chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Woke in the morning with headache, myalgia, nausea, fatigue, chills. Went back to bed slept for 3 hours. Took ibuprofen 600mg Q 8 hours for 2 days.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Chills, Dizziness, Pyrexia, Vaccination complication
Clinical narrative: Patient presented to pharmacy on 10/12/2018 describing an adverse reaction to the vaccine. She claimed to experience shivering/chills and a fever, followed by dizziness and vomiting. Later she broke out in blisters under the breast area on the trunk of her body. The blisters are starting to heal, but are still present.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Patient presented to pharmacy on 10/12/2018 describing an adverse reaction to the vaccine. She claimed to experience shivering/chills and a fever, followed by dizziness and vomiting. Later she broke out in blisters under the breast area on the trunk of her body. The blisters are starting to heal, but are still present.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Bacterial infection, Oedema peripheral, Pyrexia, Rash
Clinical narrative: Armpit swelling, rash on arm and underarm, fever over 103 for 2 days.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Injection site rash
Clinical narrative: PATIENT WAS GIVE THE VACCINE IN THE DELTOID UPPER ARM.THE PAIN STARTED AT THE TOP THEN TRAVEL THRU BICEPS AREA NOW THERE IS RASH AT THE BICEPS AREA.
Age: 67.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Chills, Feeling abnormal, Pain, Pyrexia
Clinical narrative: Pt complained that after he got a both shots he got home and the same evening started feeling really bad: fever, body ache, chills.. ect. He had symptoms for the next 3 days. He had never went to see a doctor.
Age: 20.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Burning sensation, Disorientation, Dizziness, Feeling abnormal
Clinical narrative: I received a flu shot at the school clinic yesterday and immediately after the injection (upper right arm) the muscle started spasming for a few minutes and a dull pain spread all the way down to my hand. I didn't think anything of it since it's happened before and I was fine. But shortly after I got home from running errands a couple hours later I started feeling extremely disoriented and lightheaded. My head felt weird in a way I've never experienced, it was like an intense but dull pressure that also burns. My whole body became extremely tense and shaky and my body temp went from 97 earlier to 100.5 and I started feeling random sharp pains around the brain stem area of my head and became nauseous. At this point I was considering calling 911 but decided to wait and see whether things would get any worse. After about 3 hours the symptoms slowly began to fade away and were fully gone by late this afternoon.
Age: 20.0
Sex: F
Vaccine: FLUX
Symptoms: Head discomfort, Headache, Immediate post-injection reaction, Injection site reaction, Muscle spasms
Clinical narrative: I received a flu shot at the school clinic yesterday and immediately after the injection (upper right arm) the muscle started spasming for a few minutes and a dull pain spread all the way down to my hand. I didn't think anything of it since it's happened before and I was fine. But shortly after I got home from running errands a couple hours later I started feeling extremely disoriented and lightheaded. My head felt weird in a way I've never experienced, it was like an intense but dull pressure that also burns. My whole body became extremely tense and shaky and my body temp went from 97 earlier to 100.5 and I started feeling random sharp pains around the brain stem area of my head and became nauseous. At this point I was considering calling 911 but decided to wait and see whether things would get any worse. After about 3 hours the symptoms slowly began to fade away and were fully gone by late this afternoon.
Age: 20.0
Sex: F
Vaccine: FLUX
Symptoms: Nausea, Pain, Pain in extremity, Tension, Tremor
Clinical narrative: I received a flu shot at the school clinic yesterday and immediately after the injection (upper right arm) the muscle started spasming for a few minutes and a dull pain spread all the way down to my hand. I didn't think anything of it since it's happened before and I was fine. But shortly after I got home from running errands a couple hours later I started feeling extremely disoriented and lightheaded. My head felt weird in a way I've never experienced, it was like an intense but dull pressure that also burns. My whole body became extremely tense and shaky and my body temp went from 97 earlier to 100.5 and I started feeling random sharp pains around the brain stem area of my head and became nauseous. At this point I was considering calling 911 but decided to wait and see whether things would get any worse. After about 3 hours the symptoms slowly began to fade away and were fully gone by late this afternoon.
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Cold sweat, Gaze palsy, Hyperhidrosis, Hypopnoea, Pallor
Clinical narrative: Patient's eyes rolled in the back of her head, she was drenched in sweat, clammy, and unresponsive. I tried to check to see if she was breathing it was very shallow breaths and I couldn't locate a heart beat, so I administered a dose of Epipen. We called 911 at the same time and layed her down on her back and was monitoring her. She slowly began gaining consciousness and color returned back to her face.  Paramedics arrived and checked her vitals all seemed good but they took her to the hospital to continue monitoring her. Father returned to the pharmacy after several hours and reported that patient was fine.
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Pulse absent, Unresponsive to stimuli
Clinical narrative: Patient's eyes rolled in the back of her head, she was drenched in sweat, clammy, and unresponsive. I tried to check to see if she was breathing it was very shallow breaths and I couldn't locate a heart beat, so I administered a dose of Epipen. We called 911 at the same time and layed her down on her back and was monitoring her. She slowly began gaining consciousness and color returned back to her face.  Paramedics arrived and checked her vitals all seemed good but they took her to the hospital to continue monitoring her. Father returned to the pharmacy after several hours and reported that patient was fine.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Injection site swelling, Paraesthesia
Clinical narrative: Patient had pain upon injection and immediately after injection pain and has been continuously hurting. Arm appears swollen. Constant level 5 pain can go up to an 8 level of pain. Limited mobility on arm. Cannot raise above head. Sometime uses right arm to lift left arm. Tingling in fingers comes and goes. Patient has tried APAP and Ibuprofen without success.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Asthenia, Back pain, Feeling cold, Paraesthesia
Clinical narrative: Shortly after receiving vaccines, patient complained of severe lower back pain, weakness, and a tingling sensation all over her body. After resting on a bench and drinking a Sprite, she started feeling much better. She had noted that she had eaten very little today, just some crackers and coffee in the morning (vaccines were given at 12:30pm). It is possible that she was experiencing low blood sugar. I followed up at 5pm same day and she noted that she is feeling much better, though still with some back pain and feeling "freezing."
Age: 59.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Lymphadenopathy
Clinical narrative: Supraclavicular lymphadenopathy on right side.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site cellulitis
Clinical narrative: Left shoulder cellulitis seen the next day, advised to use ibuprofen for pain and discomfort.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Raised, red, painful, warm to touch area (8 cm X 8 cm) on evening after doses given. Area was below the injection sites and ran down to elbow. Patient went to urgent care and was given prednisone and cephalexin. Pharmacist reporting did not see patients reaction.
Age: 28.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Blood test, Injection site swelling, Pain, Pain in extremity, Pyrexia
Clinical narrative: SWELLING AT INJECTION SITE, RADIATING PAIN IN THE LEFT ARM, FOR A FEW DAYS, RASH ABOUT 1-2 INCHES DIAMETER, REPORT BODY ACHES AND FEVER.
Age: 28.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Rash
Clinical narrative: SWELLING AT INJECTION SITE, RADIATING PAIN IN THE LEFT ARM, FOR A FEW DAYS, RASH ABOUT 1-2 INCHES DIAMETER, REPORT BODY ACHES AND FEVER.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site infection, Injection site pain, Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: Patient came 6 days after getting injection complaining of right shoulder and arm pain with rash and swelling on injection site. Slight infection was seen on site of injections therefore was started on antibiotic course along with anti-inflammatory medication that would also aid with pain. Also prescribed mupirocin 2% topical ointment, advised to follow back if symptoms persist.
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Erythema, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Patient received immunizations Saturday afternoon, the next morning she was feeling feverish and pain in the arm below the injection site. She stated that it was swollen and red. Patient took two ibuprofen every six hours. Did not go into the clinic until Tuesday, the healthcare provider marked the size of swelling and redness, and received a 10 day course of doxycycline the same day. Started doxycycline that night and could see that the redness and swelling has gone down by referring to the outline the healthcare provider drew. Patient states that she has had cellulitis before, about 15 years ago, from a spider bite. Reported to pharmacy that she received cellulitis from a flu shot on Friday, 10/12/2018.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Chills, Feeding disorder, Nausea, Pain in extremity, Tremor
Clinical narrative: Pt reports shakes, chills, sore arm, cant eat due to nausea started night of vaccination 10/11.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Raised, red, painful, warm to touch area (8 cm X 8 cm) on same evening after doses given. Area was below the injection sites and ran down to elbow. Pharmacist reporting did not see patient's reaction.
Age: 50.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Pyrexia, Seizure
Clinical narrative: Patient reported fever, chills, and convulsions.
Age: 50.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Pyrexia, Seizure
Clinical narrative: Fever, chills, convulsions. Patient was recommended to see the ER department.
Age: 47.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Hypopnoea, Throat tightness
Clinical narrative: 30 minutes after receiving immunizations, patient stated she developed a difficulty swallowing and/or breathing. Patient BP & HR were normal when checked multiple times. Patient drank water as well. 1 hours after immunization patient stated she felt better and then suddenly mentioned that her throat felt like it was "ballooning up" with tightness again. Paramedics were called who also checked patient's vitals and confirmed all were optimal. It was recommended patient either take ambulance to hospital or go to ED herself. Patient declined. Paramedic had patient sign waiver that she declined further treatment. Patient was given a bottle of liquid benadryl and instructed to not take unless she felt the same problem again with breathing/swallowing and/or was at a safe location where she didn't have to drive. Patient had adolescent child with her to care for her. Patient stated she finally felt better and left.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Blood pressure increased, Dizziness, Feeling hot, Heart rate increased, Hyperhidrosis
Clinical narrative: 30 MINUTES AFTER RECEIVING IMMUNIZATION, PATIENT REPORTED DIZZINESS, SWEATING, HOT/FEVERISH, AND ELEVATED HR/BP. PATIENT RETURNED BACK TO IMMUNIZATION ROOM AND SAT FOR 30 MINUTES. PATIENT DRANK FLUIDS AND ATE FOOD. AFTER THAT 30 MINUTES PATIENT STATED THEY FELT BETTER. PATIENT'S WORKPLACE SUPERVISOR ADVISED THEY WOULD HAVE PATIENT PERFORM ONLY LIGHT WORK AFTER TAKING ANOTHER 1 HR BREAK. NO PARAMEDICS CALLED.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: 30 MINUTES AFTER RECEIVING IMMUNIZATION, PATIENT REPORTED DIZZINESS, SWEATING, HOT/FEVERISH, AND ELEVATED HR/BP. PATIENT RETURNED BACK TO IMMUNIZATION ROOM AND SAT FOR 30 MINUTES. PATIENT DRANK FLUIDS AND ATE FOOD. AFTER THAT 30 MINUTES PATIENT STATED THEY FELT BETTER. PATIENT'S WORKPLACE SUPERVISOR ADVISED THEY WOULD HAVE PATIENT PERFORM ONLY LIGHT WORK AFTER TAKING ANOTHER 1 HR BREAK. NO PARAMEDICS CALLED.
Age: 67.0
Sex: F
Vaccine: FLUR4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient developed a sore at injection site. Patient was unable to lift arm after a few days. 5 days later patient visited the MD office and was prescribed a medrol dose pack and reported that they are able to lift arm and soreness has gone down.
Age: 7.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Do not have any of this information. Will have to be obtained from Hospital Cardiology Unit.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Patient reports she had rash on her arms, and trunk and had persistent itching on her trunk, arms, legs, and back.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Night sweats, Pain
Clinical narrative: Flu like, chills and night sweats, aches over body.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discolouration, Pain
Clinical narrative: Per pt, black-blue at site of injection. She does not feel much pain now. Tell pt use hot/cold patches.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Sleep disorder, Throat irritation, Urticaria
Clinical narrative: Started with red raised hives on chest area at 2 am. Were itching and woke her up. Patient came to work and then complained of an itchy throat, denied shortness of breath. Was advised to go to urgent care, which she did. Instructed to get BENADRYL and go home and rest.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising
Clinical narrative: Pt had a profuse bruise on the left arm that covers most of the upper arm and parts below the elbow. Bruising started the evening after the flu shot and continued to look worse. When patient came in there were parts of the bruise that were looking like it was healing.
Age: 1.0
Sex: F
Vaccine: FLU4, MMR, VARCEL
Symptoms: Rash vesicular
Clinical narrative: Patient developed a rash that looks similar to chicken pox 10 days after receiving these vaccines.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Injection site erythema
Clinical narrative: Patient woke up this this with redness at injection site, was concerned it was an allergic reaction, was called her primary care doctor.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Hypersensitivity, Pruritus generalised
Clinical narrative: Patient returned to pharmacy shortly after she received flu vaccine, reported allergic reaction, itching all over body without rash or hives. I recommended to take 10 mls of BENADRYL syrup, and went over pt's allergies. She reported that she is slightly allergic to eggs which she found out not too long ago. She said she is not allergic to anything else and did not have flu vaccine for years.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Heart rate increased, Tinnitus
Clinical narrative: THE PATIENT RECEIVED THE VACCINE AROUND 1PM AND BY 6PM SHE WAS EXPERIENCING RINGING IN THE EARS, A RACING PULSE (DESCRIBED TO BE AROUND 180). SHE SAID SHE NORMALLY GETS THE CHILLS AND A FEVER OVERNIGHT AFTER A FLU SHOT BUT THIS WAS FAR WORSE THAN SHE HAD EVER EXPERIENCED. SHE CONTINUED TO FEEL FUNKY OVERNIGHT BUT DIDN'T END UP TAKING ANYTHING. SHE CONSIDERED GOING TO THE ER BUT DECIDED TO WAIT IT OUT AND FINALLY WAS ABLE TO SLEEP AND SAID SHE STARTED TO FEEL BETTER AROUND 6AM THE FOLLOWING MORNING.  SHE SAID SHE WAS ILL FOR ABOUT A TOTAL OF 12 TO 24 HOURS.
Age: 35.0
Sex: F
Vaccine: FLUC4, PPV, TDAP
Symptoms: Cellulitis
Clinical narrative: CELLULITIS DEVELOPED IN PATIENTS ARM. PATIENT SOUGHT OUT TREATMENT AT A CLINIC. TREATED WITH BACTRIM, HYDROCORTISONE AND IBUPROFEN.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Malaise
Clinical narrative: Patient called 2 days after her vaccination and said she felt unwell the day after the vaccines. She said that she has a reaction at the injection site for the PNEUMOVAX, but not on the site where she got the FLUZONE. The reaction is slight swelling and "a red line that starts at the injection site and wraps around the front of the arm". She said she was taking aspirin for the inflammation and the pharmacist recommended adding diphenhydramine at bedtime since she didn't want to take it during the day.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Swelling and pain in the arm from the shoulder on down to the elbow in the arm that had the injection. Also patient felt fever all over the first day after.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Erythema, Mass, Pain in extremity
Clinical narrative: Red, painful lump in arm bigger than size of quarter reported by patient described over the phone, did not physically exam arm. Flu shot given one day prior. Not getting better or worse right now.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Irritability, Ophthalmic herpes zoster, Pain, Restlessness
Clinical narrative: PATIENT COMPLAINED OF BEING IRRATABLE AND THE INABILITY TO SIT STILL. ALSO STATED WAS IN QUITE A BIT OF PAIN ALL OVER. STATED SHE WENT TO THE ER BECAUSE OF THE PAIN AND WAS PRESCRIBED TYLENOL #3. SHE WENT TO THE EYE DOCTOR A WEEK LATER ALSO. THIS PROVIDER STATED IT APPEARED SHE MAY HAVE HAD A SHINGLES OUT BREAK IN OR AROUND HER EYE. WAS PRESCRIBED VALTREX AND EYRTHOMYCIN TO COMBAT.
Age: 69.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Chills, Erythema, Mobility decreased, Pain in extremity, Skin warm
Clinical narrative: I administered PNEUMOVAX 23 (right arm) and FLUAD (left arm) vaccinations to the patient. She called me the same day and told me that she was experiencing pain and redness on her right arm. She stated that the day of administration her arm hurt and she had trouble lifting it. She also experienced chills for two hours. Patient came in today to see me and told me her arm was feeling better but it was still a little red and warm to the touch. It has loosened up now and she has no trouble lifting it. She also stated that she had a reaction to a hydrocortisone shot she received a couple of months ago. The hydrocortisone shot caused her tingling and pain that eventually went away.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The second dose of SHINGRIX was administered too early before it was due. The first dose was on 09/05/2018. Second dose was administered on 09/25/2018 in error.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient reports that her arm has been sore to the touch for weeks. She also has trouble raising her arm. She has not talked to her doctor about it yet, but has an upcoming appointment.
Age: 80.0
Sex: M
Vaccine: FLUX
Symptoms: Blood lactic acid normal, Computerised tomogram head, Generalised tonic-clonic seizure, Hypoxia, Mental status changes
Clinical narrative: Pt had first time onset tonic clonic seizure. Transported to ER to R/O CVA vs. new onset seizure. Pt. hypoxic, altered mental status requiring admission.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Condition aggravated, Fatigue, Neuropathy peripheral, Pyrexia
Clinical narrative: Patient experience shivers, chills, fever, fatigue around 6:30PM on 10/11/18 which I informed patient were listed as common side effects per CDC. Patient reported extreme shivering to the point where her teeth chattered uncontrollably by 10PM. Patient stated that her long standing neuropathy was aggravated and was at an all time high. Patient also notified her PCP and is feeling fine today as of 7PM 10/12/18.
Age: 64.0
Sex: F
Vaccine: DTAP
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Product administered at inappropriate site, Rotator cuff syndrome
Clinical narrative: Shot was on top of shoulder, as soon as the needle went in I could feel pain the time I got to my car I could not lift my arm since then it has ached, went to orthopedic surgeon says I have a rotator cuff tear. Surgeon wants to do surgery.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Cyst, Joint swelling
Clinical narrative: Patient came to pharmacy 3 days after getting vaccine with swollen elbow. Looked to be a large cyst of some sort, about 5 inches long and 3 inches wide.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Pyrexia
Clinical narrative: Pt reported feeling very fatiqued and feverish a short time after receiving the vaccine. He took acetaminophen with little relief and then called the pharmacy in the evening feeling the same. I advised him to continue acetaminophen, check his temperature and to contact his PCP or cardiologist.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: Fever, chills, vomiting.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Peripheral swelling
Clinical narrative: Pt reported that her left arm was red and swollen after getting the Pneumonia shot. She reported the adverse event on 10/11/18, but she came to the pharmacy to show her arm on 10/12/18. Upon inspection her arm was red from the injection site all the way to her elbow.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Bickerstaff's encephalitis, Culture negative, Hypotonia, Immunoglobulin therapy, Nasopharyngitis
Clinical narrative: 2 1/2 weeks after vaccine, and in the context of cold symptoms, developed progressive drowsiness and hypotonia. Initially treated with IVIG for presumptive Guillain-Barre Syndrome. No improvement. Then the working diagnosis became botulism-however, the cultures were negative. Current working diagnosis is Bickerstaff encephalitis. He did have antecedent viral symptoms, so the link to his 4 months vaccines is not solid.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Somnolence, Viral infection
Clinical narrative: 2 1/2 weeks after vaccine, and in the context of cold symptoms, developed progressive drowsiness and hypotonia. Initially treated with IVIG for presumptive Guillain-Barre Syndrome. No improvement. Then the working diagnosis became botulism-however, the cultures were negative. Current working diagnosis is Bickerstaff encephalitis. He did have antecedent viral symptoms, so the link to his 4 months vaccines is not solid.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain in extremity, Peripheral swelling, Skin irritation
Clinical narrative: R arm swelling and erythema, mild irritation and soreness. Not painful. Erythema below deltoid to mid upper arm on lateral side. Treatment - warm compressions to R arm 2-3 x per day, Ibuprofen 400 mg evert 8 hrs PRN.
Age: 16.0
Sex: M
Vaccine: FLU4, HPV4, MNQ
Symptoms: Head injury, Headache, Loss of consciousness, Pallor, Unresponsive to stimuli
Clinical narrative: First gave MENVEO then FLULAVAL in right arm then administered GARDASIL in left upper delt, pt asked to sit in chair was moving pt to chair he got pale and did not answer how he felt he passed out went to the floor with pt, slightly bumped head on wall. Pt came to in like 3 seconds called for help LPN and Dr came in helped pt to the table brought pt's mother into the room offered pt apple/orange juice. Pt refused. Color came back nicely. Dr came back in the room to re-examine pt with mom present. Redid BP was 108/70. Dr talked to pt and mother. Pt denied HA knows he bumped head a little sore. Held pt a little longer. Pt and mother went to check out. Did ask pt how he was feeling before he left. Pt denied any dizziness or headache as leaving. Did leave message today 10/12/18 with mom to see how pt is doing. Waiting a call back if any issues.
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Positive "soreness", erythema (about 2 inches x 1 1/2 inches) to (L) deltoid - flu vaccine site with associated tenderness, hot to palpation.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Thirst
Clinical narrative: After receiving her flu shot, patient walk out to the waiting area with her mom, patient complained of feeling dizzy and grabbed on to her mom, who slowly lowered her to the ground. Pharmacy staff called 911 and EMT arrived a couple of minutes later. While waiting for EMT, patient complained of thirst and was offered water and orange juice. When EMT arrived, they check patient's vitals and everything was normal. Per EMT, patient is fine to go home with parents. Parents are to monitor her the rest of the day.
Age: 86.0
Sex: M
Vaccine: FLUA3
Symptoms: Cyst aspiration, Injection site cyst, X-ray normal
Clinical narrative: Large grapefruit-size fluid filled cystic lesion (L) deltoid I aspirated 30 cc of clear yellow joint fluid.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV4, MNQ, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea, Pallor
Clinical narrative: Syncope immediately after 4th injection/vaccine, brief LOC; pallor, dizziness, nausea upon regaining consciousness, HR 72 BP 100/64, given Pedialyte and fully recovered w/in 20 minutes; pt did not eat in AM prior.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV4, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Syncope immediately after 4th injection/vaccine, brief LOC; pallor, dizziness, nausea upon regaining consciousness, HR 72 BP 100/64, given Pedialyte and fully recovered w/in 20 minutes; pt did not eat in AM prior.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Contusion, Erythema, Scar, Swelling
Clinical narrative: Initial swelling, redness and bruising followed by persistent firm scar tissue along back of injection deep to muscle.
Age: 0.33
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Injection site erythema, Injection site papule, Injection site rash
Clinical narrative: Erythematous skin rash with papules (superficial) on right thigh.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Fatigue, Feeling abnormal, Limb discomfort
Clinical narrative: Employee stated that after finishing work, she walked on the treadmill. While walking on treadmill, she began to feel weak and limbs felt heavy. Employee started feeling extremely fatigued while driving home from work. Once at home she felt some nausea, but no vomiting. Employee states she felt so fatigued, that she had to hold on to the door to get to bed, and went to bed with clothes and shoes on. This morning after the vaccine she had mild dizziness, and couldn't remember all her morning routines. Did drive to work cautiously this AM, and states she is feeling a little better, but still feels a little foggy. Has not completely recovered (#20) but states she is feeling better. BP-127/61.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea
Clinical narrative: Employee stated that after finishing work, she walked on the treadmill. While walking on treadmill, she began to feel weak and limbs felt heavy. Employee started feeling extremely fatigued while driving home from work. Once at home she felt some nausea, but no vomiting. Employee states she felt so fatigued, that she had to hold on to the door to get to bed, and went to bed with clothes and shoes on. This morning after the vaccine she had mild dizziness, and couldn't remember all her morning routines. Did drive to work cautiously this AM, and states she is feeling a little better, but still feels a little foggy. Has not completely recovered (#20) but states she is feeling better. BP-127/61.
Age: 1.42
Sex: F
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site erythema, Injection site rash, Pyrexia
Clinical narrative: Hep A, MMR, Var on 10/2/18 fever started 10/5 103 seen in office 10/11 fever 100.3 (fever 6 days) rash on (R) thigh around VARIVAX injection site 3 small raised spots over a reddened area.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Throat irritation
Clinical narrative: Patient began to cough and complain of throat tickle within 30 minutes. Doctor was notified. BENADRYL was ordered and given. Patient was fine after BENADRYL.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Urticaria
Clinical narrative: Flu vaccine administered at work 10/10/18. Developed generalized urticaria w/o SOB. Has had flu vaccine in past.
Age: 59.0
Sex: U
Vaccine: FLU4, FLU4
Symptoms: Headache, Hypoaesthesia oral, Immediate post-injection reaction
Clinical narrative: In just 10 minutes after receiving the injection, I had a strange numbness on the tip of my tongue. In the 2-3 days following I had mild headaches and the strange numbness on the tip of my tongue. At day 11 afterwards, I still have some numbness at the tip of my tongue and now a slight numbness on the lips, just right of center. At day 16 the numbness on the lips had gone away, but the numbness on the tip of my tongue continued and started to notice a sight numbness to my finger and toe surfaces. I have had several nights with chest pain while lying down, but seems to go way when standing. Since the injection I had dull low grade headache located in the area at the base of my brain.
Age: 59.0
Sex: U
Vaccine: FLU4, FLU4
Symptoms: Chest pain, Headache, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: In just 10 minutes after receiving the injection, I had a strange numbness on the tip of my tongue. In the 2-3 days following I had mild headaches and the strange numbness on the tip of my tongue. At day 11 afterwards, I still have some numbness at the tip of my tongue and now a slight numbness on the lips, just right of center. At day 16 the numbness on the lips had gone away, but the numbness on the tip of my tongue continued and started to notice a sight numbness to my finger and toe surfaces. I have had several nights with chest pain while lying down, but seems to go way when standing. Since the injection I had dull low grade headache located in the area at the base of my brain.
Age: 80.0
Sex: F
Vaccine: FLUA3, VARZOS, FLUA3, VARZOS
Symptoms: Blood creatine phosphokinase increased, Gait inability, Muscular weakness, Pain in extremity, Rhabdomyolysis
Clinical narrative: After vaccination the patient became extremely weak and tired to the point she had to crawl on the floor to get to the bathroom. Once she was lowered to the floor level she was not able to get herself back up due to the weakness in her body. She was found at home later in the day by her daughter. Her daughter tried to lift her to the standing position and mom still crumpled back down to the floor. At this point the ambulance was called. The findings at the ER included a CPK level of 11,000 and she was admitted to receive IV fluids. Her case of rhabdomyolysis was linked to bilateral leg injury. Upon examination there was no sign of injury or adverse events at the vaccination injection sites on either arm. The patient was released from the hospital after 4 days and now remains at home with physical therapy and requires assistance to perform daily tasks.
Age: 80.0
Sex: F
Vaccine: FLUA3, VARZOS, FLUA3, VARZOS
Symptoms: Walking aid user
Clinical narrative: After vaccination the patient became extremely weak and tired to the point she had to crawl on the floor to get to the bathroom. Once she was lowered to the floor level she was not able to get herself back up due to the weakness in her body. She was found at home later in the day by her daughter. Her daughter tried to lift her to the standing position and mom still crumpled back down to the floor. At this point the ambulance was called. The findings at the ER included a CPK level of 11,000 and she was admitted to receive IV fluids. Her case of rhabdomyolysis was linked to bilateral leg injury. Upon examination there was no sign of injury or adverse events at the vaccination injection sites on either arm. The patient was released from the hospital after 4 days and now remains at home with physical therapy and requires assistance to perform daily tasks.
Age: 80.0
Sex: F
Vaccine: FLUA3, VARZOS, FLUA3, VARZOS
Symptoms: Asthenia, Blood creatine phosphokinase increased, Fatigue, Gait inability, Limb injury
Clinical narrative: After vaccination the patient became extremely weak and tired to the point she had to crawl on the floor to get to the bathroom. Once she was lowered to the floor level she was not able to get herself back up due to the weakness in her body. She was found at home later in the day by her daughter. Her daughter tried to lift her to the standing position and mom still crumpled back down to the floor. At this point the ambulance was called. The findings at the ER included a CPK level of 11,000 and she was admitted to receive IV fluids. Her case of rhabdomyolysis was linked to bilateral leg injury. Upon examination there was no sign of injury or adverse events at the vaccination injection sites on either arm. The patient was released from the hospital after 4 days and now remains at home with physical therapy and requires assistance to perform daily tasks.
Age: 80.0
Sex: F
Vaccine: FLUA3, VARZOS, FLUA3, VARZOS
Symptoms: Loss of personal independence in daily activities, Rhabdomyolysis
Clinical narrative: After vaccination the patient became extremely weak and tired to the point she had to crawl on the floor to get to the bathroom. Once she was lowered to the floor level she was not able to get herself back up due to the weakness in her body. She was found at home later in the day by her daughter. Her daughter tried to lift her to the standing position and mom still crumpled back down to the floor. At this point the ambulance was called. The findings at the ER included a CPK level of 11,000 and she was admitted to receive IV fluids. Her case of rhabdomyolysis was linked to bilateral leg injury. Upon examination there was no sign of injury or adverse events at the vaccination injection sites on either arm. The patient was released from the hospital after 4 days and now remains at home with physical therapy and requires assistance to perform daily tasks.
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Abortion spontaneous, Exposure during pregnancy
Clinical narrative: Miscarriage (9.5 weeks).
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Erythema, Facial pain, Rash, Swelling face
Clinical narrative: 0755 took shot. Went home and went to sleep. Woke up at 8 PM and the whole left side of face was red, swollen, broken out in a rash and burning like it was on fire. Pain and burning worse than a bad sunburn. Unsure the exact time it began as I work nights and slept in today since not working tonight.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Electrocardiogram, Fatigue, Lethargy, Pain in extremity, Pallor
Clinical narrative: Complained of arm aching 2 minutes post-administration. Complete fainting with eyes open despite not moving from sitting position and otherwise normal behavior 10 minutes post-administration. No signs leading up to event besides shot. Initial fainting lasted 40 seconds, nurse and I grabbed and shook to wake him up, he was out of it and unaware of what happened. Was laid down and given a cup of water after. About ten minutes later patient got up and stood, and while leaning against something started to slouch again and exhibited lethargy. At this point, I helped him stay up and guided him to a chair. He was pale white for about 3 minutes, was given Pedialyte and within the next couple minutes color began to come back to his face and arms. Complained of being really tired and wanted to sleep. Was referred to the urgent care clinic for further testing. Arrived and was seen an hour after initial fainting.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Somnolence, Syncope
Clinical narrative: Complained of arm aching 2 minutes post-administration. Complete fainting with eyes open despite not moving from sitting position and otherwise normal behavior 10 minutes post-administration. No signs leading up to event besides shot. Initial fainting lasted 40 seconds, nurse and I grabbed and shook to wake him up, he was out of it and unaware of what happened. Was laid down and given a cup of water after. About ten minutes later patient got up and stood, and while leaning against something started to slouch again and exhibited lethargy. At this point, I helped him stay up and guided him to a chair. He was pale white for about 3 minutes, was given Pedialyte and within the next couple minutes color began to come back to his face and arms. Complained of being really tired and wanted to sleep. Was referred to the urgent care clinic for further testing. Arrived and was seen an hour after initial fainting.
Age: 73.0
Sex: F
Vaccine: FLUA3
Symptoms: Rash generalised
Clinical narrative: All over rash lasting a month at this point.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Headache, Musculoskeletal disorder, Nausea
Clinical narrative: Nausea, fatigue, headache; arm swelled, hot, red, painful. Couldn't straighten out arm for days.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Nausea, fatigue, headache; arm swelled, hot, red, painful. Couldn't straighten out arm for days.
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness
Clinical narrative: After giving the FLUARIX patient said he is blacking out, he was conscious and able to hear what we are saying. After two to three minutes he started feeling better. He wanted to sit on the floor and he sit on the floor with some help. After 5 minutes patient said he is feeling better and he got up by his own and walked out by his own before the paramedics come to pharmacy. Patient had a history of reacting this way with other vaccines administered at his Dr office.
Age: 1.25
Sex: M
Vaccine: FLU4, HIBV, VARCEL
Symptoms: C-reactive protein, Discomfort, Full blood count normal, Injection site pain, Joint range of motion decreased
Clinical narrative: Toddler received influenza vaccine to right thigh (also received Hib to right thigh - 3/3 dose), VARIVAX to left thigh. Several hours after vaccination, he became less playful, not wanting to stand. During the night awoke with fever 102-104. On 10/10/18 temp (102) and increasing discomfort noted by Mother with moving to right leg - increasing refusal to weight bear. Child was seen in the office - pain localized to right hip - no redness/swelling warmth noted to injection sites or to joints of right leg. Obvious discomfort noted with any attempt to abduct/adduct right hip. Toddler noted to cry in pain with weight bear - very reluctant to toe touch with right leg. Labs/xray obtained on 10/10/18 - last reported temp at 1 pm on 10/10 of 102.
Age: 1.25
Sex: M
Vaccine: FLU4, HIBV, VARCEL
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Ultrasound scan normal, Weight bearing difficulty, X-ray of pelvis and hip normal
Clinical narrative: Toddler received influenza vaccine to right thigh (also received Hib to right thigh - 3/3 dose), VARIVAX to left thigh. Several hours after vaccination, he became less playful, not wanting to stand. During the night awoke with fever 102-104. On 10/10/18 temp (102) and increasing discomfort noted by Mother with moving to right leg - increasing refusal to weight bear. Child was seen in the office - pain localized to right hip - no redness/swelling warmth noted to injection sites or to joints of right leg. Obvious discomfort noted with any attempt to abduct/adduct right hip. Toddler noted to cry in pain with weight bear - very reluctant to toe touch with right leg. Labs/xray obtained on 10/10/18 - last reported temp at 1 pm on 10/10 of 102.
Age: 67.0
Sex: M
Vaccine: FLUA3
Symptoms: Abdominal pain lower, Diarrhoea, Fatigue, Pain, Pelvic pain
Clinical narrative: Severe lower abdominal and pelvic floor pain, severe diarrhea, generalized aching and fatigue
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Blood test normal, Headache, Hypoaesthesia, Muscle twitching, Pain in extremity
Clinical narrative: Roughly 5 minutes after the shot patient fainted while checking out and her entire body started twitching. She was taken by ambulance from doctors office to emergency room where she continued to shake but it was mainly right arm. Major headache and numbness followed by pain in legs. The twitching did finally stop and we were discharged. As of today, 10/13, when patient woke up and started moving around her right arm began twitching severely again and has yet to stop.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope, Tremor
Clinical narrative: Roughly 5 minutes after the shot patient fainted while checking out and her entire body started twitching. She was taken by ambulance from doctors office to emergency room where she continued to shake but it was mainly right arm. Major headache and numbness followed by pain in legs. The twitching did finally stop and we were discharged. As of today, 10/13, when patient woke up and started moving around her right arm began twitching severely again and has yet to stop.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphagia, Dyspnoea, Feeling abnormal, Headache, Laboratory test
Clinical narrative: About 2 hours after the vaccine, the patient felt like he was having a heart attack and felt like he could not breath. His throat felt swollen and could not swallow and he developed a severe headache. He went to the ER, and they gave him an IV and treated him overnight. Patient claims he had lots of testing done and the physician was not sure what was wrong with him.
Age: 77.0
Sex: M
Vaccine: FLU3
Symptoms: Pharyngeal oedema
Clinical narrative: About 2 hours after the vaccine, the patient felt like he was having a heart attack and felt like he could not breath. His throat felt swollen and could not swallow and he developed a severe headache. He went to the ER, and they gave him an IV and treated him overnight. Patient claims he had lots of testing done and the physician was not sure what was wrong with him.
Age: 69.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Pyrexia, Rash
Clinical narrative: Patient developed rash and fever and then went to ER and was diagnosed with cellulitis and was prescribed an antibiotic.
Age: 69.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Blood test, Culture, Insomnia, Mobility decreased, Pain in extremity
Clinical narrative: Patient developed rash and fever and then went to ER and was diagnosed with cellulitis and was prescribed an antibiotic.
Age: 69.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Peripheral swelling, Sleep disorder
Clinical narrative: Patient developed rash and fever and then went to ER and was diagnosed with cellulitis and was prescribed an antibiotic.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Myalgia, Swelling
Clinical narrative: Redness, swelling and muscle pain after shot resolved by a cold pack.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Abdominal pain, Chills, Diarrhoea haemorrhagic
Clinical narrative: The patient noted feeling chills after receiving the vaccines that lasted until that upcoming Monday (shots were given on a Thursday). She also complained of abdominal cramps and bloody diarrhea that lasted on both Saturday and Sunday. At the time of notification - she felt that nothing in her diet or foods eaten had been different during that time period.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal stiffness, Pain
Clinical narrative: Pain redness and swelling at injection site. Fever, body aches, stiffness >48 hrs.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Pain redness and swelling at injection site. Fever, body aches, stiffness >48 hrs.
Age: 1.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Lethargy, Pyrexia
Clinical narrative: He got a combo including Dtap/polio. Not sure what else. I did not receive paperwork for it. Fever of 103 taken under the arm until following morning. Fever in morning was 101.2 taken rectally at Urgent Care clinic. Rash was first noticed following morning - All over red, pimply looking rash particularly on left leg (which received the injection). Red/warm on injection site, lethargy coinciding with fever.
Age: 1.17
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Rash erythematous, Rash generalised
Clinical narrative: He got a combo including Dtap/polio. Not sure what else. I did not receive paperwork for it. Fever of 103 taken under the arm until following morning. Fever in morning was 101.2 taken rectally at Urgent Care clinic. Rash was first noticed following morning - All over red, pimply looking rash particularly on left leg (which received the injection). Red/warm on injection site, lethargy coinciding with fever.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Pain, Pain in extremity
Clinical narrative: She came by today, 10/13/18, and showed me left arm, said it was very sore. She had somewhat off a red ring around her arm in the area where the shots were given. It went up under her arm too (armpit). She said her lower arm had started hurting too. Been hurting for 2 days. Started the night she had gotten the shots. She said it was sore feeling when she lifted her arm.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Woke up to severe chills, fever, muscle pain, headache. Took Advil.
Age: 68.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states she has had pain in the arm for 2 months. She has shooting pains down her arm and has a hard time holding her arm up.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Blister, Pyrexia, Rash
Clinical narrative: Fever for 48 hours. Rash with blisters on face, legs, hands and buttocks.
Age: 85.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Swelling, red, hot and itching.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Disturbance in attention, Dizziness, Fatigue, Feeling abnormal, Hemiparesis
Clinical narrative: Fever, weakness in left side of body (vaccine was given in left arm), numbness in left arm, dizziness, fatigue, foggy minded, difficulties concentrating, severe shoulder and neck pain in left side.
Age: 21.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site pain, Neck pain, Pyrexia
Clinical narrative: Fever, weakness in left side of body (vaccine was given in left arm), numbness in left arm, dizziness, fatigue, foggy minded, difficulties concentrating, severe shoulder and neck pain in left side.
Age: 95.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea
Clinical narrative: Patient experienced severe diarrhea following the vaccine.
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Round swollen red spot underneath injection site. Warm to the touch and painful to patient. Woke up this morning with reaction.
Age: 78.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Round swollen red spot underneath injection site. Warm to the touch and painful to patient. Woke up this morning with reaction.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Rash generalised, Rash papular, Urticaria
Clinical narrative: Hives and papular generalized rash.