chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Limb discomfort, Musculoskeletal disorder, Myalgia, Neck pain, Pain
Clinical narrative: Shot for Flu, right Arm....high up on arm...stay tender longer than before.....pneumonia shot...injection in shoulder - high up right arm,  arm started throbbing, became hard to move, pain moved to entire arm, upper right shoulder, in my up right side of the back, continued to my neck then behind my right ear...arm felt as if my bones had twisted around,..couldn't hold arm up, held down and pain was consistent. Numbness set in...went to emergency.....gave pain pill, didn't stop pain...home, took TYLENOL for 4 day, pain remains but not,. still hurting very bad, in muscles, around shoulder where bone connects......went to my primary doctor.....arm to be put in sling...continue rotations of arm shoulder, taking pain pills.....pain remains..uncomfortable, unable to do normal funtions at this time.
Age: 71.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Pain in extremity
Clinical narrative: Shot for Flu, right Arm....high up on arm...stay tender longer than before.....pneumonia shot...injection in shoulder - high up right arm,  arm started throbbing, became hard to move, pain moved to entire arm, upper right shoulder, in my up right side of the back, continued to my neck then behind my right ear...arm felt as if my bones had twisted around,..couldn't hold arm up, held down and pain was consistent. Numbness set in...went to emergency.....gave pain pill, didn't stop pain...home, took TYLENOL for 4 day, pain remains but not,. still hurting very bad, in muscles, around shoulder where bone connects......went to my primary doctor.....arm to be put in sling...continue rotations of arm shoulder, taking pain pills.....pain remains..uncomfortable, unable to do normal funtions at this time.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain, Musculoskeletal pain
Clinical narrative: Neck & shoulder ache, headache, fever (100), shivering, tiredness. In addition to pain at injection site.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pyrexia
Clinical narrative: Neck & shoulder ache, headache, fever (100), shivering, tiredness. In addition to pain at injection site.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Blood glucose increased, Fatigue, Injection site mass, Injection site pain, Nausea
Clinical narrative: A spike in blood sugars which is normally controlled (+374), injection site lump that is half-dollar size and painful, nausea, low-grade fever, over all tiredness.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: A spike in blood sugars which is normally controlled (+374), injection site lump that is half-dollar size and painful, nausea, low-grade fever, over all tiredness.
Age: 75.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Erythema, Pain, Swelling
Clinical narrative: Patient reported redness, pain, & swelling the night of the injection. She reported to the ER and was told it was cellulitis and given acetaminophen. Her primary doctor gave her an antibiotic.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Limb discomfort, Muscle disorder, Muscle spasms, Myalgia
Clinical narrative: Around 5pm patient started having heavy feeling limbs, she went to bed and that night felt like her muscles would all clench up at once on and off throughout the night. The next morning she felt muscle aches and tiredness but the muscle spasms stopped. She took aspirin and felt back to normal later in the day.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Oedema, Pain
Clinical narrative: EDEMA AND ERYTHEMA 3 INCHES IN DIAMETER. PAIN.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Pt initially called her doctor to let him know about the reaction and he let patient know that her reaction is a somewhat "normal" reaction.  Pt stated that the area around injection site was raised, red, warm to touch, and itchy.  Pt was not upset or worried after speaking to her doctor, but felt that she should let us know.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: The patient received the vaccine 09/06/2018. By 09/08/2018 she experienced an itchy rash on both of her arms. She did not call the pharmacy nor her doctor, but treated herself with hydrocortisone cream and diphenhydramine cream. By the reporting date of 09/15/2018 she claims there has been continued improvement, although it is not completely resolved. She has had the FLUZONE High Dose in the past and has never experienced this reaction. She does admit to trying a new recipe with dry yeast for the first time at the same time of her experiencing the allergy, so the cause of the rash is unknown. We are reporting this to VAERS as a precaution.
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Vaccination site pain
Clinical narrative: Pt stated that he had severe pain at vaccination site, said that it was so bad that he felt like he could not use his arm/drive. Took TYLENOL and would be calling md if it got worse. Started around 5pm when vaccine was around 2pm.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal pain, Chills
Clinical narrative: Fluzone Quad pf.
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient's injection site broke out on Monday 9-10-18. By 9-12-18, the patient's entire upper arm was red and warm to the touch. The patient presented to the pharmacy with a prescription for KEFLEX.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain
Clinical narrative: Vaccine was received at 9:30 am, at 4:30 pm the patient reported soreness. At 12:15 am on the 13th the patient woke with chills, took some Tylenol went back to bed and felt better in the morning.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site rash, Pruritus
Clinical narrative: The patient entered pharmacy about 9:30am and displayed a red rash about 2 inches below the site of injection; in diameter about 4 inches in a circle on upper arm. I called office and the patient drove to the clinic and was given triamcinolone ointment and told to ice it. Staff sent by escribe triamcinolone ungt and the patient returned to get the ointment. She says it's itching only. No other reactions.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Pain in extremity, Rash
Clinical narrative: Patient called stating his arm was aching/sore/stiff, and he had a rash develop on his chest 48 hours after administration. His concern was the vaccine may have been administered too high on his arm, but I was unable to confirm this as he called on the phone.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Pruritus, Swelling
Clinical narrative: Patient arm began to itch. Redness, erythema, swelling and pain began to develop. This began spreading down patient's left arm. Patient used ice compress and redness and swelling began to reduce.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site warmth, Lethargy
Clinical narrative: For 72 hours after my injection, I had a sore throat, fever, chills and totally lethargic. Now on Day 3, the injection site is still red, warm and sore.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: For 72 hours after my injection, I had a sore throat, fever, chills and totally lethargic. Now on Day 3, the injection site is still red, warm and sore.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Pyrexia
Clinical narrative: Patient complained of flu like symptoms and fever >99 degrees for approximately 24 hours following her 2nd dose of Shingrix on 9/13/18. She has been taking Acetaminophen (dose unknown) OTC since the reaction began yesterday and fever has subsided as of today 9/15/18.
Age: 22.0
Sex: F
Vaccine: RAB
Symptoms: Paraesthesia, Skin burning sensation, Sunburn, Temperature intolerance
Clinical narrative: A few hours after receiving this vaccine my arms, hands, face, and feet began to tingle and became very sensitive to temperature change (mostly cold.) For example my hands tingled every time I washed my hands. This went on for two days, and seemed to be getting better until I went swimming one day. I was outside for 30 minutes when my skin began to have a burning sensation. I immediately got out of the sun, but this sensation persisted. My hands and feet ended up burning/blistering from the sun exposure and the burning sensation lasted for two days. I am in veterinary school and really need to receive this vaccine for pre-exposure and plan on trying to get this series again. I am just wondering if there have been any reactions similar to this or if there is any other information that would be beneficial.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: No adverse effect, but I am reporting because she was erroneously given vaccine for ages 3 and up, and she is only 2 years 10 months old.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Feeling abnormal, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient stated that a few days after receiving the shot she began feeling numb/tingling feelings in the arm, she also says that when she is at rest she gets a feeling like her arm is moving - she just wanted us to know since it is still happening a month after the vaccination, I asked patient for permission to report the reaction and filled out the form.
Age: 0.08
Sex: M
Vaccine: PNC13
Symptoms: Wrong product administered
Clinical narrative: None- I am reporting because he was erroneously given PCV13 instead of the hepB vaccine which was ordered.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Disorientation, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: Shakes, weak standing muscles, minor disorientation, sweating, fever 99.1, shivering, headache especially behind eyes. Lasted more than 24 hours after shot. Went back to bed at 10:45 Thursday morning. Friday morning still a bit foggy brained but cleared by 11AM.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Pyrexia, Tremor
Clinical narrative: Shakes, weak standing muscles, minor disorientation, sweating, fever 99.1, shivering, headache especially behind eyes. Lasted more than 24 hours after shot. Went back to bed at 10:45 Thursday morning. Friday morning still a bit foggy brained but cleared by 11AM.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Myalgia, Pain in extremity, Pruritus, Swelling
Clinical narrative: Patient presented to pharmacy on 9/15/18 stating that he started experiencing erythema, swelling, muscle tenderness, and itchiness on his right arm on the night of 9/12/18. He stated that the arm was so sore that he could not lie down on his right side and it lasted for about 2 days. Today, 9/15/18, he states that he is feeling much better; the erythema and itchiness is gone, but there is a little swelling and muscle tenderness left.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus
Clinical narrative: Five days after patient was vaccinated with her first dose of SHINGRIX, she noticed her arm was itching around the injection site, upon looking at her arm, she noticed a small yellow bruise where the needle was administered and redness mainly underneath the injection site (about 4 inches down, in a circle type pattern), and about 2 inches about the injection site.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Strong ringing in the ears within the hour. Continued for approximately 3 weeks, then subsided but continues with a constant low volume. No treatment sought by patient who is waiting to see if effects will resolve by itself.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Fatigue, Pyrexia, Tremor
Clinical narrative: 5 hours after injection I felt chilled and shivered on and off the rest of the evening. The next morning I awoke with a mild fever, fatigue and shivering also no appetite for the entire day that night around 9:00pm I started uncontrollably shaking for about I hour and felt very chilled. The third morning I felt much better just slightly fatigued.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Patient experienced a localized rash and swelling at the injection site.
Age: 60.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Patient advised she had redness, swelling, and a fever over the course of 24-72 hours, now ok.
Age: 77.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: In injected arm, redness spread from shoulder to almost elbow, swollen, throbbing, hot to touch, painful. Started afternoon after receiving and resolved after 3 to 4 days.
Age: 75.0
Sex: M
Vaccine: PPV
Symptoms: Axillary pain, Injection site erythema, Injection site warmth
Clinical narrative: PATIENT WAS GIVEN THE PNEUMOVAX 23 IN THE MORNING ON 9/14/18 AND PRESENTED AT THE PHARMACY TODAY ON  9/15/18 WITH REDNESS AROUND THE INJECTION SITE AS WELL AS WARMTH AND HER ARMPITS WERE SORE.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dyspnoea, Fatigue
Clinical narrative: Patient felt faint, tired and short of breath.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Headache, Pain, Pain in extremity
Clinical narrative: I had a very sore arm for several days. The morning after the shot I had a headache and body aches. I was dizzy and by the afternoon had a fever of 99.8. I had to take a nap that lasted for two hours. The next day I was still somewhat weak and had to somewhat curtail my usual activities.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: I had a very sore arm for several days. The morning after the shot I had a headache and body aches. I was dizzy and by the afternoon had a fever of 99.8. I had to take a nap that lasted for two hours. The next day I was still somewhat weak and had to somewhat curtail my usual activities.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: PATIENT CALLED PHARMACY STATING THAT SHE HAD CONTINUED SORENESS AT INJECTION SITE, VACCINE WAS GIVEN OVER 3 WEEKS AGO. ADVISED PATIENT TO MONITOR SORENESS, AND TO APPLY COLD PACK TO SORE AREA TO SEE IF IMPROVEMENT OCCURS, AND TO KEEP PHARMACY UP TO DATE ON OUTCOME - NO OTHER SYMPTOMS WERE MENTIONED.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: The immunization was mistakenly given Subcu instead of IM. Patient reported swelling, red painful rash at injection site. Advised patient to apply BENADRYL cream and ice as needed in addition to either TYLENOL or ibuprofen.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: PATIENT SAID "AFTER SHINGRIX SHOT ARM WAS RED, SWOLLEN AND VERY VERY WARM (93F). CHIROPRACTOR USED LASER TO HELP DISSIPATE. CORTISONE CREAM WAS ALSO APPLIED. TOOK OVER ONE WEEK - CLOSE TO TWO WEEKS TO DISSIPATE".
Age: 88.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus generalised
Clinical narrative: Patient had itching all over her body and used various ointments and sprays to relieve it. She has never had a reaction like this before. It started on her back Monday, but was almost entirely resolved by Saturday.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Gait disturbance, Headache, Influenza, Malaise
Clinical narrative: Grade 3 flu symptoms with beginning malaise & light body aches, followed with shivers and chills, and sick feeling, nearly like having the flu, deepening body aches all night through next morning, followed with more chills the next day and difficulty walking or moving about. This followed that evening by fever and body aches, headache and difficulty moving about. I have never had an adverse reaction before to a yearly flu shot, or to the original shingles vaccine called ZOSTAVAX.  I almost felt I should visit the emergency room, but I did not.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: Grade 3 flu symptoms with beginning malaise & light body aches, followed with shivers and chills, and sick feeling, nearly like having the flu, deepening body aches all night through next morning, followed with more chills the next day and difficulty walking or moving about. This followed that evening by fever and body aches, headache and difficulty moving about. I have never had an adverse reaction before to a yearly flu shot, or to the original shingles vaccine called ZOSTAVAX.  I almost felt I should visit the emergency room, but I did not.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Blood pressure increased, Dizziness, Dry mouth, Gait inability
Clinical narrative: Blood pressure shot up, I felt faint, shaky body, pain in joints. Fast heartbeat. Dry mouth. Need to drink lots of water. Numbness in hands. When I got home I laid down with head up. I could not interact or walk for over an hour. After an hour I recovered enough to have my blood pressure taken. It was 159/89. Normally it is 140/79 I think.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Hypoaesthesia, Thirst, Tremor
Clinical narrative: Blood pressure shot up, I felt faint, shaky body, pain in joints. Fast heartbeat. Dry mouth. Need to drink lots of water. Numbness in hands. When I got home I laid down with head up. I could not interact or walk for over an hour. After an hour I recovered enough to have my blood pressure taken. It was 159/89. Normally it is 140/79 I think.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Patient had a significantly large red, hard area that was warm to the touch and approximately 3 inches in diameter at the injection site.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Patient received the second dose of SHINGRIX on 8/16/18. She called on 9/14/18 stating that she experienced pain in the injection site (left arm) following the injection until now. The pain has not gotten any better, and she has not tried any pain medications. There were no redness or swelling reported. She also stated that she felt the needle went in twice. The syringe used had auto retracts after the shot is given. Pharmacist does not recall double poking any of her patients so is unsure what was the sensation the patient felt. Pharmacist contacted the company's patient care pharmacist right after the phone call with employee and was advised to advise patient to see a doctor in case of any infection. The patient states she will see her primary care provider.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Injection site pain
Clinical narrative: Injection site pain moderate - aggravated by elevating arm. Fatigue/weakness. Chills. Dizziness.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Injection site pain moderate - aggravated by elevating arm. Fatigue/weakness. Chills. Dizziness.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: PATIENT REPORTS RASH DEVELOPED BILATERAL UPPER ARMS ON THE EVENING OF VACCINATION, RASH SEEMS TO BE SPREADING TO LEGS AT THE TIME OF PATIENT REPORTING TO PHARMACY 3 DAYS LATER.
Age: 65.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt developed redness and swelling at injection site that spread down arm (started at injection site and is travelling down the arm). Other than pain at injection site, pt does not have any discomfort in arm.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Pt reported redness and warm to the touch at site of injection on the left arm that started a few hours after injection. Pt came in 09/15/2018 to report adverse reaction. She was counseled on using BENADRYL and ibuprofen for symptom relief and rph recommended getting checked out by dr or urgent care.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Lymph gland infection, Lymphadenopathy
Clinical narrative: The patient came into the pharmacy on Wednesday, 09/12/2018 for the second dose of the SHINGRIX immunization. After leaving the pharmacy, the patient went on a bike ride even though he had slight symptoms of a fever. The following morning at around 5:30am, the patient started experiencing flu-like symptoms with signs of fever, chills, and tiredness. Two days after, however, on 09/14/2018, the patient's immunized arm started swelling underneath the armpit under the lymph nodes. During a phone conversation, it was determined the patient should definitely see a physician. The patient immediately went to urgent care, but the physician practicing was via video and the patient alongside his wife felt as though his diagnosis and treatment plan wasn't sufficient. Upon arrival to the pharmacy to dispense an antibiotic, the area of swelling is significant. It is about 6 inches in length and at least 3-4 inches wide around the armpit area. It is easy to determine it as a superficial significant infection, which required more medical attention than determined at the urgent care. The patient went on 09/15/2018 to HealthCare Facility to consult a physician which practiced alongside the same group as his primary care physician. The physician practicing on the weekend provided a more complete treatment plan. He gave the patient doxycycline monohydrate 100mg bid to start (the patient was also prescribed cephalexin 500mg bid by the first urgent care visit), referred him to a surgeon for Monday. He will receive an ultrasound to determine if the infection is solid or liquid. If liquid, the infection will be drained and if it is solid it will be removed.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: The patient came into the pharmacy on Wednesday, 09/12/2018 for the second dose of the SHINGRIX immunization. After leaving the pharmacy, the patient went on a bike ride even though he had slight symptoms of a fever. The following morning at around 5:30am, the patient started experiencing flu-like symptoms with signs of fever, chills, and tiredness. Two days after, however, on 09/14/2018, the patient's immunized arm started swelling underneath the armpit under the lymph nodes. During a phone conversation, it was determined the patient should definitely see a physician. The patient immediately went to urgent care, but the physician practicing was via video and the patient alongside his wife felt as though his diagnosis and treatment plan wasn't sufficient. Upon arrival to the pharmacy to dispense an antibiotic, the area of swelling is significant. It is about 6 inches in length and at least 3-4 inches wide around the armpit area. It is easy to determine it as a superficial significant infection, which required more medical attention than determined at the urgent care. The patient went on 09/15/2018 to HealthCare Facility to consult a physician which practiced alongside the same group as his primary care physician. The physician practicing on the weekend provided a more complete treatment plan. He gave the patient doxycycline monohydrate 100mg bid to start (the patient was also prescribed cephalexin 500mg bid by the first urgent care visit), referred him to a surgeon for Monday. He will receive an ultrasound to determine if the infection is solid or liquid. If liquid, the infection will be drained and if it is solid it will be removed.
Age: 28.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Arthralgia, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Patient called and said her arm started hurting within an hour of receiving her vaccine. Two days later, she still cannot lift her arm without severe discomfort. She said she feels it all over around her rotator cuff.
Age: 28.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient called and said her arm started hurting within an hour of receiving her vaccine. Two days later, she still cannot lift her arm without severe discomfort. She said she feels it all over around her rotator cuff.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Computerised tomogram normal, Electrocardiogram normal, Hypoaesthesia, Laboratory test normal
Clinical narrative: Two days after the shot, I began to feel intense back pain with tingling in my arms and legs. I experienced facial numbness as well as arm numbness in the left arm. I visited the ER twice and had CT, MRI, EKG, and lab work done. All tests were negative. I had a follow up appointment with an internal medicine doctor for more blood work. I also have an appointment with a neurologist. I am being monitored for Guillain-Barre Syndrome.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Nuclear magnetic resonance imaging normal, Paraesthesia, Urine analysis normal
Clinical narrative: Two days after the shot, I began to feel intense back pain with tingling in my arms and legs. I experienced facial numbness as well as arm numbness in the left arm. I visited the ER twice and had CT, MRI, EKG, and lab work done. All tests were negative. I had a follow up appointment with an internal medicine doctor for more blood work. I also have an appointment with a neurologist. I am being monitored for Guillain-Barre Syndrome.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Febrile convulsion, Hypotonia
Clinical narrative: Influenza vaccine given 9/14/18, febrile seizure 9/15/18 - atonic 2 minutes.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Eye swelling, Lip blister, Lip swelling, Nausea, Stridor
Clinical narrative: After about 5 min of receiving vaccinations, patient felt like he needed to throw up. Went to bathroom, then checked out of office and went to parking lot. Mom who is a nurse brought patient back inside to be evaluated. He was placed into a room and noted to have eye swelling, lip swelling with imminent blister, stridor. No urticaria. Vitals were BP 82/56, HR 148, pulse ox 93-94%, and RR 26. He was given epinephrine 0.15 mg at 3:51 pm. His immediately responded and his BP was 98/56, HR 132, RR 24, and pulse ox 100%. He was transferred via EMS to Medical Center. He was given 20 mg of BENADRYL by EMS. In the ER he received 400 ml NS bolus, 20 mg IV BENADRYL, 4 mg IV PEPCID, 40 mg IV methylprednisolone, and DUONEB treatment. He further improved and was discharged from ED with home meds of albuterol, prednisolone, and BENADRYL.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, IPV, PNC13, RV1
Symptoms: Decreased appetite, Emotional distress, Headache, Injection site erythema, Injection site induration
Clinical narrative: Extremely large, hot, hard red welts at both injection sites developed by 16hr, unresolved. Excessive vomiting 10hrs post-vacc to 36hr post-vacc. Rectal temperature exceeding 103.2F by 9:30PM, administered 3.75ml of 160mg/ml Infant TYLENOL. Fever persisted to 46hr, ranging from 100.8 to 102. Inappetance entire day following vaccines. Upset when having head/fontanelle touched.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, IPV, PNC13, RV1
Symptoms: Injection site reaction, Injection site warmth, Pyrexia, Urticaria, Vomiting
Clinical narrative: Extremely large, hot, hard red welts at both injection sites developed by 16hr, unresolved. Excessive vomiting 10hrs post-vacc to 36hr post-vacc. Rectal temperature exceeding 103.2F by 9:30PM, administered 3.75ml of 160mg/ml Infant TYLENOL. Fever persisted to 46hr, ranging from 100.8 to 102. Inappetance entire day following vaccines. Upset when having head/fontanelle touched.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: My first dose of this vaccine was 5/25/2018 - after this dose I had about 3 days of low fever and aches -my fever did not go over 100. I took 500 mg doses of Tylenol to reduce the fever. After this injectioon, I looked for information on what to expect for the second dose based on the symptoms of the first dose - I was considering not completing the the vaccine. I did not find information that I thought was helpful. I got the second dose on 9/14 - the symptoms appeared more quickly and were more intense after the second dose - it stated with chills and then a temperature of 101 for a few hours - which I broke with Tylenol (500 mg) and cold compresses. Thankfully the fever is gone after the third day, but I still  have a very sore arm and am tired. I did not find the directions with the vaccine helpful:  "Only with your provider's okay try acetaminophen or ibuprofen as needed for pain or fever."  How do you get the provider's permission to try acetaminophen when the fever occurs in the middle of the night?  It would be more appropriate to state the dose that should be used for help with fever.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccine positive rechallenge
Clinical narrative: My first dose of this vaccine was 5/25/2018 - after this dose I had about 3 days of low fever and aches -my fever did not go over 100. I took 500 mg doses of Tylenol to reduce the fever. After this injectioon, I looked for information on what to expect for the second dose based on the symptoms of the first dose - I was considering not completing the the vaccine. I did not find information that I thought was helpful. I got the second dose on 9/14 - the symptoms appeared more quickly and were more intense after the second dose - it stated with chills and then a temperature of 101 for a few hours - which I broke with Tylenol (500 mg) and cold compresses. Thankfully the fever is gone after the third day, but I still  have a very sore arm and am tired. I did not find the directions with the vaccine helpful:  "Only with your provider's okay try acetaminophen or ibuprofen as needed for pain or fever."  How do you get the provider's permission to try acetaminophen when the fever occurs in the middle of the night?  It would be more appropriate to state the dose that should be used for help with fever.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold, Headache, Pain, Pain in jaw, Pyrexia
Clinical narrative: Fever, chills, headache, pain in jaw, body ache.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Arthralgia, Contusion, Gait disturbance, Hypersensitivity, Joint swelling
Clinical narrative: On 09/08/18 patient presented with some hives. By later in that same day she was covered in hives with swollen, hurting, feet and ankles. We brought her to an Urgent care where they administered DECADRON and suggested follow up with peds. 09/09/18 we went to pediatric office where they suggested an allergic reaction to amoxicillin (course began on 8/31/18), and prescribed 5 ml of prednisone for 5 days, as well as CLARITIN. The hives subsided for the most part by 09/11/18, but then she got bruising, and began presenting with different joint pain. On 09/11/18 she could not open her hands without pain, and was still limping due to foot and ankle pain. We returned to peds office on 09/12/18 where they they ordered labs and prescribed a longer course of prednisone. Almost every joint became involved. Labs for the most part were normal, with a slightly elevated sed rate, not all have been reported to me yet. RAST test to penicillin was negative. By 09/16/18 walking is greatly improved with some limping throughout the day. Hands are completely healed. Bruising is gone. Hives pop out randomly. Should be mentioned that she stopped the amoxicillin on 09/08/18.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Laboratory test normal, Pain, Pain in extremity, Peripheral swelling, Radioallergosorbent test negative
Clinical narrative: On 09/08/18 patient presented with some hives. By later in that same day she was covered in hives with swollen, hurting, feet and ankles. We brought her to an Urgent care where they administered DECADRON and suggested follow up with peds. 09/09/18 we went to pediatric office where they suggested an allergic reaction to amoxicillin (course began on 8/31/18), and prescribed 5 ml of prednisone for 5 days, as well as CLARITIN. The hives subsided for the most part by 09/11/18, but then she got bruising, and began presenting with different joint pain. On 09/11/18 she could not open her hands without pain, and was still limping due to foot and ankle pain. We returned to peds office on 09/12/18 where they they ordered labs and prescribed a longer course of prednisone. Almost every joint became involved. Labs for the most part were normal, with a slightly elevated sed rate, not all have been reported to me yet. RAST test to penicillin was negative. By 09/16/18 walking is greatly improved with some limping throughout the day. Hands are completely healed. Bruising is gone. Hives pop out randomly. Should be mentioned that she stopped the amoxicillin on 09/08/18.
Age: 4.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Red blood cell sedimentation rate increased, Urticaria
Clinical narrative: On 09/08/18 patient presented with some hives. By later in that same day she was covered in hives with swollen, hurting, feet and ankles. We brought her to an Urgent care where they administered DECADRON and suggested follow up with peds. 09/09/18 we went to pediatric office where they suggested an allergic reaction to amoxicillin (course began on 8/31/18), and prescribed 5 ml of prednisone for 5 days, as well as CLARITIN. The hives subsided for the most part by 09/11/18, but then she got bruising, and began presenting with different joint pain. On 09/11/18 she could not open her hands without pain, and was still limping due to foot and ankle pain. We returned to peds office on 09/12/18 where they they ordered labs and prescribed a longer course of prednisone. Almost every joint became involved. Labs for the most part were normal, with a slightly elevated sed rate, not all have been reported to me yet. RAST test to penicillin was negative. By 09/16/18 walking is greatly improved with some limping throughout the day. Hands are completely healed. Bruising is gone. Hives pop out randomly. Should be mentioned that she stopped the amoxicillin on 09/08/18.
Age: 76.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Musculoskeletal pain
Clinical narrative: Stabbing pain in left triceps and bicep radiating up to scapula.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient has developed a shingles rash along lower back, groin, and buttock areas. Rash appeared one day after receiving first dose of the vaccine.
Age: 65.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Arthralgia, Condition aggravated, Fatigue, Feeling hot, Injection site swelling
Clinical narrative: Extreme soreness in arm, swelling at injection site, increased muscle and joint pain, mild nausea, feeling to warm (though thermometer indicated normal body temperature) and fatigue. Worst time was second evening after injection. Two days after injection, symptoms improving slightly.
Age: 65.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Myalgia, Nausea, Pain in extremity
Clinical narrative: Extreme soreness in arm, swelling at injection site, increased muscle and joint pain, mild nausea, feeling to warm (though thermometer indicated normal body temperature) and fatigue. Worst time was second evening after injection. Two days after injection, symptoms improving slightly.
Age: 37.0
Sex: F
Vaccine: MNQ
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site warmth, Muscle tightness
Clinical narrative: MENVEO was administered Thursday 09/13/2018 and patient began experiencing pain immediately after administration. Starting Saturday 09/15/2018 patient began to notice redness and warmness below the site of the injection. Today 09/16/2018 the site of redness is larger and warm as well as itchy. The muscle is still painful and tight. The patient has been icing the site. Recommended to patient to continue with ice and to start diphenhydramine as well. If improvement is not seen or symptoms get worse recommended to see primary care physician.
Age: 37.0
Sex: F
Vaccine: MNQ
Symptoms: Myalgia, Pain
Clinical narrative: MENVEO was administered Thursday 09/13/2018 and patient began experiencing pain immediately after administration. Starting Saturday 09/15/2018 patient began to notice redness and warmness below the site of the injection. Today 09/16/2018 the site of redness is larger and warm as well as itchy. The muscle is still painful and tight. The patient has been icing the site. Recommended to patient to continue with ice and to start diphenhydramine as well. If improvement is not seen or symptoms get worse recommended to see primary care physician.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Large red patch that went down to elbow, significant swelling. Started on same day. Still has redness down to elbow, but swelling has gone down. Tender/sore to the touch.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC13
Symptoms: Pyrexia, Rash erythematous, Rash generalised, Skin warm, Urticaria
Clinical narrative: Full body rash. Started on torso, progressed outward to extremities and face and back. Rash was very red, raised, margins were very prominent and rash was warm to the touch. Rash lasted 2 1/2 weeks. Patient itched hives. Very low grade fever of 99.8 axillary on day 10 after vaccine. Pt taken to immediate care, no treatment. Patient seen by PCP on day 11, no treatment. Referred to Allergist, seen on day 13, no treatment.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Body temperature increased, Dry throat, Dysphagia
Clinical narrative: Sore, dry throat, hard to swallow, temp 100, body weakness lasting 1 1/2 days, TYLENOL every 4-5 hrs. Reported to pharmacy & PCP.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Guillain-Barre syndrome, Hypoaesthesia, Influenza like illness, Pain in extremity
Clinical narrative: At first chills, fever (flu-like symptoms), lasting 3-4 days. Then pain up legs, numbness in feet and up legs. Pain was excruciating up legs. Then on Saurday, 9/1/18 went to the ER. The symptoms slowly went up legs. After several trips to the ER and admission to Medical Center, was diagnosed with GBS (Guillain-Barre Syndrome).
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: At first chills, fever (flu-like symptoms), lasting 3-4 days. Then pain up legs, numbness in feet and up legs. Pain was excruciating up legs. Then on Saurday, 9/1/18 went to the ER. The symptoms slowly went up legs. After several trips to the ER and admission to Medical Center, was diagnosed with GBS (Guillain-Barre Syndrome).
Age: 89.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth
Clinical narrative: Pt presented on 9/14/18 pm with significant bruising, red band of swelling and welts wrapping around from left deltoid around to inside of upper arm, warm to touch, but without pain/tenderness after vaccination on 9/11/18. She reported this reaction started 9/12/18 pm.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood pressure increased, Urticaria
Clinical narrative: Couple hrs after adminstration of vaccine, patient states he experienced increased BP & hives.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Defaecation urgency, Dizziness, Fall, Gait inability
Clinical narrative: Pt reported dizziness, falling over, inability to walk, nausea/dry heaving, urge to defecate, blisters in multiple spots along left arm, hips/feet/body extreme pain, swelling under left ribcage that started the evening of injection 9/10/18 and continuing until at least 9/15/18 when reported to me. I recommended her to go to the ER and she stated she would have a friend take her.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Retching, Swelling
Clinical narrative: Pt reported dizziness, falling over, inability to walk, nausea/dry heaving, urge to defecate, blisters in multiple spots along left arm, hips/feet/body extreme pain, swelling under left ribcage that started the evening of injection 9/10/18 and continuing until at least 9/15/18 when reported to me. I recommended her to go to the ER and she stated she would have a friend take her.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: The patient experienced swelling/redness/tenderness in the injection site and a mild fever. She presented to the pharmacy on 9/16/2018 to inform me about the injection site reaction. The patient received both vaccinations (FLUZONE HIGH DOSE and PNEUMOVAX 23) during the same visit on 9/14/2018 and states that she was fine before leaving the pharmacy and continued to be fine upon returning home. She stated that hours later, she began to experience swelling at the injection site and a fever that went as high as 102 degrees. The patient then self-medicated with TYLENOL to reduce her fever and she reported a tmeperature reading today of 97 degrees and states that she feels much better but the injection site is still a bit swollen and red. The patient mentioned that she had a similar reaction last year (2017) when receiving the flu shot along with the PREVNAR 13 vaccine and also the year prior to that (2016) with the flu shot only and stated that she did not mention any of these reactions to the pharmacy staff on 9/14/2018 because she was able to treat herself with antibiotics that she had left over at home last year. She states that last year, she self medicated with amoxicillin 500 mg for 2 days and the reaction resolved itself. The patient's prescriber has been made aware of the reaction. I spoke with the prescriber's medical assistant, on 9/16/2018 at 11:19 AM.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient reports being diagnosed with Herpes Zoster at her PCP three weeks after this vaccination.
Age: 75.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient called and stated that he has a rash, swelling and there is heat at the touch from the right shoulder to the elbow area.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, Injection site warmth, Pallor
Clinical narrative: Raised hives around injection site and down upper arm. Warm to touch. Some hives forming white centers.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Pt arm swollen and red under where vac was given.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Neck pain, Pain in extremity
Clinical narrative: Patient states she had pain at the injection site and lasted till now and she feels it radiates from her neck to her arm.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: Shivering, severe muscle pain, 100 degree temperature, pain at injection site, feeling extremely tired. Shivering gone and temperature normal after 24 hours. Still have muscle pain after 17 hours but less severe. Still tired after 17 hours but not as much as first 24 hours.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Hallucination, Headache, Pain, Pyrexia
Clinical narrative: Patient stated that a few minutes after the injection (approx. 1:35pm) she experienced some eye lid swelling. Later that afternoon she developed a massive headache which she had until the following afternoon and is still complaining of today (9/16). That night at approx. 11pm, the patient developed a fever, chills, severe aches and hallucinations that she was being assaulted. She said she thought she might be having another stroke but the symptoms subsided the following morning except for the body aches and the headache.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling of eyelid
Clinical narrative: Patient stated that a few minutes after the injection (approx. 1:35pm) she experienced some eye lid swelling. Later that afternoon she developed a massive headache which she had until the following afternoon and is still complaining of today (9/16). That night at approx. 11pm, the patient developed a fever, chills, severe aches and hallucinations that she was being assaulted. She said she thought she might be having another stroke but the symptoms subsided the following morning except for the body aches and the headache.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Pain
Clinical narrative: Patient stated that he hurt all over his body the next day, and that he had blisters on his feet.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dizziness, Eye pruritus, Influenza like illness, Nodule
Clinical narrative: Patient reported to having a reaction to the Flu shot (has a knot, arm hurts and eyes are itching, feels like have flu, feels weak & dizzy).
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient reported to having a reaction to the Flu shot (has a knot, arm hurts and eyes are itching, feels like have flu, feels weak & dizzy).
Age: 79.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states the shot still hurts - feels like a bee sting and lasts for a few minutes then goes away but comes back. The sensation moves around from spot to spot on his arm.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chest discomfort, Chills, Disorientation, Erythema
Clinical narrative: Symptoms lasted from 5-7 days depending upon the symptom. Pain, swelling, itching, redness extending from upper arm travelling down to elbow, hotness, headache, muscle pain, fatigue, fever, chills & shivering, disorientation, tightness in chest overnight. We took picture of arm redness. I did not have any energy or even felt good for over 1 week. I went by  & showed my arm to a Pharmacist. I also went by & showed my arm to a doctor. I need to know whether I should have the second shot in this series. I got on the website & saw that if you do not get the second shot, it will not be effective. I had  a really bad case of shingles  about 10-12 years ago.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Feeling hot, Headache, Myalgia
Clinical narrative: Symptoms lasted from 5-7 days depending upon the symptom. Pain, swelling, itching, redness extending from upper arm travelling down to elbow, hotness, headache, muscle pain, fatigue, fever, chills & shivering, disorientation, tightness in chest overnight. We took picture of arm redness. I did not have any energy or even felt good for over 1 week. I went by  & showed my arm to a Pharmacist. I also went by & showed my arm to a doctor. I need to know whether I should have the second shot in this series. I got on the website & saw that if you do not get the second shot, it will not be effective. I had  a really bad case of shingles  about 10-12 years ago.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: Symptoms lasted from 5-7 days depending upon the symptom. Pain, swelling, itching, redness extending from upper arm travelling down to elbow, hotness, headache, muscle pain, fatigue, fever, chills & shivering, disorientation, tightness in chest overnight. We took picture of arm redness. I did not have any energy or even felt good for over 1 week. I went by  & showed my arm to a Pharmacist. I also went by & showed my arm to a doctor. I need to know whether I should have the second shot in this series. I got on the website & saw that if you do not get the second shot, it will not be effective. I had  a really bad case of shingles  about 10-12 years ago.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
Clinical narrative: Patient's arm was sore shortly after administration. Soreness went away but when patient woke up the following day she noticed redness at injection site which slowly spread to a larger area -- site also feels warm to touch. No other symptoms exhibited.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Pain, Pyrexia, Skin irritation
Clinical narrative: Patient is experiencing fever, swelling, chills, irritation/redness, lots of soreness.