chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Lymphadenopathy, Malaise, Mental impairment, Neck pain, Oropharyngeal pain
Clinical narrative: Shortly after receiving the 3rd dose of GARDASIL 4, my son developed allergy like symptoms in the sinuses. Sinusitis developed in September, which was incurable no matter what we tried (CLARITIN, Nasal Wash, BENADRYL). BENADRYL). By October patient experienced his first bout with high fevers and enlarged lymph nodes in the neck (cervical), accompanied by terrible sore throat, neck pain at the base of the head and lower back pain. This lasted for 4 days - 104 days-104 degree fever, chills, exhaustion, loss of sharp thinking. He stated he felt like his head was going to explode and he said he felt as if he wasn't as smart. This pattern of sickness came again - 6 weeks to the day in November, in December, and every 6 week weeks now for a year. We removed his tonsils, biopsied them no cure. We have tried prescription allergy medicine, homeopathic aids- such as arm and hammer wash, but he is still getting symptoms every six weeks to the day.
Age: 17.0
Sex: M
Vaccine: FLU3, HPV4
Symptoms: Positron emission tomogram normal, Pyrexia, Sinusitis, Tonsillectomy
Clinical narrative: Shortly after receiving the 3rd dose of GARDASIL 4, my son developed allergy like symptoms in the sinuses. Sinusitis developed in September, which was incurable no matter what we tried (CLARITIN, Nasal Wash, BENADRYL). BENADRYL). By October patient experienced his first bout with high fevers and enlarged lymph nodes in the neck (cervical), accompanied by terrible sore throat, neck pain at the base of the head and lower back pain. This lasted for 4 days - 104 days-104 degree fever, chills, exhaustion, loss of sharp thinking. He stated he felt like his head was going to explode and he said he felt as if he wasn't as smart. This pattern of sickness came again - 6 weeks to the day in November, in December, and every 6 week weeks now for a year. We removed his tonsils, biopsied them no cure. We have tried prescription allergy medicine, homeopathic aids- such as arm and hammer wash, but he is still getting symptoms every six weeks to the day.
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pain, Injection site pruritus, Paraesthesia
Clinical narrative: Shot given 0815, Experienced Redness, pain, itching at injection site and numbness/tingling down left arm around 0930.
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: Nickel-sized raised lump around injection site. Patient reports site is very itchy; patient denies any pain.
Age: 38.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Fall, Loss of consciousness, Syncope
Clinical narrative: Pt came in to receive her annual flu shot on 10/13/17 around 7 pm. I had gone over her vaccine consent and administration record form and had asked her if she had an issues with vaccines in the past. She stated she was scared of needles and I noticed she had her other arm clenched indicating this as well, so I had her 9 year old daughter try to distract her; I myself also tried to talk her up to distract her as well. After administering the vaccine, the Pt responded that it was quick and she didn't even feel it. Shortly after, she started feeling dizzy so I told her to sit down. I asked her if she wanted water and she said yes so I grabed a cup for her and checked up on her once again. She said she was gonna sit for a little longer. In the meantime i went to verify a few more prescriptions and walked over one more time. After heading back to the RPh station to verify more prescriptions, at this point it time I heard a sound and the Pt had then fainted. Another Pt was a first responder, I ran over to check her pulse, pt was still unconcious at the time. Nurse practioner within our store came over to assist in the incident. Pt woke up from the fall soon after (aprox. 2 min). Pt was alert and orient and daughter was a little frazzled and scared. 911 was called, they showed up after 5 min to evaluate the pt after the fall.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, warmth and pain to entire R upper arm.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Faeces discoloured, Hyperhidrosis, Insomnia, Pain in extremity
Clinical narrative: Severe arm pain starting 10 hrs after vaccine. Severe chills, followed by sweating, vomiting, restlessness and could not sleep. Black stools following two days.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Restlessness, Vomiting
Clinical narrative: Severe arm pain starting 10 hrs after vaccine. Severe chills, followed by sweating, vomiting, restlessness and could not sleep. Black stools following two days.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Drug administered at inappropriate site, Injection site pain
Clinical narrative: R arm pain at time of administration reported as too high and posterior than usual. Still with pain 3 weeks later.
Age: 70.0
Sex: F
Vaccine: FLUC4, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a duplicate shot. The nurses confirmed that the patient was getting a flu shot and a pneumonia shot prior to the administration. No adverse reaction was reported.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Child was 2 years 8 months, and received the FLUARIX QUAD vaccination at a flu vax clinic, it is only licensed for 3 years and older. Parent was contacted 10-20-17, no adverse effects. Childs pediatrician was also notified.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
Clinical narrative: Patient had more soreness and inflammation in the arm the vaccine was given. The redness spread all the way from her shoulder down to her bicep/elbow.
Age: 17.0
Sex: M
Vaccine: HEP, IPV, MMR, VARCEL
Symptoms: Blood glucose, Dizziness, Muscle spasms, Partial seizures, Syncope
Clinical narrative: Patient felt dizzy after 3rd vaccination, Hepatitis B. Patient instructed to lay supine. Felt better after several minutes and a glass of water. 4th vaccine, administered into R deltoid, IM. Patient syncopal, with left arm spasm, focal seizure. VS obtained 98/60. O2 sat 98, HR 58. Patient became alert and oriented in 15 seconds. VS 110/68, HR 64, O2 sat 100. Remaining vaccines, Tb plant held. Guardian called to clinic. Patient A and O x 3. Able to ambulate to classroom with guardian 15 min. after incident.
Age: 38.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Joint range of motion decreased, Musculoskeletal pain, Myalgia
Clinical narrative: I did not feel much pain during the shot or imemediately after. However, the next morning, I woke with a sharp pain in my shoulder and bicep and couldn?t lift my 1-year-old child.  I had little range of motion without intense pain. The shot was administered very high on my arm and almost on top of my shoulder. The pain increased daily. I contacted my primary care physician via phone who recommended that if the pain continued to increase to visit an orthopedic urgent care. The pain continued for another day and by today (10/20/17) it has subsided some after heat and NSAIDs. It has not gone away and there is still a major loss of range in motion, especially moving my arm straight out from my side. I have had difficulty lifting or holding anything in my left arm. I have numbness or tingling from time to time. My left hand was very numb 3 days after the shot. My arm felt as if were very warm in the muscle for 4 days and is less intense the 5th day. If the pain does not subside fully by 1 week after the intial shot, I plan to follow the advice of my doctor and visit an orthopedic urgent care office. I was advised to contact the provider and alert them to the reaction to the shot which I did.
Age: 38.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Pain, Paraesthesia, Skin warm, Weight bearing difficulty
Clinical narrative: I did not feel much pain during the shot or imemediately after. However, the next morning, I woke with a sharp pain in my shoulder and bicep and couldn?t lift my 1-year-old child.  I had little range of motion without intense pain. The shot was administered very high on my arm and almost on top of my shoulder. The pain increased daily. I contacted my primary care physician via phone who recommended that if the pain continued to increase to visit an orthopedic urgent care. The pain continued for another day and by today (10/20/17) it has subsided some after heat and NSAIDs. It has not gone away and there is still a major loss of range in motion, especially moving my arm straight out from my side. I have had difficulty lifting or holding anything in my left arm. I have numbness or tingling from time to time. My left hand was very numb 3 days after the shot. My arm felt as if were very warm in the muscle for 4 days and is less intense the 5th day. If the pain does not subside fully by 1 week after the intial shot, I plan to follow the advice of my doctor and visit an orthopedic urgent care office. I was advised to contact the provider and alert them to the reaction to the shot which I did.
Age: 38.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Paraesthesia
Clinical narrative: I did not feel much pain during the shot or imemediately after. However, the next morning, I woke with a sharp pain in my shoulder and bicep and couldn?t lift my 1-year-old child.  I had little range of motion without intense pain. The shot was administered very high on my arm and almost on top of my shoulder. The pain increased daily. I contacted my primary care physician via phone who recommended that if the pain continued to increase to visit an orthopedic urgent care. The pain continued for another day and by today (10/20/17) it has subsided some after heat and NSAIDs. It has not gone away and there is still a major loss of range in motion, especially moving my arm straight out from my side. I have had difficulty lifting or holding anything in my left arm. I have numbness or tingling from time to time. My left hand was very numb 3 days after the shot. My arm felt as if were very warm in the muscle for 4 days and is less intense the 5th day. If the pain does not subside fully by 1 week after the intial shot, I plan to follow the advice of my doctor and visit an orthopedic urgent care office. I was advised to contact the provider and alert them to the reaction to the shot which I did.
Age: 50.0
Sex: F
Vaccine: TDAP
Symptoms: Insomnia, Mobility decreased, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: 8/10 pain in all shoulder area, rotator cuff, bursa, upper and lower arm muscles in the form of throbbing constantly, sharp pain when arm/shoulder moved, unable to lift arm, unable to sleep very much at one time- continued 24/7 for 9 days straight. Then pain down to 6/7 out of 10 for another week in symptoms as stated above. Then pain down to 5/10 for this following week. Pain is at peak upon waking.
Sex: M
Vaccine: HPV9
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: This spontaneous report was received from the mother's patient referring to a 1 year old male patient. No information was provided regarding the patient's medical history, concurrent conditions or concomitant medications. On 29-SEP-2017, the reporter stated that her son was vaccinated with GARDASIL 9 lot number N010497 and expiration date of 15-JAN-2020 for prophylaxis (dose and route of administration were not reported).
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: PT REPORTED REDNESS AROUND THE INJECTION SITE THE MORNING AFTER VACCINE RECEIVED. IT BECAME TENDER AND WARM TO THE TOUCH. SHE BELIEVES IT IS GETTING WORSE. ADVISED HER TO TAKE SOME BENADRYL AND IF IT DOES NOT IMPROVE OR BECOMES WORSE TO CONTACT HER PCP.
Age: 32.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Macule, Pyrexia, Skin warm
Clinical narrative: Patient was fevered, red, macule, warm, approx 6 cm in diameter.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Blister, Erythema, Urticaria
Clinical narrative: The patient received a flu vaccine and approximately 10-15 minutes later was checking out of the clinic when it was noticed that she was developing red welts and tiny blisters across her forehead and cheeks. She was immediately taken back into exam room and undressed to find random welts developing on trunk. MD was immediately paged. Stat order for Benadryl 25mg was given PO. Patient waited in exam room for 20 min and was then re-examined by MD. Patient's hives were starting to resolve and no other symptoms developed. She was discharged in good condition..
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Altered state of consciousness, Disorientation, Dizziness, Dyspnoea, Injection site erythema
Clinical narrative: 15-30 after dose felt SOB, nauseous, dizzy, disoriented and felt like she may pass out. No wheezing, no swelling of tongue or lips. Later developed pain, redness and swelling at injection site. Seen in ED possible allergic reaction and possible cellulitis. Started on antibiotics and ibuprofen.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Nausea
Clinical narrative: 15-30 after dose felt SOB, nauseous, dizzy, disoriented and felt like she may pass out. No wheezing, no swelling of tongue or lips. Later developed pain, redness and swelling at injection site. Seen in ED possible allergic reaction and possible cellulitis. Started on antibiotics and ibuprofen.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal stiffness
Clinical narrative: Stiff neck.
Age: 32.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Right arm pain, swelling and redness.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Erythema and non pitting edema from injection site to elbow.
Age: 41.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: Stiff Neck' joint pain in neck on right side.
Age: 29.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Employee began to have a large red lump develop on his left shoulder that is warm to the touch  that began 5 hours after the injection. Employee currently has lump still on his arm and it is warm 48 hours later.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Discomfort, Skin discolouration, Skin warm, Swelling
Clinical narrative: 60mmx60mm round area, slightly raised, pink in color and warm to touch. Advised to use cold pack to area, Tylenol for discomfort and Benadryl for swelling. Return to office with no improvement.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Head injury, Headache, Loss of consciousness, Nausea
Clinical narrative: Next morning, child suddenly developed dizziness, headache, nausea,"passed out" and hit head.  Vomited shortly after, seen in my office with no specific physical findings. Prescribed Zofran. Vomited three more times at home per mom, by evening was feeling better and keeping down crackers, headache gone. Per mother, no sequelae and no one else ill at school with similar symptoms.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Next morning, child suddenly developed dizziness, headache, nausea,"passed out" and hit head.  Vomited shortly after, seen in my office with no specific physical findings. Prescribed Zofran. Vomited three more times at home per mom, by evening was feeling better and keeping down crackers, headache gone. Per mother, no sequelae and no one else ill at school with similar symptoms.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: After flu shot, I developed nausea, vomiting, low-grade fever, dizziness, muscle aches, and headache.
Age: 31.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting
Clinical narrative: After flu shot, I developed nausea, vomiting, low-grade fever, dizziness, muscle aches, and headache.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: The patient stated that her arm was red, swollen, and hot to the touch. She stated the reaction started the evening after she received the vaccine and worsened overnight.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reported swelling, redness, and pain at injection site and large portion of upper left arm. Symptoms started 2 to 3 hours after receiving vaccination, and patient still has mild redness and swelling. She says she took BUFFERIN to treat. She came to pharmacy on 10/20 to report, had not previously called.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: PATIENT HAS A 15.5CM BY 15CM CELLULITIC AREA TO UPPER LEFT ARM WHERE VACCINES WERE GIVEN. THE AREA IS RED, WARM, PAINFUL, AND ITCHY.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness, Muscle tightness, Presyncope
Clinical narrative: Patient was administered vaccine. Patient tensed up at time of administration. Approximately 30 seconds to a minute following vaccine administration, patient had what appeared to be a vagal response, followed by passing out. 911 was called and EMS was dispatched. Patient left scene under his own power and was not transported.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Bacterial test, Basophil count normal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood smear test abnormal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Blood sodium normal, Blood urea normal, Blood urine present, CSF white blood cell differential, Carbon dioxide normal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Chromaturia, Culture urine positive, Eosinophil count normal, Globulin, Haematocrit normal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Haemoglobin normal, Laboratory test normal, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Metabolic function test, Monocyte count normal, Monocyte percentage
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Neutrophil count normal, Neutrophil percentage increased, Platelet count decreased, Protein total normal, Red blood cell count normal
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Red blood cells urine positive, Red cell distribution width normal, Urinary casts, Urinary sediment present, Urine abnormality
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA, IPV, MMR, VARCEL
Symptoms: Urine analysis, White blood cell count normal, White blood cells urine positive
Clinical narrative: Patient was vaccinated 10/03/17 and had been doing well. Patient presented 10/17/17 with father to clinic. The school called stating that she had blood in urine. Urine dipstick done in office and labs and urine sent out for testing. Patient had critical lab results: PLATELET COUNT [L] 7 Thousand/uL. Verified by repeat analysis. Pt is currently hospitalized. No official correlation identified at this time with vaccine administration and symptoms but with the close proximity of events- report was filed.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus
Clinical narrative: Itching/redness. I told the patient to take loratadine 10mg (she had to go to work) and try a cold compress. Patient said she had put hydrocortisone on it.
Age: 81.0
Sex: F
Vaccine: FLUA3
Symptoms: Contusion, Injection site bruising
Clinical narrative: Patient reported bruising 2 inches below injection site 1 day after administration followed by extensive bruising down the arm.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Feeling abnormal, Hypoaesthesia, Induration, Injection site erythema
Clinical narrative: Associate reported to Occ Health to inform that she had felt "a tingling/numbing sensation and heaviness to my arm soon after receiving the injection. I think that maybe the fluid went into the tissue and not to the muscle but I got busy because I had to report to the center for the drill and so I never came back. As the day progressed I just didn't feel right. The heaviness is what bothered me the most. I asked my husband to look at it last night and he said that he could see it. I noticed it red and indurated and today it feels warm."  The Associate does not report a fever or other S&S of malaise.  Observed left deltoid area with erythema, induration and warmth around area of erythema. Site is ~5.5 cm x 6/5 cm in diameter. Associate verbalized concern about "cellulitis at site." The Associate reports that she "has had cellulitis to her ankle before."  Read over possible side effects from CDC. Advised Associate if concerned about possible infection to seek a consultation with her PCP especially if no improvement of worsening of S&S. The Associate states that "she feels it is better today than last night." Advised to take Ibuprofen (unless medically contra-indicated) for pain, discomfort and as an anti-inflammatory and for comfort she may cold compresses as needed and to report to office on Monday for follow-up. The Associate stated that she "was going to try to be seen in the Employee Health Clinic today."
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site induration, Injection site warmth, Limb discomfort, Paraesthesia, Skin warm
Clinical narrative: Associate reported to Occ Health to inform that she had felt "a tingling/numbing sensation and heaviness to my arm soon after receiving the injection. I think that maybe the fluid went into the tissue and not to the muscle but I got busy because I had to report to the center for the drill and so I never came back. As the day progressed I just didn't feel right. The heaviness is what bothered me the most. I asked my husband to look at it last night and he said that he could see it. I noticed it red and indurated and today it feels warm."  The Associate does not report a fever or other S&S of malaise.  Observed left deltoid area with erythema, induration and warmth around area of erythema. Site is ~5.5 cm x 6/5 cm in diameter. Associate verbalized concern about "cellulitis at site." The Associate reports that she "has had cellulitis to her ankle before."  Read over possible side effects from CDC. Advised Associate if concerned about possible infection to seek a consultation with her PCP especially if no improvement of worsening of S&S. The Associate states that "she feels it is better today than last night." Advised to take Ibuprofen (unless medically contra-indicated) for pain, discomfort and as an anti-inflammatory and for comfort she may cold compresses as needed and to report to office on Monday for follow-up. The Associate stated that she "was going to try to be seen in the Employee Health Clinic today."
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Large area of swelling, redness, and warmth on arm in area of injection.
Age: 46.0
Sex: M
Vaccine: FLUC4
Symptoms: Asthenia, Dizziness, Somnolence
Clinical narrative: Received Flu shot at 8:15 am. At about 9:30 - 9:45 I was summoned to the staff break room. Staff person was weak, sleepy, unable to stay fully awake during conversation. He was reporting feeling "dizzy", had difficulty sitting up straight. EMS was called at this time.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Lethargy, Somnolence, Vomiting
Clinical narrative: At 12:15 am the child woke and profusely vomited. He was lethargic and hard to wake up. No fever noted. At 1:00 am vomiting stopped and child was fine. No further vomiting. No redness or swelling to Left arm. Doesn't remember vomiting.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Induration, Rash erythematous, Skin warm
Clinical narrative: Warm to touch, red rash, hard area for a few days after vaccine (pt was given vis and told about rash, etc.).
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Crying, Cyanosis, Fall, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Approximately 5 minutes after receiving the vaccine the patient was calm, standing up, and suddenly lost consciousness and fell forward. Was unresponsive for up to 1 minute afterward with eyes open and staring, blue color around lips, arms bent and stiff, not crying. Recovered spontaneously and started crying. Event occurred before leaving the office.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Staring, Unresponsive to stimuli
Clinical narrative: Approximately 5 minutes after receiving the vaccine the patient was calm, standing up, and suddenly lost consciousness and fell forward. Was unresponsive for up to 1 minute afterward with eyes open and staring, blue color around lips, arms bent and stiff, not crying. Recovered spontaneously and started crying. Event occurred before leaving the office.
Age: 76.0
Sex: M
Vaccine: FLUA3
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Patient called and reported a long, thin, reddish "rash" underneath the injection site on his L arm. Patient stated other than the rash he felt fine. Patient was counseled to continue monitoring the rash (and to look out for severe symptoms such as swelling, itching, and difficulty breathing).
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Asthenia, Decreased appetite, Fatigue, Hypersomnia
Clinical narrative: Starting the day after, patient describes the start of symptoms as radiating shoulder pain ranging from neck to wrist. She described herself as feeling very weak, having 0 appetite, and experiencing fatigue, She then describes herself as having slept mostly for the next 2 days. Ultimately, she described the overall experience as feeling "drugged".
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Neck pain
Clinical narrative: Starting the day after, patient describes the start of symptoms as radiating shoulder pain ranging from neck to wrist. She described herself as feeling very weak, having 0 appetite, and experiencing fatigue, She then describes herself as having slept mostly for the next 2 days. Ultimately, she described the overall experience as feeling "drugged".
Age: 76.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Hypersensitivity, Skin warm
Clinical narrative: She called me yesterday (7 days after receiving the vaccine) and said that the previous night she noticed some redness and then yesterday morning it grew to 2 or 3 inches and was very red and warm. She didn't really have any other symptoms. I told her to see her physician which she did this morning and they told her it was mostly likely an allergic reaction to PREVNAR and to go home and take Benadryl and rest. She did that and it improved rapidly.
Sex: F
Vaccine: HPV9
Symptoms: Erythema, Pain in extremity
Clinical narrative: This spontaneous report as received from a Licensed Practical Nurse and the patient's mother via a company representative referring to a female patient of unknown age. No information was provided regarding the patient's medical history, other concurrent conditions or concomitant medications. On an unknown date, the patient was vaccinated with the first dose of GARDASIL 9 intramuscularly (dose, lot number and expiration date were not reported) for human papillomavirus. On an unknown date, the patient experienced very a painful arm, red, and pain was going up and down the arm. The patient's mother stated that it was really hurting her (the patient) badly". At the reporting tome, the patient was recovering from pain in extremity and erythema and, the causality assessment between GARDASIL 9 and the events was unknown.
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain, Pyrexia, Vaccination site pain
Clinical narrative: Redness in arm at site of vaccination, each day redness area grew bigger in circumference and she felt a burning sensation, patient had body aches and had a low grade fever of 100 degrees F. After receiving treatment (antibiotic and BENADRYL) symptoms subsided - patient is recovering as of 10/16/17 - redness faded, no body aches, some burning underneath arm.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain
Clinical narrative: Excruciating pain in the upper left arm shot was given. Pain lasted ten (10) days.
Age: 80.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Fluid retention, Musculoskeletal pain, Pain in extremity
Clinical narrative: On 6-11-17 I woke up and had sore aches in shoulders, on upper arms - lower arms - wrist and hands which really were painful. I took ALEVE it helped a little. Also took some TYLENOL. Saw my doctor on 6-29-17 and he prescribed ibuprofen 600 mg tablet 3 times a day for pain but then I felt worse after a week went back to Dr and got Furosemide for getting rid of water that I was retaining in body. So far I feel much better, but my hands still are painful at times as I have arthritis!
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red/pink circle under injection site; warm to touch. Swollen.
Age: 66.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Red/pink circle under injection site; warm to touch. Swollen.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Headache, Hypersomnia, Myalgia
Clinical narrative: Patient reports at 4:00 pm she developed a fever of 101 degrees, chills, sever joint and muscle aches, and a head ache. She slept for 12 hours and symptoms have fully resolved a this time.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia
Clinical narrative: Patient reports at 4:00 pm she developed a fever of 101 degrees, chills, sever joint and muscle aches, and a head ache. She slept for 12 hours and symptoms have fully resolved a this time.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Joint swelling, Oedema peripheral, Swelling, Thrombosis
Clinical narrative: Left side swelling under left armpit, left groin and swollen left ankle. Went to urgent care, was told had a blood clot. Still had symptoms week later, went to chiropractor who suggested Benadryl. After taking Benadry for a few days, symptoms have deceased.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Skin warm
Clinical narrative: I noticed a dark pink area about 1 1/2 inches below injection site on my arm the morning after my flu vaccination. It is still there as of 2:55 PM today, Friday. It's about 4 inches long and an inch or so high. Itches slightly, and feels warm to the touch. Doesn't bother me too much and I have no idea if it has anything to do with my flu shot but I have never had any reaction to the vaccine before.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: Redness underneath injection site.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMRV, PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Pt returned home post visit w/o issue. Bandaids removed later that evening and localized redness and swelling were visualized on R thigh at injection sites. Some hardness. This afternoon redness has enlarged, mild swelling is still present, hardness is gone. Afebrile. Patient in no obvious discomfort and behaviors are unchanged. Pt came in for nurse visit. Area was visualized by employees and another CMA. Agreement that no signs of infection. Advised monitoring and applying icepacks. Mom given after hours contact number, if sx worsen she will call.
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Raised rash occurred on injection arm from injection site downward to elbow. Rash is clearing and no longer raised as of date of reaction reporting.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site inflammation, Pain in extremity
Clinical narrative: PATIENT RETURNED TO PHARMACY 10/20/17 WITH RED INFLAMED SKIN AROUND THE INJECTION SITES. PATIENT STATES THAT ENTIRE ARM WAS HURTING.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Peripheral swelling
Clinical narrative: Erythema, swelling (R) 2 hours after vaccines. MEDROL Dose Pack on 10/18. 15 mg of IM TORADOL for pain. She also received 25 mg and 60 mg of IV BENADRYL and SOLU-MEDROL respectively. 10/20 KEFLEX 500 mg TID for 10 days and she is to use warm compresses to right arm.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Gastrointestinal disorder, Headache, Injection site erythema, Injection site pain
Clinical narrative: Pain, redness, and swelling at the injection site, fever, headache, fatigue, and gastrointestinal symptoms.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Pain, redness, and swelling at the injection site, fever, headache, fatigue, and gastrointestinal symptoms.
Age: 70.0
Sex: F
Vaccine: PPV
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Right arm is slightly swollen and has red band maybe 3 inches wide circling the arm above the elbow...this is approximately 2-3 inches below the injection site, which is bruised. Patient says arm was painful yesterday, but not too bad today.
Age: 65.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Arm pain, swelling and soreness for multiple days in right arm.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise, Pneumonia
Clinical narrative: Patient came to Pharmacy 10/20/17 approx. 1pm and said the MD would like us to fill out VAERS because she received HD FLUZONE and within days became sick and now has pneumonia.
Age: 85.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Pain, Peripheral swelling, Skin warm
Clinical narrative: Patient received vaccine and had severe soreness that night after getting the shot. The arm felt like it was radiating heat and there was some swelling. The patient came into the pharmacy the next day and her arm still had swelling on the lower part of her left arm around her bicep and tricep area and the patient states that it is still radiating heat.
Age: 49.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Chest discomfort, Varicella post vaccine
Clinical narrative: Systemic Varicella w/chest tightness.
Age: 49.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Fatigue, Headache, Injection site mass, Lung disorder, Pruritus generalised
Clinical narrative: Systemic Varicella w/chest tightness.
Age: 49.0
Sex: F
Vaccine: VARCEL, VARCEL
Symptoms: Pyrexia, Rash, Rash vesicular, Wheezing
Clinical narrative: Systemic Varicella w/chest tightness.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Patient broke out in a rash one hour after receiving injection - went to ER on 10/12 - received Rx for treatment. The morning before she got flu vaccine, she saw her PCP for questionable rash on face.
Age: 16.0
Sex: M
Vaccine: FLU4, HPV9, MNQ
Symptoms: Product preparation error
Clinical narrative: MENEVEO lyophilized portion inadvertently mixed with sterile water from another vaccine and given to patient. Vaccine was repeated wrong both components.
Age: 30.0
Sex: F
Vaccine: PPV, RAB
Symptoms: Chills, Injection site pain, Injection site urticaria, Malaise, Myalgia
Clinical narrative: Low grade fever approx. 100.0 F and chills, muscle aches, malaise starting approx. 24 hours after vaccine and continued for 36 hours at which point hives developed at vaccine site. Initially developed intense pain in region of injection within 8 hours of immunization and persisted until after hives developed.
Age: 30.0
Sex: F
Vaccine: PPV, RAB
Symptoms: Pyrexia
Clinical narrative: Low grade fever approx. 100.0 F and chills, muscle aches, malaise starting approx. 24 hours after vaccine and continued for 36 hours at which point hives developed at vaccine site. Initially developed intense pain in region of injection within 8 hours of immunization and persisted until after hives developed.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Asthenia, Cough, Decreased appetite, Fatigue, Gait inability
Clinical narrative: High fevers (102.5 - 105) for one week. Body aches, weakness, inability to walk, loss of appetite, persistent cough. Headache. Extreme fatigue.
Age: 18.0
Sex: M
Vaccine: MMR
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: High fevers (102.5 - 105) for one week. Body aches, weakness, inability to walk, loss of appetite, persistent cough. Headache. Extreme fatigue.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Headache, Lethargy, Pyrexia
Clinical narrative: Lethargy, headache and low grade fever since the morning after receiving the vaccines.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Computerised tomogram head normal, Differential white blood cell count normal, Full blood count normal, Headache, Metabolic function test normal
Clinical narrative: Lethargy, headache and low grade fever since the morning after receiving the vaccines.
Age: 14.0
Sex: F
Vaccine: MNQ, TDAP, MNQ, TDAP
Symptoms: Urine analysis normal
Clinical narrative: Lethargy, headache and low grade fever since the morning after receiving the vaccines.
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Documented hypersensitivity to administered product, Fatigue, Headache
Clinical narrative: Pt received FLUCELVAX 0.5ml in left deltoid and has a known egg allergy. Pt stayed for monitoring and about 30 minutes after receiving the vaccine she started having really bad headache and fatigue. Pt was taken into a treatment room and had vitals signs monitored with no additional services needed.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV
Symptoms: Asterixis, Nervous system disorder
Clinical narrative: Neurological damage. Flapping.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient received a PNEUMOVAX shot 10/17/2017, noticed redness and swelling at injection site and pain. Patient spoke to pharmacist on 10/18/2017 who advised her that if the pain continues for another day and redness then she should see a physician or other qualified health provider. Patient did not feel better, her arm worsened in pain and redness. She saw healthcare provider who admitted her to the hospital and is treating her with antibiotics and fluids.
Age: 79.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Inflammation, Injection site pain, Pyrexia
Clinical narrative: Patient received immunization on 10/13/2017 at 1:30 PM. The next day at around 3 PM, she started with fevers that lasted all day until 10/15/2017. She states she had noticed pain on her left deltoid but thought it would go away. Inflammation and redness started to be visible on her left arm as of 10/16/2017.
Age: 75.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Pyrexia, Rash
Clinical narrative: THE PATIENT RECEIVED BOTH VACCINES IN THE SAME ARM 2 DAYS AGO. HE PRESENTED TO THE PHARMACY WITH A DIFFUSE RASH ALL OVER HIS TRUNK, LEGS AND ARMS. HIS FACE, NECK AND THROAT WERE UNAFFECTED. THE PATIENT ALSO HAS REDNESS AND A "SORE LUMP" AT THE INJECTION SITE.  HE HAS HAD A FEVER FOR A FEW HOURS EVERY NIGHT SINCE THE INJECTION. IT GOES AWAY BY MORNING.
Age: 18.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: Sore arm and numb hand for 3 hours after.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site warmth, Peripheral swelling
Clinical narrative: Pt complain of a swelling arm, with hot to the touch and overall pain at the injection site that radiate down close to her elbow. Pt was told to put a cold compress on the affected area, TYLENOL for pain and BENADRYL for the swelling.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea, Lip swelling, Pyrexia
Clinical narrative: Patient stated that he experienced a fever, swollen lip, and difficulty breathing the night after receiving the vaccine.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Middle insomnia, Pain in extremity
Clinical narrative: Severe pain in left arm, radiating down. Pain wakes her up at night. Doctor prescribed NSAID and Pain medication to help reduce pain. Possible nerve irritation. Pt has follow-up in three weeks.
Age: 80.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient appeared with red, swollen painful and itchy upper right arm where injection was given. Symptoms occurred the second day after receiving vaccination and worsened over the next few days.
Age: 57.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Right arm had some mild soreness the following day. One week later she noticed her right arm had become red, slightly raised, and warm to the touch. Patient stated no discomfort, wasn't sure how long it had been red since it didn't hurt. I recommended antihistamines, hydrocortisone cream, and NSAIDs for any discomfort that may present. I told her to follow up with her PCP if it got worse or no change in a few days.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: PATIENT PRESENTED ON 10/20/2017 AT 5:15 PM WITH LEFT ARM SWELLING AND RASH/REDNESS AROUND THE BICEP AND INNER ARM AT ELBOW. REACTION PRESENTED WELL BELOW INJECTION SITE. PATIENT DID COMPLAIN OF SORENESS OF THE ENTIRE ARM AND ESPECIALLY AT INJECTION SITE. PATIENT SAW DOCTOR AND RECEIVED STEROIDS AS PER PATIENT.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site pain, Pain in extremity, Peripheral swelling, Rash
Clinical narrative: PATIENT PRESENTED WITH REDNESS/RASH AND SWELLING AROUND BICEP OF ARM AND COMPLAINED OF SORENESS OF ARM AND AT SITE OF INJECTION.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Small reddened area around injection site in the morning after injection. Later in the day area around injections site became darker red 8cmx10cm area. Slight swelling. Warm.
Age: 4.0
Sex: M
Vaccine: DTAP, FLU4, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site papule, Injection site pruritus, Injection site warmth
Clinical narrative: Same day, after returning home, pt developed a patch of papules at anterior vastus of right leg measuring 3 cm x 2 cm, then another patch @ most lateral vastus of right thigh w/ another patch of papules 4 cm x 3 cm. According to mother, the area was much redder & warm 3 days ago and was itching. This child received another set of vaccines (IPV & MMR) into left vastus w/o any reaction. MOC applied ice pack which MOC said helped. Since MOC has triamcinolone 0.1% at home, advised application to patches bid x 1-2 weeks.