chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Adverse reaction
Clinical narrative: The patient expressed that they experienced every symptom listed and thought "he wouldn't make it through the night" and "is greatly concerned that the environment is too casual" because we didnt' mix in front of him.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen hot to touch Rt. deltoid.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Palpitations
Clinical narrative: Problems with Pneumonia vaccine resolved by the time SHINGRIX was administered. By night, palpitations and shortness of breath began. Lasted off and on during the night by the morning effects were gone. Did not take any medication to help, did not call the doctor. Patient specified on medical history that she is immune to Sulfa.
Age: 80.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Erythema, Pain, Rash, Swelling, Tenderness
Clinical narrative: Patient reports redness and swelling that she describes as a "rash" accompanied by pain and tenderness. Patient states that symptoms began the day after receiving vaccinations but have improved as of today, 5/14/18. Patient still has some redness and swelling, but she reports an improvement in symptoms.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Abnormal behaviour, Blood aluminium increased, Dark circles under eyes, Immediate post-injection reaction, Injection site pain
Clinical narrative: Fever, extreme irritability, pain at injection site, night sweats, nightmares, dark circles under eyes, immediately following vaccine and for several days. In the past year since this vaccine, she has had behavioral problems that are markedly more severe than preceding the vaccine. These are ongoing.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Irritability, Night sweats, Nightmare, Pyrexia
Clinical narrative: Fever, extreme irritability, pain at injection site, night sweats, nightmares, dark circles under eyes, immediately following vaccine and for several days. In the past year since this vaccine, she has had behavioral problems that are markedly more severe than preceding the vaccine. These are ongoing.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial pain, Headache, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: On 3/28/18, patient comes in to the pharmacy to complain about adverse reactions from the SHINGRIX vaccine administered on the 23rd. Patient complained of redness, tender, and soreness on the left shoulder around the injection site. She also complained of the site being "hot" in temperature and a rash that developed 5 days later. She also stated of weakness of the entire left arm for up to 2 days after the shot. Patient also complained of 'left side reactions': Headache only on left side of head, left leg weakness, and L facial pain.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Rash
Clinical narrative: On 3/28/18, patient comes in to the pharmacy to complain about adverse reactions from the SHINGRIX vaccine administered on the 23rd. Patient complained of redness, tender, and soreness on the left shoulder around the injection site. She also complained of the site being "hot" in temperature and a rash that developed 5 days later. She also stated of weakness of the entire left arm for up to 2 days after the shot. Patient also complained of 'left side reactions': Headache only on left side of head, left leg weakness, and L facial pain.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Inflammation, Pain in extremity
Clinical narrative: Patient says to be having inflammation and pain in her left arm - reported for first time 5/14/2018.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site inflammation, Injection site pain, Pruritus generalised
Clinical narrative: Patient was given the first dose of SHINGRIX on Saturday 5/12/18 around 12pm. Patient reports she noticed adverse reaction that same night. She had a fever that lasted around 24hr of 100F, itchy all over her body, really sore arm at injection site difficult to raise, red and inflamed at injection site. Patient came in Monday 5/14/18 around 3pm to report this incident and she stated that she hadn't taken anything for the reaction. I suggested BENADRYL and hydrocortisone OTC to help with her symptoms. Also recommended that she call her doctor to inform him of reaction and see if she needed any other therapy. She will call us to let us know the outcome of reaction.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient was given the first dose of SHINGRIX on Saturday 5/12/18 around 12pm. Patient reports she noticed adverse reaction that same night. She had a fever that lasted around 24hr of 100F, itchy all over her body, really sore arm at injection site difficult to raise, red and inflamed at injection site. Patient came in Monday 5/14/18 around 3pm to report this incident and she stated that she hadn't taken anything for the reaction. I suggested BENADRYL and hydrocortisone OTC to help with her symptoms. Also recommended that she call her doctor to inform him of reaction and see if she needed any other therapy. She will call us to let us know the outcome of reaction.
Age: 64.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling, Pruritus generalised
Clinical narrative: Patient was given the first dose of SHINGRIX on Saturday 5/12/18 around 12pm. Patient reports she noticed adverse reaction that same night. She had a fever that lasted around 24hr of 100F, itchy all over her body, really sore arm at injection site difficult to raise, red and inflamed at injection site. Patient came in Monday 5/14/18 around 3pm to report this incident and she stated that she hadn't taken anything for the reaction. I suggested BENADRYL and hydrocortisone OTC to help with her symptoms. Also recommended that she call her doctor to inform him of reaction and see if she needed any other therapy. She will call us to let us know the outcome of reaction.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Atrial fibrillation, Condition aggravated, Electrocardiogram abnormal, Heart rate irregular
Clinical narrative: A day or so later, erratic heartbeat detected, ranging from low (58) to high (110) within seconds of each other. After several days of continuing erratic pulse, saw family doctor and reported same to cardiologist. Doctor did EKG revealing I had gone back into AFIB after a ten year absence. 5/14/2108 Doctor prescribed increase aspirin dose to 325 from 81, and Diltiazem CD, 120MG capsules, 1 per day. Too soon for results. Pharmacist believes shingles vaccine triggered cardiac reaction, citing body's immune system reaction, and is hopeful condition is temporary. Pharmacist strongly urged me to report this to VAERS.
Age: 67.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Rash erythematous
Clinical narrative: Small red spots, about 1 cm in diameter, developed on the chest in two symmetrical vertical lines on each side of the midline. The spots do not itch or burn. Spots have remained for 1 week and are still visible. No other accompanying symptoms.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Hurts when moving arm far (like reaching behind back). Went to doctor. Doctor told him to use OTC acetaminophen and warm compress. Patient says is slightly better, almost did not go to doctor this morning.
Age: 0.33
Sex: F
Vaccine: HIBV
Symptoms: Condition aggravated, Eczema, Vomiting
Clinical narrative: Vomiting for 24 hours after receiving vaccine, then flare of eczema.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Injection site erythema, Injection site irritation, Pyrexia
Clinical narrative: Fever peaked at 101 on Sunday. Patient felt horrible on Sunday May 13th and took some TYLENOL and stayed in bed. Site of injection extremely red and irritated. By Monday morning May 14th patient felt much better although arm was still red at site.
Age: 18.0
Sex: M
Vaccine: HEPA, HPV9, MENB, MNQ
Symptoms: Cardiac valve disease, Chest pain, Dizziness, Echocardiogram abnormal, Hyperhidrosis
Clinical narrative: Patient received immunizations. Immediately following immunizations patient became lightheaded, sweaty, pale, nauseated, and felt like he could faint. Ammonia inhalant opened and held underneath nose. Patient states this did help. At approximately 2:00 pm, patient began complaining of sharp chest pain and numbness of left arm. Mom states teen has history of chest pain and numbness of left arm in the past. States patient is seen by cardiologist and that they think he may have a valve problem with heart. Instructed by nursing director to contact patient's MD. Contacted Dr. and was instructed to call 911 for any concerns. Dr. states that teen does have a minor valve issue that showed up on echocardiogram. 911 contacted at approximately 2:10 pm and notified of the above. Teen transported to hospital.
Age: 18.0
Sex: M
Vaccine: HEPA, HPV9, MENB, MNQ
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: Patient received immunizations. Immediately following immunizations patient became lightheaded, sweaty, pale, nauseated, and felt like he could faint. Ammonia inhalant opened and held underneath nose. Patient states this did help. At approximately 2:00 pm, patient began complaining of sharp chest pain and numbness of left arm. Mom states teen has history of chest pain and numbness of left arm in the past. States patient is seen by cardiologist and that they think he may have a valve problem with heart. Instructed by nursing director to contact patient's MD. Contacted Dr. and was instructed to call 911 for any concerns. Dr. states that teen does have a minor valve issue that showed up on echocardiogram. 911 contacted at approximately 2:10 pm and notified of the above. Teen transported to hospital.
Age: 68.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Chills, Erythema, Musculoskeletal pain, Pyrexia, Sepsis
Clinical narrative: Right shoulder pain, erythema, fevers and chills, admitted for sepsis-- 2 nights in hospital, antibiotics given; sx resolved at d/c.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Mobility decreased, Myalgia
Clinical narrative: On the third day after injection, she woke up with severe muscle pain all over her body. It was so bad that she could not lift either of her arms. The pain began to subside gradually the following day. She called her doctor first thing this morning and had to leave a message and then she came in to speak with me about what happened. I took all the information on the checklist from her and asked her to call back if she had any other issues to report. She was planning to follow up with her primary care doctor once they returned her phone call.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Fatigue, Headache, Loss of personal independence in daily activities, Lyme disease
Clinical narrative: Initially had three-four days of being tired, headache, and general malaise. Minor arm pain -- maybe 10% worse than regular flu shot -- that part wasn't bad. I had to cancel anything planned for those days and felt as if I had just recovered from the flu (not the flu itself, but how wiped out you are after main bout of flu ends). The shot also reactivated at a reduced level some of the side effects I had from Lyme disease, in particular vibrations on the left side of my body....these are a result of the neurological impact of Lyme on me as it was not diagnosed promptly. The vibrations (not visible to outsider) began about 4 days after the shot and still continue after two weeks. They are gradually getting milder. Not sure whether to get shot two as I believe this shot retriggered the Lyme or irritated fragile nerves previously impacted by Lyme....
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Pain in extremity, Vibratory sense increased
Clinical narrative: Initially had three-four days of being tired, headache, and general malaise. Minor arm pain -- maybe 10% worse than regular flu shot -- that part wasn't bad. I had to cancel anything planned for those days and felt as if I had just recovered from the flu (not the flu itself, but how wiped out you are after main bout of flu ends). The shot also reactivated at a reduced level some of the side effects I had from Lyme disease, in particular vibrations on the left side of my body....these are a result of the neurological impact of Lyme on me as it was not diagnosed promptly. The vibrations (not visible to outsider) began about 4 days after the shot and still continue after two weeks. They are gradually getting milder. Not sure whether to get shot two as I believe this shot retriggered the Lyme or irritated fragile nerves previously impacted by Lyme....
Age: 83.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Culture wound, Injection site pain, Injection site vesicles, Pain in extremity
Clinical narrative: Patient is complaining of left shoulder and arm pain after the SHINGRIX, and has small cluster of blister above and below elbow on the upper and lower arm. Dr.ordered Acyclovir and TYLENOL #3 for patient.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Lethargy, Malaise, Paraesthesia
Clinical narrative: Pt Presented to Administering Pharmacy on 5/14/18 reporting bilateral "tingling" sensation in both arms. Pt states that this sensation is very similar to his two previous bouts with shingles and is concerned that the administration of the vaccine may have activated dormant zoster in his body. Pt also reported significant symptoms of lethargy and malaise starting approximately 48 hours following the vaccine administration and continuing for approximately 72 hours after symptoms appeared. Pt  self treated with bed rest. Pt did not report this to pharmacy until 5/14/2018.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Musculoskeletal pain, Nausea, Pain in extremity
Clinical narrative: Intense pain in shoulder and arm, nausea, feeling faint.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Dysphagia, Facial pain, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: By 7pm, patient couldn't raise arm--it was sore. By next morning upper body, shoulders, entire upper body was stiff. By Friday couldn't turn head. Started on 3 Ibuprofen every 3 hours starting Thursday morning and was barely taking edge off--pain was severe. On Saturday, called pharmacy and recommended to alternate ALEVE and TYLENOL every 4 hours. Patient feels much better today but still don't have full mobility. Stomach is starting to get upset from all the medicine. On 5/13 pain and stiff mainly on left side of face; had problems swallowing and talking. Today still stiff and continue to take medicine. Patient has not called doctor yet.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Speech disorder
Clinical narrative: By 7pm, patient couldn't raise arm--it was sore. By next morning upper body, shoulders, entire upper body was stiff. By Friday couldn't turn head. Started on 3 Ibuprofen every 3 hours starting Thursday morning and was barely taking edge off--pain was severe. On Saturday, called pharmacy and recommended to alternate ALEVE and TYLENOL every 4 hours. Patient feels much better today but still don't have full mobility. Stomach is starting to get upset from all the medicine. On 5/13 pain and stiff mainly on left side of face; had problems swallowing and talking. Today still stiff and continue to take medicine. Patient has not called doctor yet.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site erythema, Muscle contractions involuntary, Pain
Clinical narrative: Chills, fever, muscle contractions, shooting pain, headache. Red, sore hot at place of vaccine size of baseball.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Vaccination site pain, Vaccination site warmth
Clinical narrative: Chills, fever, muscle contractions, shooting pain, headache. Red, sore hot at place of vaccine size of baseball.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Rash, Skin warm
Clinical narrative: Patient had a headache the day of the vaccine. Patient woke up on the morning of the 14th with a rash on his stomach and chest. The rash did not itch, but seemed to be warm and spread throughout the day. We did not seek medical attention because it did not interfere with his activities but did want to report it so you would be aware.
Age: 43.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Approx. 2 Hours post vaccine, I developed significant swelling (approx the size of a lemon), heat, redness (welt about the size of a quarter) and severe pain at the sight of the Hep A vaccine.  Pain and swelling remained severe for 4-5 days despite ice and ADVIL/TYLENOL. Also, for 1 week post- vaccine, I ran a fever of around 100- 101 degrees. A week and a half after the vaccine, I can still see a red welt approx the size of a nickel though pain and swelling have subsided.
Age: 43.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Pyrexia
Clinical narrative: Approx. 2 Hours post vaccine, I developed significant swelling (approx the size of a lemon), heat, redness (welt about the size of a quarter) and severe pain at the sight of the Hep A vaccine.  Pain and swelling remained severe for 4-5 days despite ice and ADVIL/TYLENOL. Also, for 1 week post- vaccine, I ran a fever of around 100- 101 degrees. A week and a half after the vaccine, I can still see a red welt approx the size of a nickel though pain and swelling have subsided.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Axillary pain, Fatigue, Feeling abnormal, Headache, Loss of personal independence in daily activities
Clinical narrative: Within 12 hours of vaccine receipt, painful left axilla lymphadenopathy. Developed; followed by low grade fever, myalgias, fatigue and severe headache. Duration of systemic symptoms about 48 hours.  Painful, swollen left axilla lymphadenopathy continues day 3 after injection. I was unable to go about normal daily activities for 48 hours, which is unusual for me as I am generally very healthy. I literally felt as though I'd been hit by a mack truck.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Lymphadenopathy, Myalgia, Oedema peripheral, Pyrexia
Clinical narrative: Within 12 hours of vaccine receipt, painful left axilla lymphadenopathy. Developed; followed by low grade fever, myalgias, fatigue and severe headache. Duration of systemic symptoms about 48 hours.  Painful, swollen left axilla lymphadenopathy continues day 3 after injection. I was unable to go about normal daily activities for 48 hours, which is unusual for me as I am generally very healthy. I literally felt as though I'd been hit by a mack truck.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Headache, Injection site pain, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Within 12 hours of vaccine receipt, painful left axilla lymphadenopathy. Developed; followed by low grade fever, myalgias, fatigue and severe headache. Duration of systemic symptoms about 48 hours.  Painful, swollen left axilla lymphadenopathy continues day 3 after injection. I was unable to go about normal daily activities for 48 hours, which is unusual for me as I am generally very healthy. I literally felt as though I'd been hit by a mack truck.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Contusion, Injection site bruising, Injection site pain
Clinical narrative: Within 12 hours of vaccine receipt, painful left axilla lymphadenopathy. Developed; followed by low grade fever, myalgias, fatigue and severe headache. Duration of systemic symptoms about 48 hours.  Painful, swollen left axilla lymphadenopathy continues day 3 after injection. I was unable to go about normal daily activities for 48 hours, which is unusual for me as I am generally very healthy. I literally felt as though I'd been hit by a mack truck.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Nausea, Pain
Clinical narrative: Pt called stating she experienced nausea, whole body aching, injection site warmth, redness and soreness.
Age: 31.0
Sex: F
Vaccine: MMR
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Client returned to clinic with redness and swelling at the injection site one month post vaccination. She report that the swelling began right after vaccination but has persisted and worsened. The site is tender and warm to the touch. The patient was referred to a provider to be evaluated.
Age: 33.0
Sex: M
Vaccine: YF
Symptoms: Tendonitis, X-ray
Clinical narrative: TENDINITIS IN RIGHT FOOT DUE TO UNKNOWN CAUSE.
Age: 68.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Headache, Nausea, Pruritus
Clinical narrative: On 5/11 patient developed headache and was nauseous. On 5/13 in the evening, patient  developed itching of face, neck, and stomach.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Dysphagia, Dysphonia, Imaging procedure, Laryngoscopy abnormal
Clinical narrative: In the fall of 2017 I began gradually experiencing hoarseness of voice, as well as swallowing difficulties. Then subtle left arm and shoulder weakness. This was all very gradual in onset and intensity. I saw my internist, who referred me to ENT. I also saw neurologist. Dr. detected partial vocal cord paralysis on the left by way of laryngoscopy. Dr. assessed left arm and shoulder weakness.  Ultimately, Dr. referred to another Dr. because it seemed there must be some global explanation for these symptoms appearing all at about the same time. Dr.'s opinion is that I have a chronic neuropathy caused by an adverse reaction to my flu shot.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Muscular weakness, Neuropathy peripheral, Vaccination complication, Vocal cord paresis
Clinical narrative: In the fall of 2017 I began gradually experiencing hoarseness of voice, as well as swallowing difficulties. Then subtle left arm and shoulder weakness. This was all very gradual in onset and intensity. I saw my internist, who referred me to ENT. I also saw neurologist. Dr. detected partial vocal cord paralysis on the left by way of laryngoscopy. Dr. assessed left arm and shoulder weakness.  Ultimately, Dr. referred to another Dr. because it seemed there must be some global explanation for these symptoms appearing all at about the same time. Dr.'s opinion is that I have a chronic neuropathy caused by an adverse reaction to my flu shot.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Patient states after receiving the vaccine whole body aches, injection site warmth, redness and tenderness and is still experiencing these symptoms today.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Injected limb mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reports severe arm pain that resulted in inability to move right arm. She also reported a bruise that spanned from her deltoid to almost her deltoid. She also said her right hand swelled up. She ended up going to the ER to get it treated. Interaction between Xarelto and Clarithromycin is the most likely cause of this reaction due to the 2-fold increased systemic exposure to Xarelto due to pharmacokinetic interaction (i.e. increased risk of abnormal bleeding).
Age: 17.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling cold, Seizure, Syncope, Vomiting
Clinical narrative: Approximately 5-10 min after vaccination of Tdap pt went in to a seizure/syncope type reaction which lasted about 5 min, once pt pulled through she vomited X1, 911 was immediately cold, during this time pt's vitals were monitored in which pt was stable. Prior to Tdap vaccine pt and parent stated she has had no reactions to vaccine and has had Dtap before. Mother stated she gets very worked up with any medical processes or procedure and stated pt passed out 3-4 year ago at her PCP office when was having an incision and drainage in which sulfa was given. Pt and mother stated that they were sent to ER by PCP because they said she had a seizure reaction, was referred to neurologist who stated that nothing else needed to be done and could be a one time thing or syncope and to keep an eye on it. EMS and fire department took over pt's care, EMS transported pt to hospital. Pt was in stable condition upon leaving with EMS and mother and brother. Pt and mother expressed gratitude and verbalized understanding of treatment and need for follow-up with PCP and neurologist after discharge from hospital.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Hot, pain and swollen at site of injection a few days after injection.
Age: 85.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac failure congestive
Clinical narrative: SON (PHYSICIAN) STATED THAT THE DAY FOLLOWING VACCINE ADMINISTRATION, PT WENT INTO CONGESTIVE HEART FAILURE AND WAS ADMITTED TO HOSPITAL FOR A WEEK -- HAD NOT PREVIOUSLY SUFFERED FROM CHF BUT DOES HAVE Hx OF CAD.
Age: 63.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Erythema, Erythema multiforme, Pruritus, Skin warm, Urticaria
Clinical narrative: Herpes zoster vaccination is documented as being given in the left deltoid however, patient reported redness in the right arm that extended from the shoulder to just below the elbow. Nurse reported area was hot to the touch. Veteran was told to alternate acetaminophen and ibuprofen, and to also take diphenhydramine. Symptoms: Erythema Multiform, Urticaria Pruritus.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash began around 9PM on Sunday 5/6/18. Rash covered her back from one shoulder to the other.  Also developed rash on both legs. Rash caused itching. She took Diphenhydramine which helped with the itching. On Wednesday(5/10/18), rash still present on front shin of left leg. On Thursday (5/11/18), rash still present but not as red. Pt. also said she had a headache from Thursday 5/3/18 to Sunday 5/6/18.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT EXPERIENCED REDNESS, SWELLING, AND WARMTH AT THE INJECTION SITE THE MORNING AFTER VACCINATION. THE SIZE OF THE SWOLLEN AREA WAS SIZEABLE ACCORDING TO PATIENT, AT 6INX4IN. OVER THE FOLLOWING 72HRS THE SWELLING HAS DECREASED AND PATIENT IS ONLY CURRENTLY EXPERIENCING MILD WARMTH AND ITCHING AT INJECTION SITE. PATIENT DID ICE THE AREA ON/OFF THROUGHOUT THE FOLLOWING DAY AFTER VACCINATION TO HELP WITH THE SWELLING.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Alanine aminotransferase increased, Anti-ganglioside antibody negative, Anti-neuronal antibody, Antibody test negative, Antinuclear antibody
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Ataxia, Blood albumin normal, Blood bilirubin increased, Blood calcium normal, Blood chloride normal
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood phosphorus increased, Blood potassium normal
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Blood sodium normal, Blood urea normal, Borrelia test negative, C-reactive protein normal, CSF test normal
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Carbon dioxide normal, Cytomegalovirus test negative, Cytomegalovirus test positive, Epstein-Barr virus antibody negative, Epstein-Barr virus antibody positive
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Facial paralysis, Full blood count normal, Gait disturbance, Glomerular filtration rate, Guillain-Barre syndrome
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Herpes simplex test negative, Herpes simplex test positive, Hypoaesthesia, Immunoglobulin therapy, Miller Fisher syndrome
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Muscular weakness, Neurological examination abnormal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging spinal normal, Polymerase chain reaction
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 19.0
Sex: M
Vaccine: ADEN_4_7, FLU3, HEPAB, IPV, MNQ, TDAP, VARCEL
Symptoms: Protein total decreased, Red blood cell sedimentation rate increased, Scan with contrast normal, Sensory disturbance, Treponema test negative
Clinical narrative: On 9 Mar 2017, (27 days post-vaccination receipt) patient presented to the Emergency Department (ED) with gait difficulty, right facial droop, and bilateral progressive leg numbness. He was admitted to Medical Center with the diagnosis of Guillain Barre Syndrome-Miller Fisher Variant. Patient received a 5-day course of IVIG with marked improvement. At discharge, on 16 Mar 2017, patient reported improved sensation in his feet and ankles. His neurologic exam demonstrated significant improvement of his ataxia. He was discharged to outpatient Physical Therapy. Patient returned to full duty and was able to complete Training.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Lip swelling, Pharyngeal oedema, Swollen tongue
Clinical narrative: Swelling of throat, tongue, and lips. Dizziness. Symptoms resolved 6 hours after they began.  Symptoms began approximately 2 hours after the vaccination. Allergist has advised me I may not take dose 2 of the SHINGRIX vaccine.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Pain in extremity
Clinical narrative: THE PATIENT INDICATED THAT SHE EXPERIENCED SEVERE PAIN IN HER LEFT ARM THE EVENING AFTER RECEIVING THE SHINGRIX VACCINE. SHE WAS TAKEN TO THE HOSPITAL AFTER BECOMING DIZZY LATER THAT NIGHT. SHE WAS ADMITTED TO THE HOSPITAL AND IS STILL BEING TREATED AT THE HOSPITAL. THE PATIENT INDICATED A POSSIBLE INJECTION SITE INJURY.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen hot to touch Rd deltoid.
Age: 20.0
Sex: F
Vaccine: HPV9
Symptoms: Computerised tomogram head normal, Electroencephalogram normal, Seizure
Clinical narrative: Patient see at Clinic for well visit, given 3rd dose of HPV9 Vaccine around 11:15. In the early evening Seizure was witnessed by mother. Ambulance transported to emergency dept. EEG and head CT normal. Plan is for patient to follow up with a neurologist. No prior history of seizure.
Age: 16.0
Sex: F
Vaccine: HPV4
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Given GARDASIL #1. Very little pain felt when given. 10 minutes later when she was leaving, she fainted when walking. Recovered in a few seconds. BP 114/64, glucose 87. Rested for half an hour, Had water and a cookie. Was feeling better when she left with father.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Myalgia, Pain, Pyrexia
Clinical narrative: Bad muscle and body aches feeling feverish-took ibuprofen and acetaminophen to alleviate some of the discomfort no reaction at injection no site.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever onset 5/11/18 continued through 5/12/18. Left deltoid/arm redness/swelling onset 5/11/18 to present. Sore throat 5/14/18.
Age: 13.0
Sex: M
Vaccine: HEP, MNQ
Symptoms: Blood glucose normal, Head injury, Syncope
Clinical narrative: Child fainted, hitting head on agency front door, eased to ground by mother; ice to head and monitoring completed; ambulance summoned; child reported skipping lunch at school. Random sugar and BP checked and WNL; sent home to eat a meal and reported no further concerns when status checked 5/10/18 5:50 PM.
Age: 67.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Erythema, Fatigue, Influenza like illness, Malaise, Pain
Clinical narrative: Flu like symptoms, tired, malaise and Patient had redness on both arms however right arm was worse. Redness approx. 6-8 inches long and 3-4 inches wide. Slightly swollen and very painful. Started early am 5/11/18. Pt was using Ibuprofen and as of 5/14/18 was feeling better but still red.
Age: 67.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Swelling
Clinical narrative: Flu like symptoms, tired, malaise and Patient had redness on both arms however right arm was worse. Redness approx. 6-8 inches long and 3-4 inches wide. Slightly swollen and very painful. Started early am 5/11/18. Pt was using Ibuprofen and as of 5/14/18 was feeling better but still red.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site pain in a 56-year-old female patient who received SHINGRIX (batch number 9AS39, expiry date 13th July 2020). On 28th April 2018, the patient received the 1st dose of SHINGRIX .5 ml. On 28th April 2018, immediately after receiving SHINGRIX, the patient experienced injection site pain and injection site erythema. On an unknown date, the outcome of the injection site pain and injection site erythema were recovering/resolving. The reporter considered the injection site pain and injection site erythema to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX in the left arm. The pharmacist stated that the patient called on the reporting day to talk about the side effects listed on a more severe level. The patient did mention that the pain and the redness moved up her arm and over to the right bicep. The patient said the injection site was better at the time of reporting. The patient did not receive any other vaccines at that time. This was all the information the pharmacist had.
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of hives in a adult male patient who received SHINGRIX. The patient's past medical history included allergy. Concomitant products included Vitamins. On 27th April 2018, the patient received SHINGRIX. On 2nd May 2018, 5 days after receiving SHINGRIX, the patient experienced hives. The patient was treated with BENADRYL and Calamine Lotion. On an unknown date, the outcome of the hives was recovering/resolving. It was unknown if the reporter considered the hives to be related to SHINGRIX. Additional information was received as follows: The age at vaccination was not reported. The hives were confined to the back between the shoulder blades and on the sternum. The patient used BENADRYL and calamine lotion and noted some improvement.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Condition aggravated, Limb injury, Myalgia
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of generalized muscle aches in a 62-year-old male patient who received SHINGRIX. The patient's past medical history included shoulder injury. On 15th April 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 16th April 2018, 1 days after receiving SHINGRIX, the patient experienced generalized muscle aches, shoulder injury and condition aggravated. On an unknown date, the outcome of the generalized muscle aches, shoulder injury and condition aggravated were not recovered/not resolved. The reporter considered the generalized muscle aches, shoulder injury and condition aggravated to be probably related to SHINGRIX. Additional details were reported as follows: The pharmacist reported the case on behalf of the patient. The patient received SHINGRIX on left deltoid. The patient experienced generalized muscle pain in the large muscle groups such as legs, shoulders, and hips. The muscle pain had aggravated his previous injury. The pharmacist stated that this had been reported also to VAERS and that the patient was planning to visit his healthcare professional for this event.
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Influenza like illness, Myalgia, Nausea
Clinical narrative: This case was reported by a physician via call center representative and described the occurrence of fever in a adult male patient who received SHINGRIX. On 1st May 2018, the patient received the 1st dose of SHINGRIX. On 1st May 2018, 12 hrs after receiving SHINGRIX, the patient experienced fever, nausea, headache, influenza-like symptoms, fatigue and myalgia. On 3rd May 2018, the outcome of the fever, nausea, headache, influenza-like symptoms, fatigue and myalgia were recovered/resolved. The reporter considered the fever, nausea, headache, influenza-like symptoms, fatigue and myalgia to be almost certainly related to SHINGRIX. Additional details were reported as follows: The reporter was the patient. The age at vaccination was not reported. The patient experienced mild adverse reaction that was low grade fever, nausea, headache, flu like myalgia and fatigue. All the symptoms were resolved within 24 to 38 hours of injection. The reporter was uncertain of lot number and expiry date of the vaccine given.
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: This case was reported by a physician via call center representative and described the occurrence of fever in a adult male patient who received SHINGRIX. On 1st May 2018, the patient received the 1st dose of SHINGRIX. On 1st May 2018, 12 hrs after receiving SHINGRIX, the patient experienced fever, nausea, headache, influenza-like symptoms, fatigue and myalgia. On 3rd May 2018, the outcome of the fever, nausea, headache, influenza-like symptoms, fatigue and myalgia were recovered/resolved. The reporter considered the fever, nausea, headache, influenza-like symptoms, fatigue and myalgia to be almost certainly related to SHINGRIX. Additional details were reported as follows: The reporter was the patient. The age at vaccination was not reported. The patient experienced mild adverse reaction that was low grade fever, nausea, headache, flu like myalgia and fatigue. All the symptoms were resolved within 24 to 38 hours of injection. The reporter was uncertain of lot number and expiry date of the vaccine given.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Rash, Rash erythematous
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of erythematous rash in a 77-year-old female patient who received SHINGRIX (batch number 5NY3B, expiry date 13th June 2020). Concomitant products included trazodone and zolpidem. On 2nd May 15:00, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 2nd May 2018, several hours after receiving SHINGRIX, the patient experienced erythematous rash and raised rash. The patient was treated with Ointment. On an unknown date, the outcome of the erythematous rash and raised rash were not recovered/not resolved. The reporter considered the erythematous rash and raised rash to be probably related to SHINGRIX. Additional details were provided as follows: The pharmacist reported that a patient developed a red, raised rash around her neck, shoulders and under her breasts a couple hours after receiving SHINGRIX. The patient did yard work in afternoon of vaccination date as well. The patient was fairly uncomfortable due to the rash and saw her health care professional the day before the reporting date and got an ointment to put on it.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site pain in a adult patient who received SHINGRIX. On an unknown date, the patient received SHINGRIX at an unknown dose. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to SHINGRIX. Additional information was received as follows: The age at vaccination was not reported. The health care professional reported that two people had pain at the injection site for 24 hours after a SHINGRIX vaccination. The patient or vaccine information was not collected during chat. This case was linked with case US2018079508, reported by the same reporter.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site pain in a adult patient who received SHINGRIX. On an unknown date, the patient received SHINGRIX, at an unknown dose. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to SHINGRIX. Additional information was received as follows: The age at vaccination was not reported. The health care professional reported that two people had pain at the injection site for 24 hours after a SHINGRIX vaccination. The patient or vaccine information was not collected during chat. This case was linked with case US2018079508, reported by the same reporter.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site pain in a 71-year-old male patient who received SHINGRIX (batch number 9779K, expiry date 11th October 2020). Concomitant products included simvastatin. On 3rd May 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 3rd May 2018, 4 hrs after receiving SHINGRIX, the patient experienced injection site pain and general body pain. On an unknown date, the outcome of the injection site pain and general body pain were recovering/resolving. The reporter considered the injection site pain and general body pain to be related to SHINGRIX. Additional details were provided as follows: This case was previously not reported to anyone. The pharmacist reported on behalf of the patient. The patient received SHINGRIX in the left deltoid. The reporter stated that the patient came back into the pharmacy the day after receiving SHINGRIX, and stated that he experienced injection site pain and body aches. The patient reported to pharmacist that, the symptoms started 4 hours after receiving the vaccine and it was a little better on the day of reporting.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Discomfort, Hyperhidrosis, Malaise, Pyrexia
Clinical narrative: Felt very sick. Fever, chills and the sweats for 24 hours. Feet and whole body felt very heavy.