chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Meningitis viral, Mononucleosis heterophile test negative, Neuralgia, Pyrexia, Urine analysis
Clinical narrative: Night of what I can only describe as head to toe nerve pain making it impossible to sleep in any position. Followed by a general sense of fatigue to the point where walking was the max exercise I could do 3 days after the injection. Woke up during the night on day 4 with flu-like symptoms.  Went to work and came home mid afternoon and slept for two hours. Later that evening started to shiver.  Shivering  accompanied by fever of 103 continued.  Advil brought fever down to almost normal but shivering and flu-like symptoms persisted.  Tested negative for flu and mono.  Went to the ER on  10/31 and diagnosed with viral meningitis.
Age: 80.0
Sex: M
Vaccine: FLUA3
Symptoms: Asthenia, Dizziness, Flushing, Gait disturbance, Heart rate increased
Clinical narrative: 11/07/2019 This morning, at 9:30, I had a flu shot at store.  3 to 4 minutes after, I had a strange reaction. Face flushed,  a quickening pulse or anxiety feeling,  slight lightheadedness, light pain but with serious weakness in both legs spreading across my lower back. Lucky I had a shopping cart to assist me. Great difficulty in walking. Struggled to my car nearby and drove to my doctors office, Dr. I was immediately seen by a nurse who checked me for chest pain. None. But there was no doctor to see me, so I was directed to a walk-in clinic. I was now feeling somewhat improved. I approached the clinic small waiting room. There sat about a dozen people, half of them wearing masks. I declined and came home. Flushed face was improving and I was a little steadier on my feet. Took my blood pressure. 140/64 pulse 61 Now 4 hours later I am approaching normal but guarded. I am 80 and reasonably fit.
Age: 80.0
Sex: M
Vaccine: FLUA3
Symptoms: Muscular weakness, Pain, Vaccination complication
Clinical narrative: 11/07/2019 This morning, at 9:30, I had a flu shot at store.  3 to 4 minutes after, I had a strange reaction. Face flushed,  a quickening pulse or anxiety feeling,  slight lightheadedness, light pain but with serious weakness in both legs spreading across my lower back. Lucky I had a shopping cart to assist me. Great difficulty in walking. Struggled to my car nearby and drove to my doctors office, Dr. I was immediately seen by a nurse who checked me for chest pain. None. But there was no doctor to see me, so I was directed to a walk-in clinic. I was now feeling somewhat improved. I approached the clinic small waiting room. There sat about a dozen people, half of them wearing masks. I declined and came home. Flushed face was improving and I was a little steadier on my feet. Took my blood pressure. 140/64 pulse 61 Now 4 hours later I am approaching normal but guarded. I am 80 and reasonably fit.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU4, HEPA
Symptoms: No adverse event
Clinical narrative: No adverse event occurred
Age: 55.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Allergy to vaccine, Injection site rash, Malaise, Nausea, Vaccination complication
Clinical narrative: Patient told me that they had a reaction after receiving a vaccine.   Patient went to urgent care with vomiting/nausea, generalized unwell feeling, and rash on arm near injection site for Tdap.
Age: 55.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Vomiting
Clinical narrative: Patient told me that they had a reaction after receiving a vaccine.   Patient went to urgent care with vomiting/nausea, generalized unwell feeling, and rash on arm near injection site for Tdap.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Fatigue, Hyperhidrosis, Injection site pain
Clinical narrative: Fever of 99.9 body chills, sweats, tired, arm extremely sore at injection site, loss of appetite
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever of 99.9 body chills, sweats, tired, arm extremely sore at injection site, loss of appetite
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Injected limb mobility decreased, Injection site reaction, Magnetic resonance imaging abnormal, Pain
Clinical narrative: My flu vaccine was admin in my right shoulder, too high. The needle went in very easy without any pain until the medication was admin and there was a burning sensation. I experienced extreme pain and limited mobility within minutes of the administration. but pain began to increase to a point where I was unable to move my arm without being in severe pain. I was off work for several days for a planned period of time off. I sent a message to my Manager regarding the the extreme pain. I sought treatment from our employee health doctor who sent me for an MRI which showed:1 Supraspinatus tendinosis with mild to moderate partial-thickness undersurface tearing; 2 Mild infraspinatus tendinosis; 3 probably tear of the superior labrum 4 Moderate subcapularis tendinosis with intrasubstance tearing, 5 Mild proximal biceps tendinosis.  I have never had shoulder pain or an injury to my shoulder before. A referral was made to an orthopedic specialist, Dr who ordered physical therapy, Celebrex and oral steroid. The oral steroid relieved some pain and allowed me to sleep through the night. Physical therapy started with minimal relief. Celebrex allowed some relief but did cause stomach issues. When stopped severe pain returned and mobility again was very limited. A steroid injection was admin Nov 6. To this date, I still have pain in my right arm, throbbing continues; pain runs down my arm to my thumb. Physical therapy continues to this date.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Product administered at inappropriate site, Tendon disorder, Tendon rupture, X-ray limb
Clinical narrative: My flu vaccine was admin in my right shoulder, too high. The needle went in very easy without any pain until the medication was admin and there was a burning sensation. I experienced extreme pain and limited mobility within minutes of the administration. but pain began to increase to a point where I was unable to move my arm without being in severe pain. I was off work for several days for a planned period of time off. I sent a message to my Manager regarding the the extreme pain. I sought treatment from our employee health doctor who sent me for an MRI which showed:1 Supraspinatus tendinosis with mild to moderate partial-thickness undersurface tearing; 2 Mild infraspinatus tendinosis; 3 probably tear of the superior labrum 4 Moderate subcapularis tendinosis with intrasubstance tearing, 5 Mild proximal biceps tendinosis.  I have never had shoulder pain or an injury to my shoulder before. A referral was made to an orthopedic specialist, Dr who ordered physical therapy, Celebrex and oral steroid. The oral steroid relieved some pain and allowed me to sleep through the night. Physical therapy started with minimal relief. Celebrex allowed some relief but did cause stomach issues. When stopped severe pain returned and mobility again was very limited. A steroid injection was admin Nov 6. To this date, I still have pain in my right arm, throbbing continues; pain runs down my arm to my thumb. Physical therapy continues to this date.
Age: 0.33
Sex: M
Vaccine: RV5
Symptoms: Intussusception
Clinical narrative: Admitted, treated, and discharged at Hospital on 11-5-19 for intussusception.
Age: 66.0
Sex: F
Vaccine: FLUR4, TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient developed radiating pain in arm that she received Boostrix in about five days after administration. The pain continued to get worse and her doctor told her take Ibuprofen, ice the arm, and move it around to "work out" the muscle. She did all this but pain continued.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient came back on 11/6/19 reported that she notice the adverse reactions on 11/1/19 at night. Her  left arm  where the injection site was itching, swelling, redness, tender, warm and a huge round lump the size of a pin pong ball between her breast and armpit . I checked her left arms, the redness and swelling were subside, but the lump is still there . No warm, or tender  on the lump, but feels like a round rolling lump of a ping pong ball size. No pain or itching at the time. Patient took Ibuprofen 400mg and Benadryl 25mg when she notice the adverse reactions.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Mass
Clinical narrative: Patient came back on 11/6/19 reported that she notice the adverse reactions on 11/1/19 at night. Her  left arm  where the injection site was itching, swelling, redness, tender, warm and a huge round lump the size of a pin pong ball between her breast and armpit . I checked her left arms, the redness and swelling were subside, but the lump is still there . No warm, or tender  on the lump, but feels like a round rolling lump of a ping pong ball size. No pain or itching at the time. Patient took Ibuprofen 400mg and Benadryl 25mg when she notice the adverse reactions.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Local reaction, Myalgia
Clinical narrative: Local reaction at site of injection--redness and tenderness, muscle ache in same arm and left side of neck  Gave 3 days of NSAID and instructed to apply ice pack
Age: 51.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Hyperhidrosis, Injection site pain, Pain, Pyrexia
Clinical narrative: Fever Sweats Chills Aches  Injection site pain
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site nerve damage, Insomnia, Pain in extremity, X-ray limb normal
Clinical narrative: Client described having a very sore arm immediately after vaccination was given.  She states that her arm hurt so badly that she could not sleep during the night.  She states that her arm has ached severely ever since the vaccine was given.  She has seen her primary care physician twice since that time and has had an x ray to rule out damage to the bone.  She had a 5 day course of prednisone and has been taking ibuprofen for pain. She states that her doctor said that the "needle hit a nerve" as the vaccine was being given.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: Pain to upper arm immediately after injection.  Pain  when raising arm.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Rash, Urticaria, Vomiting
Clinical narrative: Patient received vaccine on 11/4/2019 at 8:30 am.  Patient reported to RN that she began vomiting on 11/4/2019 pm.  Patient vomited x 3 days. Patient reported that a rash "hives" appeared on face on 11/5/2019 that resolved on 11/6/2019.   Patient reported no fever.  {Patient reported mild swelling at injection site.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Abdominal discomfort, Malaise, Pain, Peripheral swelling, Rash macular
Clinical narrative: pt arm swelled up to twice the size as the other arm, pt had red splotches on arm and it was hot and warm.  Lasted several days. Pt was also ill, body aches and upset stomach. Pt had same reaction to influenza vaccine in 2018
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Skin warm, Vaccine positive rechallenge
Clinical narrative: pt arm swelled up to twice the size as the other arm, pt had red splotches on arm and it was hot and warm.  Lasted several days. Pt was also ill, body aches and upset stomach. Pt had same reaction to influenza vaccine in 2018
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient had orange sized red area develop around injection site in left deltoid region.  Area was warm to the touch.  It began the day after she received the flu immunization (11/6/2019).  No fevers, or excess pain.  Area was warm to the touch.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Feeling of body temperature change, Generalised tonic-clonic seizure, Hyperhidrosis, Hyporesponsive to stimuli, Mydriasis
Clinical narrative: Just before administering the HPV I administered the Fluzone flu shot to the right deltoid. Patient had no complications and tolerated the shot well. I administered the HPV to the left deltoid. Mid-injection patient began to have a tonic clonic seizure. He was not responsive to verbal commands, and I had to hold patient up in the chair so he wouldn't fall out. Patient finally came around after seizing for 30 seconds. He became pale, diaphoretic, He was hot for a second & then cold, He was lethargic, and leaning on his mother. EMS arrives after being called by another staff member. He was Ox3, but very slow to answer. Patients eyes were dilated. He can't remember the events that led to this issue. He leaves with EMS, and mother leaves to meet them at hospital.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: Just before administering the HPV I administered the Fluzone flu shot to the right deltoid. Patient had no complications and tolerated the shot well. I administered the HPV to the left deltoid. Mid-injection patient began to have a tonic clonic seizure. He was not responsive to verbal commands, and I had to hold patient up in the chair so he wouldn't fall out. Patient finally came around after seizing for 30 seconds. He became pale, diaphoretic, He was hot for a second & then cold, He was lethargic, and leaning on his mother. EMS arrives after being called by another staff member. He was Ox3, but very slow to answer. Patients eyes were dilated. He can't remember the events that led to this issue. He leaves with EMS, and mother leaves to meet them at hospital.
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Feeling abnormal, Memory impairment, Mental impairment, Pain, Pyrexia
Clinical narrative: evening of the vaccine, severe body aches and headache, fever of 101.9.  Fever lasted for 2 days..body aches lasted for 3 days.  Also experienced a mental fog and the inability to remember things and think properly...my mind would be blank
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Allergy to vaccine, Blood test, Diarrhoea, Disturbance in attention, Dizziness
Clinical narrative: Day 1- Site was swollen, sensitive to touch, I started feeling light headed.,  Next day  I was very light headed, dizzy, couldn't focus at work. Day 3, I woke up feeling awful. I was vomiting and had diarrhea at the same time. Had small bumps appear on my back. I went to the ER, they ran tests and said I had a severe allergic  to the vaccine. Still itching all over
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Feeling abnormal, Injection site pain, Injection site swelling, Laboratory test abnormal, Pruritus
Clinical narrative: Day 1- Site was swollen, sensitive to touch, I started feeling light headed.,  Next day  I was very light headed, dizzy, couldn't focus at work. Day 3, I woke up feeling awful. I was vomiting and had diarrhea at the same time. Had small bumps appear on my back. I went to the ER, they ran tests and said I had a severe allergic  to the vaccine. Still itching all over
Age: 38.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Vomiting, X-ray
Clinical narrative: Day 1- Site was swollen, sensitive to touch, I started feeling light headed.,  Next day  I was very light headed, dizzy, couldn't focus at work. Day 3, I woke up feeling awful. I was vomiting and had diarrhea at the same time. Had small bumps appear on my back. I went to the ER, they ran tests and said I had a severe allergic  to the vaccine. Still itching all over
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Pain
Clinical narrative: She had dizziness and body aches a day after she  got shingrix and still have the symptoms up to this day.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Induration, Peripheral swelling, Skin warm
Clinical narrative: reported swelling from elbow to shoulder.  Hot and hard to touch.  symptoms resolving with time.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Bursitis, Immediate post-injection reaction, Inflammation, Insomnia, Magnetic resonance imaging abnormal
Clinical narrative: Vaccine given on Oct. 1st 2018. I was in immediate pain and could not raise my arm. It was inflamed and hot to the touch. I could not sleep on my right side and now 13 months later I still cannot sleep on my right side without feeling pain.  The treatment has been Physical Therapy, Ice, Heat, STIM therapy. I've received 2 Cortisone shots, both unsuccessful.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Muscle oedema, Pain in extremity, Periarthritis, Skin warm
Clinical narrative: Vaccine given on Oct. 1st 2018. I was in immediate pain and could not raise my arm. It was inflamed and hot to the touch. I could not sleep on my right side and now 13 months later I still cannot sleep on my right side without feeling pain.  The treatment has been Physical Therapy, Ice, Heat, STIM therapy. I've received 2 Cortisone shots, both unsuccessful.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Tendon disorder, Tenosynovitis
Clinical narrative: Vaccine given on Oct. 1st 2018. I was in immediate pain and could not raise my arm. It was inflamed and hot to the touch. I could not sleep on my right side and now 13 months later I still cannot sleep on my right side without feeling pain.  The treatment has been Physical Therapy, Ice, Heat, STIM therapy. I've received 2 Cortisone shots, both unsuccessful.
Age: 58.0
Sex: F
Vaccine: PPV, TD
Symptoms: Axillary pain, Blood test normal, Neck pain, Pain, Pain in extremity
Clinical narrative: Burning Pain in Right arm, back of neck and under arm day after shot which lasted a couple of days. Neck pain went away but arm pain and underarm pain continued and became progressively worse.  Went to ER when pain was unbearable. Had X-rays and bloodwork done by ER and PCP to ry and determine cause of pain. Was sent to Orthopedic for evaluation and was determined it was SIRVA. Sent for physical therapy.
Age: 58.0
Sex: F
Vaccine: PPV, TD
Symptoms: Shoulder injury related to vaccine administration, Ultrasound scan normal, X-ray normal
Clinical narrative: Burning Pain in Right arm, back of neck and under arm day after shot which lasted a couple of days. Neck pain went away but arm pain and underarm pain continued and became progressively worse.  Went to ER when pain was unbearable. Had X-rays and bloodwork done by ER and PCP to ry and determine cause of pain. Was sent to Orthopedic for evaluation and was determined it was SIRVA. Sent for physical therapy.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Cough, Injection site pruritus, Pruritus
Clinical narrative: Itchy face and neck, also itching at injection site. Coughing and slight chest tightness. patient had gone to the Emergency Room and was given Decadron IM and Benadryl.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Diaphragmalgia, Erythema, Fatigue
Clinical narrative: Fever, Sever Chills, fatigue, body wide joint pains, diaphragm pain, small red welts over entire back which started on 11/06/19,  redness and swelling at injection sight.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Pyrexia, Urticaria
Clinical narrative: Fever, Sever Chills, fatigue, body wide joint pains, diaphragm pain, small red welts over entire back which started on 11/06/19,  redness and swelling at injection sight.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Dry mouth, Headache, Tremor
Clinical narrative: Patient reported violent shaking about 40 minutes after receiving high-dose flu vaccination at pharmacy. Patient was home with neighbors and did not seek medical treatment. Patient called pharmacy after resting and feeling better. Patient also then reported dry mouth and bad headache. No injection-site reaction was reported.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt phoned to say she was having a reaction at injection site of flu shot. She states about 1/2 hour after the infection she developed tenderness and felt that it was normal post injection. Today, she noticed she has a bruise, tendernes, redness, and it feels warm in the area surrounding the injection site. She denies fever, chills. PA-C advised pt take Tylenol as directed and Bendryl as directed, and also apply cold packs throughout the next 4 days. Pt advised to follow-up with her on Monday for evaluation if no resolution.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Cough, Lethargy, Pain, Sneezing
Clinical narrative: Coughing sneezing lethargic aches chills for 3 days
Age: 46.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Pain in extremity
Clinical narrative: Patient asked us to report a significant half dollar sized red spot on her arm two days after receiving the shot which is still sore
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: RASH ON TORSO
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Patient developed a unilateral rash on their arm and legs days after receiving vaccine. Patient?s father reported, and said patient finds relief from topical hydrocortisone cream.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema
Clinical narrative: REDNESS IN VACCINATED ARM, CELLULITIS
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Injection site erythema, Nausea, Pain, Palpitations
Clinical narrative: C/O NAUSE VOMITING & DIARRHEA BODY ACHES & HEART RACING FOR  APPROXIMATELY 5 DAYS REDNESS BY INJECTION SITE
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: C/O NAUSE VOMITING & DIARRHEA BODY ACHES & HEART RACING FOR  APPROXIMATELY 5 DAYS REDNESS BY INJECTION SITE
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Pain
Clinical narrative: Patient received flu shot in right deltoid via IM. Patient reported that muscle soreness and pain became obvious the same night of administration (9/26/19). Patient reports that since then, the pain has no gone away or felt better, 6 weeks post-vaccination. She explains it hurts the muscle to lift the arm and that sleeping on it continues to cause moderate pain. Patient reports that ibuprofen relieves pain. It was recommended that she follow up with her primary doctor if pain persists.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Anger, Feeling abnormal, Muscular weakness, Nausea, Pyrexia
Clinical narrative: Per patient's caregiver: low grade fever, patient angry/"messed with his mind", muscle weakness to the point of not being able to get out of bed, nauseated, kidney pain, felt like he was going to die, took a full week before normalization. Patient does not usually have adverse reactions from vaccinations. Will not get second dose in the series due to this event.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Renal pain
Clinical narrative: Per patient's caregiver: low grade fever, patient angry/"messed with his mind", muscle weakness to the point of not being able to get out of bed, nauseated, kidney pain, felt like he was going to die, took a full week before normalization. Patient does not usually have adverse reactions from vaccinations. Will not get second dose in the series due to this event.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin disorder
Clinical narrative: Developed  anetoderma on thigh
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Fatigue, Malaise, Pain in extremity
Clinical narrative: Patient reported extreme fatigue, pain in legs, and generally not feeling well a few hours post vaccine administration. Patient also reported chills but no fever. This was the first year patient got the High Dose and thinks it was due to the higher concentration.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient called and said her arm was still sore 10 days after vaccination.  Started about 4 days after the vaccine.  She stated her arm was not red, swollen or hot.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Blister rupture, Pain, Pruritus
Clinical narrative: Patient woke up morning after getting shingrix with blisters on her upper right forehead.  She said the blisters were itchy until they popped as she was washing her face.  Patient has two separate areas on her forehead with the blisters which she now describes as painful.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: swollen arm
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Fatigue, Feeling hot, Injection site erythema, Injection site pain
Clinical narrative: Extreme fatigue at 7:30, as I was finishing dinner.   I felt like was getting a fever due to a bad cold, but I didn't have a fever, I just felt warm.  I took three Advil and went to bed at 10:00, but staying awake after 9:00 was very difficult.  Normal bedtime is 11:30.  I woke at 3:15 AM with my entire back feeling sore, and still feeling feverish, but had no fever.  Three more Advil, and I slept until my alarm went off at 7:00 AM.  I still felt tired this morning (11/7), but was able to drive safely.  I walked for about two hours, and felt very tired, which is very unusual, as I often hike 6-9 miles without fatigue.  Lunch and Advil helped.   Dinner and more Advil at 7:00 PM.  As I write this at 9:30 PM, I feel pretty good.  However, I noticed a large (2.5" diameter) red circle around the injection site as I prepared for bed.  It is very tender and warm, and slightly swollen.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Nasopharyngitis, Pyrexia
Clinical narrative: Extreme fatigue at 7:30, as I was finishing dinner.   I felt like was getting a fever due to a bad cold, but I didn't have a fever, I just felt warm.  I took three Advil and went to bed at 10:00, but staying awake after 9:00 was very difficult.  Normal bedtime is 11:30.  I woke at 3:15 AM with my entire back feeling sore, and still feeling feverish, but had no fever.  Three more Advil, and I slept until my alarm went off at 7:00 AM.  I still felt tired this morning (11/7), but was able to drive safely.  I walked for about two hours, and felt very tired, which is very unusual, as I often hike 6-9 miles without fatigue.  Lunch and Advil helped.   Dinner and more Advil at 7:00 PM.  As I write this at 9:30 PM, I feel pretty good.  However, I noticed a large (2.5" diameter) red circle around the injection site as I prepared for bed.  It is very tender and warm, and slightly swollen.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Patient came in to the Pharmacy and reported swelling and redness at the injection site, chills, joint pain, nausea and a few hours following administration
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: patient called saying she was having muscle pains after the vaccine.
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Inflammation, Injection site erythema, Injection site induration, Injection site mass
Clinical narrative: The normal signs of inflammation, slight redness and pain was evident within 24 hours.Warm compress was applied with some relief. On 10/30 the area around the injection site was circular in shape, red and firm to touch, in addition to warm compress, neosporin ointment was also applied with little success. On the morning of 10/31, the swelling was more inflamed, injection site warm to touch and painful. I took Motrin which was helpful, Benadryl did not help the itching. The circular area measured 3 inches and my skin looked and felt like it was burning. I stopped the warm compress and the neosporin because it was not effective. On 11/1, the rash appears to be spreading down and to the back of my arm. due to previous commitment I could not seek medical attention and thought it would improve because the pain decreased in intensity and my arm movement improved on 11/2.  As of today my arm is returning to it's natural color, the citcular shape is visible, however there is a slight lump at the injection site and some residual itching that remains, using Cetaphil lotion which is helpful. attached pictures will follow.
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Injection site pruritus, Injection site warmth, Mobility decreased, Pain
Clinical narrative: The normal signs of inflammation, slight redness and pain was evident within 24 hours.Warm compress was applied with some relief. On 10/30 the area around the injection site was circular in shape, red and firm to touch, in addition to warm compress, neosporin ointment was also applied with little success. On the morning of 10/31, the swelling was more inflamed, injection site warm to touch and painful. I took Motrin which was helpful, Benadryl did not help the itching. The circular area measured 3 inches and my skin looked and felt like it was burning. I stopped the warm compress and the neosporin because it was not effective. On 11/1, the rash appears to be spreading down and to the back of my arm. due to previous commitment I could not seek medical attention and thought it would improve because the pain decreased in intensity and my arm movement improved on 11/2.  As of today my arm is returning to it's natural color, the citcular shape is visible, however there is a slight lump at the injection site and some residual itching that remains, using Cetaphil lotion which is helpful. attached pictures will follow.
Age: 64.0
Sex: F
Vaccine: PNC13
Symptoms: Rash, Swelling
Clinical narrative: The normal signs of inflammation, slight redness and pain was evident within 24 hours.Warm compress was applied with some relief. On 10/30 the area around the injection site was circular in shape, red and firm to touch, in addition to warm compress, neosporin ointment was also applied with little success. On the morning of 10/31, the swelling was more inflamed, injection site warm to touch and painful. I took Motrin which was helpful, Benadryl did not help the itching. The circular area measured 3 inches and my skin looked and felt like it was burning. I stopped the warm compress and the neosporin because it was not effective. On 11/1, the rash appears to be spreading down and to the back of my arm. due to previous commitment I could not seek medical attention and thought it would improve because the pain decreased in intensity and my arm movement improved on 11/2.  As of today my arm is returning to it's natural color, the citcular shape is visible, however there is a slight lump at the injection site and some residual itching that remains, using Cetaphil lotion which is helpful. attached pictures will follow.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Abdominal pain upper, Abnormal behaviour, Aggression, Diarrhoea, Fatigue
Clinical narrative: By the afternoon of the vaccination date, she had begun to run a fever and was extremely lethargic. Over the next 4 days, the fever would come and go, along with the fatigue and pain, both head and stomach (diarrhea for 2 days). Fatigue for the recipient is very unusual; the child is high energy with sleep only needed at night. She has not required a naptime to re-energize for over 2 years. Over these 4 days, the fever was treated with cool baths and skin-to-skin contact. Once the fever stopped, behavioral issues began: easy irritation, loss of use of calming techniques, easily stressed, tantrums of high magnitude and frequency way outside the norm, lack of empathy. The behavioral issues continue and some of them become milder but others still remain an issue.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Headache, Irritability, Lethargy, Pyrexia, Stress
Clinical narrative: By the afternoon of the vaccination date, she had begun to run a fever and was extremely lethargic. Over the next 4 days, the fever would come and go, along with the fatigue and pain, both head and stomach (diarrhea for 2 days). Fatigue for the recipient is very unusual; the child is high energy with sleep only needed at night. She has not required a naptime to re-energize for over 2 years. Over these 4 days, the fever was treated with cool baths and skin-to-skin contact. Once the fever stopped, behavioral issues began: easy irritation, loss of use of calming techniques, easily stressed, tantrums of high magnitude and frequency way outside the norm, lack of empathy. The behavioral issues continue and some of them become milder but others still remain an issue.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Patient experienced a high fever (>103 degrees) that evening and went to the ER. She reports that she was fine the next day.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Pain, Rash macular, Swelling
Clinical narrative: - SEVERE SWELLING, RED, BLOTCHY, SEVERE PAIN FOR MORE THAN 1 MONTH
Age: 3.0
Sex: M
Vaccine: UNK
Symptoms: Abnormal behaviour, Anger, Anxiety, Eyelid ptosis, Facial paralysis
Clinical narrative: Son received the flu vaccine.  6 days later our previously social butterfly of a child started withdrawing from all social interactions including speaking to anyone outside of his parents and his brothers. He became irratible, irrational, rage filled.  He slept for 16 hours straight after a huge rage meltdown and when he woke up he was a different child. His face was lopsided and his smile was crooked. His one eyelid was drooping and his smile was completely different. His facial muscles were not working correctly. He was extremely anxious, obsessed with everything regarding death and dying, he wouldn?t leave his moms side and if she tried to use the bathroom alone he would go into a full blown panic attack. He no longer had any interest in friends or playing. He curled up onto the couch in the fetal position and stared into space often. He became nonverbal to most people. Mom and dad tried behavior therapy, play therapy and had many visits to the pediatrician extremely concerned.  He was no longer carefree, and was no longer social. He was a different little boy, entirely.
Age: 3.0
Sex: M
Vaccine: UNK
Symptoms: Facial paresis, Hypersomnia, Irritability, Panic attack, Social avoidant behaviour
Clinical narrative: Son received the flu vaccine.  6 days later our previously social butterfly of a child started withdrawing from all social interactions including speaking to anyone outside of his parents and his brothers. He became irratible, irrational, rage filled.  He slept for 16 hours straight after a huge rage meltdown and when he woke up he was a different child. His face was lopsided and his smile was crooked. His one eyelid was drooping and his smile was completely different. His facial muscles were not working correctly. He was extremely anxious, obsessed with everything regarding death and dying, he wouldn?t leave his moms side and if she tried to use the bathroom alone he would go into a full blown panic attack. He no longer had any interest in friends or playing. He curled up onto the couch in the fetal position and stared into space often. He became nonverbal to most people. Mom and dad tried behavior therapy, play therapy and had many visits to the pediatrician extremely concerned.  He was no longer carefree, and was no longer social. He was a different little boy, entirely.
Age: 3.0
Sex: M
Vaccine: UNK
Symptoms: Staring, Thinking abnormal
Clinical narrative: Son received the flu vaccine.  6 days later our previously social butterfly of a child started withdrawing from all social interactions including speaking to anyone outside of his parents and his brothers. He became irratible, irrational, rage filled.  He slept for 16 hours straight after a huge rage meltdown and when he woke up he was a different child. His face was lopsided and his smile was crooked. His one eyelid was drooping and his smile was completely different. His facial muscles were not working correctly. He was extremely anxious, obsessed with everything regarding death and dying, he wouldn?t leave his moms side and if she tried to use the bathroom alone he would go into a full blown panic attack. He no longer had any interest in friends or playing. He curled up onto the couch in the fetal position and stared into space often. He became nonverbal to most people. Mom and dad tried behavior therapy, play therapy and had many visits to the pediatrician extremely concerned.  He was no longer carefree, and was no longer social. He was a different little boy, entirely.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pruritus, Pyrexia, Rash macular, Swelling
Clinical narrative: - SEVERE SWELLING, PAIN  - ITCHING - LIGHT FEVER  - BLOTCHY  FOR OVER 1 MONTH
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Patient is a diabetic pt with an indication for a pneumovax 23 vaccination. According to her IMZ consent form she is allergic to codeine and has functional neurological disorder. She takes no medication for her functional neurological disorder. She received the vaccine Saturday evening November 2nd. She called me Thursday morning to notify me that she did have an allergic reaction to the vaccine. She called her doc with symptoms of tingling and numbness in her lip, chin and cheek on her left side. He notified her it was an allergic rxn to the vaccine and advised her to take Benadryl. She stated the redness did go away,but the numbness still existed in some areas on her face. I advised her not to wait and reach at out to the same provider. We did receive an rx for a medrol dose pack a few hours later. She also had some dental work including an extraction on the same left side of her face but she stated that was 3 weeks ago. I will continue to followup with her if her symptoms have resolved.
Age: 37.0
Sex: F
Vaccine: PPV
Symptoms: Paraesthesia oral
Clinical narrative: Patient is a diabetic pt with an indication for a pneumovax 23 vaccination. According to her IMZ consent form she is allergic to codeine and has functional neurological disorder. She takes no medication for her functional neurological disorder. She received the vaccine Saturday evening November 2nd. She called me Thursday morning to notify me that she did have an allergic reaction to the vaccine. She called her doc with symptoms of tingling and numbness in her lip, chin and cheek on her left side. He notified her it was an allergic rxn to the vaccine and advised her to take Benadryl. She stated the redness did go away,but the numbness still existed in some areas on her face. I advised her not to wait and reach at out to the same provider. We did receive an rx for a medrol dose pack a few hours later. She also had some dental work including an extraction on the same left side of her face but she stated that was 3 weeks ago. I will continue to followup with her if her symptoms have resolved.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Fatigue, Peripheral swelling, Pyrexia
Clinical narrative: THE PATIENT INDICATED THAT HE EXPERIENCED SWELLING AND REDNESS IN THE LEFT ARM.  THIS WAS THE ARM THE HE RECEIVED THE PNEUMOVAX 23 INJECTION.  HE ALSO EXPERIENCED FEVER AND FATIGUE.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain, Pyrexia
Clinical narrative: Per patient: 10/24/19 - started w/ a fever (did not check temp), and body ache. Did not get out of bed until Sunday (10/27/19) Pain was 10/10 @ injection site, and warm to the touch. 10/30/2019 - Pt came into clinic, arm was red @ injection site, warm, tender, pt reported 10/10 pain. Pt was seen by the provider.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Product preparation issue
Clinical narrative: Rotarix was ordered. It was most likely improperly reconstituted as 4 vials of vaccine remained in an open box without any syringes of liquid. Therefore the infant did not receive the vaccine component the parent was contacted and is bringing the infant back in for readministration of the vaccine.
Age: 69.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Dizziness, Nausea, Oropharyngeal pain, Pain
Clinical narrative: patient started with Fever, chills 4 hrs after vaccination. Body aches, sore throat. He was dizzy, light headed, nauseated. He vomited once. He felt slightly better this morning
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia, Vomiting
Clinical narrative: patient started with Fever, chills 4 hrs after vaccination. Body aches, sore throat. He was dizzy, light headed, nauseated. He vomited once. He felt slightly better this morning
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Haemorrhage, Injection site nerve damage, Pain, Paraesthesia
Clinical narrative: Patient Bled, said she had bruising, + lots of pain. Ended up with tingling sensation. Saw her doctor, they & she believes a nerve was hit.
Age: 56.0
Sex: F
Vaccine: PNC13
Symptoms: Cellulitis
Clinical narrative: urgent care visit post immunizations.  Dx cellulitis. Tx warm compress cephalexin 500mg BIDx10days
Age: 1.0
Sex: F
Vaccine: FLU4, MMR, VARCEL
Symptoms: Rash, Rash papular, Vaginal haemorrhage
Clinical narrative: Pt received 12 month Immunes on 10/24/19 Seen in our office due to rash 11/7/19 Blanching pink papular rash all over body Increase in groin, Also on buttocks Afebrile. Suspect MMR reaction cannot rule out viral exanthem Had sm amt bld from vagina
Age: 81.0
Sex: M
Vaccine: PNC13
Symptoms: Atrial fibrillation, Bronchitis, Dizziness, Dysuria, Vision blurred
Clinical narrative: Patient called clinic stating that he had an adverse reaction to the pneumococcal 13 valent vaccination. Patient felt dizzy and had blurry vision for 4 days post immunization. This resolved after 4 days. He also states that he later developed bronchitis. Patient states that he went to the hospital 11/5/19 due to this and trouble urinating. States that he was diagnosed with atrial fibrillation. (Flu vaccine administered 10/15/19 - unknown manufacturer and lot. Was given at another private physician's office) BlurredVision & Dizziness
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Product storage error
Clinical narrative: Rotarix was ordered. It was most likely improperly reconstituted as 4 vials of vaccine remained in an open box with- out any syringes of liquid. Therefore the infant did not receive the vaccine component  The parent was contacted and is bringing the infant back in for readministration of the vaccine
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Incorrect product formulation administered, Product preparation issue
Clinical narrative: Rotarix was ordered. It was most likely improperly reconstituted as 4 vials of vaccine remained in an open box with- out any syringes of liquid. Therefore the infant did not receive the vaccine component The parent was contacted and is bringing the infant back in for readministration of the vaccine.
Age: 71.0
Sex: M
Vaccine: FLUA3
Symptoms: Peripheral swelling, Pruritus, Rash macular
Clinical narrative: 10/20/19 Itching began 10/21/19 Sever ITch & swelling of Left hand, bLotches Arms & Legs 10/22/19 Began taking Methylprednisolone Itching subsided. Swelling Right hand 10/24/19 BLotches on Arms & Legs Started to cLear up  10/25/19 5" bLotches on Torso Appeared 10/28/19 bLotches on Torsso cLeared
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Cold sweat, Electrocardiogram normal, Injection site hypoaesthesia, Injection site pain
Clinical narrative: On 11/1/19 in PM had episode of clammy and generalized weakness. Same type of episode happened on 11/3/19 @ approx. 12 noon but took about 30 minutes to recover from extreme generalized weakness & clammy skin. On 11/5/19 sitting @ Work at desk. Right arm started hurting at level right above the elbow. Pain increased in about 10 minutes to 8/10 on pain scale. Painful and numb feeling. Felt like tourniquet left on arm too long. Notified coworker. Went to ED. Work up ruled out stroke. Was asked if I had taken the flu shot and in what area. Was told by Dr. and Dr. that I needed to follow up with PCP for reaction to flu vaccine and heave documented.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Metabolic function test normal, Myocardial necrosis marker normal
Clinical narrative: On 11/1/19 in PM had episode of clammy and generalized weakness. Same type of episode happened on 11/3/19 @ approx. 12 noon but took about 30 minutes to recover from extreme generalized weakness & clammy skin. On 11/5/19 sitting @ Work at desk. Right arm started hurting at level right above the elbow. Pain increased in about 10 minutes to 8/10 on pain scale. Painful and numb feeling. Felt like tourniquet left on arm too long. Notified coworker. Went to ED. Work up ruled out stroke. Was asked if I had taken the flu shot and in what area. Was told by Dr. and Dr. that I needed to follow up with PCP for reaction to flu vaccine and heave documented.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Patient called and stated that about 1/2 to 1 inch below the site of the injection she has a lime to lemon size lump. She stated the lump is not painful or warm to the touch and it doesn't bother her, but it is pinkish red in color. She was going to maybe take some ibuprofen for the swelling and see if that helped. If it wasn't decreased in size tomorrow she may ask her physician if there is anything she needs to do. She stated it wasn't bothering her at all.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle twitching, Syncope
Clinical narrative: Went ER after 2 episode of some "twitching" and syncope per wife's report. Evaluated by cardiology and hospitalized
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Swelling, Tenderness
Clinical narrative: Received pNeumoNiA shot on 10/30/19. By AM oF Next day hAd lARge AReA oF swelliNg, RedNess ANd extreme teNderNess. Saw MD on 11/1/19 ANd wAs diagnosed with cellulitis ANd placed on 5 dAys oF Antibiotic cephalexiN
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Dry skin, Pruritus, Rash
Clinical narrative: PER PATIENT: TUES PM AFTER THE VACCINE HE HAD A FEW ITCHY DOTS/SPOTS ON HIS ANKLES. THIS DEVELOPED INTO A RASH NOW ABOVE THE ANKLES, BEHIND THE KNEES & A 4" PART ON BACK IS INVOLVED. THE AFFECTED SKIN IS DRY, ITCHY & HARD. WE TALKED ABOUT IT & I DON'T THINK THIS IS LIKELY DUE TO THE VACCINE. PATIENT WILL BE TALKING TO MD. I MENTIONED THAT IS SEEMED LIKE IT COULD BE SOME POISION OAK/IVY, MAYBE ON SOME WORK CLOTHES.
Age: 47.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Asthenia, Back pain, CSF glucose increased, CSF protein increased, CSF red blood cell count positive
Clinical narrative: None stated.
Age: 47.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: CSF white blood cell count negative, Electromyogram abnormal, Endotracheal intubation, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: None stated.
Age: 47.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Intensive care, Laboratory test, Nerve conduction studies abnormal, Pain in extremity, Plasmapheresis
Clinical narrative: None stated.
Age: 47.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Tracheostomy
Clinical narrative: None stated.
Age: 47.0
Sex: M
Vaccine: TDAP, UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.