chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Post herpetic neuralgia
Clinical narrative: This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a male patient of unknown age. Information regarding medical history, concurrent conditions or concomitant medications was not provided. On or about 2016, the patient was inoculated (by an unspecified person) with ZOSTAVAX for routine health maintenance and for the prevention of shingles. The vaccine did not prevent shingles, but rather caused the patient to contract a persistent strain of herpes zoster. After receiving ZOSTAVAX, the patient was diagnosed (by an unspecified person) with postherpectic neuralgia. As a direct and proximate result of these malfunctions, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. As a direct and proximate result of ZOSTAVAX, the patient's symptoms and diagnoses have resulted in physical limitations not present prior to using the product. As a result of ZOSTAVAX, the patient sustained severe and permanent personal injuries. Further, the patient suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. The events of persistent strain of herpes zoster, postherpectic neuralgia, and vaccination failure were considered to be disabling by the reporter. Additional information has been requested.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Swelling from shoulder to elbow. No hives or fever. Pt states swelling has gone down some but did want to let us know she had a reaction. Pt using ice pack, benadryl, motrin/and tylenol
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Body temperature increased, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Donor states that she had mild discomfort in her left arm on Wednesday after the injection was given. The next day (Thursday) discomfort to left arm increased to pain, she then took a hot shower that evening to help with the arm pain. After the shower she experienced body aches and pain, temperature went up to 101.3. She then took a Melatonin and an EXCEDRIN and went to sleep. She awoke this am (Friday) feeling just fine.
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site scab, Injection site vesicles
Clinical narrative: ON 01/01/18 (2 WEEKS AFTER IMMUNIZATIONS WERE PROVIDED) AROUND 1900 PARENT NOTICED LEFT ARM HAVING MORE REDNESS AND BLISTERS AROUND INJECTION SITE OF WHERE THE VARICELLA VACCINE WAS GIVEN. DENIES ANY FEVER OR REDNESS PRIOR TO THIS DATE. ON 01/03/18 CHILD WAS TAKEN TO PCP AND PROVIDED A TOPICAL CREAM TO APPLY TO SITE. PCP'S NURSE CALLED ON 1/3/18 TO REPORT THE ADVERSE REACTION. MOM BRINGS CHILD IN TODAY AND NO REDNESS NOTED. SITE STILL HAS CIRCLE OF CRUSTED SPOTS AT INJECTION SITE. MOM VERBALIZES UNDERSTANDING THIS IS NORMAL REACTION AND WILL PLAN TO CONTINUE TO VACCINATE CHILD AS NEEDED.
Age: 56.0
Sex: M
Vaccine: FLUC4
Symptoms: Arthralgia, Arthritis, Arthropathy, Autoimmune disorder, Blood test abnormal
Clinical narrative: Received influenza 4 strain Flucelvax flu shot on 10/7/17. Within 7 days, left knee began aching continuously as well as both shoulder joints and rotator cuff popping. Orthopedic doctor took x-rays stating knee required a full replacement and to temporarily relieve the pain administered a cortisone shot to the knee. Pain subsided in knee for 20 days, however the shoulder joints kept getting worse then all my joints in the body became inflamed. Dr ordered multiple blood tests to isolate issue, results indicated an auto immune disease however it is not Rheumatoid Arthritis, not Lupus, not Scleroderma but Sedimentary Rate was very high out of range. Dr prescribed 15mg Meloxicam to ease inflammation however it did not have any affect. Dr prescribed 800mg Dexius (ibuprofen with Pepcid) and this has reduced pain and inflammation 50% but returns to 100% after 8 hours drug wears off. On 12/7/17 Dr has diagnosed, symptom is vaccine induced arthropathy and will take several months to see any improvement.
Age: 56.0
Sex: M
Vaccine: FLUC4
Symptoms: Red blood cell sedimentation rate increased, Vaccination complication, X-ray limb abnormal
Clinical narrative: Received influenza 4 strain Flucelvax flu shot on 10/7/17. Within 7 days, left knee began aching continuously as well as both shoulder joints and rotator cuff popping. Orthopedic doctor took x-rays stating knee required a full replacement and to temporarily relieve the pain administered a cortisone shot to the knee. Pain subsided in knee for 20 days, however the shoulder joints kept getting worse then all my joints in the body became inflamed. Dr ordered multiple blood tests to isolate issue, results indicated an auto immune disease however it is not Rheumatoid Arthritis, not Lupus, not Scleroderma but Sedimentary Rate was very high out of range. Dr prescribed 15mg Meloxicam to ease inflammation however it did not have any affect. Dr prescribed 800mg Dexius (ibuprofen with Pepcid) and this has reduced pain and inflammation 50% but returns to 100% after 8 hours drug wears off. On 12/7/17 Dr has diagnosed, symptom is vaccine induced arthropathy and will take several months to see any improvement.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Rash pruritic, Urticaria
Clinical narrative: I had painful arm from Flu shot for 3 Days. I usually do every time I get the Flu Shot. I noticed this time around I was having worst side effects which I never had before. I started  getting a slight fever off and on. I also started breaking out in hives/skin rash off and on . It itches. I use antiitch ointment for it. I continue to have the same symptoms. I thought I would report it to you as the paperwork I received from the pharmacy stated.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Throat tightness
Clinical narrative: Patient stated her throat felt like it was closing shortly after she received the vaccine. It was her first time receiving the flu shot. She stated she wasn't having any issues breathing. We gave 25 mg of oral liquid BENADRYL and the patient stated the symptoms were disappearing a few minutes later.
Age: 43.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Pt said Left arm that got the Pneumo shot is hot and red and there is some swelling.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient presented today, approximately one week after receiving PREVNAR 13 in her Left deltoid muscle. Patient's arm was red, swollen, and hot to to the touch. I instructed the patient to see her physician as this has been documented at other pharmacies I have visited.
Age: 28.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: SWELLING AT INJECTION SITE, ITCHING, WARM TO THE TOUCH, TREATED WITH PREDNISONE, MOTRIN, AND ALLEGRA.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV, TDAP, FLU4, PPV, TDAP
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Right arm is fine but pt is experiencing pain and swelling in the left arm, also warmth in area.
Age: 66.0
Sex: M
Vaccine: FLU3, PPV, TDAP, FLU4, PPV, TDAP
Symptoms: Erythema, Injection site haemorrhage, Pain in extremity, Peripheral swelling
Clinical narrative: Right arm is fine but pt is experiencing pain and swelling in the left arm, also warmth in area.
Age: 71.0
Sex: M
Vaccine: PNC13
Symptoms: Malaise, Streptococcal infection, Streptococcus test positive
Clinical narrative: After received PREVNAR shot fr pharmacy, patient became sick, and went in hospital. Hospital dr discovered patient had Strep infection in blood stream with no injection site reaction, started Doxycycline Drip as antibiotic treatment. Last 2 weeks patient had once a day tx daily as out patient status. Patient recovered show stable and fine when he reported to pharmacy on 12/30/2017. 1/5/2018 dr finished this tx w no bacterias in blood and ordeered recheck in 2 week for another culture.
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Myalgia, Pain, Pyrexia
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of fever in a adult female patient who received SHINGRIX. On 26th December 2017, the patient received SHINGRIX. In December 2017, 12 hrs after receiving SHINGRIX, the patient experienced fever, myalgia and general body pain. On 27th December 2017, the patient experienced feels awful. In December 2017, the outcome of the feels awful was recovered/resolved. On 28th December 2017, the outcome of the fever, myalgia and general body pain were recovered/resolved. The reporter considered the fever and myalgia to be unrelated to SHINGRIX. It was unknown if the reporter considered the general body pain and feels awful to be related to SHINGRIX. Additional details were provided as follows: The reporting pharmacist was the patient. The age at vaccination was not reported. On 27th December 2017, the patient woke during the night with fever, myalgia and severe body aches. On 27th December 2017, 1 day after vaccination, the patient felt terrible for about 12 hours and then symptoms resolved on their own. The hospital or physician's intervention was not required. The pharmacist called from home on her day off, so lot and expiration date were not available.
Sex: F
Vaccine: DTAP
Symptoms: Antibody test negative, Therapeutic response decreased
Clinical narrative: This case was reported by a nurse and described the occurrence of therapeutic response decreased in a 4-year-old female patient who received DTaP vaccine. Co-suspect products included DTaP vaccine, DTaP vaccine and DTaP vaccine. On an unknown date, the patient received the 1st dose of DTaP vaccine, the 2nd dose of DTaP vaccine, the 3rd dose of DTaP vaccine and the 4th dose of DTaP vaccine. On an unknown date, unknown after receiving DTaP vaccine, DTaP vaccine, DTaP vaccine and DTaP vaccine, the patient experienced therapeutic response decreased. On an unknown date, the outcome of the therapeutic response decreased was unknown. It was unknown if the reporter considered the therapeutic response decreased to be related to DTaP vaccine, DTaP vaccine, DTaP vaccine and DTaP vaccine. Additional details were provided as follows: The case was reported by the Medical Assistant. The age at vaccination was not reported. The reporter reported that a 4 year old patient who received her 4th dose of DTaP (batch number and expiry date unknown) and underwent unspecified test and results showed low titer levels, this led to therapeutic response decreased. No other clarifying information provided. No other information provided.
Age: 58.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: This case was reported by a pharmacist and described the occurrence of pain in arm in a 58-year-old male patient who received FLUARIX Quadrivalent (batch number 5J594, expiry date 5th May 2018. Previously administered products included AFLUIRA with an associated reaction of pain in extremity (received in left and experienced left arm pain). On 31st August 2017, the patient received FLUARIX Quadrivalent (intramuscular) .5 ml. On an unknown date, less than a year after receiving FLUARIX Quadrivalent, the patient experienced pain in arm and injected limb mobility decreased. On an unknown date, the outcome of the pain in arm and injected limb mobility decreased were not recovered/not resolved. The reporter considered the pain in arm to be related to FLUARIX Quadrivalent. It was unknown if the reporter considered the injected limb mobility decreased to be related to FLUARIX Quadrivalent. Additional details were reported as follows: The patient received FLUARIX Quadrivalent in right deltoid. The patient noted he had pain from the AFLURIA flu vaccine in 2016, which was given to him in his left arm and that is why he chose the right arm with the present vaccine. The patient had arm pain at the injection area after the vaccine, which he thought it was just the shot, but he continued to have right arm pain still. The patient had a really painful arm which was hurting and he cannot lift his arm beyond the ear. The patient reported these events to the pharmacy in December. The pharmacist was unaware if these events had been reported by the patient to his physician. The patient denied any other vaccines on his questionnaire, when he was asked about other vaccines on this day or 4 weeks prior to this vaccination. It was reported that, the pharmacist who gave the vaccine was no longer working at the pharmacy. The pharmacist stated that, it was their protocol to report to VAERS. She was encouraged to follow her protocols and make aware GlaxoSmithKline would report to VAERS as well. The pharmacist reported that, the patient requested manufacturer's phone number. A search of the patient's name did not find a previous report.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Feeling abnormal, Feeling hot, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Caregiver was given her influenza vaccine by Flu champion on 10/9/17 immediately after vaccine was given, caregiver complained that she didn't feel right. Complained of light headedness, feeling hot and sweaty, tachycardia and nauseous. Caregiver felt better after rest and eating. Was placed in a quiet room to lay down and rest for a bit, O2 was at 98% and pulse between 114-122 which was taken by LPN. After about 20 mins Caregiver did sit up verses laying down as she felt the ceiling was making her more nauseous. After another 10 minutes caregiver did make her way back to her work area to shut down her computer and gather things to bring home as her husband was going to pick her up and she didn't feel comfortable to drive. Caregiver did contact MA about one our later and stated that she ate something and seemed to feel much better.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Tachycardia
Clinical narrative: Caregiver was given her influenza vaccine by Flu champion on 10/9/17 immediately after vaccine was given, caregiver complained that she didn't feel right. Complained of light headedness, feeling hot and sweaty, tachycardia and nauseous. Caregiver felt better after rest and eating. Was placed in a quiet room to lay down and rest for a bit, O2 was at 98% and pulse between 114-122 which was taken by LPN. After about 20 mins Caregiver did sit up verses laying down as she felt the ceiling was making her more nauseous. After another 10 minutes caregiver did make her way back to her work area to shut down her computer and gather things to bring home as her husband was going to pick her up and she didn't feel comfortable to drive. Caregiver did contact MA about one our later and stated that she ate something and seemed to feel much better.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Discomfort, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Within 4 hours of vaccination, the site was swollen, red, and tender to the size of patient's fist around injection site. Within 24 hours, the swelling and redness had expanded to include his whole upper leg from hip bone to just above the knee and all around the thigh. The tenderness caused pain during any movement of the leg and discomfort at rest. 5 mL acetaminophen administered at bedtime to induce sleep. The morning of Jan 6, swelling and redness had not subsided. Itching at the site started.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Pain
Clinical narrative: Within 4 hours of vaccination, the site was swollen, red, and tender to the size of patient's fist around injection site. Within 24 hours, the swelling and redness had expanded to include his whole upper leg from hip bone to just above the knee and all around the thigh. The tenderness caused pain during any movement of the leg and discomfort at rest. 5 mL acetaminophen administered at bedtime to induce sleep. The morning of Jan 6, swelling and redness had not subsided. Itching at the site started.
Age: 0.25
Sex: M
Vaccine: PNC13
Symptoms: Blood test normal, Chest X-ray abnormal, Cough, Electroencephalogram normal, Lethargy
Clinical narrative: Congestion and cough with vomiting, rapid breathing that has lasted for 11 weeks (so far). Multiple trips to the doctor and ER in November and December. Have tried albuterol breathing treatments, prednisone, amoxicillin. Have had two chest Xrays and an EEG (after a strange episode of lethargy in December). Went to an ENT on December 26, who is guessing silent reflux may be a culprit (baby doesn't spit up). Currently on a daily dose of ZANTAC 2x a day (4mL). Symptoms persist. If no improvement by follow up appointment at the end of January, ENT will refer us to hospital.
Age: 0.25
Sex: M
Vaccine: PNC13
Symptoms: Respiratory rate increased, Respiratory tract congestion, Vomiting
Clinical narrative: Congestion and cough with vomiting, rapid breathing that has lasted for 11 weeks (so far). Multiple trips to the doctor and ER in November and December. Have tried albuterol breathing treatments, prednisone, amoxicillin. Have had two chest Xrays and an EEG (after a strange episode of lethargy in December). Went to an ENT on December 26, who is guessing silent reflux may be a culprit (baby doesn't spit up). Currently on a daily dose of ZANTAC 2x a day (4mL). Symptoms persist. If no improvement by follow up appointment at the end of January, ENT will refer us to hospital.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Bursitis, Mobility decreased, Musculoskeletal disorder, Nuclear magnetic resonance imaging abnormal, Oedema
Clinical narrative: Dibilitating reaction in left arm, unable to use arm at all approx 2-3 hours after injection. Injection given high at shoulder joint. MRI revealed tears in tendon, edema and fluid. At this time mobility restored in arm with bursitis and pain.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Tendon rupture, X-ray
Clinical narrative: Dibilitating reaction in left arm, unable to use arm at all approx 2-3 hours after injection. Injection given high at shoulder joint. MRI revealed tears in tendon, edema and fluid. At this time mobility restored in arm with bursitis and pain.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Lethargy, Mobility decreased, Pyrexia, Vaccination site erythema
Clinical narrative: Per his mother, he had fever to 102 x 2 days, weakness, and lethargy x 2 days. Stayed in bed, unable to get up other than briefly for bathroom. Also had local erythema and swelling and soreness at vaccine site.
Age: 10.0
Sex: M
Vaccine: TDAP
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: Per his mother, he had fever to 102 x 2 days, weakness, and lethargy x 2 days. Stayed in bed, unable to get up other than briefly for bathroom. Also had local erythema and swelling and soreness at vaccine site.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Balance disorder, Feeling abnormal, Wheelchair user
Clinical narrative: Patient received the immunizations and was feeling strange when she approached the front of the store to leave she felt like she was going to fall. She was placed into a wheel chair and taken to the pharmacy where she was counseled by the Pharmacist on duty.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Myalgia, Tremor
Clinical narrative: Pt called at 9:15am on 1/6/18 to report experiencing chills/shakiness around 11pm the evening of 1/5/18 and muscle aches upon waking up on 1/6/18. She did not report having attempted any treatment. I advised her to take either acetaminophen or ibuprofen to treat the achiness and to follow-up with either urgent care (this weekend) or her regular physician (Monday) if there was no improvement in the next day or two.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site vesicles, Musculoskeletal pain, Pruritus, Rash, Skin tightness
Clinical narrative: Patient's arm started a rash, itching and fever to the arm on the same day of injection. The next day, the injection site formed a blister and then popped. On the seventh day after day of injection, patient states now he is having shoulder pain and arm tightness. Mom have been giving patient BENADRYL and ibuprofen.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Skin warm
Clinical narrative: Patient's arm started a rash, itching and fever to the arm on the same day of injection. The next day, the injection site formed a blister and then popped. On the seventh day after day of injection, patient states now he is having shoulder pain and arm tightness. Mom have been giving patient BENADRYL and ibuprofen.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Nausea, Vomiting
Clinical narrative: He states "I felt nauseous around 1030 and vomited twice."
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pain in extremity
Clinical narrative: Arm began to itch at injection site, and began to become a bit swollen and red. Father reported applying an anti-itch cream and giving him diphenhydramine syrup. At time of follow up contact 1230 pm father reported that patient was doing fine, did not see any signs of difficulty breathing. Patient reported that his arm was a bit sore but felt fine otherwise.
Age: 7.0
Sex: M
Vaccine: FLUC4
Symptoms: Cold sweat, Dizziness postural, Electrocardiogram normal, Eyelid injury, Feeling abnormal
Clinical narrative: About 5 minutes after administration, patient passed out, hitting his head on the privacy screen. He was very groggy, lost color in his face, his skin got clammy and his pulse was low. He cut above his eye so we put pressure and ice on the wound. We elevated his feet and his color came back and he was able to talk and tell us where he was. We called 911 and they took BP, EKG, and pulse; all were within normal. Pt was dizzy when he stood up, and told EMT he "didn't feel right", so they took him to Urgent Care per mom's approval.
Age: 7.0
Sex: M
Vaccine: FLUC4
Symptoms: Head injury, Heart rate decreased, Loss of consciousness, Pallor, Somnolence
Clinical narrative: About 5 minutes after administration, patient passed out, hitting his head on the privacy screen. He was very groggy, lost color in his face, his skin got clammy and his pulse was low. He cut above his eye so we put pressure and ice on the wound. We elevated his feet and his color came back and he was able to talk and tell us where he was. We called 911 and they took BP, EKG, and pulse; all were within normal. Pt was dizzy when he stood up, and told EMT he "didn't feel right", so they took him to Urgent Care per mom's approval.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Rash macular
Clinical narrative: Patient called to say the night after the vaccine their arm had red blotches in the upper part. Said there was no rash or hives all over the body, it was just confined to the upper arm.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Wife called to report the left upper arm of husband had red spots the night after the vaccine. No rash, hives, or anaphylaxis was reported.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Pain in extremity
Clinical narrative: Arm hurt from shoulder to elbow. Went to pharmacy 2 wks later, was referred to primary doctor. 2 wks later still having problem. Was advised to use pensaid ointment. That helped some, but still have limited strength even today .
Age: 43.0
Sex: F
Vaccine: PNC13
Symptoms: Burning sensation, Mobility decreased
Clinical narrative: The day after I got the vaccine I could not lift my right arm even up to shoulder height. That took 5 days to finally feel normal. Recently (last month or 2) when I do overhead work or shovel light snow for 5 minutes, my arm is tired and is burning near the top of my arm where the injection was given.
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RVX
Symptoms: Crying, Flatulence, Infantile spitting up, Screaming, Somnolence
Clinical narrative: Inconsolable screaming for 45 minutes, followed by excessive sleepiness, unusual crying before passing gas or a bowel movement, and increased incidences of spitting up for over 48 hours.
Age: 0.33
Sex: M
Vaccine: RV1
Symptoms: Pyrexia, Somnolence, Vomiting
Clinical narrative: Fever at 2:00am 101.7 (01/04/2018); Vomiting 6 times 1:00noon (01/05/2018); Drowsy napped 6 times (01/05/2018).
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Balance disorder, Dysstasia, Fall
Clinical narrative: Loss of stability, falling, not able to stand alone.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Radiculitis brachial
Clinical narrative: Pt. came in on 1/2/18, and said she thought she had Brachial neuritis from her flu shot. She had not seen a MD about it, but was planning on seeing him soon.
Age: 55.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is red, swollen and warm to the touch.
Age: 59.0
Sex: M
Vaccine: HEPA, TYP
Symptoms: Injection site pain
Clinical narrative: Patient developed pain (no redness) at injection site 2 days post administration. Patient stated his pain is 8/10 - but has taken no meds to alleviate pain, other than daily meds prescribed via pain management doctor. I encouraged Ibuprofen ATC/ice to decrease pain/inflammation and also told pt to follow up with doctor on Monday if pain still present. No redness, inflammation or knots noticed upon visual exam of arm.
Age: 4.0
Sex: M
Vaccine: DTAP, MMRV
Symptoms: Cough, Pyrexia, Rash generalised
Clinical narrative: Fever, cough, spots all over the body.
Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Axillary pain, Injection site pain, Insomnia, Pain
Clinical narrative: Patient stated to pharmacist on 12/29/2017 that she had been having pain under her left armpit and on her left shoulder since her vaccination. She has trouble trying to sleep on that shoulder. She states the pain is from the tip of the left shoulder down, and that it is only in certain positions. She states it hurts to lift certain things with the left arm. I advised her that if it continues she needs to contact her physician and schedule a visit with him so he can evaluate what is happening.
Age: 17.0
Sex: M
Vaccine: HPV9
Symptoms: Blood urine present, Streptococcus test, Urine analysis
Clinical narrative: Blood in urine 5 hours after vaccination.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: Patient called today at 1pm on 1/7/18 stating that last night she started having swollen lips. She took BENADRYL and this morning it is still bad. I advised patient to seek medical attention immediately.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site warmth, Pain
Clinical narrative: Started as redness around the injection site. Has spread to underarm, is now warm to touch and very sensitive/sore to touch.
Age: 21.0
Sex: F
Vaccine: VARCEL
Symptoms: Skin warm
Clinical narrative: Started as redness around the injection site. Has spread to underarm, is now warm to touch and very sensitive/sore to touch.
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Dyspnoea, Malaise, Reflexes abnormal, Unresponsive to stimuli
Clinical narrative: As reported by the mother to me the pharmacist. Mother reported her son had coughing and shortness of breath that started within an hour after receiving the flu shot. She gave him some BENADRYL and his symptoms resolved. The next morning her son said that he did not feel well. He vomited, and she told him to go back to bed to rest. Later in the day, he was sleeping and he was unresponsive and not waking up although he was breathing. They took him to the ER. The ER doctor said that his reflexes were not normal. They gave him fluids and ibuprofen and he was better, became responsive. They sent him home and said to watch him and bring him back if any symptoms returned.
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: As reported by the mother to me the pharmacist. Mother reported her son had coughing and shortness of breath that started within an hour after receiving the flu shot. She gave him some BENADRYL and his symptoms resolved. The next morning her son said that he did not feel well. He vomited, and she told him to go back to bed to rest. Later in the day, he was sleeping and he was unresponsive and not waking up although he was breathing. They took him to the ER. The ER doctor said that his reflexes were not normal. They gave him fluids and ibuprofen and he was better, became responsive. They sent him home and said to watch him and bring him back if any symptoms returned.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Back pain, Blood test, CSF test
Clinical narrative: Complaints of general back and joint pain within 2 weeks of vaccination. Approximately 4 weeks after vaccination, complaints of severe tiredness, some weakness, and intermittent vomiting (on 24- to 61-hour periodicity). Approximately 5 weeks after vaccination, hospitalized with loss of coordination; inability to walk without assistance (falling); severe jaw, joint, and back pain. CT of head, chest X-ray, blood analyses, lumbar puncture, MRI of brain and spine; diagnosed with Guillain-Barre' Syndrome.  Immediately initiated plasmapheresis (5 treatments), followed by intravenous immunoglobulin treatment (5 treatments beginning after 3rd plasmapheresis treatment). Outcome pending; complete recovery not yet realized. GBS recovery expected to be prolonged; residual paralysis remains; permanent/permanence of damage unknown at this time.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Central nervous system inflammation, Chest X-ray, Computerised tomogram head, Coordination abnormal, Fall
Clinical narrative: Complaints of general back and joint pain within 2 weeks of vaccination. Approximately 4 weeks after vaccination, complaints of severe tiredness, some weakness, and intermittent vomiting (on 24- to 61-hour periodicity). Approximately 5 weeks after vaccination, hospitalized with loss of coordination; inability to walk without assistance (falling); severe jaw, joint, and back pain. CT of head, chest X-ray, blood analyses, lumbar puncture, MRI of brain and spine; diagnosed with Guillain-Barre' Syndrome.  Immediately initiated plasmapheresis (5 treatments), followed by intravenous immunoglobulin treatment (5 treatments beginning after 3rd plasmapheresis treatment). Outcome pending; complete recovery not yet realized. GBS recovery expected to be prolonged; residual paralysis remains; permanent/permanence of damage unknown at this time.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Fatigue, Gait inability, Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture
Clinical narrative: Complaints of general back and joint pain within 2 weeks of vaccination. Approximately 4 weeks after vaccination, complaints of severe tiredness, some weakness, and intermittent vomiting (on 24- to 61-hour periodicity). Approximately 5 weeks after vaccination, hospitalized with loss of coordination; inability to walk without assistance (falling); severe jaw, joint, and back pain. CT of head, chest X-ray, blood analyses, lumbar puncture, MRI of brain and spine; diagnosed with Guillain-Barre' Syndrome.  Immediately initiated plasmapheresis (5 treatments), followed by intravenous immunoglobulin treatment (5 treatments beginning after 3rd plasmapheresis treatment). Outcome pending; complete recovery not yet realized. GBS recovery expected to be prolonged; residual paralysis remains; permanent/permanence of damage unknown at this time.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal abnormal, Pain in jaw, Paralysis, Plasmapheresis
Clinical narrative: Complaints of general back and joint pain within 2 weeks of vaccination. Approximately 4 weeks after vaccination, complaints of severe tiredness, some weakness, and intermittent vomiting (on 24- to 61-hour periodicity). Approximately 5 weeks after vaccination, hospitalized with loss of coordination; inability to walk without assistance (falling); severe jaw, joint, and back pain. CT of head, chest X-ray, blood analyses, lumbar puncture, MRI of brain and spine; diagnosed with Guillain-Barre' Syndrome.  Immediately initiated plasmapheresis (5 treatments), followed by intravenous immunoglobulin treatment (5 treatments beginning after 3rd plasmapheresis treatment). Outcome pending; complete recovery not yet realized. GBS recovery expected to be prolonged; residual paralysis remains; permanent/permanence of damage unknown at this time.
Age: 9.0
Sex: M
Vaccine: FLU3
Symptoms: Ultrasound scan, Vomiting, Walking aid user
Clinical narrative: Complaints of general back and joint pain within 2 weeks of vaccination. Approximately 4 weeks after vaccination, complaints of severe tiredness, some weakness, and intermittent vomiting (on 24- to 61-hour periodicity). Approximately 5 weeks after vaccination, hospitalized with loss of coordination; inability to walk without assistance (falling); severe jaw, joint, and back pain. CT of head, chest X-ray, blood analyses, lumbar puncture, MRI of brain and spine; diagnosed with Guillain-Barre' Syndrome.  Immediately initiated plasmapheresis (5 treatments), followed by intravenous immunoglobulin treatment (5 treatments beginning after 3rd plasmapheresis treatment). Outcome pending; complete recovery not yet realized. GBS recovery expected to be prolonged; residual paralysis remains; permanent/permanence of damage unknown at this time.
Age: 56.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: After receiving the vaccine, patient claims her was sore and she could not move it very well without pain. She thought it would go away, but after a little over a week and no improvement, she came to the pharmacy to report it. I told her to go to her PCP and have them examine her. Her PCP could find neither infection nor inflammation and recommended the patient get an MRI to see if there was nerve damage. Have not heard any further from the patient.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Heart rate decreased, Hyperhidrosis, Loss of consciousness, Palpitations
Clinical narrative: Pt left the counseling room and walked around the store for about 5 min. She then said she was feeling heart palpitations, sweaty, and light headed, ran to a chair to sit down and then fainted. The person who was with her woke her up thankfully and we called 911. The patient said her breathing was not affected and that she was allergic to epinephrine, so I did not give her an epipen. The EMS rep directed us not to give any food or drink. When EMS arrived her blood pressure was less than 90/60 and they carried her out in a chair and brought her to the nearest hospital. They did not allow her to stand yet. After regaining consciousness we learned that she got off a plane last night, slept late this morning, only ate a lentil flat bread a few hours prior to getting the vaccine and was already taking Benadryl and Zyrtec.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Syncope
Clinical narrative: Pt left the counseling room and walked around the store for about 5 min. She then said she was feeling heart palpitations, sweaty, and light headed, ran to a chair to sit down and then fainted. The person who was with her woke her up thankfully and we called 911. The patient said her breathing was not affected and that she was allergic to epinephrine, so I did not give her an epipen. The EMS rep directed us not to give any food or drink. When EMS arrived her blood pressure was less than 90/60 and they carried her out in a chair and brought her to the nearest hospital. They did not allow her to stand yet. After regaining consciousness we learned that she got off a plane last night, slept late this morning, only ate a lentil flat bread a few hours prior to getting the vaccine and was already taking Benadryl and Zyrtec.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Burning sensation, Hypersensitivity, Injection site erythema, Injection site pain
Clinical narrative: Burning in arm during shot process. Followed by burning down your arm right after shot. That evening, itching down arm and palm of hand along with start of blister on underside of upper arm. While itching arm there was a burning sensation. Next morning start of blisters at shot side, under upper arm and on palm of hand between thumb and 1st first. Small blisters started to appear over full arm. Started BENADRYL the 1st morning after shot at recommendation of pharmacist. Symptoms worsened by the 2nd day and went to ER. Treated for allergic reaction to shot....shot of BENADRYL, prednisone pills.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pruritus, Injection site swelling, Injection site vesicles, Pruritus
Clinical narrative: Burning in arm during shot process. Followed by burning down your arm right after shot. That evening, itching down arm and palm of hand along with start of blister on underside of upper arm. While itching arm there was a burning sensation. Next morning start of blisters at shot side, under upper arm and on palm of hand between thumb and 1st first. Small blisters started to appear over full arm. Started BENADRYL the 1st morning after shot at recommendation of pharmacist. Symptoms worsened by the 2nd day and went to ER. Treated for allergic reaction to shot....shot of BENADRYL, prednisone pills.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Confusional state, Disorientation, Feeling abnormal, Feeling cold, Influenza like illness
Clinical narrative: Pt stated felt "different" right away, then confused as drove home (wasn't sure where was), and later at home around 5PM felt cold/shaking like had flu. Denied fever and said seems to be doing better now.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Pt stated felt "different" right away, then confused as drove home (wasn't sure where was), and later at home around 5PM felt cold/shaking like had flu. Denied fever and said seems to be doing better now.
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Injection site pain, Oedema, Pain in extremity, Scab
Clinical narrative: Per 7 Jan 18 at 1120 medical record entry, patient presents for documentation of flu shot adverse event. States that on 2 Dec 2017 was given the flu vaccine in L deltoid. Around 9 Dec 17 noticed that left arm was sore and become increasingly more sore. Around 17 Dec 17 noticed a break in the skin where the vaccine was given that progressed to becoming wider, edematous, erythematous with scab formation. The area was raw, zero (0) drainage. Had had L shoulder pain since then. The scab resolved within a week. 29 Dec 17 made apt with Dr. who swabbed the scab and was given 1 gram of ROCEPHIN. 30 Dec 17 went to urgent care. Was seen by NP there. The NP believed that the vaccine hit a nerve. Was seen by (Ortho) 2 Jan 18 who believes that the flu shot was given in the nerve. Dr. sent to physical therapy. Reported 5 Jan 18. Went to 1st physical therapy visit was on 5 Jan 18. Physical therapist believes the median nerve was the affected nerve. Can't reach over head or behind her back. Physical therapist did "scraping" of the L deltoid.
Age: 61.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Chills, Pyrexia
Clinical narrative: 102.5 fever with sudden onset and severe chilling relieved by TYLENOL over a period of six hours. Recurrent low grade temp of 99.5 on 1/7/2018 at 4:00pm also relieved by TYLENOL.
Age: 61.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Contusion, Induration, Pain in extremity, Skin discolouration
Clinical narrative: Pt reports having a baseball-sized bruise appear approx 2 days after given 2 shots in the left arm. Became hard to the touch and intermittent deep pain during the day. Was hard for several days, and is deep blue/black in appearance.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient came in to the pharmacy on 12/30/17 complaining about low grade fever, pain on injection site, and swelling and redness below injection site to close to her elbow. Patient was referred to urgent care, and was diagnosed with cellulitis, prescribed BACTRIM DS 1bid for 10 days.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Bronchiolitis, Crying, Ear canal erythema, Insomnia, Lethargy
Clinical narrative: Extremely lethargic / sleepy for the following 24 hours, some mild upper respiratory signs, high pitched crying the night of December 9th. Fever >102 F December 9th. She was seen by her pediatrician and the ER both said completely opposite things: her Dr said she had bronchiolitis and redness in her ears, the ER doctors said they saw neither. She was not treated for anything. She continues to have difficulty sleeping overnight (as opposed to sleeping for long stretches and putting herself to bed before December 8th) and now will cry for hours before falling asleep which she has never done, not even as a newborn. She has never been colicky or sick before. During her vaccines at 2 months she developed hard swellings that lasted right up until a week prior to her next vaccines December 8th.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Pyrexia, Respiratory symptom, Somnolence
Clinical narrative: Extremely lethargic / sleepy for the following 24 hours, some mild upper respiratory signs, high pitched crying the night of December 9th. Fever >102 F December 9th. She was seen by her pediatrician and the ER both said completely opposite things: her Dr said she had bronchiolitis and redness in her ears, the ER doctors said they saw neither. She was not treated for anything. She continues to have difficulty sleeping overnight (as opposed to sleeping for long stretches and putting herself to bed before December 8th) and now will cry for hours before falling asleep which she has never done, not even as a newborn. She has never been colicky or sick before. During her vaccines at 2 months she developed hard swellings that lasted right up until a week prior to her next vaccines December 8th.
Age: 10.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Asthenia, Confusional state, Cough, Decreased appetite, Decreased interest
Clinical narrative: Today is January 8th, 2017, my daughter is still very ill with multiple symptoms including severe congestions, cough, fever, throbbing headache, lethargy, vomiting off and on (most recent 1/4/17) with blood in vomit, rapid pulse, tingling and numbness in hands, feet, and hip area, high irritability, mental confusion, mood swings, loss weight, loss of appetite, overly tired and sleeping many hours, blurred vision, recurring respiratory infection and flu like symptoms, soreness and weakness of muscles, weakness in climbing stairs and all other energy related functions, loss of interest in normal activities,  bleeding gums, trouble breathing during sleep, dislike of light, thermoregulation dysfunction.
Age: 10.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Dyspnoea, Fatigue, Gingival bleeding, Haematemesis, Headache
Clinical narrative: Today is January 8th, 2017, my daughter is still very ill with multiple symptoms including severe congestions, cough, fever, throbbing headache, lethargy, vomiting off and on (most recent 1/4/17) with blood in vomit, rapid pulse, tingling and numbness in hands, feet, and hip area, high irritability, mental confusion, mood swings, loss weight, loss of appetite, overly tired and sleeping many hours, blurred vision, recurring respiratory infection and flu like symptoms, soreness and weakness of muscles, weakness in climbing stairs and all other energy related functions, loss of interest in normal activities,  bleeding gums, trouble breathing during sleep, dislike of light, thermoregulation dysfunction.
Age: 10.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Heart rate increased, Hypersomnia, Hypoaesthesia, Influenza like illness, Irritability
Clinical narrative: Today is January 8th, 2017, my daughter is still very ill with multiple symptoms including severe congestions, cough, fever, throbbing headache, lethargy, vomiting off and on (most recent 1/4/17) with blood in vomit, rapid pulse, tingling and numbness in hands, feet, and hip area, high irritability, mental confusion, mood swings, loss weight, loss of appetite, overly tired and sleeping many hours, blurred vision, recurring respiratory infection and flu like symptoms, soreness and weakness of muscles, weakness in climbing stairs and all other energy related functions, loss of interest in normal activities,  bleeding gums, trouble breathing during sleep, dislike of light, thermoregulation dysfunction.
Age: 10.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Lethargy, Malaise, Mood swings, Muscular weakness, Myalgia
Clinical narrative: Today is January 8th, 2017, my daughter is still very ill with multiple symptoms including severe congestions, cough, fever, throbbing headache, lethargy, vomiting off and on (most recent 1/4/17) with blood in vomit, rapid pulse, tingling and numbness in hands, feet, and hip area, high irritability, mental confusion, mood swings, loss weight, loss of appetite, overly tired and sleeping many hours, blurred vision, recurring respiratory infection and flu like symptoms, soreness and weakness of muscles, weakness in climbing stairs and all other energy related functions, loss of interest in normal activities,  bleeding gums, trouble breathing during sleep, dislike of light, thermoregulation dysfunction.
Age: 10.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Paraesthesia, Photophobia, Pyrexia, Respiratory tract congestion, Respiratory tract infection
Clinical narrative: Today is January 8th, 2017, my daughter is still very ill with multiple symptoms including severe congestions, cough, fever, throbbing headache, lethargy, vomiting off and on (most recent 1/4/17) with blood in vomit, rapid pulse, tingling and numbness in hands, feet, and hip area, high irritability, mental confusion, mood swings, loss weight, loss of appetite, overly tired and sleeping many hours, blurred vision, recurring respiratory infection and flu like symptoms, soreness and weakness of muscles, weakness in climbing stairs and all other energy related functions, loss of interest in normal activities,  bleeding gums, trouble breathing during sleep, dislike of light, thermoregulation dysfunction.
Age: 10.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Temperature regulation disorder, Vision blurred, Vomiting, Weight decreased
Clinical narrative: Today is January 8th, 2017, my daughter is still very ill with multiple symptoms including severe congestions, cough, fever, throbbing headache, lethargy, vomiting off and on (most recent 1/4/17) with blood in vomit, rapid pulse, tingling and numbness in hands, feet, and hip area, high irritability, mental confusion, mood swings, loss weight, loss of appetite, overly tired and sleeping many hours, blurred vision, recurring respiratory infection and flu like symptoms, soreness and weakness of muscles, weakness in climbing stairs and all other energy related functions, loss of interest in normal activities,  bleeding gums, trouble breathing during sleep, dislike of light, thermoregulation dysfunction.
Age: 21.0
Sex: F
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Exposure during pregnancy
Clinical narrative: Currently pregnant EDD: 3/21/18.
Age: 21.0
Sex: F
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Delivery, Exposure during pregnancy, No adverse event
Clinical narrative: Currently pregnant EDD: 3/21/18.
Age: 21.0
Sex: F
Vaccine: VARCEL, VARCEL, VARCEL
Symptoms: Accidental exposure to product, Delivery, Exposure during pregnancy
Clinical narrative: Currently pregnant EDD: 3/21/18.