chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: FLUX
Symptoms: Death
Clinical narrative: death; This case was reported by a consumer via interactive digital media and described the occurrence of unknown cause of death in a male patient who received Flu unspecified (Flu vaccine) for prophylaxis.   On an unknown date, the patient received Flu vaccine at an unknown dose. On an unknown date, unknown after receiving Flu vaccine, the patient experienced unknown cause of death (serious criteria death and GSK medically significant). On an unknown date, the outcome of the unknown cause of death was fatal. The reported cause of death was unknown cause of death.   It was unknown if the reporter considered the unknown cause of death to be related to Flu vaccine.  Additional details were provided as follows: The age at vaccination was not reported. The reporter's friend's father died after flu shot. The reporter stated that either the vaccines are safe or they are not.; Reported Cause(s) of Death: Death NOS
Age: 27.0
Sex: M
Vaccine: ANTH, HPV9, MNQ, TYP, YF
Symptoms: Dyspnoea, Headache, Nausea, Neck pain, Pain
Clinical narrative: Patient vaccinated with neck pain, fever, body aches, rash on chest, back, both arms and thighs, symptoms amplified to nausea, and shortness of breath. Patient treated in ER. Meningitis ruled out. Patient still has lingering headaches but other symptoms have subsided.
Age: 27.0
Sex: M
Vaccine: ANTH, HPV9, MNQ, TYP, YF
Symptoms: Pyrexia, Rash
Clinical narrative: Patient vaccinated with neck pain, fever, body aches, rash on chest, back, both arms and thighs, symptoms amplified to nausea, and shortness of breath. Patient treated in ER. Meningitis ruled out. Patient still has lingering headaches but other symptoms have subsided.
Age: 0.75
Sex: F
Vaccine: DTAPHEPBIP, PNC13
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Per parents, patient had a fever up to 102°F shortly after vaccination on 06/05/19. Patient had been having on and off fevers up until around 5am on 06/07/19 when patient had a febrile seizure that lasted 5 minutes per parents. Parents treated with Tylenol and Motrin and fevers subsided.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth, Middle insomnia, Pain in extremity
Clinical narrative: Patient received Bexsero on 6/12/19 5:30 pm in L. deltoid. On 5/12/19 around 10 pm patient started having arm pain and a knot at injection site. Also experienced redness and warmth over injection site. Patient states pain was waking her up out of her sleep. Patient took Tylenol at home which helped some w/ pain. She was seen in the office on 6/13/19 at 1140 AM and was given Prednisone and Benadryl
Age: 0.3
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Hyporesponsive to stimuli, Hypotonia, Pallor
Clinical narrative: 24 hours after vaccine patient had an episode of pallor. She became limp and hyporesponsive. Parents report the episode as lasting less than an hour. They also report she did not have a fever at the time of the event. This was a solitary episode. No further symptoms noted.
Age: 53.0
Sex: F
Vaccine: PPV
Symptoms: Extra dose administered
Clinical narrative: multiple pneumococcal23 vaccinations recorded in EMR since 2011
Age: 40.0
Sex: F
Vaccine: HEP, MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pt called clinic on Thursday,06/13/19, stating that yesterday  her Lt arm was red and warm to touch, she had applied a warm compress to the area then the site started to itch.  Pt was informed to apply a cool wash cloth on the site, that the redness and swelling  was normal.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Injection site erythema, Injection site pain, Injection site urticaria, Injection site warmth
Clinical narrative: Client is fair skinned and freckled. Warm reddened areas 1 1/2 inches in diameter at injection site, 4 slightly raised hives anterior, directly below and below and posterior to injection site ranging in size from 1/2 inch to 1 1/2 x 2 inches. Client states site is tender, warm and uncomfortable to move. She also states that tenderness progresses across her anterior shoulder to upper anterior chest directly below clavicle of right arm where vaccine was given IM in right deltoid.  Client states warmth and readness began early evening after vaccination.  Site described above directly related to vaccination site.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Local reaction, Musculoskeletal chest pain, Pain, Tuberculin test negative
Clinical narrative: Client is fair skinned and freckled. Warm reddened areas 1 1/2 inches in diameter at injection site, 4 slightly raised hives anterior, directly below and below and posterior to injection site ranging in size from 1/2 inch to 1 1/2 x 2 inches. Client states site is tender, warm and uncomfortable to move. She also states that tenderness progresses across her anterior shoulder to upper anterior chest directly below clavicle of right arm where vaccine was given IM in right deltoid.  Client states warmth and readness began early evening after vaccination.  Site described above directly related to vaccination site.
Age: 69.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient presented to pharmacy on 6/13/19 with arm pain and severe swelling that started the day after the Pneumovax  vaccination was given in the right arm. Recommended patient see PCP if reaction worsens.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Headache, Hypersomnia, Hypophagia
Clinical narrative: Headache; Nausea; Extreme Fatigue; Loss of Appetite; Redness/Soreness at Injection Site  Lasted about 24 hours. Slept almost the entire day except to go to bathroom and eat a small amount of food.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Nausea
Clinical narrative: Headache; Nausea; Extreme Fatigue; Loss of Appetite; Redness/Soreness at Injection Site  Lasted about 24 hours. Slept almost the entire day except to go to bathroom and eat a small amount of food.
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient's wife reported that the day after receiving his second Shingrix dose the injection site arm swelled and the area was red, hot to the touch, and itchy. The patient applied Cerave itch lotion to the area.  The rash/swelling/itching is resolving.
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Decreased appetite, Fatigue, Irritability, Pyrexia, Screaming
Clinical narrative: fever 103  06/11/2019 02:00 and 06/12/2019 03:30 Fevers throughout 06/11/2019 Loss of appetite, fussy and tired,  vomiting 06/12/2019 04:30  screaming fit 6/11/2019 02:00-04:00
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Vomiting
Clinical narrative: fever 103  06/11/2019 02:00 and 06/12/2019 03:30 Fevers throughout 06/11/2019 Loss of appetite, fussy and tired,  vomiting 06/12/2019 04:30  screaming fit 6/11/2019 02:00-04:00
Age: 41.0
Sex: F
Vaccine: HEPAB
Symptoms: Diarrhoea, Headache
Clinical narrative: Diarrhea lasting  four weeks Headaches almost daily after vaccination
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Pyrexia
Clinical narrative: Chills began 2 hours after vaccine was given.  Chills resolved 48 hours after receiving vaccine. Subjective low-grade fever and feeling weak.  Denies HA or other symptoms at this time.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site rash, Pain, Pruritus
Clinical narrative: Patient presented with red raised bumps and inflammed lower left arm right above the elbow.  Patient complained of pain and itching.
Age: 11.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Fall, Haemorrhage
Clinical narrative: Approximately three minutes after receiving the HPV and Hep A  vaccines the patient was in a standing position and had blood running down his arm. As I was cleaning patient's arm he fell forward into my arms. He did not lose consciousness during the incident. Another nurse and his mother assisted in helping him ambulate to the treatment table. His vital signs were taken at 205 PM,  BP 103/63 and HR 76. He was also given an ice pack to place on his head and some juice. The patient reported only having cereal with milk after being asked if he had eaten anything. After drinking the juice the patient reported feeling better and had no reports of dizziness and was able to ambulate by himself  with his mother and family friend out of the clinic at 2:16 PM
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Fatigue
Clinical narrative: Tired; This is a spontaneous report from a contactable Nurse.   A 17-year-old female patient received the first dose of meningococcal group b rlp2086 (TRUMENBA; NDC: 0005-0100-01, Lot: S58896, Expiry: 31Aug2019) at single dose on 26Jul2018 via intramuscular route at the right deltoid. Relevant medical history included penicillin allergy in 2006. Concomitant medications were not reported. On unknown date the patient experienced tired feeling.   Information on the batch number has been requested.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased activity, Decreased appetite, Decreased interest, Fatigue, Headache
Clinical narrative: Later on the day I received the injection my arm became sore and I had a headache in the back of my head.  There was no redness at the injection site. I took an Aleve.  The next morning before I got out of bed my muscles ached as well as my arm aching.  I didn't feel like getting up and when I did I was very tired and fatigued. This continued all day and I did not feel like going out for my usual walk. I had very little appetite and laid on the couch most of the day.  I took an Aleve in the morning but it didn't make a difference.  The next day or two days since the injection, I felt like myself again.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Later on the day I received the injection my arm became sore and I had a headache in the back of my head.  There was no redness at the injection site. I took an Aleve.  The next morning before I got out of bed my muscles ached as well as my arm aching.  I didn't feel like getting up and when I did I was very tired and fatigued. This continued all day and I did not feel like going out for my usual walk. I had very little appetite and laid on the couch most of the day.  I took an Aleve in the morning but it didn't make a difference.  The next day or two days since the injection, I felt like myself again.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Influenza like illness
Clinical narrative: flu like symptoms: tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: flu like symptoms: tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Crying, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Pain
Clinical narrative: Patient complained of pain during injection. It was the "usual sore for the next 48 hours" "I have had no previous shoulder injury. The pain is persistent, and is a deep, non-muscular pain that affected my range of motion. It is painful to move my arms to put on and take off clothing, cooking, and even completing my normal work. I have no signs of infection. On Thursday night, 5-30-19 , the throbbing, constant pain was so intense, I told my husband that something must be wrong, as the pain was a 9/10 and I was sobbing. I began to search the internet for shoulder pain from vaccines. I eventually found Shoulder Injury Related to Vaccine Administration (SIRVA). Based on my symptoms and time interval of symptom onset, it appeared that this is what was going on in my shoulder. SIRVA is a reportable event following vaccination according to the Vaccine Adverse Event Reporting System.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Patient complained of pain during injection. It was the "usual sore for the next 48 hours" "I have had no previous shoulder injury. The pain is persistent, and is a deep, non-muscular pain that affected my range of motion. It is painful to move my arms to put on and take off clothing, cooking, and even completing my normal work. I have no signs of infection. On Thursday night, 5-30-19 , the throbbing, constant pain was so intense, I told my husband that something must be wrong, as the pain was a 9/10 and I was sobbing. I began to search the internet for shoulder pain from vaccines. I eventually found Shoulder Injury Related to Vaccine Administration (SIRVA). Based on my symptoms and time interval of symptom onset, it appeared that this is what was going on in my shoulder. SIRVA is a reportable event following vaccination according to the Vaccine Adverse Event Reporting System.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Nausea, Pain in extremity
Clinical narrative: minor sore arm, tired, chill, slight fever, nausea, muscle pain - this latest about 6 hours only.  8 AM - 2 PM.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: minor sore arm, tired, chill, slight fever, nausea, muscle pain - this latest about 6 hours only.  8 AM - 2 PM.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Vaccination site warmth
Clinical narrative: Patient presented to pharmacy on 6/14/19 with vaccine site reaction on left arm where vaccine was administered. Reaction was hot to the touch and patient stated that redness had begun the evening before.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Body temperature increased, Cold sweat, Decreased appetite, Dizziness
Clinical narrative: The second dose was more painful and aside from the described side affects, I experienced numbness and cramping in my fingers which began the evening of June 11th. The morning of June 12th, I was lighted and slightly dizzy. I was fatigued but I also felt unsteady.  Upon my arrival at work, I shared with my colleagues that I did not feel good. I thought I was coming down with something  - malaise is the best description.  As the day progressed, I felt worse, the numbness and cramping increased and I felt faint.  By the time I got home (5:45 pm), I just wanted to lie down. I was still shaky and lightheaded.  I did not have an appetite so I laid down .   I felt clamy around 8:45 pm  and then warm. I took my temperature and it read 100.4. I was shivering.  After taking Tylenol,  I went back to sleep. The following  morning, June 12th, the fever subsided but I still felt light headed. I  went to see my Allergist whom advised that  my experience was a result of the vaccine .   I feel that it was adverse because I did not know what was happening to my body. I have never had this type of response from any type of medication. I was afraid to drive because I  thought I might faint . My hands hurt from the cramping. I
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Hypoaesthesia, Malaise, Muscle spasms
Clinical narrative: The second dose was more painful and aside from the described side affects, I experienced numbness and cramping in my fingers which began the evening of June 11th. The morning of June 12th, I was lighted and slightly dizzy. I was fatigued but I also felt unsteady.  Upon my arrival at work, I shared with my colleagues that I did not feel good. I thought I was coming down with something  - malaise is the best description.  As the day progressed, I felt worse, the numbness and cramping increased and I felt faint.  By the time I got home (5:45 pm), I just wanted to lie down. I was still shaky and lightheaded.  I did not have an appetite so I laid down .   I felt clamy around 8:45 pm  and then warm. I took my temperature and it read 100.4. I was shivering.  After taking Tylenol,  I went back to sleep. The following  morning, June 12th, the fever subsided but I still felt light headed. I  went to see my Allergist whom advised that  my experience was a result of the vaccine .   I feel that it was adverse because I did not know what was happening to my body. I have never had this type of response from any type of medication. I was afraid to drive because I  thought I might faint . My hands hurt from the cramping. I
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Nervousness, Pain, Pain in extremity
Clinical narrative: The second dose was more painful and aside from the described side affects, I experienced numbness and cramping in my fingers which began the evening of June 11th. The morning of June 12th, I was lighted and slightly dizzy. I was fatigued but I also felt unsteady.  Upon my arrival at work, I shared with my colleagues that I did not feel good. I thought I was coming down with something  - malaise is the best description.  As the day progressed, I felt worse, the numbness and cramping increased and I felt faint.  By the time I got home (5:45 pm), I just wanted to lie down. I was still shaky and lightheaded.  I did not have an appetite so I laid down .   I felt clamy around 8:45 pm  and then warm. I took my temperature and it read 100.4. I was shivering.  After taking Tylenol,  I went back to sleep. The following  morning, June 12th, the fever subsided but I still felt light headed. I  went to see my Allergist whom advised that  my experience was a result of the vaccine .   I feel that it was adverse because I did not know what was happening to my body. I have never had this type of response from any type of medication. I was afraid to drive because I  thought I might faint . My hands hurt from the cramping. I
Age: 34.0
Sex: F
Vaccine: PNC13
Symptoms: Exposure during pregnancy, Wrong product administered
Clinical narrative: Pt was given incorrect vaccine she was supposed to get the boostrix tdap and the vaccines got mixed up and she received prevnar 13 at 29 weeks pregnant
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Blood count, Cellulitis, Ultrasound scan, X-ray
Clinical narrative: Cellulitis
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Discomfort, Erythema, Facial pain
Clinical narrative: Monday(Day of immunization)- generalized aches and headache in the afternoon. That evening- chills and fever and very restless all night. Tuesday morning- stiff neck, swollen and very tender lymph nodes under left arm(armpit). Lymph nodes behind left ear and down jawline enlarged and very tender. Lymph nodes along left clavicle swollen and hard, quarter sized, multiple sites (4). Injection area warm tp touch, red area at injection site  3x4 cm. Skin reddened on left side of face, felt sore also. Blurred vision and diarrhea later on Tuesday. Uncomfortable night sleeping , slept propped up on pillows. Wednesday-  entire left neck area swollen and tender. Lymph nodes along right clavicle swollen and tender to touch. Skin achy and very tender. Called my doctors office. Forced fluids, took tylenol and rested all afternoon and evening. Thursday morning- blurred vision lessened, skin tenderness diminished, lymph nodes hard and more defined on left clavicle. Base of head(neck region) still headache. Facial flushing left side decreased. Right clavicle lymph nodes less swollen but firm. Jawline and armpit less tender. Generalized malaise improving.Friday will be day 5
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site warmth, Lymph node pain, Lymphadenopathy
Clinical narrative: Monday(Day of immunization)- generalized aches and headache in the afternoon. That evening- chills and fever and very restless all night. Tuesday morning- stiff neck, swollen and very tender lymph nodes under left arm(armpit). Lymph nodes behind left ear and down jawline enlarged and very tender. Lymph nodes along left clavicle swollen and hard, quarter sized, multiple sites (4). Injection area warm tp touch, red area at injection site  3x4 cm. Skin reddened on left side of face, felt sore also. Blurred vision and diarrhea later on Tuesday. Uncomfortable night sleeping , slept propped up on pillows. Wednesday-  entire left neck area swollen and tender. Lymph nodes along right clavicle swollen and tender to touch. Skin achy and very tender. Called my doctors office. Forced fluids, took tylenol and rested all afternoon and evening. Thursday morning- blurred vision lessened, skin tenderness diminished, lymph nodes hard and more defined on left clavicle. Base of head(neck region) still headache. Facial flushing left side decreased. Right clavicle lymph nodes less swollen but firm. Jawline and armpit less tender. Generalized malaise improving.Friday will be day 5
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Musculoskeletal stiffness, Pain, Pain of skin, Pyrexia
Clinical narrative: Monday(Day of immunization)- generalized aches and headache in the afternoon. That evening- chills and fever and very restless all night. Tuesday morning- stiff neck, swollen and very tender lymph nodes under left arm(armpit). Lymph nodes behind left ear and down jawline enlarged and very tender. Lymph nodes along left clavicle swollen and hard, quarter sized, multiple sites (4). Injection area warm tp touch, red area at injection site  3x4 cm. Skin reddened on left side of face, felt sore also. Blurred vision and diarrhea later on Tuesday. Uncomfortable night sleeping , slept propped up on pillows. Wednesday-  entire left neck area swollen and tender. Lymph nodes along right clavicle swollen and tender to touch. Skin achy and very tender. Called my doctors office. Forced fluids, took tylenol and rested all afternoon and evening. Thursday morning- blurred vision lessened, skin tenderness diminished, lymph nodes hard and more defined on left clavicle. Base of head(neck region) still headache. Facial flushing left side decreased. Right clavicle lymph nodes less swollen but firm. Jawline and armpit less tender. Generalized malaise improving.Friday will be day 5
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Restlessness, Sleep disorder, Swelling, Tenderness, Vision blurred
Clinical narrative: Monday(Day of immunization)- generalized aches and headache in the afternoon. That evening- chills and fever and very restless all night. Tuesday morning- stiff neck, swollen and very tender lymph nodes under left arm(armpit). Lymph nodes behind left ear and down jawline enlarged and very tender. Lymph nodes along left clavicle swollen and hard, quarter sized, multiple sites (4). Injection area warm tp touch, red area at injection site  3x4 cm. Skin reddened on left side of face, felt sore also. Blurred vision and diarrhea later on Tuesday. Uncomfortable night sleeping , slept propped up on pillows. Wednesday-  entire left neck area swollen and tender. Lymph nodes along right clavicle swollen and tender to touch. Skin achy and very tender. Called my doctors office. Forced fluids, took tylenol and rested all afternoon and evening. Thursday morning- blurred vision lessened, skin tenderness diminished, lymph nodes hard and more defined on left clavicle. Base of head(neck region) still headache. Facial flushing left side decreased. Right clavicle lymph nodes less swollen but firm. Jawline and armpit less tender. Generalized malaise improving.Friday will be day 5
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Muscle soreness, injection site tenderness, headache, chills, fever
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site discomfort, Injection site swelling, Injection site warmth
Clinical narrative: Patient experienced warmth and a swollen area that extends about 5 inches across upper arm over the site of injection.  Patient advised to use a cold compress, Benadryl and ibuprofen for discomfort and swelling.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Pain
Clinical narrative: Warm, swollen, red left deltoid at the site of the injection. On the first day after the injection the patient reports not "feeling well" and a little achy. The second day after the immunization her arm began to swell and the third morning a significant portion of the upper arm was swollen and red. Patient did express that she had redness and swelling with the first Shingrix dose  in the fall, but did not get seen or seek medical care and it resolved at home within a few days.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Warm, swollen, red left deltoid at the site of the injection. On the first day after the injection the patient reports not "feeling well" and a little achy. The second day after the immunization her arm began to swell and the third morning a significant portion of the upper arm was swollen and red. Patient did express that she had redness and swelling with the first Shingrix dose  in the fall, but did not get seen or seek medical care and it resolved at home within a few days.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Local reaction, Nodule, Pain
Clinical narrative: Patient came in to clinic with symptoms of redness and pain in vaccination area . States after receiving vaccine was good until patient arrived home he started to feel fatigue and body aches, he states he took 2 Motrin to help with pain . States upon awakening the next day patient noticed pain was still present and felts a knot in arm . He then took a picture and noticed the area and states there was redness . This is when he decided to come in and have dr. take a look at the area. This is what provider wrote on his note :  Impression Based on history and exam, it is a localized reaction to vaccine. No systemic involvement. I do not think this is an infection. I gave strict return precaution. He will expect lesion to resolved in 7 to 10 days. He may take Ibuprofen for pain or icing for comfort. Will task MA to report to department of health. Patient Plan You have a localized reaction to the vaccine.  It may persist for up to a week.  If you develop fever, redness goes beyond the local area, or feeling just sick, please come back.  If you have difficulty breathing, please go to the ER
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Vaccination complication, Vaccination site pain
Clinical narrative: Patient came in to clinic with symptoms of redness and pain in vaccination area . States after receiving vaccine was good until patient arrived home he started to feel fatigue and body aches, he states he took 2 Motrin to help with pain . States upon awakening the next day patient noticed pain was still present and felts a knot in arm . He then took a picture and noticed the area and states there was redness . This is when he decided to come in and have dr. take a look at the area. This is what provider wrote on his note :  Impression Based on history and exam, it is a localized reaction to vaccine. No systemic involvement. I do not think this is an infection. I gave strict return precaution. He will expect lesion to resolved in 7 to 10 days. He may take Ibuprofen for pain or icing for comfort. Will task MA to report to department of health. Patient Plan You have a localized reaction to the vaccine.  It may persist for up to a week.  If you develop fever, redness goes beyond the local area, or feeling just sick, please come back.  If you have difficulty breathing, please go to the ER
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Raised red at the injection site 55mm x 44 mm Warm to touch
Age: 20.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site swelling, Pain, Swelling
Clinical narrative: Pain day after injection, and it has never gone away.  Noticed swelling last night. Nearly 4 weeks. Hurts to abduct the shoulder, less with flexion. No fever. No redness. Never reacted to immunizations before. Objective:  There is mild enlargment of the midportion of the L deltoid muscle compared with the Right.  Not red or warm. No fluctuance. No nodule. No lymph nodes. Shoulder ROM is normal. No loss of power.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Malaise, Myalgia
Clinical narrative: Muscle pain and weakness for three days. Did not feel well enough to leave the house.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Patient had a vasovagal syncope episode shortly after receiving HPV vaccine (within minutes after injection). He stated he felt lightheaded and dizzy, and Mom saw him tip over from his seated position on exam table. Mom caught him and he did not hit his head. He was pale and diaphoretic. Mom states he has never had a reaction like this before. Patient was placed in supine position with cool rag placed on head. Water and pedialyte given.  He was monitored over 20 minutes after the event. Initial BP 86/43, which improved to 103/73  after episode after rest and hydration. Patient's color improved with time and he was able to sit up and continue to eat popsicle. He was alert and oriented. He was discharged home with Mom in good condition.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: 80mmX80mm area of redness and slight swelling at the injection site.  Pt reported sore to touch.  Pt reported feeling itching near the injection site.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Pt woke up the next morning after vaccination with a swollen right upper arm. No pain, but warm to touch.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash erythematous
Clinical narrative: Red rash in groin, front and back torso, chest, itchy Took 2 Benadryl tablets
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: PATIENT CALLED PHARMACY AND STATED THAT HER ARM HAS FORMED A RASH UNDER THE INJECTION SITE. SHE SAID IT IS ABOUT 3 INCHES WIDE AND 6 INCHES LONG. SHE ALSO SAID THAT IT IS WARM TO THE TOUCH. I ADVISED THE PATIENT TO TAKE SOME BENADRYL AND MONITOR THE RASH. IF IT GETS WORSE OR SHE BEGINS TO EXPERIENCE OTHER SYMPTOMS, TO GO SEE A DOCTOR.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: localized, red, swollen left arm extending from injection site to elbow. recommended ice pack + ibuprofen for swelling.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Exhaustion Soreness at injection site runny nose fever dizziness general muscle soreness
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rhinorrhoea
Clinical narrative: Exhaustion Soreness at injection site runny nose fever dizziness general muscle soreness
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, fever, muscle ache,fatigue
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: A couple of hours after vaccination patient developed redness and swelling, the area was approximately 2x2, she returned to the clinic and seen by a nurse. Patient was advised to take two Benadryl and advised of signs and symptoms to watch for. Patient sent a message today because area of redness, swelling and pain had increased significantly, a same day appointment was scheduled with Dr.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Lethargy, Pyrexia
Clinical narrative: Shivering, fever, lethargy, no treatment
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Laboratory test abnormal, Musculoskeletal pain
Clinical narrative: pt was received a second dose of shingrix on 6//04/2019  after few hour pt called back and stated she had pain in her shoulder .  pharmacist suggest  pt to have a dose of tylenol or ibuprofen.  Late in the night husband cameback and stated pt went to emergency room because of the pain.  pharmacist attempted to call pt up for the fowllow up not not get intouch until today 6/13/19.  Pt stated since she had severe arthritis and this could cause the pain any time so maybe coinsident.  pt also stated her doctor think maybe pharmacist hit the nerve while doing  injection .
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Exposure during pregnancy
Clinical narrative: Vaccinated while pregnant, patient was unaware of pregnancy at time of vaccination.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: patient had second shingrix vaccination yesterday.  patient called today and reported she had been out riding her bike earlier in the day, but then 3 hours later started to experience chills and fever.  Patient was advised to take a fever reducer to calm fever and discomfort and to follow up with her doctor if there were no improvements.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: pain started when patient got home.  swelling, redness, soreness started the next day.  soreness started to get better two day after imz.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Cellulitis, Product administered at inappropriate site
Clinical narrative: pt reported on 6/13/19 that she was clinically diagnosed with cellulitis following the Prevnar 13 imz in 09/2016 due to the vaccine being given too low on the arm.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Heart rate increased, Hypotension
Clinical narrative: patient received 2 dose of shingrix on 6/12/19.  patient's wife called and reported her husband had been out biking earlier today (6/13/19) and 3 hours later was feeling light headed, had an elevated heart rate in the 140s, and had low blood pressure (80s/50s) measured via an at-home wrist blood pressure monitor.   Patient's wife stated that he had irregular heart rates in the past.   Advised to re-check blood pressure again and if measures do not improve or patient is symptomatic to call their doctor or go the the ER.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Pt stated they have fatigue, soreness, and redness at injection site
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Pt stated they have fatigue, soreness, and redness at injection site
Sex: M
Vaccine: VARZOS
Symptoms: Contusion, Delirium, Lymphadenopathy, Malaise, Pyrexia
Clinical narrative: Patient wanted me to inform that when he received the first dose of the shingrix he had a severe reaction to the medication that hospitalized him due to high fever and delirium. He also experienced lymph node involvement in the armpit that swelled and bruised, he has felt general malaise for several days longer than normal
Age: 11.0
Sex: M
Vaccine: HPVX
Symptoms: Limb mass, Pain in extremity
Clinical narrative: My 11 yr old son received the HPV injection and has a severe lump and pain in his arm from this medication.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Computerised tomogram spine, Guillain-Barre syndrome
Clinical narrative: Friday morning 5/26/19 patient woke up, her legs felt rubbery. She felt her calves were tight and painful. She worked that day. When she tried climbing stairs that evening she couldn't move her hips, weakness had progressed. She went to the ED, had workup then was transferred. She underwent more testing. Neurology recommended transfer to higher level care. Patient was transferred to Medical Center. At Medical Center she received plasmaphoresis treatments. She was inpatient for 3 days. Had 3 more plasmaphoresis treatments outpatient
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Laboratory test normal, Lumbar puncture abnormal, Mobility decreased, Muscle spasms, Muscular weakness
Clinical narrative: Friday morning 5/26/19 patient woke up, her legs felt rubbery. She felt her calves were tight and painful. She worked that day. When she tried climbing stairs that evening she couldn't move her hips, weakness had progressed. She went to the ED, had workup then was transferred. She underwent more testing. Neurology recommended transfer to higher level care. Patient was transferred to Medical Center. At Medical Center she received plasmaphoresis treatments. She was inpatient for 3 days. Had 3 more plasmaphoresis treatments outpatient
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging spinal abnormal, Pain in extremity, Plasmapheresis, Skin tightness
Clinical narrative: Friday morning 5/26/19 patient woke up, her legs felt rubbery. She felt her calves were tight and painful. She worked that day. When she tried climbing stairs that evening she couldn't move her hips, weakness had progressed. She went to the ED, had workup then was transferred. She underwent more testing. Neurology recommended transfer to higher level care. Patient was transferred to Medical Center. At Medical Center she received plasmaphoresis treatments. She was inpatient for 3 days. Had 3 more plasmaphoresis treatments outpatient
Age: 60.0
Sex: U
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient arrived to the pharmacy 2 days after receiving the vaccine and presented a swollen red arm that was hot to the touch. Patient stated that this was observed the following day after the vaccine was given and it had increased in size since then. Patient was directed to their PCP in which an anti-biotic was given.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash generalised
Clinical narrative: Rash on back and body. Onset 12 hrs after dose. This was 2nd dose. First dose had no reaction
Sex: M
Vaccine: FLUX, VARCEL
Symptoms: Chills, Feeling cold, Injection site pain
Clinical narrative: Not seem to get warm; Shivering; Injection site pain; This is a spontaneous case, reported by other non-healthcare professional to VAERS and initially retrieved on 26-Nov-2018 by Seqirus from VAERS (VAERS ID: 769692), concerning a male patient of unspecified age.  On 24-Aug-2018, the patient was administered INN Flu Vaccine Seasonal (influenza vaccine, influenza virus vaccine polyvalent, anatomical location: right arm, dose, route of administration, manufacturer: Seqirus, trade name, batch number and expiry date: not reported) and the non-company suspect drug included Varicella zoster vaccine (Shingrix) (varicella zoster vaccine, frequency reported as 1, anatomical location: left arm, dose, route of administration, batch number and expiry date: not reported) for prophylaxis.   On the same day, the patient experienced injection site pain. Later in the evening the patient was shivering and could not get warm, which resolved later the same night (24-Aug-2018).  On 27-Aug-2018, the patient had recovered from the event injection site pain.  It was reported that, the patient's wife had asked to the pharmacist, before giving the vaccines, whether there would be any problem with giving both vaccines together. The pharmacist replied that it should be fine.  The reporter assessed the case as non-serious.; Reporter's Comments: A male patient of unspecified age developed injection site pain, cold feeling and shivering on the same day after receiving INN Flu Vaccine Seasonal. The company assessed the causality of the events as related, considering the temporal relationship between the suspect vaccine and events.
Sex: F
Vaccine: UNK
Symptoms: Feeling abnormal, Influenza
Clinical narrative: Influenza; This is a spontaneous case reported by other non-health professional to VAERS (VAERS ID: 770065) on 26-Nov-2018, concerning a female patient of an unspecified age.  The patient's historical vaccine included Varicella zoster vaccine (reported as shingle shot).  It was reported that in the past years, the patient had received flu vaccine and experienced flu at least 4-5 times a year and felt like she was dying.   On an unspecified date, the patient was administered INN Flu Vaccine Seasonal (influenza vaccine, influenza virus vaccine polyvalent, dose, route of administration, anatomical location: unknown, batch number, trade name, manufacturer and expiry date: not reported) for an unknown indication.  On an unspecified date, after vaccination, the patient developed influenza.  The outcome of the event was unknown.  The reporter assessed the case as non-serious.; Reporter's Comments: A female patient of unspecified age experienced influenza, unspecified period time after receipt of INN flu vaccine seasonal. Due to the lack of information important for the causality assessment, such as onset latency between the vaccination and reported events and clinical status of the patient at the time of vaccination, the company assessed the causality as unassessable. The company assessed the event (influenza) as serious (medically significant).
Age: 54.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Product administered at inappropriate site
Clinical narrative: Very hot to the touch; Pain; Swollen to size of gold ball; Vaccine was administered in bicep, not her deltoid; This is a spontaneous case, reported by other health professional to VAERS and initially retrieved on 15-Jan-2019 by Seqirus from VAERS (VAERS ID: 773562), concerning a 54-year-old, adult, female patient.  The patient had seasonal allergy.  On 24-Sep-2018, the patient was administered INN Flu Vaccine Seasonal (influenza vaccine, influenza virus vaccine polyvalent, route of administration: injection (SYR), anatomical location: left arm, dose, batch number, expiry date, trade name and manufacturer: not reported) for unknown indication. It was reported that the patient was administered vaccine in her bicep not in deltoid (explicitly coded as vaccine administered at inappropriate site).   On 25-Sep-2018, one day after vaccination, the patient experienced pain where injection was administered and scared if it was infected because it was swollen to the size of a gold ball and very hot to the touch. On an unspecified date, the patient made an office visit.  The outcome of the events was not recovered.   The reporter assessed this case as non-serious.; Reporter's Comments: A 54-year-old female patient experienced pain, swelling, skin warmth, 1 day after administration of INN Flu vaccine which was administered in bicep (explicitly coded as vaccine administered at inappropriate site).  The causality of the events was assessed as related to suspect vaccine due to plausible temporal relationship between the events and suspect vaccine. The causality of the event vaccine administered at inappropriate site was assessed as not related due to accidental nature of the event.
Age: 50.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Patient had significant fever of 102.8 over a period of 3 days.  This was milder than the first vaccine adverse event but still bad.  She reports the first vaccine caused  pain at the injection site as well as similar fever.  Also experience right arm joint pain near elbow.   Arm pain is still occurring to some extent
Age: 50.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site joint pain, Injection site pain, Pyrexia
Clinical narrative: Patient had significant fever of 102.8 over a period of 3 days.  This was milder than the first vaccine adverse event but still bad.  She reports the first vaccine caused  pain at the injection site as well as similar fever.  Also experience right arm joint pain near elbow.   Arm pain is still occurring to some extent
Age: 70.0
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Pain in jaw, Toothache
Clinical narrative: sharp pain in wisdom tooth; sharp pain in adjacent jaw bone under rigth ear; pain in the arm; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 70-year-old patient who received Herpes zoster (Shingrix) for prophylaxis.   On 4th June 2019, the patient received Shingrix. On 6th June 2019, 2 days after receiving Shingrix, the patient experienced toothache and jaw bone pain. In June 2019, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm, toothache and jaw bone pain were not recovered/not resolved.   The reporter considered the pain in arm to be related to Shingrix. It was unknown if the reporter considered the toothache and jaw bone pain to be related to Shingrix.  Additional details were provided as follows: The patient experienced pain in arm, which was expected after receiving a dose of Shingrix. The patient also experienced sharp pain in wisdom tooth or adjacent jaw bone under right ear and the pain come and goes on its own. The reporter cannot reproduce it by any physical action of her own and wanted to know could this be a side effect. The reporter never had this sort of pain.
Age: 70.0
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Pain in extremity, Pain in jaw, Toothache
Clinical narrative: sharp pain in wisdom tooth; sharp pain in adjacent jaw bone under rigth ear; pain in the arm; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 70-year-old patient who received Herpes zoster (Shingrix) for prophylaxis.   On 4th June 2019, the patient received Shingrix. On 6th June 2019, 2 days after receiving Shingrix, the patient experienced toothache and jaw bone pain. In June 2019, the patient experienced pain in arm. On an unknown date, the outcome of the pain in arm, toothache and jaw bone pain were not recovered/not resolved.   The reporter considered the pain in arm to be related to Shingrix. It was unknown if the reporter considered the toothache and jaw bone pain to be related to Shingrix.  Additional details were provided as follows: The patient experienced pain in arm, which was expected after receiving a dose of Shingrix. The patient also experienced sharp pain in wisdom tooth or adjacent jaw bone under right ear and the pain come and goes on its own. The reporter cannot reproduce it by any physical action of her own and wanted to know could this be a side effect. The reporter never had this sort of pain.
Age: 22.0
Sex: F
Vaccine: MENB, TDAP
Symptoms: Discomfort, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Pt called at approx 4:15pm on 5/29/19. Left vm stating she had redness and swelling where she received her immunizations the previous day and that she was running a fever. Wanted to know if this was normal. I spoke w/ her at approx 5:15pm and let her know this is normal, especially with the Men B vaccine. Advised her to go to the ER if she developed s/sx of allergic reaction (reviewed w/ her). Advised her that she could alternate Tylenol/Motrin for the discomfort and fever and that she could apply a warm compress to the site to help alleviate swelling.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The adverse event took place after the patient's 2nd Shingrix vaccine.  This was a little over 2 months after her 1st dose (3/15/19) where she reported no issues. Patient said she experienced mild-moderate swelling of the left arm (at the place of immunization) as well as redness. She described the area as slightly painful and warm. After speaking to her physician, she took Tylenol and ice her arm for a couple of days. She noted it took about 2 weeks for the swelling to go down and the redness to fade. To date 6/13/19, she came into the pharmacy and her arm appeared to still be slightly red at the spot of injection.