chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Developed hives over my entire body (legs, stomach, chest, back, butt, arms).  The hives were very itchy.  The rash lasted for one week.  I took allergy pills and used anti itch cream and calamine lotion to help with the itching.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Student pharmacist mistakenly gave a third Shingrix vaccination. No treatments given or outcomes reported.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu like symptoms. Body ache, fever, headache. Over counter Tylenol and Nyquill
Age: 40.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Back pain, Mobility decreased, Musculoskeletal stiffness, Neck pain, Pain
Clinical narrative: On 10/4/19, the patient reported that she experienced severe stiffness/soreness in the back and neck as well as soreness in the left arm that started the next day after vaccination. Patient was referred to her provider in case of adverse effect. Although body aches occur in 1 out of 3 patients, patient reported that her body ache resulted in her not being able to move her neck and back for a few days.  She reports icing it to little effect, but she explained that she may be "feeling a little bit better" as of 10/4/19.
Age: 40.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Pain in extremity
Clinical narrative: On 10/4/19, the patient reported that she experienced severe stiffness/soreness in the back and neck as well as soreness in the left arm that started the next day after vaccination. Patient was referred to her provider in case of adverse effect. Although body aches occur in 1 out of 3 patients, patient reported that her body ache resulted in her not being able to move her neck and back for a few days.  She reports icing it to little effect, but she explained that she may be "feeling a little bit better" as of 10/4/19.
Age: 69.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Asthenia, Decreased appetite, Dizziness, Feeling abnormal, Paraesthesia
Clinical narrative: Beginning Wednesday 9/18, while driving, felt a little whoozy then "head was in bubble bath or attacking itself" then whole body got tingly.  Tingling has persisted until current day, weakness and dizziness.  lack of appetite.  Did not experience typical side effects listed in the information statement
Age: 71.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: Patient called on 10/4/19 and said that he still has a "dull ache" in his left arm after getting Prevnar 13. He said the pain continues from the "upper arm" and "stops at the elbow". He said it started the day of vaccine and has continued. He said if he lays on his arm for a while, he sometimes gets a sharp pain. He denies any problems with range of motion, but he states APAP did not help. Patient says he has not discussed his sx with his doctor, and he was advised to follow up with his PCP.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Next evening after the vaccine (9/24/19), on the ventral aspect of the left arm from injection site to elbow was red, hot, painful to movement, swollen. Symptoms lasted until 9/27/19. Patient took Benadryl from 9/25-9/27 and did not seek medical care. Condition was self-resolved.
Age: 64.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Malaise
Clinical narrative: pain at injection site, malaise.
Age: 55.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Injection site pain, Skin warm
Clinical narrative: patient feels pain at injection site. her arm is warm and looks like there is redness in the arm area that has spread over the upper arm. patient has taken acetaminophen for the pain
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Redness, swelling and Rash on the back of pt
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Bronchospasm, Cough, Nausea, Pyrexia
Clinical narrative: next evening she was feverish, nausea and severe cough with brochial spasm. she went to MD office next day
Age: 60.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site rash
Clinical narrative: First day there was pain in her right arm at the injection site. Second day she had pain around most of her upper arm and the injection site. Third day she had a non-itchy rash around the injection site and around her upper arm.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Back pain, Full blood count, Headache, Lumbar puncture, Meningitis aseptic
Clinical narrative: On 9/22/19 pt. ambulatory came to ER w/ c/o headache frontal, neck pain & pain in low back when bending over or attempt to touch his chin to his chest (hx of viral meningitis w/similar symptoms on 2015 but no immunization) 2 days ago had Menatra Tdap & HPV9 Date seen in ER 9/22/19 Vital Signs T - 37.2 Oral Pulse 90 RR18 Wt - 50.3 kg. BP 107/67 Pulse Ox 97% Review of system - photophobia  No vomiting P.E alert awake, NHD Skin - eczema wrist, knees, elbow Neck & meningismus unable to filex past midline No other neurological signs Laboratory - CBC, CMP Lumbar Tap see result -  Transferred to other Hospital - Admitted 9/22/19 Discharged 9/24/19 at 16:00 Discharge Diagnosis Aseptic Mengitis Hospital Course in Medical Center Though there was a low suspicion for bacterial meningitis, patient was empirically treated w/ 2nd dose of Ceftriaxone (9/23/19) On day of discharge 9/24/19 - Afebrile, no headache walking, no abnormal neurological findings on discharge 9/27/19 - 9/30/19 10/1/2019} Had been calling mother to make a f/ up appointment
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Meningitis bacterial, Metabolic function test, Mobility decreased, Neck pain, Neurological examination normal
Clinical narrative: On 9/22/19 pt. ambulatory came to ER w/ c/o headache frontal, neck pain & pain in low back when bending over or attempt to touch his chin to his chest (hx of viral meningitis w/similar symptoms on 2015 but no immunization) 2 days ago had Menatra Tdap & HPV9 Date seen in ER 9/22/19 Vital Signs T - 37.2 Oral Pulse 90 RR18 Wt - 50.3 kg. BP 107/67 Pulse Ox 97% Review of system - photophobia  No vomiting P.E alert awake, NHD Skin - eczema wrist, knees, elbow Neck & meningismus unable to filex past midline No other neurological signs Laboratory - CBC, CMP Lumbar Tap see result -  Transferred to other Hospital - Admitted 9/22/19 Discharged 9/24/19 at 16:00 Discharge Diagnosis Aseptic Mengitis Hospital Course in Medical Center Though there was a low suspicion for bacterial meningitis, patient was empirically treated w/ 2nd dose of Ceftriaxone (9/23/19) On day of discharge 9/24/19 - Afebrile, no headache walking, no abnormal neurological findings on discharge 9/27/19 - 9/30/19 10/1/2019} Had been calling mother to make a f/ up appointment
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Pain, Photophobia
Clinical narrative: On 9/22/19 pt. ambulatory came to ER w/ c/o headache frontal, neck pain & pain in low back when bending over or attempt to touch his chin to his chest (hx of viral meningitis w/similar symptoms on 2015 but no immunization) 2 days ago had Menatra Tdap & HPV9 Date seen in ER 9/22/19 Vital Signs T - 37.2 Oral Pulse 90 RR18 Wt - 50.3 kg. BP 107/67 Pulse Ox 97% Review of system - photophobia  No vomiting P.E alert awake, NHD Skin - eczema wrist, knees, elbow Neck & meningismus unable to filex past midline No other neurological signs Laboratory - CBC, CMP Lumbar Tap see result -  Transferred to other Hospital - Admitted 9/22/19 Discharged 9/24/19 at 16:00 Discharge Diagnosis Aseptic Mengitis Hospital Course in Medical Center Though there was a low suspicion for bacterial meningitis, patient was empirically treated w/ 2nd dose of Ceftriaxone (9/23/19) On day of discharge 9/24/19 - Afebrile, no headache walking, no abnormal neurological findings on discharge 9/27/19 - 9/30/19 10/1/2019} Had been calling mother to make a f/ up appointment
Age: 11.0
Sex: M
Vaccine: HEPA, HPV4, MNQ, TDAP
Symptoms: Erythema, Full blood count, Peripheral swelling, Skin warm
Clinical narrative: Red, hot, swollen arm & entire right arm gave solumedrol injection
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient says that 1-2 days after first shot he had a fever of 103 degrees F for another 1-2 days. Resolved after Tylenol OTC.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No reaction occurred after dose was given
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5, RV5
Symptoms: Expired product administered, No adverse event
Clinical narrative: No reaction occurred after dose was given
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Pts left deltoid has reddened area at injection site the size of a softball. Area is swollen - pt had Menveo vaccination in Lt Deltoid on 10-1-19 - woke up 10-3-19 with swelling / redness, Benadryl 25 mg every 4-6 hrs for 24 hours apply ice pack to area.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: 10/2: Severe left upper arm pain radiating into left shoulder, unable to raise left arm occurring approximately 4 hours after administration 10/3: Clinic visit: persistent (L) upper arm pain without erythema, edema or induration @ injection site (Left deltoid muscle) unable to raise arm d/t pain: Hydrocodone/acetaminophen 7.5 mg/325 mg prescribed for pain control 10/4/19: Telephone follow-up: Mild improvement in left upper arm pain - still requiring narcotic pain medication for pain control. Patient report 0 edema, erythema or induration at injection site
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Asthma, Cough, Palpitations, Productive cough, Pruritus
Clinical narrative: throat started closing up, lots of Phlegm + asthma like coughing/wheezing. Just like what happens when I encounter eggplant. Took Benadryl + it subsized except heart racing + itching
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness, Wheezing
Clinical narrative: throat started closing up, lots of Phlegm + asthma like coughing/wheezing. Just like what happens when I encounter eggplant. Took Benadryl + it subsized except heart racing + itching
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, TDAP
Symptoms: Crying, Inappropriate affect
Clinical narrative: Approximately 5 min after vaccines given, patient laughing hysterically then crying. Several cycles of this laughing/crying for no reason. Pt monitored x 1hr. vss alert + oriented x 3. Mom in with patient and states "not usual for her" Episodes resolved after appox 1 hour Pt d/c'd to  home with mother
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Skin warm, Swelling, Tenderness
Clinical narrative: Swelling, redness, Hot, tedernes on upper right arm redness moved down arm by FRI 10/4
Age: 70.0
Sex: F
Vaccine: FLUC4
Symptoms: Lip swelling
Clinical narrative: Patient called approximately 45-50 minutes after receiving the vaccine. She stated that she had swelling of her upper and lower lips. She had not eaten or drank anything different. She stated her breathing was fine. She confirmed she had access to liquid Benadryl, instructed her to drink 10-30 ml of Benadryl. She is to call 911 if she feels throat swelling or difficulty breathing. Contacted patient 50 minutes later and she stated the swelling had not progressed and she still had no issues breathing. Informed her if swelling still not receding after 4 hours, may repeat Benadryl. Called patient 4 hours later and she stated that the swelling had gone down and she was back to normal.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: The patient arm was painful, red, swollen and she had pain with movement after the injection. She went to her PCP 2 days later and he gave her an anitibiotic. I spoke with the office and was told they believed she had cellulitis from the vaccination.
Age: 78.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Inflammation, Pain
Clinical narrative: Patient received the immunization at the pharmacy on 10/01/19, and later called the pharmacy stating serious shoulder pain. I advised the patient to ice the shoulder, and to consider taking OTC medication to alleviate the pain. Patient called back and claimed they tried these methods but received no relief. The patient stated increased swelling, and more pain. I advised the patient that if the pain and swelling did not go down in the following days, to seek help from a PCP.
Age: 78.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Musculoskeletal pain, Pain, Swelling
Clinical narrative: Patient received the immunization at the pharmacy on 10/01/19, and later called the pharmacy stating serious shoulder pain. I advised the patient to ice the shoulder, and to consider taking OTC medication to alleviate the pain. Patient called back and claimed they tried these methods but received no relief. The patient stated increased swelling, and more pain. I advised the patient that if the pain and swelling did not go down in the following days, to seek help from a PCP.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Swelling, Urticaria
Clinical narrative: swelling,redness, hives
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea Vomiting Fever
Age: 30.0
Sex: M
Vaccine: HEPA, MNQ, PNC13
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness, Pain in extremity, Tenderness
Clinical narrative: Overall the vaccine administration went well, however, when I woke up the next day my right arm had a significant amount of pain and loss in range of movement. It feels very stiff in my shoulder, more tender when touched, and less painful when not moved at all. When becoming a certified APhA to vaccinate we were warned about this being an ADE, but I never thought it might happen to  myself. I have a photo of where the injections were given and they were given much too high.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: PATIENT CAME IN LAST EVENING AND SHOWED ME A LARGE RED ROUND AREA, HOT TO THE TOUCH.  SHE SAID IT HAS BEEN GROWING IN SIZE.
Age: 68.0
Sex: U
Vaccine: UNK
Symptoms: Chills, Cold sweat, Contusion, Fall, Feeling cold
Clinical narrative: Given Shringrix Vial Kit (Mfg: GlXOAMITHLINW).  Receive shot at 10/02/2019, second shot of series @ 16:16PM.  On 10/03/2019 @ 3:00am I got up to use restroom.  Black out in bathroom, came thru. Pulled myself up to go back to bed, blacked out again. Came back through and climbed into bed, it  was 5am. Woke up at 6:00am with a real bad headache.  Got up at 8am.  My head was really hurting, took an Alive.  Had 2 big knots on both sides of my head, cut on my arm and bruises from where I fell.  Laid back down.  Had cold chills and flu systems and a fever the rest of the day (10/03/2019).  Cold sweats that night..
Age: 68.0
Sex: U
Vaccine: UNK
Symptoms: Headache, Influenza, Loss of consciousness, Nodule, Pyrexia
Clinical narrative: Given Shringrix Vial Kit (Mfg: GlXOAMITHLINW).  Receive shot at 10/02/2019, second shot of series @ 16:16PM.  On 10/03/2019 @ 3:00am I got up to use restroom.  Black out in bathroom, came thru. Pulled myself up to go back to bed, blacked out again. Came back through and climbed into bed, it  was 5am. Woke up at 6:00am with a real bad headache.  Got up at 8am.  My head was really hurting, took an Alive.  Had 2 big knots on both sides of my head, cut on my arm and bruises from where I fell.  Laid back down.  Had cold chills and flu systems and a fever the rest of the day (10/03/2019).  Cold sweats that night..
Age: 68.0
Sex: U
Vaccine: UNK
Symptoms: Skin laceration
Clinical narrative: Given Shringrix Vial Kit (Mfg: GlXOAMITHLINW).  Receive shot at 10/02/2019, second shot of series @ 16:16PM.  On 10/03/2019 @ 3:00am I got up to use restroom.  Black out in bathroom, came thru. Pulled myself up to go back to bed, blacked out again. Came back through and climbed into bed, it  was 5am. Woke up at 6:00am with a real bad headache.  Got up at 8am.  My head was really hurting, took an Alive.  Had 2 big knots on both sides of my head, cut on my arm and bruises from where I fell.  Laid back down.  Had cold chills and flu systems and a fever the rest of the day (10/03/2019).  Cold sweats that night..
Age: 3.0
Sex: F
Vaccine: DTAPHEPBIP, MMR, PNC13, VARCEL
Symptoms: Cyanosis, Decreased appetite, Oral mucosal eruption, Pyrexia, Rash
Clinical narrative: Tuesday 10/1 Fever began in the evening sometime reaching up to 102 with decreased appetite.  Lower next morning but returned again that evening again up to 102.  Thursday  10/3 no fever but polka-dot rash all over body persisting until now, 10 AM Saturday 10/5.  White spots present in mouth inside of cheeks with blueish centers.
Age: 17.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal discomfort, Diarrhoea, Muscle spasms, Nausea, Pain in extremity
Clinical narrative: Patient had nausea, diarrhea, stomach upset, fever and painful leg cramps
Age: 17.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Patient had nausea, diarrhea, stomach upset, fever and painful leg cramps
Age: 17.0
Sex: F
Vaccine: HEP, MENB, MMR, UNK, VARCEL
Symptoms: Diarrhoea, Dizziness, Headache, Migraine, Myalgia
Clinical narrative: High fever, severe muscle aches, severe headaches located in the back of her head, migraines, vision problems with grid-like vision, nausea and diarrhea with lose of 6 pounds and dizziness
Age: 17.0
Sex: F
Vaccine: HEP, MENB, MMR, UNK, VARCEL
Symptoms: Nausea, Pyrexia, Visual impairment, Weight decreased
Clinical narrative: High fever, severe muscle aches, severe headaches located in the back of her head, migraines, vision problems with grid-like vision, nausea and diarrhea with lose of 6 pounds and dizziness
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site warmth, Nausea, Vaccination site induration
Clinical narrative: Flu like systoms, hard red hot knot at injection site. Nausea for days
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain
Clinical narrative: Patient states she began having excruciating pain beginning over one week after receiving vaccine.
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Seizure
Clinical narrative: PATIENT REPORTED HAVING SEIZURES THE DAY AFTER THE VACCINE
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: fever and muscle pain
Age: 45.0
Sex: M
Vaccine: TDAP
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Donor called into the plasma center and reported gnawing, throbbing pain deep in right arm 2 weeks after Tdap immunization. Donor reports that a resting position alleviates pain minimally and movement/use increases pain. Donor states there is no bruising present  and initial muscle soreness from injection subsided about 3-4 days after the injection. Donor states he has used Advil and Pennsaid topical ointment (Diclofenac) for treatment of pain with little to no improvement. Donor states he is going to see his primary care doctor to follow up as soon as possible.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Pain, Pyrexia
Clinical narrative: Patient reports fever over 102 - non-responsive to ibuprofen/tylenol.  All over body aches, severe joint pain.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: THE PATIENT CALLED THE PHARMACY STATING THAT SINCE LAST NIGHT SHE HAS HAD SEVERE ACHES/PAINS ALL OVER HER BODY AND CHILLS FROM A FEVER. SHE WAS CONSULTED TO TAKE SOME NAPROXEN TO HELP WITH THE ACHES AND CONTINUE HER NORCO AS PRESCRIBED TO HELP AS WELL WITH THE FEVER AND PAIN. SHE WILL WAIT UNTIL MONDAY TO CONTACT HER DOCTOR IF HER CONDITION DOESN'T IMPROVE.
Age: 55.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Asthenia, Fatigue, Pain, Pyrexia, Sinus congestion
Clinical narrative: I know other people who had recent flu vaccine at pharmacy and they are reporting the same adverse reaction.  I don't think it was the flu or a cold.  But it has lingered and I feel poisoned is the best way to describe it.  The symptoms are high fever, exhaustion, pain, weakness and sinus congestion.  For me it didn't result in coughing like flu normally does.  It didn't produce any mucus either as flu normally does.  Maybe you should have the vaccinetested given all of the problems recently with tainted medications being imported.
Age: 55.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Head discomfort, Headache, Myalgia, Nasal congestion, Pyrexia
Clinical narrative: I know other people who had recent flu vaccine at pharmacy and they are reporting the same adverse reaction.  I don't think it was the flu or a cold.  But it has lingered and I feel poisoned is the best way to describe it.  The symptoms are high fever, exhaustion, pain, weakness and sinus congestion.  For me it didn't result in coughing like flu normally does.  It didn't produce any mucus either as flu normally does.  Maybe you should have the vaccinetested given all of the problems recently with tainted medications being imported.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site urticaria, Pruritus, Urticaria
Clinical narrative: PATIENT EXPERIENCED AN ITCHY WELT AT THE INJECTION SITE. THIS GRADUALLY SPREAD ACROSS HER SHOULDER AND NECK AND FACE. SHE SHOUGHT TREATMENT AT HER LOCAL CLINIC AFTER TOPICAL BENADRYL WAS NOT RELIEVING HER SYMPTOMS
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Proctalgia, Proctitis, Rash
Clinical narrative: Chills first night Tiredness for a couple weeks Rash 2  1/2 weeks after injection -  large area around rectum  inflamed and spots extremly painful Treated with gentle wipes, A&D ointment   Healing began Oct 4    after 9 days
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large red circle just below injection site. Outside edge of circle was bright red. The site was swollen and warm to the touch. Pediatrician advised cold compress and Benadryl. Side effect continues to be there 3 days later.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Headache, Photophobia
Clinical narrative: At approximately 6:45pm on the day of the vaccination, I noticed two  1? hives on my right thigh.  They were  red, raised, hot and itchy. I was awakened at approximately 10:45pm  by uncontrollable shivers and convulsions, which lasted around 45 minutes.  There was no fever. The next day (10/04/2019), I was fatigued, with a headache and light sensitivity.  Another hive appeared on my right buttocks. I took ibuprofen on the day of the vaccination to alleviate soreness at the injection spot.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Seizure, Urticaria
Clinical narrative: At approximately 6:45pm on the day of the vaccination, I noticed two  1? hives on my right thigh.  They were  red, raised, hot and itchy. I was awakened at approximately 10:45pm  by uncontrollable shivers and convulsions, which lasted around 45 minutes.  There was no fever. The next day (10/04/2019), I was fatigued, with a headache and light sensitivity.  Another hive appeared on my right buttocks. I took ibuprofen on the day of the vaccination to alleviate soreness at the injection spot.
Age: 51.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site pain, Musculoskeletal pain, Neck pain, Neuralgia, Pain in extremity
Clinical narrative: Patient received Flucelvax Quad 2019/20 injection on 9/28/2019  and reports that he had pain on the next day radiating from injection site  up to neck and shoulder blade and down to fingers "nerve" like pain in fingers. Pain reported as 9 out of 10 scale per patient.  On 10/5/2019 patient came into pharmacy to report adverse reaction has pain currently 7 out of 10 scale per patient. Patient wanted to see a doctor and was advised that pharmacy would follow up with him on Monday 10/7/19
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pain, Vaccination complication
Clinical narrative: Patient called and reported an 8 out of 10 pain scale that night and she was sick in her stomach, no sense of tingling at all but when asked where the vaccine was administered she measured three fingers from her the top of her shoulder and stated the immunization was given much higher than that. This event is likely due to the administration of the vaccine however it is not possible to tell for sure. The patients physicians office was notified and the patient was instructed to contact her doctor as well for follow up to ensure no permanent lasting injury was sustained. She stated the day of reporting that the pain was at 4-5 and had subsided tremendously.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Patient came in two days after vaccine to report erythema and tenderness spreading down arm from injection site/
Age: 67.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Rash erythematous
Clinical narrative: Big red rash beneath the injection site. Started experiencing symptoms late Monday and progressed into late Tuesday, October 1st, 2019.
Age: 38.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Blood pressure decreased, Blood prolactin increased, Central venous catheterisation, Chest X-ray, Injection site erythema
Clinical narrative: Swollen arm, red and very sore to touch and with movement on the right arm injection site. I had fever that afternoon, night and next day of 100-102 degree F. Went to ER on 10/04/19 and diagnosed with sepsis. Went to ICU, then critical care, now on 10/05/2019 I went to general care. Edema found with MRI on right arm.
Age: 38.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Injection site swelling, Intensive care, Magnetic resonance imaging abnormal, Oedema peripheral
Clinical narrative: Swollen arm, red and very sore to touch and with movement on the right arm injection site. I had fever that afternoon, night and next day of 100-102 degree F. Went to ER on 10/04/19 and diagnosed with sepsis. Went to ICU, then critical care, now on 10/05/2019 I went to general care. Edema found with MRI on right arm.
Age: 38.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain, Pyrexia, Sepsis, White blood cell count increased
Clinical narrative: Swollen arm, red and very sore to touch and with movement on the right arm injection site. I had fever that afternoon, night and next day of 100-102 degree F. Went to ER on 10/04/19 and diagnosed with sepsis. Went to ICU, then critical care, now on 10/05/2019 I went to general care. Edema found with MRI on right arm.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Hyperventilation, Nausea, Palpitations
Clinical narrative: Starting about 15 hrs after receiving Shingrix awakened with shaking chills. Soon after started hyperventilating and heart racing. I thought it might be from injection (retired nurse), so I did relaxation breathing and within 20 minutes or so my breathing started to relax as well as sense of heart racing. Chills continued for about 1 hr 30 min. Eventually fell asleep then awakened with headache and nausea. The headache and nausea contnued until this morning -about 18 hours after start of event.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Starting about 15 hrs after receiving Shingrix awakened with shaking chills. Soon after started hyperventilating and heart racing. I thought it might be from injection (retired nurse), so I did relaxation breathing and within 20 minutes or so my breathing started to relax as well as sense of heart racing. Chills continued for about 1 hr 30 min. Eventually fell asleep then awakened with headache and nausea. The headache and nausea contnued until this morning -about 18 hours after start of event.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Headache, Insomnia, Nausea, Neck pain
Clinical narrative: Patient states she was not able to sleep night of vaccination, felt like knife sticking in her arm. She states she had a low grade fever, headache, no energy and nauseous. Patient states she had pain on her right side from her neck to her waist.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient states she was not able to sleep night of vaccination, felt like knife sticking in her arm. She states she had a low grade fever, headache, no energy and nauseous. Patient states she had pain on her right side from her neck to her waist.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Hyperhidrosis
Clinical narrative: Severe vomiting and diarrhea started at 1:45pm (about 3 hours after the fluzone vaccine) Also severe aches and pain in joints and  chills with teeth chattering intermixed with sweats ( high fever 102 degrees.) This lasted until 7pm. Then it subsided with just extreme fatigue for the next 24 hours.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: Severe vomiting and diarrhea started at 1:45pm (about 3 hours after the fluzone vaccine) Also severe aches and pain in joints and  chills with teeth chattering intermixed with sweats ( high fever 102 degrees.) This lasted until 7pm. Then it subsided with just extreme fatigue for the next 24 hours.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash
Clinical narrative: RASH DEVELOPED OVERNIGHT. FIRST ON ARM, THEN CHEST AND BOTH LEGS.  ADVISED PT TO APPLY HYDROCORTISONE TO AFFECTED AREAS 2 TO 3 TIMES PER DAY  AND TAKE LORATADINE FOR PRURITIS.  PT BREASTFEEDING, SO PT  DID NOT WANT TO TAKE DIPHENHYDRAMINE.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Head injury, Syncope
Clinical narrative: fainting;hit head on floor
Age: 54.0
Sex: M
Vaccine: VARCEL
Symptoms: Body temperature increased, Chills, Fatigue, Hyperhidrosis, Myalgia
Clinical narrative: Since 8 hours post shot patient experiencing: shakes, chills, fatigue, nausea, temperature of 101°  Muscle pain, body aches, diapharetic.
Age: 54.0
Sex: M
Vaccine: VARCEL
Symptoms: Nausea, Pain, Tremor
Clinical narrative: Since 8 hours post shot patient experiencing: shakes, chills, fatigue, nausea, temperature of 101°  Muscle pain, body aches, diapharetic.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Swelling
Clinical narrative: The patient states that the arm she got her pneumonia shot in is extremely red and swollen. She states that the swelling is spreading and moving around and under her arm.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Skin warm
Clinical narrative: redness, warmth and inflammation in the upper arm
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pain...especially at night and limited mobility of arm.  Patient says the pain is inside the arm
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Soreness, redness and swelling of right arm,  from shoulder to the elbow. On 10/5 the area was slightly red and there was some swelling near the elbow. Pt said it did not hurt, she was just concerned that there was a cellulitis. Did not appear infected, not warm to the touch and she said the swelling had gone down significantly. She stated that she wanted the pneumovax in left arm and flu in right. I have documented that we gave pneumo in right arm and flu in left so I am not very confident that the flu is the vaccine that caused the problem. I believe it was pneumovax, but patient is insisting that it was the flu shot
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Back pain, Blood pressure increased, Dizziness, Dyspnoea
Clinical narrative: Patient reports trouble breathing, dizziness and lower back pain. Patient bp checked, O2 checked and visually monitored. After aprox 10 mins Patient has was asymptomatic
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Dizziness, Pain
Clinical narrative: Chills, weakness, dizziness, aches in legs and arms, light headed
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal disorder, Walking aid user
Clinical narrative: Patient reports that the day after Shingrix injection (injection 10/3/19, adverse event started 10/4/19) her "left leg was useless" and that if she "didn't have a walker at home {she} would not have been able to move around." The following day, 10/5/19, patient reported adverse event to pharmacy and states that at this time she is experiencing no more adverse event, and leg feels normal
Age: 51.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Abdominal discomfort, Chills, Ear pain, Eye pain, Headache
Clinical narrative: Pain and soreness around shoulder muscle in the arm that received the Shingrix vaccine; progressively worsening full-fledged flu-like symptoms: fever of 102; chills; severe nausea; upset stomach; general malaise; entire body muscle aches; severe headache; pain around eye sockets, ears, and neck; inability to function normally.  Treatment: stayed in bed for 14 hours, took regular dosages of aspirin every 4 - 6 hours, drank water frequently.  It is currently 23 hours following the time of vaccine injection, and fever has gone down to 100; full-fledge flu-like symptoms remain.  I am convinced these side effects are the result of the Shingrix, as I have gotten a seasonal flu shot annually for over 10 years, always with little or no side effects.
Age: 51.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Influenza like illness, Injection site pain, Loss of personal independence in daily activities, Malaise, Myalgia
Clinical narrative: Pain and soreness around shoulder muscle in the arm that received the Shingrix vaccine; progressively worsening full-fledged flu-like symptoms: fever of 102; chills; severe nausea; upset stomach; general malaise; entire body muscle aches; severe headache; pain around eye sockets, ears, and neck; inability to function normally.  Treatment: stayed in bed for 14 hours, took regular dosages of aspirin every 4 - 6 hours, drank water frequently.  It is currently 23 hours following the time of vaccine injection, and fever has gone down to 100; full-fledge flu-like symptoms remain.  I am convinced these side effects are the result of the Shingrix, as I have gotten a seasonal flu shot annually for over 10 years, always with little or no side effects.
Age: 51.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Nausea, Neck pain, Pyrexia
Clinical narrative: Pain and soreness around shoulder muscle in the arm that received the Shingrix vaccine; progressively worsening full-fledged flu-like symptoms: fever of 102; chills; severe nausea; upset stomach; general malaise; entire body muscle aches; severe headache; pain around eye sockets, ears, and neck; inability to function normally.  Treatment: stayed in bed for 14 hours, took regular dosages of aspirin every 4 - 6 hours, drank water frequently.  It is currently 23 hours following the time of vaccine injection, and fever has gone down to 100; full-fledge flu-like symptoms remain.  I am convinced these side effects are the result of the Shingrix, as I have gotten a seasonal flu shot annually for over 10 years, always with little or no side effects.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported redness, swelling, and heat at site of injection and below the site of injection (total area affected was about 6-10 inches surrounding injection site) for 3 days.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Limb discomfort, Pyrexia
Clinical narrative: patient said she suffered a low grade fever, sore arm, and flu like symptoms for 48 hours after receiving the vaccine.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Balance disorder, Fatigue, Headache, Nausea
Clinical narrative: First dose was July 2, 2019.   Had slight reaction....swollen red arm, some achiness, but able to work (though not to usual standard).   Anticipated perhaps same issue for second dose so I took one Ibuprofen within hour of receiving vaccination.     12 hours post vaccination: began low grade fever @100 degrees, severe body aches, headache, racing heart, nausea and extreme fatigue.  Took another ibuprofen. 21 hours post vaccination: above symptoms, plus balance issues, weakness and beginning vomiting.   Took another ibuprofen.  Cancelled all work and events for day.  Went back to bed and slept.   28 hours post vacc, was able to eat a little soup without vomiting.  Went back to bed and slept until 35 hours post vacc.  Got up and ate a very small plate.  Went back to bed with another ibuprofen at 36 hours post vacc.  Still slight fever.   45 hours post vacc. woke up without fever, but still achey.  Strong enough to eat more and do light work.   I usually do not have reaction to vaccinations, so was very surprised to encounter such a severe reaction.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Palpitations, Peripheral swelling, Pyrexia, Vomiting
Clinical narrative: First dose was July 2, 2019.   Had slight reaction....swollen red arm, some achiness, but able to work (though not to usual standard).   Anticipated perhaps same issue for second dose so I took one Ibuprofen within hour of receiving vaccination.     12 hours post vaccination: began low grade fever @100 degrees, severe body aches, headache, racing heart, nausea and extreme fatigue.  Took another ibuprofen. 21 hours post vaccination: above symptoms, plus balance issues, weakness and beginning vomiting.   Took another ibuprofen.  Cancelled all work and events for day.  Went back to bed and slept.   28 hours post vacc, was able to eat a little soup without vomiting.  Went back to bed and slept until 35 hours post vacc.  Got up and ate a very small plate.  Went back to bed with another ibuprofen at 36 hours post vacc.  Still slight fever.   45 hours post vacc. woke up without fever, but still achey.  Strong enough to eat more and do light work.   I usually do not have reaction to vaccinations, so was very surprised to encounter such a severe reaction.
Age: 72.0
Sex: M
Vaccine: FLUA3
Symptoms: Insomnia, Loss of personal independence in daily activities, Mobility decreased, Pain in extremity
Clinical narrative: Extreme arm pain- cannot move arm- could not sleep due to pain- cannot get himself dressed- took motrin to help the pain but over 24 hours later and still in a lot of pain
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Back pain, Musculoskeletal stiffness, Neurological examination
Clinical narrative: C/O neck stiffness and upper back pain 2 days after vaccine
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Urticaria
Clinical narrative: The patient's husband called approx 3pm stating his wife had a reaction to her flu shot earlier in the day.  Her arm and face was red and warm to the touch.  She had hives on her face.  She self treated with benadryl.  No complaints of trouble breathing or throat swelling.  I recommended getting in touch with her primary care physician or going to urgent care if symptoms progressed.  I called two hours  later (5pm) to check on the patient.  She stated the redness and hives were better.  She had never had reaction like this to the flu shot and it scared her.  She plans to continue to self treat with benadryl.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Feeling drunk, Malaise
Clinical narrative: Patient was given Fluzone Quad PF injection 10/5/19. She stated she is allergic to latex. I used latex free gloves and latex free bandaid. After giving the injection, I asked her to stay in the store for 15-20 minutes. Patient came back to the pharmacy stating she did not feel well. She said she almost felt drunk/kind of out of it. She said she was feeling better now. I asked her to take her blood pressure at the machine and it was 160 something over 110. Patient stated she does have high blood pressure and is on medication. She stated she did take her medication today but had recently ate a high sodium meal at restaurant. She attributed the high blood pressure to the high sodium meal plus the combination of the flu shot. I asked her if she thought she needed to be seen by a doctor and she said she thought she needed to drink some water. Her husband was with her and they were headed home. I told her she needed to monitor her blood pressure closely and she assured me she felt fine and has a monitor. I asked if there was anything I could do and she said no. Patient said she was feeling better, shook my hand, and left the pharmacy around 6:13 pm 10/5/19.
Age: 84.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient experienced swelling and pain from elbow to shoulder on right arm
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash pruritic
Clinical narrative: Itchy rash developed along facial hair line on day 1, and continued to expand over next two days resulting in rash across chest from shoulder to shoulder, and all along facial hair line, uppermost forehead, and back of neck at hairline.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Tunnel vision, Visual impairment
Clinical narrative: APPROXIMATELY 30 MINUTES AFTER INJECTION, PATIENT RETURNED TO PHARMACY STATING SHE HAD VISUAL DISTURBANCES THINKING IT COULD BE A REACTION TO HER VACCINE.   SHE NOTICED BLACK SPOTS IN HER VISION AND EVENTUALLY HAD TUNNEL VISION.   SHE STATES THAT SHE DIDN'T EAT MUCH DURING THE DAY, BLOOD PRESSURE WAS NORMAL PER OUR READING, AND INJECTION SITE SHOWED NO VISIBLE SITES OF REACTION.     AFTER SITTING FOR AN ADDITIONAL 30 MINUTES, SHE FELT WELL ENOUGH TO GO HOME BY HERSELF
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: patient had a little soreness at injection site when administered.  On September 30, 2019, patient reported that she still had some soreness at the injection site when no movement of the arm.  States that there is no redness or irritation at the injection site.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Contusion, Injection site swelling
Clinical narrative: Within about 10 seconds of giving patient the vaccination, the injection site swelled up to about the size of a golf ball. The veins around the injection site were especially swollen. He did not report and pain, dizziness or any other symptoms. Monitored him for about 25 minutes with no change. Advised him to put ice on it at home and take Tylenol for pain if needed. Patient has no history of reaction to flu vaccines and no drug allergies. He did state they he had received botox recently. We followed up with him the next day and he still had not experienced any symptoms other than a little bruising and the swelling had gone down.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Decreased appetite
Clinical narrative: Lower Back pain on the left side. loss of appetite.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: AFTER THE ADMINISTRATION, A WEEK LATER A ROUND RED RASH APPEARED, ITS BEEN OVER 1 MONTH, RASH IS STILL THERE BUT LIGHTENED
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site warmth
Clinical narrative: Pt developed a hard knot at injection site that was warm to the touch. It was slightly red.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Paraesthesia
Clinical narrative: after patient received the vaccine, she started to feel dizzy.   Later she said she felt tingling in her hands.  She stayed at the IMZ table for 20 minutes, and felt better.
Age: 1.0
Sex: F
Vaccine: UNK
Symptoms: Allergy test, Blood test, Urticaria
Clinical narrative: It was the very first dose of the flu shot vaccine. I'm not sure which exact one it was but I know she was supposed to get two shots since she is a baby. We got her shot at 9am and then after her nap I noticed very big hives on her body. They continued to spread and get bigger so we went to the doctor. The doctor prescribed zyrtec and sent in for us to get an allergy test done.  We are on day 3 now and it is getting better, but still there.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Hypotension, Immediate post-injection reaction, Pallor, Presyncope
Clinical narrative: Immediately after injection completed, patient complained of dizziness and was noticeably pale, but did not pass out. Pt instructed to remain in seat and that there was no rush. Per patient request, water given. Initial blood pressure reading of 80/52 and 55 BPM. Per patient, she expressed familiarity with "vagal" response and that her blood pressure often runs low. Per patient, had dizziness in past to flu shot but not as worse as current event. After ~10-15 minutes, patient expressed that she was feeling better and was ok with leaving. Patient instructed to report to clinic if symptoms continue or if worsen.
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: Heart rate decreased, Loss of consciousness, Seizure, Unresponsive to stimuli
Clinical narrative: Patient lost consciousness about 5 minutes after receiving the flu shot. After becoming aware, he then had a seizure and was unresponsive. He had one more seizure before the paramedics arrived. HR was on the low side of normal
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Joint swelling, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient presented to the pharmacy on the morning of 10/5/2019 stating she received a Shingrix shot on 10/03/2019 and her arm is numb. She stated her arm started to hurt on the evening of 10/04/2019 and at 1 am the next morning she put ice on it. She also tried a Epsom salt bath with little relief. Additionally, on the morning of 10/05/2019, she stated she could hardly move her right hand and it hurt to make a fist. Patient was asked if she had tried any other treatments other than the ones listed above and she replied no. The pharmacist visually inspected patient's right arm and no redness of rash was present. Patient felt wrist might be swollen, but no visible sign confirmed. Patient thought arm might be slightly warm, but patient reported no fever. Also, pt. reported exercising on 10/04/2019 in the pool using  buoys which she had been doing regularly. Pt. was advised to start Tylenol and continue with ice and monitor for changes and seek EMS if necessary. Pharmacy to follow up with patient.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: Patient presented to the pharmacy on the morning of 10/5/2019 stating she received a Shingrix shot on 10/03/2019 and her arm is numb. She stated her arm started to hurt on the evening of 10/04/2019 and at 1 am the next morning she put ice on it. She also tried a Epsom salt bath with little relief. Additionally, on the morning of 10/05/2019, she stated she could hardly move her right hand and it hurt to make a fist. Patient was asked if she had tried any other treatments other than the ones listed above and she replied no. The pharmacist visually inspected patient's right arm and no redness of rash was present. Patient felt wrist might be swollen, but no visible sign confirmed. Patient thought arm might be slightly warm, but patient reported no fever. Also, pt. reported exercising on 10/04/2019 in the pool using  buoys which she had been doing regularly. Pt. was advised to start Tylenol and continue with ice and monitor for changes and seek EMS if necessary. Pharmacy to follow up with patient.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Loss of consciousness, Seizure, Tremor
Clinical narrative: Seizures and constant fatigue, shaking, and out of consciousness after shot.
Age: 66.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Recombinant Zoster (Shingles) Vaccine and Pneumococcal Polysaccharide Vaccine.  The first night symptoms were just swelling, redness and hot to touch at the site.  The next two days, I felt achey and very tired.  I didn't run a fever but my skin hurt like I was.  Today is the 4th day and the swelling has gone down a little and I'm not as fatigued but both shot sites have large red circles and are very tender and itchy.