chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Cellulitis, Inflammation, Pain in extremity, Pyrexia
Clinical narrative: This spontaneous report as received from a nurse via a company representative refers to a female patient of unknown age. The patient's pertinent medical history and drug reactions or allergies were not provided. On 21-OCT-2009, the patient was vaccinated with her first dose of PNEUMOVAX 23 intramuscular (dose, lot number and expiration date were not reported). No adverse effects were reported after the 1st dose. On an unknown date, the patient received her 2nd dose of PNEUMOVAX 23 (lot # J009833, expiration date: 25-JAN-2015) intramuscular, 1 single shot (exact dose was not reported). On an unknown date, the patient experienced cellulitis at the injection site after receiving the 2nd dose of PNEUMOVAX 23 and was admitted to hospital on an unspecified date. The patient sought medical attention. The patient received unspecified IV antibiotics as a treatment for the event. The outcome of cellulitis at the injection site was unknown. The relatedness between the event and PNEUMOVAX 23 was unknown. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 59.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Injection site cellulitis
Clinical narrative: Fever, pain, cellulitis, and inflammation of left arm. Went to ER for treatment.
Age: 59.0
Sex: F
Vaccine: PPV, FLU3, PPV
Symptoms: Cellulitis, Inflammation, Pain in extremity, Pyrexia
Clinical narrative: Fever, pain, cellulitis, and inflammation of left arm. Went to ER for treatment.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Aldolase normal, Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody negative, Asthenia
Clinical narrative: Copied from physician's history and physical: The patient reports that he had his flu vaccine last Tuesday and did fine for a couple days. On Thursday, he developed some flu-like symptoms with upper body muscle aches in the torso, shoulders, and upper back with poor stamina and low-grade fever. He felt better on Friday and managed to work and coach, but was just not quite feeling like himself. He developed a low-grade fever with increasing muscle aches and pains. The symptoms gradually worsened. His temperature got up to 101.9 degrees and he described severe muscle aches in the forearms bilaterally and the proximal legs and torso. He noted decreased hand grip and ability to text on his phone or actually squeeze toothpaste. It affected his ability to hold his utensils and pen. He felt very tired. He described severe pain throughout his body. The patient reports that symptoms got so severe that he felt he should go to the hospital for further evaluation.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Blood creatine phosphokinase increased, Borrelia test negative, C-reactive protein increased, Fatigue, Feeling abnormal
Clinical narrative: Copied from physician's history and physical: The patient reports that he had his flu vaccine last Tuesday and did fine for a couple days. On Thursday, he developed some flu-like symptoms with upper body muscle aches in the torso, shoulders, and upper back with poor stamina and low-grade fever. He felt better on Friday and managed to work and coach, but was just not quite feeling like himself. He developed a low-grade fever with increasing muscle aches and pains. The symptoms gradually worsened. His temperature got up to 101.9 degrees and he described severe muscle aches in the forearms bilaterally and the proximal legs and torso. He noted decreased hand grip and ability to text on his phone or actually squeeze toothpaste. It affected his ability to hold his utensils and pen. He felt very tired. He described severe pain throughout his body. The patient reports that symptoms got so severe that he felt he should go to the hospital for further evaluation.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Grip strength decreased, Influenza like illness, Lumbar puncture normal, Myalgia, Pain
Clinical narrative: Copied from physician's history and physical: The patient reports that he had his flu vaccine last Tuesday and did fine for a couple days. On Thursday, he developed some flu-like symptoms with upper body muscle aches in the torso, shoulders, and upper back with poor stamina and low-grade fever. He felt better on Friday and managed to work and coach, but was just not quite feeling like himself. He developed a low-grade fever with increasing muscle aches and pains. The symptoms gradually worsened. His temperature got up to 101.9 degrees and he described severe muscle aches in the forearms bilaterally and the proximal legs and torso. He noted decreased hand grip and ability to text on his phone or actually squeeze toothpaste. It affected his ability to hold his utensils and pen. He felt very tired. He described severe pain throughout his body. The patient reports that symptoms got so severe that he felt he should go to the hospital for further evaluation.
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Copied from physician's history and physical: The patient reports that he had his flu vaccine last Tuesday and did fine for a couple days. On Thursday, he developed some flu-like symptoms with upper body muscle aches in the torso, shoulders, and upper back with poor stamina and low-grade fever. He felt better on Friday and managed to work and coach, but was just not quite feeling like himself. He developed a low-grade fever with increasing muscle aches and pains. The symptoms gradually worsened. His temperature got up to 101.9 degrees and he described severe muscle aches in the forearms bilaterally and the proximal legs and torso. He noted decreased hand grip and ability to text on his phone or actually squeeze toothpaste. It affected his ability to hold his utensils and pen. He felt very tired. He described severe pain throughout his body. The patient reports that symptoms got so severe that he felt he should go to the hospital for further evaluation.
Age: 55.0
Sex: M
Vaccine: FLU3
Symptoms: Local swelling, Swelling face, Urticaria
Clinical narrative: Swelling in face, arms and hands, hives over trunk and extremities
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
Clinical narrative: RED, WARM, ITCHY SWOLLEN.
Age: 41.0
Sex: F
Vaccine: FLUN4
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Patient returns after receiving Flumist influenza vaccine.  She states that about 30 min later she felt numbness in her R cheek and lip.  She states that she has had anaphylaxis for other antibiotics, etc.  B/P 133/84 which she states is a little higher and usual.  Loratadine 10 mg given and asked her to wait in EHS for 15-20 min. 20 min later.  Patient states the area is less numb. She denies dyspnea.  BP 123/77.  Asked patient to report back to EHS should symptoms change and then seek care in ER or PCP. VAERS will be submitted.
Age: 63.0
Sex: F
Vaccine: FLU3
Symptoms: Body temperature decreased, Chills, Nausea, Pyrexia
Clinical narrative: Nausea, chills, fever peaking at 102 degrees at 12:30 AM 10/22/2014 slowly decreasing to 96.9 degrees at 9:00 AM 10/22/2014.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Cerebrovascular accident, Feeling abnormal
Clinical narrative: Pt started feeling bad within 2-3 hours of receiving flu vaccine and went downhill and had an atypical stroke. She kept going downhill otherwise a healthy 86 yo female when left doctor.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Angioedema, Pain, Pain in extremity, Urticaria
Clinical narrative: Shooting pain (R) middle ring fingers progressed to hives/angioedema.
Age: 0.59
Sex: F
Vaccine: DTAPHEPBIP, FLU3, HIBV, PNC13, RV5
Symptoms: Convulsion, Cyanosis, Laboratory test, Muscle rigidity
Clinical narrative: Vaccines given on October 8th at 12:00pm. Patient was fine that night following morning at 5:30am the patient's lips turned blue, she clenched up lasted for one minute second seizure was at 8:00am lasted one minute as well.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Myalgia, Pyrexia, Rash
Clinical narrative: Chills, fever, aching muscles and joints, followed by rash on 10/20, 10/21 & 10/22.
Age: 63.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Aching at the location where shot given; could not raise arm; applied heating pad & took Advil; next day aching stopped; following day could raise arm a little.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Convulsion, Crying, Fall, Head injury, Musculoskeletal stiffness
Clinical narrative: Patient had just been evaluated by FNP, and was diagnosed with a URI.  Patient was given an influenza injection approximately at 2:30 pm by myself. Shortly after, around 3:00 pm, the patient's father was being evaluated by another provider, who observed patient experience a seizure in the exam room.  Note: Patient in clinic w/ father (who was being seen as patient). Patient had just been evaluated by another provider in this clinic and given flu shot approx 30-45 minutes before seizure.No hx seizures per father. Child was happy/playful in exam room, suddenly fell onto floor hitting head w/ seizure. Father states he noticed that patient first stiffened before fall. I did not witness this, but first saw her on floor, seizure activity. Stiffened body posturing w/ dilated pupils, gray coloring, unable to open mouth, no response. Heart rate remained regular, breath sounds apparent. Immediately provided safe care, airway and called 911. Pediatrician called to exam room. After approx 1 minute, patient aroused, crying, recognizing father. No incontinence. O2 sats monitored during seizure and post-seizure, reamined over 95%. Temp 97.1. Transported to ER per ambulance.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Mydriasis, Posturing, Skin discolouration, Unresponsive to stimuli
Clinical narrative: Patient had just been evaluated by FNP, and was diagnosed with a URI.  Patient was given an influenza injection approximately at 2:30 pm by myself. Shortly after, around 3:00 pm, the patient's father was being evaluated by another provider, who observed patient experience a seizure in the exam room.  Note: Patient in clinic w/ father (who was being seen as patient). Patient had just been evaluated by another provider in this clinic and given flu shot approx 30-45 minutes before seizure.No hx seizures per father. Child was happy/playful in exam room, suddenly fell onto floor hitting head w/ seizure. Father states he noticed that patient first stiffened before fall. I did not witness this, but first saw her on floor, seizure activity. Stiffened body posturing w/ dilated pupils, gray coloring, unable to open mouth, no response. Heart rate remained regular, breath sounds apparent. Immediately provided safe care, airway and called 911. Pediatrician called to exam room. After approx 1 minute, patient aroused, crying, recognizing father. No incontinence. O2 sats monitored during seizure and post-seizure, reamined over 95%. Temp 97.1. Transported to ER per ambulance.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Patient called stating that her arm where she received the injection has been sore for 3 weeks now. She stated "I think they gave it to me in my muscle." This vaccine (Fluarix) is an intramuscular vaccine.
Age: 82.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Patient stated that her arm was hurting.  She was observed to have a hot, red, hard, and swollen left side of her shoulder where the vaccine administration occurred.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Site of injections swollen approximately 2 inches round, red, warm to touch.
Age: 1.26
Sex: F
Vaccine: FLU4, MMR, VARCEL
Symptoms: Abnormal behaviour, Eye movement disorder
Clinical narrative: Mother notified physician that around 3:00 PM patient would become silent and start to roll eyes into the back of the head. She denied any fevers or shaking. Patient's eyes would roll into the back of the head a couple of times. Time between episodes  was around 30 min. - 1 hour. Mother states it is noticeable between 3-6:00pm. This happened daily for the next 6 days. No treatment at home. Patient was referred to neurologist.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Hypersensitivity, Local reaction
Clinical narrative: Likey a localized allergic reaction to the vaccination but I cannot exclude possible celluitis. 1)  Prednisone Tab 20mg (Prednisone) .... 3 tab q day x 2 days, then 2 tabs q day x 2 days, 1 tab q day x 2 days. 2)  Keflex Cap 500mg (Cephalexin) .... 2 po bid times per day for 7 days.
Age: 1.07
Sex: M
Vaccine: FLUX, IPV, PNC13
Symptoms: Diarrhoea
Clinical narrative: Diarrhea x 1 week/ loose stools after Prevnar 13, 1st flu dose injection and subcutaneous polio vaccine administration in one visit.
Age: 28.0
Sex: F
Vaccine: FLUX
Symptoms: Chest discomfort, Erythema, Pruritus, Swelling, Urticaria
Clinical narrative: Felt a little tightness in chest, then a red swollen itchy spot appeared on my lower back the next couple hours 9 more itchy (hive) spots appeared.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever of 102 degrees (while pregnant) for 4 hours (reduced with Tylenol). Severe chills for 6 hours. Significant pain at site of injection for 2 days. Severe body aches for 2 days.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: Reported fever after 48 hours.
Age: 4.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Mother of patient reports redness, swelling and pain in vaccinated arm. Mother gave ibuprofen to treat symptoms and pt states relief of pain.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Local swelling, Mobility decreased, Pain in extremity, Skin warm
Clinical narrative: Severe pain with feverishness & swelling from elbow to shoulder. Pain is so bad that it is hard to move the arm. NOTE: I am a regular blood donor & have a high pain tolerance - so this is very unusual. I have never had this reaction to any other vaccinations.
Sex: M
Vaccine: FLU4
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: This case was reported by a other health professional and described the occurrence of arm pain in a male patient who received FLUARIX QUADRIVALENT (batch number 7LE2S, expiry date 30th June 2015). On 4th September 2014, the patient received FLUARIX QUADRIVALENT. On 4th September 2014, less than a year after receiving FLUARIX QUADRIVALENT, the patient experienced arm pain (serious criteria disability), shoulder pain (serious criteria disability) and pain that radiated to his hands (serious criteria disability). On an unknown date, the outcome of the arm pain, shoulder pain and pain that radiated to his hands were not recovered/not resolved. It was not reported if the reporter considered the arm pain, shoulder pain and pain that radiated to his hands to be related to FLUARIX QUADRIVALENT. Additional information received: The caller was a nursing student. She reported that her class received flu vaccines at the local hospital. There were about 30-25 people in her class. She reported that her classmate experienced adverse events receiving the vaccine. He experienced arm pain, shoulder pain, and pain that radiated to his hand. As of right now, these events were not resolved. The caller did not know the lot number and expiration date of this patient's vaccine, but believed it was the same as the one she received. The lot number and expiration date of the vaccine she received was: 7LE2S, 30th June 2015.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Underdose
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 36.0
Sex: F
Vaccine: FLUX
Symptoms: Anxiety, Exfoliative rash, Rash
Clinical narrative: Extreme anxiety for 5 days following vaccination. Dotted rash in center of forehead. Weird scaly rash on wrist.
Age: 90.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Given second dose of flu vaccine. No adverse signs or symptoms. Vitals monitored x 4 days.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS HEAT AND SWELLING AT INJECTION SITE.  WENT TO DR HAS GIVEN DIPHENHYDRAMINE.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: Severe, acute neck pain/stiffness. Current as of this report - 7 days.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Induration, Local swelling, Skin warm
Clinical narrative: Arm red and swollen from shoulder to elbow, raised 1/2 inch areas, hot, firm.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Herpes zoster, Pain in extremity, Pain of skin, Rash
Clinical narrative: When I woke up on Saturday morning, I noticed that there were several red bumps on the lower right side of my back.  At first I just thought that they were bug bites, but upon closer inspection realized that it was a rash.  I also had pain in my right hip and upper thigh, and it was strange - just touching the skin hurt.
Age: 40.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous
Clinical narrative: When I woke up on Saturday morning, I noticed that there were several red bumps on the lower right side of my back.  At first I just thought that they were bug bites, but upon closer inspection realized that it was a rash.  I also had pain in my right hip and upper thigh, and it was strange - just touching the skin hurt.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Chills, Headache, Influenza, Night sweats
Clinical narrative: Initial thigh temperature, shivers, developing into classical flu symptoms of fever, night sweats, headaches, body aches, shivers. Symptoms receding on 10/21/2014 but still weak on reporting day of 10/22/2014.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pyrexia
Clinical narrative: Initial thigh temperature, shivers, developing into classical flu symptoms of fever, night sweats, headaches, body aches, shivers. Symptoms receding on 10/21/2014 but still weak on reporting day of 10/22/2014.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: C/o numbness and tingling in R arm and hand. Stiffness in lower extremities. Flu vaccine was injected in left arm.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling, redness to injection site.
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Left upper arm with erythema, warmth, induration, and minimal tenderness between deltoid and just above elbow consuming 25% of the arm's circumferance.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: Fever, chills, runny nose, cough, sneeze 6 days after vaccine received.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Rash
Clinical narrative: About one hour after receving injectable Flu vaccine the patient developed a rash on her arms which spread to her thorax. No difficulty breathing was noted at that time. Patient was given 12.5 mg of diphenhydramine by mouth and monitored for an hour. After the observation time the rash started to fade. The patient did not have any respiratory distress or signs of discomfort throughout the observation time. Mother of the patient was instructed to continue giving the patient 12.5mg of diphenhydramine every 6-8 hours for 48 hours following the onset of the rash.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Lip swelling, Pruritus, Urticaria
Clinical narrative: About an hour after the patient had flu shot she began itching but she said she didn't think anything about it because she itches alot due to the PSC. Then her lips began to swell and her eyes. She also had whelps all over her body. She went to urgent care and they put her on steroids and Atarax and told her to take OTC Zyrtec and Zantac (double dose twice a day). The whelps lingered for about 3-4 days.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Arthralgia, Burning sensation, Gait disturbance, Hypoaesthesia, Joint swelling
Clinical narrative: Burning, tingling, swelling, pain in feet, hands, knees.  Could not walk without assistance. Swollen lymphnode under right arm, right hand was completely asleep for 24 hours.  As of today, 10/22/2014, I still do not have full mobility of my arms and legs and experience great pain in my joints.  I have had two doctor visits, and my nerve testing for my arms came back abnormal as of yesterday. I am scheduled to see a neurologist on 11/08/2014.  I was perfectly fine before I got the shot on 10/09/2014.  Now I am suffering from partial paralysis and still do not have a diagnosis.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Local swelling, Lymphadenopathy, Mobility decreased, Nerve conduction studies abnormal, Pain in extremity
Clinical narrative: Burning, tingling, swelling, pain in feet, hands, knees.  Could not walk without assistance. Swollen lymphnode under right arm, right hand was completely asleep for 24 hours.  As of today, 10/22/2014, I still do not have full mobility of my arms and legs and experience great pain in my joints.  I have had two doctor visits, and my nerve testing for my arms came back abnormal as of yesterday. I am scheduled to see a neurologist on 11/08/2014.  I was perfectly fine before I got the shot on 10/09/2014.  Now I am suffering from partial paralysis and still do not have a diagnosis.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Paraesthesia, Paralysis
Clinical narrative: Burning, tingling, swelling, pain in feet, hands, knees.  Could not walk without assistance. Swollen lymphnode under right arm, right hand was completely asleep for 24 hours.  As of today, 10/22/2014, I still do not have full mobility of my arms and legs and experience great pain in my joints.  I have had two doctor visits, and my nerve testing for my arms came back abnormal as of yesterday. I am scheduled to see a neurologist on 11/08/2014.  I was perfectly fine before I got the shot on 10/09/2014.  Now I am suffering from partial paralysis and still do not have a diagnosis.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Arthralgia, Fatigue, Gait disturbance, Impaired work ability, Joint swelling
Clinical narrative: Burning, tingling, swelling, pain in feet, hands, knees.  Could not walk without assistance. Swollen lymphnode under right arm, right hand was completely asleep for 24 hours.  As of today, 10/22/2014, I still do not have full mobility of my arms and legs and experience great pain in my joints.  I have had two doctor visits, and my nerve testing for my arms came back abnormal as of yesterday. I am scheduled to see a neurologist on 11/08/2014.  I was perfectly fine before I got the shot on 10/09/2014.  Now I am suffering from partial paralysis and still do not have a diagnosis.
Age: 38.0
Sex: F
Vaccine: FLU3, FLU4
Symptoms: Lethargy, Local swelling, Nerve conduction studies abnormal, Pain in extremity, Skin discolouration
Clinical narrative: Burning, tingling, swelling, pain in feet, hands, knees.  Could not walk without assistance. Swollen lymphnode under right arm, right hand was completely asleep for 24 hours.  As of today, 10/22/2014, I still do not have full mobility of my arms and legs and experience great pain in my joints.  I have had two doctor visits, and my nerve testing for my arms came back abnormal as of yesterday. I am scheduled to see a neurologist on 11/08/2014.  I was perfectly fine before I got the shot on 10/09/2014.  Now I am suffering from partial paralysis and still do not have a diagnosis.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site scab
Clinical narrative: Patient reported redness and itching at injection site and wanted it looked at. At or near injection site he had a small, approximately 1/8" x 1/8" scabbed over sore. No redness surrounding the sore He reported some tenderness on touch. I recommended keeping clean with soap and water and antibiotic ointment could be applied if he wanted.
Age: 6.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Swelling, redness, heat & tenderness at vaccination site- spreading down the arm. No fever, vomiting or lethargy.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: SWELLING, REDNESS, TENDERNESS, HEAT WELL BEYOND INJECTION SITE, ITCHING.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Chest discomfort, Chills, Headache, Heart rate increased
Clinical narrative: Approximately 4 hours after receiving vaccine, patient felt an increased heart rate, tightness of chest, and stomach pressure.  Then the following day (today, 10/22/14) she has had a headache and feels chills and muscle aches that come and go.
Age: 52.0
Sex: F
Vaccine: FLU3
Symptoms: Myalgia
Clinical narrative: Approximately 4 hours after receiving vaccine, patient felt an increased heart rate, tightness of chest, and stomach pressure.  Then the following day (today, 10/22/14) she has had a headache and feels chills and muscle aches that come and go.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Middle insomnia, Musculoskeletal pain, Pain
Clinical narrative: Extreme soreness in sholder.  Dull pain when rotating left arm clockwise or counterclockwise, when lifting arm. Ache arm wakes me up at night when I roll from side to side.
Age: 30.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth, Urticaria
Clinical narrative: Red, swollen, hot welt about 1" in diameter on the upper arm below the injection site.
Age: 24.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Chills, Headache, Muscle tightness, Neck pain, Pain
Clinical narrative: Hi Dr., I wanted to let you know that Friday night after my appointment I came down with a fever, chills, and body aches that lasted until Sunday evening.  I had one episode of emesis early Saturday morning.  Since about mid Sunday afternoon I've had a headache that seems to be originating from my neck with rushes of pain when I sit up or stand up, also with turning my head.  It seems to be resolving now, but turning my head still causes pain in my neck that seems to be from muscle tension.  My best guess is that this may have been an adverse reaction to the Tdap, since I've never had trouble with flu shots before.  All I did was take Tylenol to keep the fever under control (it peaked at 102.5).  If there is anything else you think I should do, please let me know.
Age: 24.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Pyrexia, Vomiting
Clinical narrative: Hi Dr., I wanted to let you know that Friday night after my appointment I came down with a fever, chills, and body aches that lasted until Sunday evening.  I had one episode of emesis early Saturday morning.  Since about mid Sunday afternoon I've had a headache that seems to be originating from my neck with rushes of pain when I sit up or stand up, also with turning my head.  It seems to be resolving now, but turning my head still causes pain in my neck that seems to be from muscle tension.  My best guess is that this may have been an adverse reaction to the Tdap, since I've never had trouble with flu shots before.  All I did was take Tylenol to keep the fever under control (it peaked at 102.5).  If there is anything else you think I should do, please let me know.
Age: 28.0
Sex: F
Vaccine: FLUC3
Symptoms: Diarrhoea, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Patient stated she experienced headache, nausea, diarrhea, fatigue, and muscle pain.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: After pt and family left appt on 10/22/14, I was notified that the patient was administered the half-dose flu vaccine in error.  The MA who drew up the vaccines thought that the half-dose flu vaccine was part of normal 4-month vaccines.  A different MA administered the vaccines to the baby.   Called the mother to notify her of the error.  Stated that Azariah may develop fussiness or a low-grade temperature, which could be due to the flu vaccine or due to the other vaccines he received today.  Explained that we do not normally give the vaccine at 4 months predominantly because we dont expect the child to develop an immune response yet.  Notified her that there is an MD on call 24-hours for WFH, and should she have any concerns tonight, she can call the on-call physician to discuss them. .
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Muscle spasms, Thirst, Urine output decreased
Clinical narrative: Shivering, chills, occasional muscle spasm, very thirsty, low urine output.  Lasted 4 hours.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Diplegia, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: Paralysis of both legs; diagnosed with Guillain-Barre Syndrome; treatment: IVIG, physical therapy.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Paraesthesia oral
Clinical narrative: The patient's wife called the pharmacy approximately four hours after having recieved his flu shot reporting tingling in his mouth and difficulty breathing. The patient's wife was told that he should go to the hospital right away as he may be having an allergic reaction. Through the phone, the vaccination provider could hear him say he did not want to go the ER. The patient's wife was strongly encouraged to take her husband (the patient) to the ER. She agreed and the conversation was ended.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Pt stated she had difficutly breathing and racing heart rate. Symptoms resolved by the next day.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Oropharyngeal pain, Pain, Pruritus, Pyrexia
Clinical narrative: Fever, severe body aches, itching, cough, sore throat.
Age: 1.1
Sex: F
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Followed protocol to report error.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Death
Clinical narrative: None were reported to the pharmacy. Clinical director wanted it reported for documentation purposes.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Musculoskeletal stiffness
Clinical narrative: Flu shot was 5-6 wks ago and my shoulder is still very stiff and painful. ibuprofen seems to help.  If it continues, I will seek professional therapy.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site pain, Injection site swelling, Lethargy
Clinical narrative: Extreme lethargy, swelling and pain at the injection site. Pt stated flu like symptoms.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Tenderness, Weight bearing difficulty
Clinical narrative: Sore shoulder that has lasted for 9 days.  Bothers her if she sleeps on it or lifts something.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test normal, Chest X-ray normal, Dysphagia, Electrocardiogram normal, Ocular hyperaemia
Clinical narrative: Began to wheeze adn had difficulty swallowing which got worse and went to ER. Also states eyes appeared bloodshot.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Wheezing
Clinical narrative: Began to wheeze adn had difficulty swallowing which got worse and went to ER. Also states eyes appeared bloodshot.
Age: 36.0
Sex: F
Vaccine: FLU3
Symptoms: Exposure during pregnancy, Haemorrhage in pregnancy, Hormone level abnormal, Pregnancy test positive
Clinical narrative: I was 6 weeks pregnant on this date. Started to have light spotting, which turned into heavier spotting yesterday. I am not having a full-blown miscarriage as of 10/22/14. Confirmed by my doctors office.
Age: 13.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Patient became light-headed and faint immediately upon getting his flu shot.  Put his head down between his knees and stayed with him. He quickly regained consciousness.  We had him lay down for 20 minutes and he was fine.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain, Eye movement disorder, Full blood count, Metabolic function test, Postictal state
Clinical narrative: A couple of hours after receiving an injectable Flu vaccine the patient developed abdominal pain followed by episodes of vomiting and upward rolling of eyeballs and shaking of his extremities while at the grocery store with his mother. He was taken via EMS to Medical Center where he was kept for observation. According to the ER report was post ictal for 3-4 hours.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Tremor, Urine analysis, Vomiting
Clinical narrative: A couple of hours after receiving an injectable Flu vaccine the patient developed abdominal pain followed by episodes of vomiting and upward rolling of eyeballs and shaking of his extremities while at the grocery store with his mother. He was taken via EMS to Medical Center where he was kept for observation. According to the ER report was post ictal for 3-4 hours.
Age: 24.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site reaction, Paraesthesia, Vaccination site bruising
Clinical narrative: Nurse ststaed guest had bruising, redness and tingling where vaccine was administered.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Pt reports moderate edema, erythema and warmth at site below where IZ was given.  Tender but no painful.  States less edema, erythema and warmth 10/22/14. Improved from 10/21/14.
Age: 3.0
Sex: M
Vaccine: FLUX
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever, cellulitis at and around injection site, swelling, redness, warmth of area around injection site.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Eyelid margin crusting, Fatigue, Myalgia, Nausea
Clinical narrative: Scratchy throat, dry cough, crusty eyes, achy muscles, tired, fever nausea.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Throat irritation
Clinical narrative: Scratchy throat, dry cough, crusty eyes, achy muscles, tired, fever nausea.
Age: 63.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Asthenia, Dyspnoea, Injection site erythema, Injection site pain, Malaise
Clinical narrative: The patient is a 63-year-old female who was in her usual state of good health until 48 hours ago. On Friday 10/10, the patient received immunizations here at flu clinic. She received an influenza immunization in her left arm and received a pneumococcal immunization in her right arm. The patient qualified for a PNEUMOVAX-type immunization because of underlying respiratory problems, namely subglottic tracheal stenosis and remote history of TB. The day after immunization, the patient arose and attempted to walk her dog first thing in the morning She became quite weak. She was tachycardic. She just did not feel well. She returned home. Later that evening she noted the right arm (the site of the pneumonia immunization) was beginning to hurt. Then yesterday, 48 hours after immunization, the right upper arm became more red and tender. The patient was still quite weak and unable to get down the staircase in her home unless she stopped to rest. Her spouse called me last night and we arranged for her to be seen this morning. Her symptoms have not abated. She denies any cough. There is no chest pain, shortness of breath or bowel dysfunction. No irritative voiding symptoms or backache. She just feels weak and gets easily breathless.
Age: 63.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Tachycardia
Clinical narrative: The patient is a 63-year-old female who was in her usual state of good health until 48 hours ago. On Friday 10/10, the patient received immunizations here at flu clinic. She received an influenza immunization in her left arm and received a pneumococcal immunization in her right arm. The patient qualified for a PNEUMOVAX-type immunization because of underlying respiratory problems, namely subglottic tracheal stenosis and remote history of TB. The day after immunization, the patient arose and attempted to walk her dog first thing in the morning She became quite weak. She was tachycardic. She just did not feel well. She returned home. Later that evening she noted the right arm (the site of the pneumonia immunization) was beginning to hurt. Then yesterday, 48 hours after immunization, the right upper arm became more red and tender. The patient was still quite weak and unable to get down the staircase in her home unless she stopped to rest. Her spouse called me last night and we arranged for her to be seen this morning. Her symptoms have not abated. She denies any cough. There is no chest pain, shortness of breath or bowel dysfunction. No irritative voiding symptoms or backache. She just feels weak and gets easily breathless.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Influenza like illness, Pain, Pyrexia
Clinical narrative: Received shot 9/30/14. Next day achy/fever -> flu like symptoms. Daily progressively worse breathing harder, fever, and still achy. Pt declined visiting MD. Wanted reported to see if other people sick after quadrivalent shot.
Age: 7.0
Sex: F
Vaccine: FLU3
Symptoms: Underdose
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 15.0
Sex: M
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 48.0
Sex: M
Vaccine: FLU3, TDAP
Symptoms: Underdose
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 28.0
Sex: F
Vaccine: FLU3
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose then recommended by manufacturer.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Underdose
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Underdose
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 53.0
Sex: F
Vaccine: FLU3
Symptoms: Underdose
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Given decreased dose than recommended by manufacturer.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Received lower dose than recommended by manufacturer.
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Haemorrhage, Immediate post-injection reaction, Mass
Clinical narrative: Pt given FLUARIX in the right deltoid, immediately after large lump was noticed by nurse along w/some bleeding. Dr spoke w/pt, decided pt should wait 15 min to make sure bump went down.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Dry skin, Rash, Rash erythematous, Rash pruritic
Clinical narrative: 24 hours after the injection, patient was afflicted with a dry itchy rash with red bumps at elbows and ankles.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Erythema, Fatigue, Hyperhidrosis, Pain
Clinical narrative: Redness left arm, body aches and chills with fatigue 10/18/14. Fatigue and sweating 10/19/14. Redness gradually increased from 10-17-14 to 10-20-14.
Age: 63.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site swelling, Local swelling, Rash erythematous, Rash vesicular
Clinical narrative: Pt received in (L) arm FLUZONE HD and PNEUMOVAX 23 and in (R) arm ZOSTAVAX. Pt reported on 10/21 that her arm on 10/18 (day after immunization in (L) arm was swollen from shoulder to wrist w/water hanging down that she could hold. She also reported that she thought she had shingles on both lower extremities but they did not hurt were only red.
Age: 56.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Local swelling, Rash
Clinical narrative: Per provider her left arm (Pneumo vac) and right arm (Flu vac) swelled up and developed a rash.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Herpes zoster
Clinical narrative: Severe Shingles.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Patient called approximately 9:30 AM on 10/22/14. Stated arm was still in pain after pneumonia vaccine -> stated pain and swelling from injection site up to about 12 inches away from site.
Age: 0.62
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Dyskinesia, Muscle twitching, Opisthotonus, Seizure like phenomena, Tremor
Clinical narrative: Awoke from sleep with muscle tremors & jerking of arms, legs & neck (seizure-like activity). Arching back during episodes. This happened repeatedly during times of sleepiness (feeding & np/bed times). Continued into next day, only mild twitching noticeable by mom at noon on 10/22/14. Seen in ER & by PCP.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: Getting progressively weak and painful in left arm (arm where received flu shot).  Hard to get arm above shoulder height without turning the arm.  Had a similar experience with flu shot 2-3 years ago (didn't report that one).
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Activities of daily living impaired, Crying, Insomnia, Mobility decreased, Monoplegia
Clinical narrative: Extreme pain in upper left arm. Next day I could hardly move arm. Unable to lift, hold, or do anything. Clammy hold steering wheel, cant drive, cant pull clothes on, cant hold coffee cup. Arm barely moves and is in constant throbbing pain. Ppain so bad I am crying and have not sleep for three nights.
Age: 57.0
Sex: F
Vaccine: FLUX
Symptoms: Myositis, Pain, Pain in extremity
Clinical narrative: Extreme pain in upper left arm. Next day I could hardly move arm. Unable to lift, hold, or do anything. Clammy hold steering wheel, cant drive, cant pull clothes on, cant hold coffee cup. Arm barely moves and is in constant throbbing pain. Ppain so bad I am crying and have not sleep for three nights.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness
Clinical narrative: PATIENT CALLED PHARMACY AT APPROXIMATELY 6:00 PM TO REPORT DIZZINESS. PATIENT HAD BEEN ASKED TO REMAIN IN PHARMACY WAITING AREA FOR 10 MINUTES AFTER INJECTION, HE WAITED 5 MINUTES THEN CONTINUED SHOPPING. PATIENT STATES HE FELT FINE IN THE STORE BUT EXPERIENCED DIZZINESS UPON EXITING STORE. PATIENT REPORTS RETURNING HOME, RESTING AND FEELING FINE TILL THIS EVENING. HE PUT DINNER IN OVEN AND WHEN HE WENT OUTSIDE HE FELT DIZZINESS AGAIN. NO SHORTNESS OF BREATH, LOSS OF BALANCE, OR FEVER REPORTED WITH DIZZINESS. I ADVISED PATIENT TO REST AND DRINK PLENTY OF WATER. ADVISED TO GO TO URGENT CARE OR MD IF CONDITION PROGRESSES, SUCH AS SPIKE IN FEVER OR WORSENING DIZZINESS OR ACCOMPANIED WITH SHORTNESS OF BREATH.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site irritation, Injection site rash, Injection site warmth
Clinical narrative: Rash, irritation heat at injection site.
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Abnormal behaviour, Culture urine, Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: Red bumps all over body. fever. Not herself. Developed a UTI.
Age: 0.41
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Ultrasound bladder, Ultrasound kidney, Urinary tract infection
Clinical narrative: Red bumps all over body. fever. Not herself. Developed a UTI.
Age: 66.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of severe dizziness in a 66-year-old female patient who received BOOSTRIX (batch number 9M9AA, expiry date 23rd October 2016). On 13th October 2014 11:40, the patient received BOOSTRIX .5 mL. On an unknown date, the dose was an unknown dose. On 13th October 2014, 12 hrs after receiving BOOSTRIX, the patient experienced severe dizziness (serious criteria disability and other: medically important condition). On an unknown date, the outcome of the severe dizziness was not recovered/not resolved. It was unknown if the reporter considered the severe dizziness to be related to BOOSTRIX. Reporter's comments: The pharmacist reports that a patient received a BOOSTRIX vaccine yesterday. The pharmacist reports that about 12 hours after receiving the vaccine, the patient started to experience severe dizziness. The patient's dizziness has not been resolved. The pharmacist may advise the patient to go to the emergency room. The patient received the 0.5 ML dose of the BOOSTRIX vaccine. The pharmacist also did not know if the patient was on any other medications and did not know what other medical conditions this patient had.
Age: 20.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site rash, Rash generalised
Clinical narrative: Rash appeared on both shoulders, elbows, trunk and forehead. Blood pressure and heart rate stayed stable. Patient took 2 cap of 25 mg BENADRYL. Rash subsided in 30 minutes, post meds.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Pain in extremity
Clinical narrative: Patient came in to pharmacy on Sun. 10-19-14. Had a large bruise on arm and complained of pain from neck to hand after receiving vaccine. Recommended that she to go MD or ER.
Age: 13.0
Sex: M
Vaccine: FLUN4, HEP, HEPA, HPV4, IPV, MMR, MNQ, TDAP, VARCEL
Symptoms: Erythema, Lacrimation increased, Ocular hyperaemia, Pruritus generalised
Clinical narrative: Approx 30 mins after rcving vaccines patient became itchy all over body, eyes red and watery and skin red. Patient given 50 mg BENADRYL and stabilized, no add'l SE.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Injection site rash
Clinical narrative: Rash below injection site. Pain in elbow. Told pt to take BENADRYL and TYLENOL for pain and to call MD.
Age: 74.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity, X-ray normal
Clinical narrative: Severe pain leading to decreased motion and inability to use arm in which vaccine was administered. Pain began one day after injection and continues one week after.
Age: 74.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Musculoskeletal pain, Ultrasound scan, X-ray
Clinical narrative: Severe pain leading to decreased motion and inability to use arm in which vaccine was administered. Pain began one day after injection and continues one week after.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Headache, Pain, Pyrexia, Tremor
Clinical narrative: Patient given FLUZONE HD at 10:50AM. At 3PM pt called stating headache/body ache, uncontrolled shaking. Temp 100.5 degrees. After taking aspirin 1 hr prior. Pt went to primary care MD for supportive care. Per pt rest, fluids, ice and TYLENOL given - reduced fever.
Age: 17.0
Sex: F
Vaccine: FLU3, HPV4, MNQ
Symptoms: Syncope
Clinical narrative: Patient had brief syncopal episode after receiving HPV vaccine and other vaccines.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Pain
Clinical narrative: Patient reports muscle weakness post vaccine and pain hours later continuing to 11th day, says it has been getting better. Says shot seemed high but reports no joint pain or tenderness. Reports no discomfort at time shot was given. Getting better. Has not seen a doctor.