developed severe itching. Took 50 mg Benadryl and 20 mg famotadine. Next morning had some itching, but better. Took 25 mg of Benadryl,  later that developed hives on my chest, under breasts, and face.  Continued with Benadryl and famotadine for two more days. (4 days total). 5th day I was fine, no more symptoms.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Arthralgia, Asthenia, Fatigue, Guillain-Barre syndrome, Monoplegia
Clinical narrative: Fatigue, weakness neurological decline, Emergent lower Ext paralysis, Guillain Barre shot 10/16 with URI 11/2 & Sx Right After 10/23/2019 Patient words: I think I am just here for my regular check up. I got my flu shot here last week. I have been using CBD infused icy hot for my joint pain. The patient is a 49 year old female who presents for a follow up visit. Note for "Follow up visit": Oldest Daughter is having suicidal thoughts. We discussed patient's past abuse and traumas and how they will need to talk about them.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Neurological decompensation, Upper respiratory tract infection
Clinical narrative: Fatigue, weakness neurological decline, Emergent lower Ext paralysis, Guillain Barre shot 10/16 with URI 11/2 & Sx Right After 10/23/2019 Patient words: I think I am just here for my regular check up. I got my flu shot here last week. I have been using CBD infused icy hot for my joint pain. The patient is a 49 year old female who presents for a follow up visit. Note for "Follow up visit": Oldest Daughter is having suicidal thoughts. We discussed patient's past abuse and traumas and how they will need to talk about them.
Sex: U
Vaccine: FLU4
Symptoms: Diarrhoea, Headache, Hyperhidrosis, Lymphadenopathy, Nausea
Clinical narrative: Pt received Afluria Quad immunization. Following day reported to pharmacy with phone call stating that she developed severe lymph node swelling, fever, nausea, diarrhea, and excess sweating, headache - states perfectly fine when getting shot. Hit her all at once.
Sex: U
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Pt received Afluria Quad immunization. Following day reported to pharmacy with phone call stating that she developed severe lymph node swelling, fever, nausea, diarrhea, and excess sweating, headache - states perfectly fine when getting shot. Hit her all at once.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Immediate post-injection reaction, Middle insomnia, Mobility decreased, Pain
Clinical narrative: When she got vaccine, felt sore immediately, couldn't lift arm that day; next day-still very sore; 1 month later, still store, woke up at night -inside elbow hurts where arm bends
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: One day after vaccines, started with fever, headache, chills, fatigue/malaise, pain & swelling at Trumenba injection site, nausea, and stomach pain.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Injection site swelling, Malaise, Nausea, Pyrexia
Clinical narrative: One day after vaccines, started with fever, headache, chills, fatigue/malaise, pain & swelling at Trumenba injection site, nausea, and stomach pain.
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Arthritis bacterial, Burning sensation, Central venous catheterisation, Infection, Injection site erythema
Clinical narrative: PATIENT WROTE SHE:  (1) HAD INTENSE BURNING & PAIN IN THE RIGHT CLAVICLE AREA & RIGHT SIDE OF NECK WAS SWOLLEN - (9/25/19) (2) DOCTOR NOTED REDNESS on HER UPPER LEFT ARM - (9/17/19) (3) ADMITTED TO HOSPITAL & DIAGNOSED WITH SEPTIC ARTHRITIS & OSTEOMYELITIS (10/12/19) (4) HAD SURGERY TO REMOVE THE SC JOINT & PECTORAL MUSCLE & TISSUE THAT WAS INFECTED (5) DISCHARGED ON 10/27/19 & ON IV ANTIBIOTICS through HER PICC LINE UNTIL 12/4/19
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Joint surgery, Osteomyelitis, Pain, Swelling
Clinical narrative: PATIENT WROTE SHE:  (1) HAD INTENSE BURNING & PAIN IN THE RIGHT CLAVICLE AREA & RIGHT SIDE OF NECK WAS SWOLLEN - (9/25/19) (2) DOCTOR NOTED REDNESS on HER UPPER LEFT ARM - (9/17/19) (3) ADMITTED TO HOSPITAL & DIAGNOSED WITH SEPTIC ARTHRITIS & OSTEOMYELITIS (10/12/19) (4) HAD SURGERY TO REMOVE THE SC JOINT & PECTORAL MUSCLE & TISSUE THAT WAS INFECTED (5) DISCHARGED ON 10/27/19 & ON IV ANTIBIOTICS through HER PICC LINE UNTIL 12/4/19
Age: 40.0
Sex: M
Vaccine: FLUR4
Symptoms: Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: pain in shoulder (2 months later) limited range of motion (in shoulder) pain + soreness remain
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthritis bacterial, Blood culture negative, Clostridium test positive, Culture negative, Diarrhoea
Clinical narrative: Per 12/31/19 discharge summary: "78M PMH HLD, HTN, hypothyroid, glaucoma p/w polyarticular gout, now s/p R elbow I&D on 12/22 with negative microbiology on vanc CTX. ID c/s for aid in determining if secondary infxn of polyarticular gout. Pt with polyarticular gout and w c/f secondary infection given systemic sx, such as fever, and high synovial WBCs. Fever is common both in septic arthritis and gout, pt without RF of direct inoculation or hematogenous spread. High WBC and PMN is c/f septic arthritis but can correlate with crystalline disease. Primary team has done an excellent job at r/o secondary infection given neg BCx, neg synovial fluid GS and cx of R elbow and L knee, and given neg prelim cx following I&D 12/22. Gram stain sensitivity has been reported to be 45% in acute septic arthritis. Thus, while our pt has had 2 neg GS, it does not r/o septic arthritis. However, pt w 48HR neg BCx and synovial fluid cx, which we think are most c/w crystalline disease. Thus can safely stop abx. From an infection standpoint, pt safe to receive steroids for his gout, if deemed appropriate. Of note, proinflammatory events, like vaccination, can precipitate a gout flare. Two phase III trials have reported an increased incidence of gout flare following recombinant zoster vaccine (RZV) administration. This is presumed to be 2/2 NLRP3 inflammasome activation via adjuvant. This increase in gout flares was also noted in a recent case-crossover study. In regards to loose stool and positive CDiff test, c/w CDiff infection (CDI). This is pt's 1st episode, recommend 10d vanco 125MG PO QID. Also consider other meds that could be contributing to diarrhea, such as colchicine." & polyarticular gout flare, hospitalization COLCHICINE 0.6 MG BID
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Gout, Gram stain, Gram stain negative, Incisional drainage, Microbiology test normal
Clinical narrative: Per 12/31/19 discharge summary: "78M PMH HLD, HTN, hypothyroid, glaucoma p/w polyarticular gout, now s/p R elbow I&D on 12/22 with negative microbiology on vanc CTX. ID c/s for aid in determining if secondary infxn of polyarticular gout. Pt with polyarticular gout and w c/f secondary infection given systemic sx, such as fever, and high synovial WBCs. Fever is common both in septic arthritis and gout, pt without RF of direct inoculation or hematogenous spread. High WBC and PMN is c/f septic arthritis but can correlate with crystalline disease. Primary team has done an excellent job at r/o secondary infection given neg BCx, neg synovial fluid GS and cx of R elbow and L knee, and given neg prelim cx following I&D 12/22. Gram stain sensitivity has been reported to be 45% in acute septic arthritis. Thus, while our pt has had 2 neg GS, it does not r/o septic arthritis. However, pt w 48HR neg BCx and synovial fluid cx, which we think are most c/w crystalline disease. Thus can safely stop abx. From an infection standpoint, pt safe to receive steroids for his gout, if deemed appropriate. Of note, proinflammatory events, like vaccination, can precipitate a gout flare. Two phase III trials have reported an increased incidence of gout flare following recombinant zoster vaccine (RZV) administration. This is presumed to be 2/2 NLRP3 inflammasome activation via adjuvant. This increase in gout flares was also noted in a recent case-crossover study. In regards to loose stool and positive CDiff test, c/w CDiff infection (CDI). This is pt's 1st episode, recommend 10d vanco 125MG PO QID. Also consider other meds that could be contributing to diarrhea, such as colchicine." & polyarticular gout flare, hospitalization COLCHICINE 0.6 MG BID
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Synovial fluid white blood cells positive
Clinical narrative: Per 12/31/19 discharge summary: "78M PMH HLD, HTN, hypothyroid, glaucoma p/w polyarticular gout, now s/p R elbow I&D on 12/22 with negative microbiology on vanc CTX. ID c/s for aid in determining if secondary infxn of polyarticular gout. Pt with polyarticular gout and w c/f secondary infection given systemic sx, such as fever, and high synovial WBCs. Fever is common both in septic arthritis and gout, pt without RF of direct inoculation or hematogenous spread. High WBC and PMN is c/f septic arthritis but can correlate with crystalline disease. Primary team has done an excellent job at r/o secondary infection given neg BCx, neg synovial fluid GS and cx of R elbow and L knee, and given neg prelim cx following I&D 12/22. Gram stain sensitivity has been reported to be 45% in acute septic arthritis. Thus, while our pt has had 2 neg GS, it does not r/o septic arthritis. However, pt w 48HR neg BCx and synovial fluid cx, which we think are most c/w crystalline disease. Thus can safely stop abx. From an infection standpoint, pt safe to receive steroids for his gout, if deemed appropriate. Of note, proinflammatory events, like vaccination, can precipitate a gout flare. Two phase III trials have reported an increased incidence of gout flare following recombinant zoster vaccine (RZV) administration. This is presumed to be 2/2 NLRP3 inflammasome activation via adjuvant. This increase in gout flares was also noted in a recent case-crossover study. In regards to loose stool and positive CDiff test, c/w CDiff infection (CDI). This is pt's 1st episode, recommend 10d vanco 125MG PO QID. Also consider other meds that could be contributing to diarrhea, such as colchicine." & polyarticular gout flare, hospitalization COLCHICINE 0.6 MG BID
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient has extreme redness and swelling of injected arm
Age: 14.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Arthralgia, Autonomic nervous system imbalance, Constipation, Cytogenetic analysis normal, Electrocardiogram
Clinical narrative: Postural orthostatic tachycardia syndrome. symptoms started around 6/4/19.
Age: 14.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Electrocardiogram ambulatory, Electroencephalogram, Implantable cardiac monitor insertion, Laboratory test, Musculoskeletal pain
Clinical narrative: Postural orthostatic tachycardia syndrome. symptoms started around 6/4/19.
Age: 14.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Pain in extremity, Postural orthostatic tachycardia syndrome, Sinus tachycardia, Syncope, Thyroid function test
Clinical narrative: Postural orthostatic tachycardia syndrome. symptoms started around 6/4/19.
Age: 14.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Antibody test, Blood thyroid stimulating hormone, Chest X-ray, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Postural orthostatic tachycardia syndrome. symptoms started around 6/4/19.
Age: 14.0
Sex: M
Vaccine: HPV9, HPV9
Symptoms: Full blood count, Metabolic function test, Postural orthostatic tachycardia syndrome, Streptococcus test
Clinical narrative: Postural orthostatic tachycardia syndrome. symptoms started around 6/4/19.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Fatigue, Injection site pain, Pain in extremity, Pain of skin
Clinical narrative: Burning sensation thighs, torso front and back, stabbing pains in thighs, extreme fatigue & weakness, headaches
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Asthenia, Blood test normal, Burning sensation, Fatigue, Headache
Clinical narrative: Burning sensation thighs, torso front and back, stabbing pains in thighs, extreme fatigue & weakness, headaches
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Magnetic resonance imaging normal, Pain in extremity
Clinical narrative: Burning sensation thighs, torso front and back, stabbing pains in thighs, extreme fatigue & weakness, headaches
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Asthenia, Burning sensation, Fatigue, Gait disturbance, Headache
Clinical narrative: Burning sensation thighs, torso front and back, stabbing pains in thighs, extreme fatigue & weakness, headaches
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Hyperaesthesia, Laboratory test normal, Limb discomfort, Myalgia, Pain
Clinical narrative: Burning sensation thighs, torso front and back, stabbing pains in thighs, extreme fatigue & weakness, headaches
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Pain in extremity, Pain of skin, Paraesthesia, Tenderness, Urinary retention
Clinical narrative: Burning sensation thighs, torso front and back, stabbing pains in thighs, extreme fatigue & weakness, headaches
Age: 88.0
Sex: M
Vaccine: VARZOS, UNK, VARZOS
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: told by his MD that he had the shingles; rash over his face, mostly on his forehead and underneath his left eye; turned into blisters /Blister on forehead /Blister below eye; pain where the blisters were; Headache; This case was reported by a consumer via call center representative and described the occurrence of shingles in a 88-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2019-2020 season) for prophylaxis.   In October 2019, the patient received the 1st dose of Shingrix and Influenza vaccine Quadrivalent 2019-2020 season. On 21st December 2019, between 2 and 3 months after receiving Shingrix and Influenza vaccine Quadrivalent 2019-2020 season, the patient experienced shingles, rash, blister, pain and headache. On an unknown date, the outcome of the shingles, rash and headache were unknown and the outcome of the blister was recovered/resolved and the outcome of the pain was not recovered/not resolved.   It was unknown if the reporter considered the shingles, rash, blister, pain and headache to be related to Shingrix and Influenza vaccine Quadrivalent 2019-2020 season.  Additional case details were reported as follows: The patient developed a rash over his face, mostly on his forehead and underneath his left eye which turned into blisters few days later. The patient was then told by his physician that he had the shingles. The blisters had resolved but he still had the pain where the blisters were. The patient did not got the second injection due to still having residual pain from the shingles. The patient was referred to his physician regarding having his second injection. The reporter consented to follow up.
Age: 88.0
Sex: M
Vaccine: VARZOS, UNK, VARZOS
Symptoms: Blister, Headache, Herpes zoster, Pain, Rash
Clinical narrative: told by his MD that he had the shingles; rash over his face, mostly on his forehead and underneath his left eye; turned into blisters /Blister on forehead /Blister below eye; pain where the blisters were; Headache; This case was reported by a consumer via call center representative and described the occurrence of shingles in a 88-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2019-2020 season) for prophylaxis.   In October 2019, the patient received the 1st dose of Shingrix and Influenza vaccine Quadrivalent 2019-2020 season. On 21st December 2019, between 2 and 3 months after receiving Shingrix and Influenza vaccine Quadrivalent 2019-2020 season, the patient experienced shingles, rash, blister, pain and headache. On an unknown date, the outcome of the shingles, rash and headache were unknown and the outcome of the blister was recovered/resolved and the outcome of the pain was not recovered/not resolved.   It was unknown if the reporter considered the shingles, rash, blister, pain and headache to be related to Shingrix and Influenza vaccine Quadrivalent 2019-2020 season.  Additional case details were reported as follows: The patient developed a rash over his face, mostly on his forehead and underneath his left eye which turned into blisters few days later. The patient was then told by his physician that he had the shingles. The blisters had resolved but he still had the pain where the blisters were. The patient did not got the second injection due to still having residual pain from the shingles. The patient was referred to his physician regarding having his second injection. The reporter consented to follow up.
Age: 72.0
Sex: F
Vaccine: VARZOS, UNK
Symptoms: Herpes zoster, Ophthalmic herpes zoster, Rash
Clinical narrative: Shingrix was given to patient by the pharmacy:  1/29/2020 Similar zoster recombinant ZOSTER NON-LIVE (SHINGRIX)  GlaxoSmithKline KX52G State Registry   2/3/20/20Assessment/Plan:  1. Herpes zoster ophthalmicus  R V1 distribution. Reviewed etiology and expected course. Advised patient to start Valacyclovir 1000 mg tid x 7 days. Patient was able to get her into see ophthalmology at Eye Clinic at 4:45 pm today.   Pt then went to Eye Clinic for evaluation.
Age: 72.0
Sex: F
Vaccine: VARZOS, UNK
Symptoms: Ophthalmic herpes zoster
Clinical narrative: Shingrix was given to patient by the pharmacy:  1/29/2020 Similar zoster recombinant ZOSTER NON-LIVE (SHINGRIX)  GlaxoSmithKline KX52G State Registry   2/3/20/20Assessment/Plan:  1. Herpes zoster ophthalmicus  R V1 distribution. Reviewed etiology and expected course. Advised patient to start Valacyclovir 1000 mg tid x 7 days. Patient was able to get her into see ophthalmology at Eye Clinic at 4:45 pm today.   Pt then went to Eye Clinic for evaluation.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Hypersensitivity, Influenza like illness
Clinical narrative: As soon as the injection began on Day 1, I had pain at the site.  Later that day, the pain got worse and the site was red, swollen & hot. Day 2- I woke up with a bad headache, muscle & joint pain, and fatigue. I felt like I had the flu. Injection site red, swollen & hot. Day 3- Headache, aches, injection site red, swollen & hot. Day 4- Headache.  Injection site red, swollen & hot. Day 5- Injection site red, swollen & hot. Day 6-  Injection site red, swollen & hot. Hives on my upper left arm. Day 7-  Injection site red, swollen & hot. Hives now spreading down arm. Day 8- Injection site red & swollen. Hives on left arm. Day 9-Injection site red. Hives begin to fade. Day 10- Outline of hive clusters, redness fades.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: As soon as the injection began on Day 1, I had pain at the site.  Later that day, the pain got worse and the site was red, swollen & hot. Day 2- I woke up with a bad headache, muscle & joint pain, and fatigue. I felt like I had the flu. Injection site red, swollen & hot. Day 3- Headache, aches, injection site red, swollen & hot. Day 4- Headache.  Injection site red, swollen & hot. Day 5- Injection site red, swollen & hot. Day 6-  Injection site red, swollen & hot. Hives on my upper left arm. Day 7-  Injection site red, swollen & hot. Hives now spreading down arm. Day 8- Injection site red & swollen. Hives on left arm. Day 9-Injection site red. Hives begin to fade. Day 10- Outline of hive clusters, redness fades.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Myalgia
Clinical narrative: As soon as the injection began on Day 1, I had pain at the site.  Later that day, the pain got worse and the site was red, swollen & hot. Day 2- I woke up with a bad headache, muscle & joint pain, and fatigue. I felt like I had the flu. Injection site red, swollen & hot. Day 3- Headache, aches, injection site red, swollen & hot. Day 4- Headache.  Injection site red, swollen & hot. Day 5- Injection site red, swollen & hot. Day 6-  Injection site red, swollen & hot. Hives on my upper left arm. Day 7-  Injection site red, swollen & hot. Hives now spreading down arm. Day 8- Injection site red & swollen. Hives on left arm. Day 9-Injection site red. Hives begin to fade. Day 10- Outline of hive clusters, redness fades.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Body temperature decreased, Burning sensation, Chills
Clinical narrative: Low body temperature (93.5*F) with chills 1 day after the vaccination, admitted to hospital 6 days after vaccination with the following symptoms: loss of control over facial and walking nerves/muscles, unable to walk, facial droop on one side, tingling/burning hands and feet, severe back/hip pain, high blood pressure (220/? ) and rapid pulse (140 bpm).  Diagnosed with Guillain-Barre Syndrome 10 days after vaccination and began IVIG (intravenous immunoglobulin) infusions immediately.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Facial nerve disorder, Facial paralysis, Gait inability, Guillain-Barre syndrome, Heart rate increased
Clinical narrative: Low body temperature (93.5*F) with chills 1 day after the vaccination, admitted to hospital 6 days after vaccination with the following symptoms: loss of control over facial and walking nerves/muscles, unable to walk, facial droop on one side, tingling/burning hands and feet, severe back/hip pain, high blood pressure (220/? ) and rapid pulse (140 bpm).  Diagnosed with Guillain-Barre Syndrome 10 days after vaccination and began IVIG (intravenous immunoglobulin) infusions immediately.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Hypertension, Immunoglobulin therapy, Lumbar puncture, Magnetic resonance imaging brain, Magnetic resonance imaging spinal
Clinical narrative: Low body temperature (93.5*F) with chills 1 day after the vaccination, admitted to hospital 6 days after vaccination with the following symptoms: loss of control over facial and walking nerves/muscles, unable to walk, facial droop on one side, tingling/burning hands and feet, severe back/hip pain, high blood pressure (220/? ) and rapid pulse (140 bpm).  Diagnosed with Guillain-Barre Syndrome 10 days after vaccination and began IVIG (intravenous immunoglobulin) infusions immediately.