chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Pain in extremity, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Day 1 (Sept 3) arm pain immediately that worsened over the day.  chills and headache within a few hours, general sense of being unwell and tired Day 2 (Wednesday, Sept 4) headache, chills, fever (99.6), lots of fatigue.  Not up to doing anything and mostly slept.  Arm pain such that the left arm could be used for nothing.  Could barely lift it.  Very tender to touch.   Day 3 (Thursday, Sept 5), woke up feeling better, headache free, and did a lot more normal activities today but was worn out easily.  Did have sore throat that was first noticed upon waking.  Noticed joint pain (unusual) in knees and shoulders. Arm pain about the same or slightly improved.  Took 2 Advil.  It seemed to help with joint pain  PM of Day 3...woke up to go to the bathroom and had very bad headache and nausea Day 4 (Friday Sept 6) felt worse than Th AM but better than Wednesday.  Sore throat still present.  Felt shaky and chills but no fever.  Headache comes and goes.  Arm pain significantly reduced.  Didn't do much this day    PM of Day 4: noticed red blotchy rash on left arm where shot was given Day 5 (SAturday, Sept 7) the red rash itches now. Arm pain not totally gone but not impacting activities to any great degree.  Stamina low.  Tire easily.  Otherwise don't feel especially sick.  Sore throat still present but better.    Still monitoring and disappointed (and a bit worried) that so many days later I don't feel right.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash pruritic, Somnolence, Tenderness, Tremor
Clinical narrative: Day 1 (Sept 3) arm pain immediately that worsened over the day.  chills and headache within a few hours, general sense of being unwell and tired Day 2 (Wednesday, Sept 4) headache, chills, fever (99.6), lots of fatigue.  Not up to doing anything and mostly slept.  Arm pain such that the left arm could be used for nothing.  Could barely lift it.  Very tender to touch.   Day 3 (Thursday, Sept 5), woke up feeling better, headache free, and did a lot more normal activities today but was worn out easily.  Did have sore throat that was first noticed upon waking.  Noticed joint pain (unusual) in knees and shoulders. Arm pain about the same or slightly improved.  Took 2 Advil.  It seemed to help with joint pain  PM of Day 3...woke up to go to the bathroom and had very bad headache and nausea Day 4 (Friday Sept 6) felt worse than Th AM but better than Wednesday.  Sore throat still present.  Felt shaky and chills but no fever.  Headache comes and goes.  Arm pain significantly reduced.  Didn't do much this day    PM of Day 4: noticed red blotchy rash on left arm where shot was given Day 5 (SAturday, Sept 7) the red rash itches now. Arm pain not totally gone but not impacting activities to any great degree.  Stamina low.  Tire easily.  Otherwise don't feel especially sick.  Sore throat still present but better.    Still monitoring and disappointed (and a bit worried) that so many days later I don't feel right.
Age: 6.0
Sex: F
Vaccine: RAB
Symptoms: Rash pruritic
Clinical narrative: itchy rash within 3 hours of vaccine spread diffusely no respiratory, GI or mucous membrane involvement, no fever
Age: 34.0
Sex: M
Vaccine: VARCEL
Symptoms: Expired product administered
Clinical narrative: Vaccine given is expired 23 Aug 2019
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: Muscle aches and fever. Same reaction that I had after the first shot on June 14, 2019., which lasted for about 2 days back then. I am taking Acetaminophen and Ibuprofen to alleviate the symptoms
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Patient had itchy on arm the same night she received the injection. It bothered her all through the night. The next morning her arm was swollen, hot, and red. Patient went to on-site clinic next day where they gave her an injection of antibiotics. Patient starting oral antibiotics today. Swelling and heat has gone down. All info was obtained from patient herself with a follow up phone call
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Malaise, Muscle spasms, Skin warm
Clinical narrative: patient had redness at the injection site and most of upper arm.  Arm felt hot to touch.  Minor spasms in the arm.  Patient had general malaise.
Age: 62.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Erythema, Injection site reaction, Lip swelling, Pain in extremity, Pyrexia
Clinical narrative: Early am on 9/5/19 High fever up to 101.9 throughout the day and night , severe  soreness and redness on left arm only , Early am on 9/6/19 lips swelled up and as well as left side of face. Temperature dropped 99.9 (taking Tylenol) Red raised rash on upper left arm from the injection  site to the underside of left arm
Age: 62.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Rash erythematous, Swelling face
Clinical narrative: Early am on 9/5/19 High fever up to 101.9 throughout the day and night , severe  soreness and redness on left arm only , Early am on 9/6/19 lips swelled up and as well as left side of face. Temperature dropped 99.9 (taking Tylenol) Red raised rash on upper left arm from the injection  site to the underside of left arm
Age: 84.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site pain, Injection site swelling, Malaise
Clinical narrative: Administered influenza IM to right arm, then administered Pneumovax 23 IM to left arm.  Patient bled on Pneumovax injection, leaked thru Inject-Safe barrier bandage. Applied pressure and paper towel, patient stopped bleed in about 3 minutes.  Applied new bandage to injection site, no further bleeding.  Advised patient on use of cold water to dissolve blood drip on pants. Patient had no other problems at time of injection, felt fine.  Patient released to home.  contacted patient 9/7/19 to inquire of any problems, was informed by daughter that patient had started feeling ill around 2200 9/6/19, with pain, red ring around injection site and swelling extending into shoulder.  Daughter took patient to local emergency center for treatment.  ER treated patient and released back to home evening of 9/6/19.  on 9/7/19 at time of call, patient improving, swelling down some, still having pain from injection.  Daughter treating with ibuprofen.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: PATIENT HAD RASH, SLIGHTLY SWOLLEN AND RED AT THE INJECTION SITE WITH NO ITCHING.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Blood bicarbonate decreased, Blood glucose increased, Blood pH decreased, Blood sodium decreased, Carbon dioxide decreased
Clinical narrative: PT. had Rabies Immune Globulin and first Rabavert 8/27/2019.   Approx. 12 hours after immunization she developed DKA.  Was admitted to Hospital ICU.  She received Day 3 Rabavert  8/30/2019.  She developed elevated glucose levels, up to 300, but was able to manage at home with insulin boluses. Received Day 7 Rabavert 9/3/2019.  She reports she developed elevated glucose, but only to 230.  Managed with insulin boluses at home. Normally does not have glucose spikes.  Pt. reports she is a very well controlled diabetic.  No other instances of DKA outside of the Rabies vaccines.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Diabetic ketoacidosis, Glycosylated haemoglobin normal, Intensive care, PCO2 decreased
Clinical narrative: PT. had Rabies Immune Globulin and first Rabavert 8/27/2019.   Approx. 12 hours after immunization she developed DKA.  Was admitted to Hospital ICU.  She received Day 3 Rabavert  8/30/2019.  She developed elevated glucose levels, up to 300, but was able to manage at home with insulin boluses. Received Day 7 Rabavert 9/3/2019.  She reports she developed elevated glucose, but only to 230.  Managed with insulin boluses at home. Normally does not have glucose spikes.  Pt. reports she is a very well controlled diabetic.  No other instances of DKA outside of the Rabies vaccines.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Dyskinesia, Pallor, Snoring, Syncope
Clinical narrative: I administered Menactra to healthy looking 250 lb 17 yr old young man who maybe 10 seconds after removing needle slumped on his left side against me snoring. I tried to place him upright and he slumped to the opposite side. I caught him and he jerked 2 times in his upper body still snoring, after maybe 20-30 seconds sat up right with a start and was awake. I rubbed his shoulders as I called his dad in to room and then had him put his head down to his knees. He was pale and non feverish to the touch. I brought him a glass of water and asked him if he had eaten breakfast. He replies that he did not eat that day.  I asked him if he was diabetic and when he replied no, I gave him a pop-tart to help raise his sugar.  After a few minutes I asked him if he wanted to lay down, he replied that he did.  He laid on the floor of the immunization room for approximately 15 minutes.  I took his blood pressure as he was laying on floor and it was 120/90.  After the 15 minutes, I asked him if he wanted to try to stand.  His father helped him to his feet where he stood there for 10-15 seconds getting his bearings.  The left without further incident at 10:55am.  I followed up with dad at 3:15 pm and he reported that his son was fine and able to carry out his day.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Cold sweat, Diarrhoea, Vomiting
Clinical narrative: Vomiting, terrible diarrhea, clamminess
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site bruising, Rash
Clinical narrative: Patient reported bruising around injection site, and rash extending below the injection site. Patient said she had to treat with ice and over the counter medications. Reporting that rash is resolving after visit to urgent care.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral swelling
Clinical narrative: Swelling of arm
Age: 35.0
Sex: F
Vaccine: ANTH, TDAP
Symptoms: Bedridden, Impaired work ability, Laboratory test, Muscular weakness, Myalgia
Clinical narrative: Worked ICU Mon, Tue, Wed ...hands painful each day by Wednesday unable to open IVF bags or spike medications to IVF bags. Lifting people in bed or making fist and pulling against gravity was extremely difficult. My hands where very weak and painful. I text PA from my unit about my concern. He suggested that I get my labs drawn - most specifically inflammation marks. I will follow up with my PCP again this month. My labs drawn 8/9/19,  8/12/19 I became bed confined for 3 days with severe muscle weakness and pain. Then went to Urgent Care for Strep throat, on antibiotics and missed 3 days work. Continue to have weakness and pain in my hands with daily activity.
Age: 35.0
Sex: F
Vaccine: ANTH, TDAP
Symptoms: Pain in extremity, Pharyngitis streptococcal, Weight bearing difficulty
Clinical narrative: Worked ICU Mon, Tue, Wed ...hands painful each day by Wednesday unable to open IVF bags or spike medications to IVF bags. Lifting people in bed or making fist and pulling against gravity was extremely difficult. My hands where very weak and painful. I text PA from my unit about my concern. He suggested that I get my labs drawn - most specifically inflammation marks. I will follow up with my PCP again this month. My labs drawn 8/9/19,  8/12/19 I became bed confined for 3 days with severe muscle weakness and pain. Then went to Urgent Care for Strep throat, on antibiotics and missed 3 days work. Continue to have weakness and pain in my hands with daily activity.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Bed rest, Headache, Injection site erythema, Injection site swelling
Clinical narrative: fever 103, headache. joint pain, red and swollen arm site of injection took extra strength tylon andbed rest better two days
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: fever 103, headache. joint pain, red and swollen arm site of injection took extra strength tylon andbed rest better two days
Age: 35.0
Sex: F
Vaccine: FLU3
Symptoms: Fall
Clinical narrative: Patient was given the shot while sitting down. She got up to be rung out at register. She was ok for about 2 minutes then said she had to sit down. she walked toward the chair she sat in when vaccinated but didnt make it. she fell on the floor, on her back. she did not lose consciousness and stated she did not hit her head.  after laying on the floor for about 1 minute she got up and sat in the chair.  she rested in the chair for about 10 minutes and drank some water that she brought with her.  she did not require any further medical assistance. after 10 minutes she felt much better and walked away on her own accord. her husband was with her.  she stated she had fainted after vaccinations as a child but it had not happened to her in a long time.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Abdominal discomfort, Arthralgia, Axillary pain, Blood pressure increased, Fatigue
Clinical narrative: Severe pain in armpit. Swelling and redness about 4 inches around injection site. Headache, 30 points rise in blood pressure, tired, achy in all joints.  Mild stomach upset.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site erythema, Injection site swelling
Clinical narrative: Severe pain in armpit. Swelling and redness about 4 inches around injection site. Headache, 30 points rise in blood pressure, tired, achy in all joints.  Mild stomach upset.
Age: 27.0
Sex: F
Vaccine: FLUR4
Symptoms: Bacterial test negative, Laboratory test normal, Nuclear magnetic resonance imaging abnormal, Optic neuritis, Vaccination complication
Clinical narrative: Patient reports loss of peripheral vision in left eye on 8/30/19 upon awakening.  Vision gradually decreased and she saw eye doctor on 9/3/19. She was referred to an eye specialist on Wednesday 9/4/19. Almost all vision in left eye was lost on Friday 9/6/19. Stat MRI confirmed inflammation of ocular nerve. Patient admitted to hospital on 9/6/19.  Tumor, cancer, MS, lupus, bacterial and other infections were ruled out. Patient reports that physician states event was likely caused by influenza vaccine.     Vision recovery pending.
Age: 27.0
Sex: F
Vaccine: FLUR4
Symptoms: Visual field defect, Visual impairment
Clinical narrative: Patient reports loss of peripheral vision in left eye on 8/30/19 upon awakening.  Vision gradually decreased and she saw eye doctor on 9/3/19. She was referred to an eye specialist on Wednesday 9/4/19. Almost all vision in left eye was lost on Friday 9/6/19. Stat MRI confirmed inflammation of ocular nerve. Patient admitted to hospital on 9/6/19.  Tumor, cancer, MS, lupus, bacterial and other infections were ruled out. Patient reports that physician states event was likely caused by influenza vaccine.     Vision recovery pending.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Pain
Clinical narrative: numbness and pain,  called later in afternoon.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: One day after immunization patient developed a red, itchy rash at injection site. It is about 4 inches wide.
Age: 41.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Night sweats, Pain, Pyrexia, Swelling
Clinical narrative: Patient complained of redness, swelling, night sweats, fever, pain and soreness.
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Abdominal discomfort, Chills, Discomfort, Fatigue, Headache
Clinical narrative: I felt fine until I went to bed around 11:10 pm. First I had a mild headache, followed by upset stomach. Then muscle aches, fatigue and shivering so much that my body shook and my teeth chattered. I finally fell asleep at maybe 1am, after completely covering myself with pajamas and thick socks. Then awoke at 2:20 am. The cold and shivering had subsided, but other symptoms remained. I woke up off and on all night. I was achy and unable to get comfortable. By the way, I have never had more than a sore arm and fatigue after a vaccination, so this was very unusual for me.
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Insomnia, Myalgia, Pain, Tremor
Clinical narrative: I felt fine until I went to bed around 11:10 pm. First I had a mild headache, followed by upset stomach. Then muscle aches, fatigue and shivering so much that my body shook and my teeth chattered. I finally fell asleep at maybe 1am, after completely covering myself with pajamas and thick socks. Then awoke at 2:20 am. The cold and shivering had subsided, but other symptoms remained. I woke up off and on all night. I was achy and unable to get comfortable. By the way, I have never had more than a sore arm and fatigue after a vaccination, so this was very unusual for me.
Age: 66.0
Sex: M
Vaccine: PNC13
Symptoms: Dizziness, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: After receiving the Prevnar 13 shot at around 11am, patient immediately felt lightheadedness, sweating, and increased in heart beat.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pain in extremity
Clinical narrative: Swelling, redness and soreness at injection site and 2 days later swelling, redness and pain throughout upper arm muscle.  The pain extended down my arm even to my hand. It was very painful to move my arm. It is still sore, red and some lingering pain in my upper atm muscle today (1 week and 1 day after receiving the shot).
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain
Clinical narrative: Lingering pain at injection site 3 months after administration
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: The patient reported pain and erythema at the injection site starting a couple of hours after vaccination.  He stated that after 2 days the pain has not improved and that he would be going to an urgent care to get it checked out.
Age: 21.0
Sex: F
Vaccine: MMR
Symptoms: Discomfort, Incorrect route of product administration
Clinical narrative: Medication is listed as a subcutaneous injection, but it was accidentally delivered intramuscularly instead.  Patient did not report any issues besides normal discomfort when receiving an injection.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site haemorrhage, Injection site swelling
Clinical narrative: Immediate bleeding and swelling of injection site after injection. Bleeding stopped in 2min but the swelling did not go down and the site bruised. Had patient sit for 15mins to make sure she was fine. Shes had flu shots in the past with no issues. This was her first reaction.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Hardness, redness and swelling on the vaccine area at left deltoid , the swelling went down to elbow and arm is red and warm. Doctor is not sure if it is related to vaccine, and is treating it as cellulitis, prescribed Doxycycline for the condition.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm
Clinical narrative: Hardness, redness and swelling on the vaccine area at left deltoid , the swelling went down to elbow and arm is red and warm. Doctor is not sure if it is related to vaccine, and is treating it as cellulitis, prescribed Doxycycline for the condition.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Influenza like illness
Clinical narrative: Flu like aches and joint pain; headache, tired
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Confusional state, Fall, Headache, Mouth haemorrhage, Pallor
Clinical narrative: Pt siting upright on exam table. Pt alert and talking after injection about how proud she was she didnt cry. NP turned to complete immunization form and saw out of the corner of her eye, patient falling off exam table. Np cought pt around her midsections and lowered her to floor face down. Called for PCT to com help. Exam table pushed aside and log rolled pt onto her back.He eyes fluttered open and she appeared confused confused for approx 1 min. She was pale and wanted to stay lying on the floor. Cool compresses applied to her forehead and neck.B/P 100/76 HR80 R 18. Staff brought mom into the room and explained what had happened. Mom states she has passed out once before with an immunization and once with ear piercing. Assisted pt to sitting position on floor and she asked for a drink. Stated her head and nose hurt, and NP noticed small amount of blood inher mouth. Noted teeth all intact. Pt rinsed her mouth and  NP noticed tiny laceration on tip of right tongue. NO further bleeding noted. NO bruising or swelling noted along forehead or nose. Pt suddenly vomited several times. She laid back on the floor for approx 5 min.  Color began returning to her face and she was assisted to chair. She sat in chair approx 5 minutes and walked assisted to waiting area. She left clinic with her mom and sister.  Called the pts. mother at 9 pm 9/3/19. Mother states she has felt fine all day since she got home. No headache or discomfort just embarrassment.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Rhinalgia, Tongue injury, Vomiting
Clinical narrative: Pt siting upright on exam table. Pt alert and talking after injection about how proud she was she didnt cry. NP turned to complete immunization form and saw out of the corner of her eye, patient falling off exam table. Np cought pt around her midsections and lowered her to floor face down. Called for PCT to com help. Exam table pushed aside and log rolled pt onto her back.He eyes fluttered open and she appeared confused confused for approx 1 min. She was pale and wanted to stay lying on the floor. Cool compresses applied to her forehead and neck.B/P 100/76 HR80 R 18. Staff brought mom into the room and explained what had happened. Mom states she has passed out once before with an immunization and once with ear piercing. Assisted pt to sitting position on floor and she asked for a drink. Stated her head and nose hurt, and NP noticed small amount of blood inher mouth. Noted teeth all intact. Pt rinsed her mouth and  NP noticed tiny laceration on tip of right tongue. NO further bleeding noted. NO bruising or swelling noted along forehead or nose. Pt suddenly vomited several times. She laid back on the floor for approx 5 min.  Color began returning to her face and she was assisted to chair. She sat in chair approx 5 minutes and walked assisted to waiting area. She left clinic with her mom and sister.  Called the pts. mother at 9 pm 9/3/19. Mother states she has felt fine all day since she got home. No headache or discomfort just embarrassment.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Feeling cold, Headache, Rash erythematous
Clinical narrative: Patient stated that a has a bumpy  rash  that is red. He also stated that he feels really cold and has a headache. He said he took some Motrin and is feeling a little better
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site reaction
Clinical narrative: INJECTION SITE REACTION, BUT MULTIPLE PATIENTS WITH INJECTION SITE REACTIONS AT VARIOUS FACILITIES, WITH FLUZONE QUAD AND FLUZONE HD.  VARIOUS AGES. NO REACTION LAST YEAR, BUT REDNESS @ INJECTION SITE THIS YEAR.........................
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Nasopharyngitis
Clinical narrative: pt got headcold
Age: 52.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Headache, Nausea
Clinical narrative: Headache, Nausea (feels like vomiting but can't)
Age: 50.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Induration, Pain in extremity, Peripheral swelling, Urticaria
Clinical narrative: Patient stated she developed a baseball-sized welt on left arm and very swollen after receiving vaccines 9/6/19. Arm is very hard and sore. Patient did not report anaphylactic symptoms. Advised patient to seek medical care immediately.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: swollen arm
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site reaction, Skin warm, Tenderness
Clinical narrative: Patient is complaining of an injection site reaction.  She said her arm is warm to touch, red, and tender.  She said the redness was wrapping around her bicep.  I advised to watch and wait.  If it becomes larger than it is tonight or becomes painful, to seek medical attention.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Autopsy, Coronary artery disease, Death, Incoherent, Pain
Clinical narrative: Daughter came in on 9/7/19 to report that her mother passed away. She reported that patient was complaining to  friends 8/15/19 thursday night of soreness due  shingrix.  on the same day 08/15/19 at about 9:20pm her grand daughter was texting her but is  she is not making sense anymore. She was found deceased on 8/18/19 , decomposed and autopsy report's caused of death is Coronary Artery Disease.  She was  cremated on 8/20/19 Tuesday
Age: 3.0
Sex: F
Vaccine: HEP, PNC13
Symptoms: Crying, Gait inability, Hypotonia, Peripheral swelling, Pyrexia
Clinical narrative: Patient had fever of 102.7 for 4 days then fever slowly went down. Swollen face and legs, rash, limp body, and she couldn't walk for two weeks. She was constantly crying andscreaming out in pain. She would scream and cry anytime I tried to move her. I had to carry her around in order to move her, which was excruciating for her. I reported it to her doctor's office and asked for it to be documented in her file as well as reported. my husband and I had various conversations with the doctor regarding her severe reaction. I received all of her medical records on 9/6/2019 and noticed it is not documented anywhere in her file. I am reporting it now, assuming it was never reported by her doctor.
Age: 3.0
Sex: F
Vaccine: HEP, PNC13
Symptoms: Rash, Screaming, Swelling face
Clinical narrative: Patient had fever of 102.7 for 4 days then fever slowly went down. Swollen face and legs, rash, limp body, and she couldn't walk for two weeks. She was constantly crying andscreaming out in pain. She would scream and cry anytime I tried to move her. I had to carry her around in order to move her, which was excruciating for her. I reported it to her doctor's office and asked for it to be documented in her file as well as reported. my husband and I had various conversations with the doctor regarding her severe reaction. I received all of her medical records on 9/6/2019 and noticed it is not documented anywhere in her file. I am reporting it now, assuming it was never reported by her doctor.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia
Clinical narrative: Extreme joint pain for months , pain pills , massage, heat
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Nausea
Clinical narrative: Patient had severe nausea and dizziness after receiving the vaccine. She went to the emergency room where she was given supportive care including tylenol and ibuprofen. She is feeling much better now.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Immediate post-injection reaction, Impaired driving ability, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: PATIENT STATED HE HAD IMMEDIATE PAIN WITH THE INJECTION, JUST FIGURED THIS PARTICULAR ONE HURT BUT PAIN GOT WORSE AS DAY WENT ON, COULD NOT TURN STEERING WHEEL ON TRACTOR, COULD NOT SLEEP, COULD NOT PERFORM ANY EXERCISED FOR HIS POST ROTATOR CUFF SURGERY. CALLED DOCTOR AFTER 6 DAYS AND RECEIVED A STEROID SHOT IN THE SHOULDER TO RELIEVE THE PAIN. REPORTED TO THE PHARMACY 9/7/19 AND PAIN WAS JUST ABOUT GONE AFTER 16 DAYS
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Somnolence, Urticaria
Clinical narrative: patient stopped in the pharmacy today (9/7) and showed me areas of her elbows and along her lower back and thigh where she had welting occur. She reported this began last night (0/6). I instructed her to take Benadryl 25 mg, ii q 6 h until resolved. I called her 4 hours later and she said she was drowsy and the welting was dissipating.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Blood glucose increased, Decreased appetite, Headache, Pain in extremity, Pyrexia
Clinical narrative: Extremely sore right arm. Headache for 12 hours. Felt feverish and terrible, sleepy for 2 days, High blood glucose reading, loss of appetite
Age: 71.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Somnolence
Clinical narrative: Extremely sore right arm. Headache for 12 hours. Felt feverish and terrible, sleepy for 2 days, High blood glucose reading, loss of appetite
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Paraesthesia
Clinical narrative: Patient experienced tingleness in soles of feet & tiredness lasting for more than a month
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: There is redness and pain at the injection site. (No anaphylactic reaction). Area around the injection appears a bit swollen. This started a few hours after the injection and so far, has lasted into the second day.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Left side of arm (shoulder) is swollen and has large rash area covering a 4 x 6 inch area about 30hrs after vaccination.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Nausea, Pyrexia
Clinical narrative: Low grade fever of 96.6, nausea, shivering, tired
Age: 76.0
Sex: M
Vaccine: RAB
Symptoms: Arthralgia, Diarrhoea, Myalgia
Clinical narrative: Human Rabies Immune Globulin (HRIG) - Extreme muscle and joint pain for 12-18 hrs after injections.  Extreme diarrhea at 24 hrs post injections.
Age: 64.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Back pain, Fatigue, Headache, Impaired work ability, Injected limb mobility decreased
Clinical narrative: Patient received flu shot and pnuemovax vaccine on 9/5 at 9:30am. She has received the flu shot in previous seasons but this was her first time receiving her pneumonia vaccine. At 12noon, she reports feeling tired and having aches and pains at home. at 7:30pm her pain intensified and she began running a fever of 102 degrees. Her aches were so bad that she could not sleep. On Friday 9/6, her headache was pounding and her muscles began spasming. She did call the pharmacy on 9/6 to discuss her reaction. She was taking advil and using a cool compress on injection arm. She could not lift her injection arm and she had redness on her injection arm, further down from the injection site itself. On 9/7, she had to stay in bed all day and her discomfort intensified at night. On 9/8, she has presented to the pharmacy to document her adverse event. She still reports that her back is hurting, her arm is still very red and swollen. She also now has some phlegm with a cough developing. Patient has missed two days of work and anticipates missing a third day due to adverse events.
Age: 64.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Injection site erythema, Insomnia, Muscle spasms, Pain, Peripheral swelling
Clinical narrative: Patient received flu shot and pnuemovax vaccine on 9/5 at 9:30am. She has received the flu shot in previous seasons but this was her first time receiving her pneumonia vaccine. At 12noon, she reports feeling tired and having aches and pains at home. at 7:30pm her pain intensified and she began running a fever of 102 degrees. Her aches were so bad that she could not sleep. On Friday 9/6, her headache was pounding and her muscles began spasming. She did call the pharmacy on 9/6 to discuss her reaction. She was taking advil and using a cool compress on injection arm. She could not lift her injection arm and she had redness on her injection arm, further down from the injection site itself. On 9/7, she had to stay in bed all day and her discomfort intensified at night. On 9/8, she has presented to the pharmacy to document her adverse event. She still reports that her back is hurting, her arm is still very red and swollen. She also now has some phlegm with a cough developing. Patient has missed two days of work and anticipates missing a third day due to adverse events.
Age: 64.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Productive cough, Pyrexia
Clinical narrative: Patient received flu shot and pnuemovax vaccine on 9/5 at 9:30am. She has received the flu shot in previous seasons but this was her first time receiving her pneumonia vaccine. At 12noon, she reports feeling tired and having aches and pains at home. at 7:30pm her pain intensified and she began running a fever of 102 degrees. Her aches were so bad that she could not sleep. On Friday 9/6, her headache was pounding and her muscles began spasming. She did call the pharmacy on 9/6 to discuss her reaction. She was taking advil and using a cool compress on injection arm. She could not lift her injection arm and she had redness on her injection arm, further down from the injection site itself. On 9/7, she had to stay in bed all day and her discomfort intensified at night. On 9/8, she has presented to the pharmacy to document her adverse event. She still reports that her back is hurting, her arm is still very red and swollen. She also now has some phlegm with a cough developing. Patient has missed two days of work and anticipates missing a third day due to adverse events.
Age: 0.58
Sex: F
Vaccine: DTAP
Symptoms: Apnoea, Lethargy, Rash, Rash erythematous
Clinical narrative: Rash began developing as a few spots and by the next day entire stomach was covered in red spots/ bumps. They began to lessen toward the end of the next day.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Headache, Hyperhidrosis, Insomnia, Myalgia
Clinical narrative: sweating while cold unable to sleep all night very achy muscles headache
Age: 0.33
Sex: M
Vaccine: DTAP
Symptoms: Autopsy, Death
Clinical narrative: Baby died days after vaccine
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: The upper left arm  and shoulder was swollen, hot, lumpy and sore. Patient reported that she had the same reactions last year whe she got the flu shot
Age: 67.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Myalgia, Myositis
Clinical narrative: Started with muscle soreness only on the right arm after 3-4 days of receiving the vaccinations. Patient waited for over a month for the soreness and pain to resolve by itself. Finally patient went to see her primary doctor on 9/5/19 and diagnosed with muscle inflammation.  Currently treating the inflammation with Voltaren 1% Gel and Medrol dosepak 4mg  prescribed to her by Dr.
Age: 73.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: At 1:00 am on 9/7/19, pt stated that her left arm was swollen, painful, red, itchy, and hot from where the shot was given to her elbow.  I asked the pt what pain relievers she had at home and she said that she was taking diclofenac, which I told her to continue taking to help with the pain, inflammation, and swelling.  I also asked her if she had an antihistamine on board and she said no.  After ensuring that she had no contraindications to Benadryl, I suggested that she take that every 4-6 hours.  Also, I asked that she put ice or ice pack on her arm, but not directly, to have  cloth or towel in between the ice and her arm and to keep it on for 15-20 minutes at the time and to use several times throughout the day.  I instructed her that if her arm didn't get any better, to go straight to the doctor.  Follow-up:  I checked on the patient today (9/8/19) and she says that she went to an Urgent Care clinic yesterday (9/7/19) in the afternoon, and says that the Physician Assistant questioned whether it was a severe allergic reaction or if there was cellulitis involved.  So, she says that he/she is treating her for possible cellulitis with doxycycline and asked her to continue taking an antihistamine.  She is to return to the PA tomorrow for a follow-up.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Cheilitis, Facial pain, Herpes zoster, Hypoaesthesia, Laboratory test normal
Clinical narrative: Patient was given the first dose of shingrix on 8/23/19.  patient presented to patient first complaining of numbness and pain on the left side of her face, neck, and shoulder on 9/7/19.  On 9/8/19 the husband came into the pharmacy and stated that patient first says she has shingles and she most likely got it from the shot 2 weeks ago.  Her husband also stated she is developing a rash on her lip today.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Neck pain
Clinical narrative: Patient was given the first dose of shingrix on 8/23/19.  patient presented to patient first complaining of numbness and pain on the left side of her face, neck, and shoulder on 9/7/19.  On 9/8/19 the husband came into the pharmacy and stated that patient first says she has shingles and she most likely got it from the shot 2 weeks ago.  Her husband also stated she is developing a rash on her lip today.
Age: 13.0
Sex: F
Vaccine: IPV
Symptoms: Headache, Pruritus, Rash, Urticaria
Clinical narrative: Started itching on her face, then developed a hive. Itchiness spread to neck and chest. Small bumps appeared as well. Also developed a headache that lasted 3 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Headache, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: Slight headache 99.9 fever Muscle aches Stomach ache Sore arm
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Erythema, Inflammation, Skin warm
Clinical narrative: Both left and right arm presented in the office to be extremely inflamed, red and warm to the touch
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came  in yesterday (9/7/19) and talked about and showed that the injection site from her flu shot from 9/5/19 was red and slightly raised. It was about 2 inches in diameter around the injection site. It did not hurt, was not painful, hot to the touch, or itchy, just appeared/there. I advised the patient to monitor the area. Also advised if she wanted to apply a little topical hydrocortisone or benadryl to the area that that would be ok. I told her if it doesn't get better in a few days, then to seek medical attention and when she is in next to let us know how it is doing (she's coming later this week).
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Discomfort, Erythema, Feeling hot, Pain, Peripheral swelling
Clinical narrative: Starting about 6 hours after getting the vaccine the patient noticed that she couldn't raise her elbow above her shoulder without pain. Then it swelled from her shoulder down to her elbow, became red, and felt really hot. The discomfort and swelling lasted about a day and a half and then started going down. Overall patient noticed it for about 3 days after.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Neuralgia
Clinical narrative: Severe pain in all muscles and nerves.  10 on a dv
Age: 68.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Pyrexia, White blood cell count increased
Clinical narrative: Patient recieved both vaccines on thursday morning 9/5/19, and started having redness/swelling symptoms only in her right arm on friday. The redness and swelling grew over the major portion of her right upper arm. Patient stated she ran 100+ fever and admitted herself to the Emergency Room where they ran blood work and examination. Patient's blood work came back with elevated white blood cell count. Upon examination, Dr. diagnosed her with cellucilitis and discharged the patient with Clindamycin 450mg three times daily for ten days (due to PCN/cephalosporin/carbapenem allergy).
Age: 65.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Rash erythematous
Clinical narrative: The day following vaccination patient developed red spots on stomach. She went to doctor that same day (9/5/2019) and was given steroids. The following day the red spots continued to spread to arms, neck and legs. She then went back to the doctor Saturday 9/6/2019 and her dose of steroids was increased. Then later that day she notified me at the pharmacy.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Nausea
Clinical narrative: Nausea followed by  intractable shivering for about two hours.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Disorientation, Syncope, Tremor
Clinical narrative: Patient received vaccination and then while sitting to wait for his father to receive his vaccination he began to slump over having a syncope event and some mild shaking. Patient quickly came to and was confused and disoriented. 911 was called to assess patient and after assessment patient was able to leave on his own efforts.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Pain in extremity
Clinical narrative: Patient presented to the pharmacy today 9/8/19 complaining of arm pain upon injection site.  Upon examining her arm and speaking with the technician that administered the vaccine on 09/05/19 the vaccine was not given in the deltoid region of the upper arm.  The vaccine was given in the back of the arm where a subcutaneous injection would be given.  It is unknown if it was given im or sc.  The patients arm was very red and irritated in the area in the back of the arm where the vaccine was administered.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Pruritus
Clinical narrative: Patient woke up with itchyness all over her body
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: Patient said she had fever and muscle aches/soreness.  She followed up with urgent care but the said this reaction was normal.  Advised patient to take ibuprofen, when I followed up later she was feeling a lot better
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Headache, Myalgia, Nausea
Clinical narrative: Headache, Muscle aches, Nausea, Dizziness over a 10-12 hour period
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Nausea, Skin warm
Clinical narrative: hot rednness in the arm , patient had nasusea
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Rash
Clinical narrative: Pain-went away in 5 days  Rash-severe itching, started spreading down arm. By day 7 also on hip
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient returned to pharmacy shortly after receiving vaccine to report she was experiencing numbness/tingling in her arm. I assessed the location of vaccination to determine if it was too high and could be bursitis but that did not seem to be the case as she was indicating no discomfort in her shoulder, only below the injection site. I told her to keep an eye on it and if it worsened to contact me or doctor, otherwise just to monitor until it goes away. I asked her to move the arm to help blood flow to see if that would help relieve the feeling. Will follow-up with her tonight and tomorrow.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: Patient reported getting hives, urtacaria about 1/2 hour after getting vaccine. Hives on back of legs and stomach. Itching & red. warm to touch. Patient took Claritin.
Age: 67.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site pain
Clinical narrative: Patient called the pharmacy today, September 8, 2019 indicating that she has beed having severe arm and shoulder pain since yesterday at the site were she got a flu shot and pneumonia sho,  2 weeks ago. She indicates that at the time of the vaccines she had no pain, no inflamation, no redness, no fever or any other side effect. It was not until yesterday that her arm started to hurt. I asked if she had injured her arm in any way, but she denies any injury. She indicates she took ibuprophen and applied ice packs but it has not really helped. Recomeneded she see her primary care physician tommorrow for further evaluation.
Age: 78.0
Sex: M
Vaccine: FLUA3
Symptoms: Injection site pain
Clinical narrative: Night after  injection patient has pain around the site , no swelling , he took some Tylenols. Four days  after injection still  in pain feel  little bit better 10 days after he still in pain but little bit better , He  said he will see his doctor
Age: 73.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: red,  sore, swoolen red spot in left tricep muscle approximately 2" inches in diameter
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site pain
Clinical narrative: patient complained of flu like symptoms for one week and soreness at injection site
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Aggression, Attention deficit/hyperactivity disorder, Cough, Crying, Ear infection
Clinical narrative: 7 or 8 days after the MMR vaccine, my daughter developed a very high fever (104.5), cough, and rash all over her body. We called her physician and she said it was normal and to call back if she still had a high fever in 2 days. 2 days later, her fever was still very high (103-104) and the rash was way worse and my daughter was very lethargic, weeping, not very responsive. I was scared and called her physician again. They said she might have measles and to bring her into the clinic through the back stairwell. She had blood work and the Department of  Health was contacted. They determined she did have a severe case of  measles and it was the exact strain from her vaccine (not wild-caught measles). We were told we had to be quarantined in our home for 7 days and to keep an eye out for secondary infections/illness. My daughter then developed an ear infection in both ears, which I treated her for at home naturally. Immediately after this episode, my daughter who had no behavioral or developmental issues, began having a really hard time at school and was sent home for aggressive behavior. We went to see a behavioral therapist to be evaluated and they determined she had ADHD and Sensory Processing Disorder. These behavioral issues literally happened overnight and prior to this vaccine had no indications of behavioral issues.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Hyporesponsive to stimuli, Lethargy, Measles post vaccine, Morbillivirus test positive, Pyrexia
Clinical narrative: 7 or 8 days after the MMR vaccine, my daughter developed a very high fever (104.5), cough, and rash all over her body. We called her physician and she said it was normal and to call back if she still had a high fever in 2 days. 2 days later, her fever was still very high (103-104) and the rash was way worse and my daughter was very lethargic, weeping, not very responsive. I was scared and called her physician again. They said she might have measles and to bring her into the clinic through the back stairwell. She had blood work and the Department of  Health was contacted. They determined she did have a severe case of  measles and it was the exact strain from her vaccine (not wild-caught measles). We were told we had to be quarantined in our home for 7 days and to keep an eye out for secondary infections/illness. My daughter then developed an ear infection in both ears, which I treated her for at home naturally. Immediately after this episode, my daughter who had no behavioral or developmental issues, began having a really hard time at school and was sent home for aggressive behavior. We went to see a behavioral therapist to be evaluated and they determined she had ADHD and Sensory Processing Disorder. These behavioral issues literally happened overnight and prior to this vaccine had no indications of behavioral issues.