chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Ear pruritus, Fatigue, Influenza like illness, Pain, Rhinorrhoea
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of ear pruritus in a 71-year-old male patient who received SHINGRIX for prophylaxis. On 1st October 2018, the patient received the 2nd dose of SHINGRIX. On 1st October 2018, less than a day after receiving SHINGRIX, the patient experienced ear pruritus. On 2nd October 2018, the patient experienced pain, tiredness, runny nose and influenza-like symptoms. On an unknown date, the outcome of the ear pruritus was recovered/resolved and the outcome of the pain, tiredness and runny nose were not recovered/not resolved and the outcome of the influenza-like symptoms was unknown.  It was unknown if the reporter considered the ear pruritus, pain, tiredness, runny nose and influenza-like symptoms to be related to SHINGRIX. Additional information received as follows: The patient reported that, at 15:24, on the day before reporting, he received SHINGRIX. The patient felt itchy at night on the same day of vaccination and he felt achy and tired, runny nose at morning of reporting day. The patient was asking if this was normal. The reporter asked if GlaxoSmithKline could call his wife for the further details. The call was done to the patient's wife (the patient was resting). The patient's wife said that the patient experienced itchiness of ears and that had resolved. In morning of the reporting day, the patient experienced achy and flu-like.
Sex: U
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of erythema of extremities in a patient who received SHINGRIX for prophylaxis. Previously administered products included SHINGRIX (1st dose received on an unknown date). On an unknown date, the patient received the 2nd dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced erythema of extremities and pain in arm. On an unknown date, the outcome of the erythema of extremities and pain in arm were recovered/resolved. It was unknown if the reporter considered the erythema of extremities and pain in arm to be related to SHINGRIX. Additional details were reported as follows: Age at vaccination was not reported. The 1st dose of SHINGRIX did not even cause tender arm which was very unusual for the patient. The patient experienced red and sore of the upper arm which lasted for 4 to 5 days after receiving 2nd shot. The patient was concerned whether the 1st dose of SHINGRIX was effective or if for some reason something went wrong. This case has been linked with case US2018GSK185955, reported by the same reporter.
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Local reaction, Pyrexia
Clinical narrative: This case was reported by a nurse via sales rep and described the occurrence of fever in a 59-year-old female patient who received SHINGRIX for prophylaxis. Co-suspect products included FLUARIX TETRA for prophylaxis and PNEUMOVAX for prophylaxis. On an unknown date, the patient received the 1st dose of SHINGRIX, FLUARIX TETRA at an unknown dose and the 1st dose of PNEUMOVAX. On an unknown date, 1 day after receiving SHINGRIX and 2 days after receiving FLUARIX TETRA, the patient experienced fever. On an unknown date, the outcome of the fever was unknown. It was unknown if the reporter considered the fever to be related to SHINGRIX and FLUARIX TETRA. Additional details were provided as follows: Specific administration dates were not provided by health care professional. However, the health care professional stated that the patient received FLUARIX and PNEUMOVAX concomitantly on one day, then SHINGRIX the following day. The subsequent day, the patient reported a fever of 103 degree F and significant local reaction-redness and swelling around the PNEUMOVAX site of injection. On Day 4, the patient came to the clinic to be seen by the health care professional. At that visit, the patient's temperature was 99.4 degree F and the reaction was described by the health care professional as low-grade. The patient did not require an emergency room visit or hospitalization as a result of this event. It was unknown if the reporter considered the fever to be related to PNEUMOVAX as well. Lab Comments: Lab test was done on an unknown date.
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: This case was reported by a other health professional via sales rep and described the occurrence of tingling in a female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 2nd dose of SHINGRIX .5 ml. On an unknown date, less than a day after receiving SHINGRIX, the patient experienced tingling and numbness of limbs. On an unknown date, the outcome of the tingling and numbness of limbs were recovered/resolved. It was unknown if the reporter considered the tingling and numbness of limbs to be related to SHINGRIX. Additional details were provided as follows: This case was reported by Practice Coordinator. The age at vaccination was not reported. Within few hours after receiving SHINGRIX, the patient experienced tingling and numbness in limbs which lasted only for one day. The reporter agreed to receive follow up from GSK.
Sex: F
Vaccine: VARZOS
Symptoms: Culture negative, Musculoskeletal pain, White blood cell count
Clinical narrative: This case was reported by a physician via sales rep and described the occurrence of shoulder pain in a female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received SHINGRIX at an unknown dose. On an unknown date, 8 hrs after receiving SHINGRIX, the patient experienced shoulder pain. On an unknown date, the outcome of the shoulder pain was unknown. It was unknown if the reporter considered the shoulder pain to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. After 8-10 hours later, the patient develop aseptic shoulder joint, shoulder pain. Cultures of joint fluid was found to be negative but white blood cell was found to be negative. The patient was hospitalized for 2 days. The reporter agree to follow up from GlaxoSmithKline. Lab Comments: Lab test was done on an unknown date.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: This case was reported by a nurse via sales rep and described the occurrence of injection site rash in a 75-year-old female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 1st dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced injection site rash, injection site itching and injection site swelling. On an unknown date, the outcome of the injection site rash, injection site itching and injection site swelling were unknown. It was unknown if the reporter considered the injection site rash, injection site itching and injection site swelling to be related to SHINGRIX. Additional details were provided as follows: The rash and itching lasted 3 weeks. Their concern was trying to determine, without having seen the patient, if this was an adverse event or allergic reaction and should they recommend the second dose.
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: This case was reported by a physician via sales rep and described the occurrence of pain in arm in a 66-year-old male patient who received SHINGRIX for prophylaxis. The patient's past medical history included chickenpox (at the age of 2 years) and shingles (mild case at the age of 31 years). Previously administered products included ZOSTAVAX (received in 2012). On an unknown date, the patient received the 1st dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced pain in arm, shivering and fever. On an unknown date, the outcome of the pain in arm, shivering and fever were unknown. It was unknown if the reporter considered the pain in arm, shivering and fever to be related to SHINGRIX. Additional details were provided as follows: This case was reported by physician for himself. The age at vaccination was not reported but it could be 65 or 66 years. After receiving SHINGRIX, the patient experienced fever of 102 to 103 degree F. The medical science liaison (MSL) did not have any demographic information for the physician. The reporter did not agree to be contacted for follow up information. Lab Comments: Lab test was done on an unknown date.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of fever in a 73-year-old male patient who received SHINGRIX (batch number B9739, expiry date 22nd November 2020) for prophylaxis. Previously administered products included SHINGRIX with an associated reaction of pyrexia (1st dose received on 5th May 2018, for tolerance refer case: US2018101667). On 14th July 2018, the patient received the 2nd dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced fever, erythema of extremities, pain in arm and swelling arm. Rechallenge with SHINGRIX was positive. On an unknown date, the outcome of the fever, erythema of extremities, pain in arm and swelling arm were recovered/resolved. It was unknown if the reporter considered the fever, erythema of extremities, pain in arm and swelling arm to be related to SHINGRIX. Additional details were provided as follows: In 2018, the patient experienced fever, red, swollen, painful reaction on their arm and swelling in legs which lasted for 2 weeks.
Sex: U
Vaccine: VARZOS
Symptoms: Condition aggravated, Pyrexia, Systemic lupus erythematosus
Clinical narrative: This case was reported by a physician via market research programs and described the occurrence of SLE flare in a adult patient who received Herpes zoster (Shingles vaccine unknown) for prophylaxis. Concurrent medical conditions included systemic lupus erythematosus. On an unknown date, the patient received Shingles vaccine unknown. On an unknown date, less than a year after receiving Shingles vaccine unknown, the patient experienced SLE flare (serious criteria GSK medically significant) and fever. On an unknown date, the outcome of the SLE flare and fever were unknown. The reporter considered the SLE flare and fever to be possibly related to Shingles vaccine unknown. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but was selected as adult as per vaccine indication. The reporter's SLE patient who had real but short-lived events that, the reporter interpreted as lupus flares, with fever. This case has been linked to the cases US2018GSK182344, US2018GSK183955, US2018GSK183956, US2018GSK183957 and US2018GSK183959, reported by same reporter.
Sex: U
Vaccine: VARZOS
Symptoms: Condition aggravated, Pyrexia, Systemic lupus erythematosus
Clinical narrative: This case was reported by a physician via market research programs and described the occurrence of SLE flare in a adult patient who received Herpes zoster (Shingles vaccine unknown) for prophylaxis. Concurrent medical conditions included systemic lupus erythematosus. On an unknown date, the patient received Shingles vaccine unknown. On an unknown date, less than a year after receiving Shingles vaccine unknown, the patient experienced SLE flare (serious criteria GSK medically significant) and fever. On an unknown date, the outcome of the SLE flare and fever were unknown. The reporter considered the SLE flare and fever to be possibly related to Shingles vaccine unknown. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but was selected as adult as per vaccine indication. The reporter's SLE patient who had real but short-lived events that the reporter interpreted as lupus flares, with fever. This case has been linked to the cases US2018GSK182344, US2018GSK183955, US2018GSK183956, US2018GSK183957 and US2018GSK183959, reported by same reporter.
Sex: U
Vaccine: VARZOS
Symptoms: Influenza like illness
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of influenza-like symptoms in a adult patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 2nd dose of SHINGRIX. On an unknown date, unknown after receiving SHINGRIX, the patient experienced influenza-like symptoms. On an unknown date, the outcome of the influenza-like symptoms was unknown. It was unknown if the reporter considered the influenza-like symptoms to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. The health care professional requested Safety Department reach out to her to obtain details about the patient and their experience. The health care professional did not have time to stay on call. This case has been linked with case US2018181706, reported by the same reporter.
Sex: U
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: This case was reported by a consumer via sales rep and described the occurrence of itching both hands in a adult patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced itching both hands. On an unknown date, the outcome of the itching both hands was unknown. It was unknown if the reporter considered the itching both hands to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. The age group was not provided, but was selected adult as per the vaccine indication. The reporter indicated that the pharmacist told him that patient experienced the same side effect. (itching on the top and bottom of both hands.) This case was linked with case US2018178360, reported by the same reporter.
Age: 24.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain, Pain in extremity
Clinical narrative: The day after vaccination, patient's arm was very sore and she was "achy all over". Symptoms resolved within 2 days.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Received the PREVNAR 13 and FLUZONE HIGH DOSE (NDC: 49281-0403-65) in left arm. Two days later my left arm by the shots was hard, swollen, hot and red. This continued for over 5 days. The redness and swelling migrated to the underside of the same arm. It is still red and hot today (9 days after vaccines). It is also itchy. Pharmacist recommended BENADRYL. This was taken over the weekend. I took 3 pills but they did nothing but make me sleepy and nauseous. I returned to the pharmacy and was told to try ZYRTEC. This did nothing. The nurse helpline suggested ice. My left shoulder and arm are also feel weaker and lifting causes muscle aches. My left hand has also been sore. This has affected my sleeping.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Muscular weakness, Myalgia, Pain in extremity, Sleep disorder
Clinical narrative: Received the PREVNAR 13 and FLUZONE HIGH DOSE (NDC: 49281-0403-65) in left arm. Two days later my left arm by the shots was hard, swollen, hot and red. This continued for over 5 days. The redness and swelling migrated to the underside of the same arm. It is still red and hot today (9 days after vaccines). It is also itchy. Pharmacist recommended BENADRYL. This was taken over the weekend. I took 3 pills but they did nothing but make me sleepy and nauseous. I returned to the pharmacy and was told to try ZYRTEC. This did nothing. The nurse helpline suggested ice. My left shoulder and arm are also feel weaker and lifting causes muscle aches. My left hand has also been sore. This has affected my sleeping.
Age: 23.0
Sex: F
Vaccine: FLUA3
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse event occurred. Med error happened when 23 year old patient was given flu shot indicated for ages 65 and older. She reported to reaction.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: LEFT ARM BELOW INJECTION SITE WITH REDNESS, SWELLING AND TENDERNESS TO ARM. PT DID F/U ON 10/12/2018. FOR INJEC. GIVEN ON 10/10/18. MD EVALUATED AND STARTED ON SHORT COURSE OF ANTIBIOTICS , KEFELEX 500MG TID FOR 5 DAYS, AND STERIOD DOSE PACK. ICE TO AREA AND TO F/U ON TUES FOR AN OFFICE VISIT
Age: 83.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site exfoliation, Injection site inflammation, Injection site vesicles
Clinical narrative: Large red area on front side of arm; wife states redness started at site of injection and moved down arm; looks blistered/blood and inflamed, some skin peeling at site.
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Peripheral swelling
Clinical narrative: Left arm swelling and left ring finger numbness.
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Abdominal pain, Arthralgia, Dizziness, Fatigue
Clinical narrative: Headaches, sore joint, abdominal pain, fatigue, dizziness - took time off from work and just slept. I took ALEVE to relieve the joint pain and headaches. Vaccine administered around 2:00 PM couple of hours later felt soreness in shoulder. Around 10:00 PM I felt joint and abdominal discomfort and it got progressively worse to about a 7 on a scale of 1-10. Went to work next morning but felt dizzy, joint pain, headache and lethargic all morning. Went home for the afternoon and just slept until the next morning. Woke up feeling better. Still experiencing abdominal discomfort (48 hours later).
Age: 61.0
Sex: M
Vaccine: UNK
Symptoms: Headache, Lethargy, Musculoskeletal discomfort, Musculoskeletal pain
Clinical narrative: Headaches, sore joint, abdominal pain, fatigue, dizziness - took time off from work and just slept. I took ALEVE to relieve the joint pain and headaches. Vaccine administered around 2:00 PM couple of hours later felt soreness in shoulder. Around 10:00 PM I felt joint and abdominal discomfort and it got progressively worse to about a 7 on a scale of 1-10. Went to work next morning but felt dizzy, joint pain, headache and lethargic all morning. Went home for the afternoon and just slept until the next morning. Woke up feeling better. Still experiencing abdominal discomfort (48 hours later).
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect route of product administration, Injection site erythema, Paraesthesia
Clinical narrative: Worker was given flu vaccine in the sub-q area of her right arm instead of the deltoid muscle by MA-C who was not authorized by Occupational Health to give this vaccine. Worker felt tingling in her right arm and has 3" red area at the site.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: R thigh presented with 2x2 area of swelling, redness and pain. No blistering.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Urticaria
Clinical narrative: HIVES.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Injection site inflammation
Clinical narrative: The site was little red with inflammation. Around the site is hard to the touch. Patient will take ibuprofen and apply hydrocortisone cream and will go see a doctor if symptoms get worse.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Pyrexia
Clinical narrative: Mother describes that at 9:30 p.m. on the date of receiving the flu vaccine, patient woke up with a fever of 102.4 and was experiencing chills. Mother administered tylenol for fever. Patient woke up in the morning afebrile.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Asthenia, Blood test, Confusional state, Dehydration, Headache
Clinical narrative: Headache, aches, fever, confusion, weak unable to walk without assistance. Dehydration.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Pain, Pyrexia, Walking aid user
Clinical narrative: Headache, aches, fever, confusion, weak unable to walk without assistance. Dehydration.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Employee here with a possible shot reaction to the Flu vaccine received at a flu clinic in the bone and joint center on 10/10/18. Site on left arm is red, swollen and warm to the touch with some pain distally. The area is 13cm x 9cm circular, has used conservative measures ice, IBU.  Employee circled the area yesterday but the redness has spread. She has taken the flu vaccine previously without reaction. Employee referred to Occmed for evaluation.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Fatigue, Gait disturbance, Immediate post-injection reaction
Clinical narrative: 09/26/2018 - Immediately after the injection, patient reports feeling some dizziness and was advised to stay in the clinic for monitoring, but patient left reporting feeling well enough to leave. Later that evening, patient reported that she had some muscle tightening especially in her neck area but all over her body and sent a message to the physician stating that she "had flu-like symptoms". 09/27/2018 - Another message received from patient noting that she is still very dizzy. 09/28/2018 - Pt then stated that she was not so dizzy but had trouble with the pain in her back and hips again. Pt also noted that she had difficulty walking requiring use of a cane/stick to help her walk. Pt took some Tylenol.  10/02/2018 - Pt notes that she had too much pain but still had some weakness and "heavy feeling" in her leg; pt continues to complain tired and fatigue. 10/11/2018 - Pt continues to complain about the weakness and muscle tension as her main symptoms since the vaccination.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Limb discomfort, Muscle tightness
Clinical narrative: 09/26/2018 - Immediately after the injection, patient reports feeling some dizziness and was advised to stay in the clinic for monitoring, but patient left reporting feeling well enough to leave. Later that evening, patient reported that she had some muscle tightening especially in her neck area but all over her body and sent a message to the physician stating that she "had flu-like symptoms". 09/27/2018 - Another message received from patient noting that she is still very dizzy. 09/28/2018 - Pt then stated that she was not so dizzy but had trouble with the pain in her back and hips again. Pt also noted that she had difficulty walking requiring use of a cane/stick to help her walk. Pt took some Tylenol.  10/02/2018 - Pt notes that she had too much pain but still had some weakness and "heavy feeling" in her leg; pt continues to complain tired and fatigue. 10/11/2018 - Pt continues to complain about the weakness and muscle tension as her main symptoms since the vaccination.
Age: 69.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Choking, Computerised tomogram, Dysphagia, Dysphonia, Upper respiratory tract endoscopy
Clinical narrative: Hoarse voice, could not swallowing food choked. 10-10-18 still having trouble swallowing and hoarse voice.
Age: 69.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Vocal cord dysfunction
Clinical narrative: Hoarse voice, could not swallowing food choked. 10-10-18 still having trouble swallowing and hoarse voice.
Age: 53.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Hypoaesthesia, Nausea, Pain, Peripheral coldness, Pyrexia
Clinical narrative: Pt woke next day with body aches, nausea low grade temp- shaking, finger tips cold and numb pt took 1000mg Tylenol and advised to go to urgent care- then left the clinics with out being seen.
Age: 53.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Tremor
Clinical narrative: Pt woke next day with body aches, nausea low grade temp- shaking, finger tips cold and numb pt took 1000mg Tylenol and advised to go to urgent care- then left the clinics with out being seen.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Inadvertent IM injection of tuberculin solution into R deltoid; no acute signs and symptoms and employee returned 48 hours later without any delayed reactions; afebrile 97.5 F, no erythema or induration to the injection site.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Oral herpes, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever of 100.8, chills, body aches, runny nose, sore throat, cold sore eruption x 7 days.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea
Clinical narrative: Fever of 100.8, chills, body aches, runny nose, sore throat, cold sore eruption x 7 days.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis
Clinical narrative: Local cellulitic reaction to left upper extremity s/p Flu shot approximately 16-18hrs after injection.  Identified by school nurse. Examined by pediatrician. Dx cellulitis. Rx'd antibiotic.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Oropharyngeal pain, Pain
Clinical narrative: Sore arm at vaccination site, chills, body aches, headache, sore throat.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Aphasia, Balance disorder, Blood test normal, Body temperature increased, Chest X-ray normal
Clinical narrative: TUESDAY 9/25/18 WITHIN HOURS OF RECEIVING THE 2ND DOSE OF THE SHINGRIX PATIENT FELT TIRED, SORE ALL OVER, NAUSEATED, AND SLEPT MOST OF THE DAY. HE TRIED TO EAT SOUP AND THREW IT UP. WEDNESDAY 9/26/18 PATIENT FELT THE SAME NO CHANGE. WIFE TOOK HIM TO DOCTOR AND WAS TOLD TO GO TO THE HOSPITAL AND HAVE BLOOD WORK AND CHEST XRAY DONE. PATIENT HAD ALL TESTS DONE AND CAME BACK NORMAL. THURSDAY 9/27/2018 PATIENT HAD A TEMP OF 101.6, HE WAS SWEATING, HE WAS COLD, HOT, COULD NOT GET AROUND GOOD. WIFE HAD TO HOLD ON TO HIM SO HE COULD GET AROUND AND WOULDN'T FALL. HE COULDN'T TALK. HE GOT IN A TUB OF TEPID WATER, ALSO TOOK TYLENOL. WENT TO BED ALSO SHIVERING. FRIDAY 09/28/2018 HE WAS SHAKING UNCONTROLLABLY. WIFE TOOK HIM BACK TO DOCTOR AND WAS TOLD TO TAKE HIM TO THE ER FOR A SPINAL TAP AND CT SCAN DONE. WAS ADMITTED TO HOSPITAL AND THE NEXT DAY HAD A MRI DONE ON HIS BRAIN. HE WAS ON 3 ANTIBIOTICS AND AN ANTIVIRAL. HE COULD NOT KEEP HIS BALANCE AND COULD NOT SPEAK CLEARLY, HE HAD TROUBLE REMEMBERING HIS AGE AND HIS FAMILY, AND DIDN'T KNOW WHAT YEAR IT WAS. MRI WAS NEGATIVE. HE CAME HOME AND IS VERY TIRED AND HAS NO APPETITE.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Computerised tomogram, Decreased appetite, Fatigue, Feeling of body temperature change
Clinical narrative: TUESDAY 9/25/18 WITHIN HOURS OF RECEIVING THE 2ND DOSE OF THE SHINGRIX PATIENT FELT TIRED, SORE ALL OVER, NAUSEATED, AND SLEPT MOST OF THE DAY. HE TRIED TO EAT SOUP AND THREW IT UP. WEDNESDAY 9/26/18 PATIENT FELT THE SAME NO CHANGE. WIFE TOOK HIM TO DOCTOR AND WAS TOLD TO GO TO THE HOSPITAL AND HAVE BLOOD WORK AND CHEST XRAY DONE. PATIENT HAD ALL TESTS DONE AND CAME BACK NORMAL. THURSDAY 9/27/2018 PATIENT HAD A TEMP OF 101.6, HE WAS SWEATING, HE WAS COLD, HOT, COULD NOT GET AROUND GOOD. WIFE HAD TO HOLD ON TO HIM SO HE COULD GET AROUND AND WOULDN'T FALL. HE COULDN'T TALK. HE GOT IN A TUB OF TEPID WATER, ALSO TOOK TYLENOL. WENT TO BED ALSO SHIVERING. FRIDAY 09/28/2018 HE WAS SHAKING UNCONTROLLABLY. WIFE TOOK HIM BACK TO DOCTOR AND WAS TOLD TO TAKE HIM TO THE ER FOR A SPINAL TAP AND CT SCAN DONE. WAS ADMITTED TO HOSPITAL AND THE NEXT DAY HAD A MRI DONE ON HIS BRAIN. HE WAS ON 3 ANTIBIOTICS AND AN ANTIVIRAL. HE COULD NOT KEEP HIS BALANCE AND COULD NOT SPEAK CLEARLY, HE HAD TROUBLE REMEMBERING HIS AGE AND HIS FAMILY, AND DIDN'T KNOW WHAT YEAR IT WAS. MRI WAS NEGATIVE. HE CAME HOME AND IS VERY TIRED AND HAS NO APPETITE.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Gait disturbance, Hyperhidrosis, Hypersomnia, Lumbar puncture, Memory impairment
Clinical narrative: TUESDAY 9/25/18 WITHIN HOURS OF RECEIVING THE 2ND DOSE OF THE SHINGRIX PATIENT FELT TIRED, SORE ALL OVER, NAUSEATED, AND SLEPT MOST OF THE DAY. HE TRIED TO EAT SOUP AND THREW IT UP. WEDNESDAY 9/26/18 PATIENT FELT THE SAME NO CHANGE. WIFE TOOK HIM TO DOCTOR AND WAS TOLD TO GO TO THE HOSPITAL AND HAVE BLOOD WORK AND CHEST XRAY DONE. PATIENT HAD ALL TESTS DONE AND CAME BACK NORMAL. THURSDAY 9/27/2018 PATIENT HAD A TEMP OF 101.6, HE WAS SWEATING, HE WAS COLD, HOT, COULD NOT GET AROUND GOOD. WIFE HAD TO HOLD ON TO HIM SO HE COULD GET AROUND AND WOULDN'T FALL. HE COULDN'T TALK. HE GOT IN A TUB OF TEPID WATER, ALSO TOOK TYLENOL. WENT TO BED ALSO SHIVERING. FRIDAY 09/28/2018 HE WAS SHAKING UNCONTROLLABLY. WIFE TOOK HIM BACK TO DOCTOR AND WAS TOLD TO TAKE HIM TO THE ER FOR A SPINAL TAP AND CT SCAN DONE. WAS ADMITTED TO HOSPITAL AND THE NEXT DAY HAD A MRI DONE ON HIS BRAIN. HE WAS ON 3 ANTIBIOTICS AND AN ANTIVIRAL. HE COULD NOT KEEP HIS BALANCE AND COULD NOT SPEAK CLEARLY, HE HAD TROUBLE REMEMBERING HIS AGE AND HIS FAMILY, AND DIDN'T KNOW WHAT YEAR IT WAS. MRI WAS NEGATIVE. HE CAME HOME AND IS VERY TIRED AND HAS NO APPETITE.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Mobility decreased, Nausea, Nuclear magnetic resonance imaging brain normal, Pain, Tremor
Clinical narrative: TUESDAY 9/25/18 WITHIN HOURS OF RECEIVING THE 2ND DOSE OF THE SHINGRIX PATIENT FELT TIRED, SORE ALL OVER, NAUSEATED, AND SLEPT MOST OF THE DAY. HE TRIED TO EAT SOUP AND THREW IT UP. WEDNESDAY 9/26/18 PATIENT FELT THE SAME NO CHANGE. WIFE TOOK HIM TO DOCTOR AND WAS TOLD TO GO TO THE HOSPITAL AND HAVE BLOOD WORK AND CHEST XRAY DONE. PATIENT HAD ALL TESTS DONE AND CAME BACK NORMAL. THURSDAY 9/27/2018 PATIENT HAD A TEMP OF 101.6, HE WAS SWEATING, HE WAS COLD, HOT, COULD NOT GET AROUND GOOD. WIFE HAD TO HOLD ON TO HIM SO HE COULD GET AROUND AND WOULDN'T FALL. HE COULDN'T TALK. HE GOT IN A TUB OF TEPID WATER, ALSO TOOK TYLENOL. WENT TO BED ALSO SHIVERING. FRIDAY 09/28/2018 HE WAS SHAKING UNCONTROLLABLY. WIFE TOOK HIM BACK TO DOCTOR AND WAS TOLD TO TAKE HIM TO THE ER FOR A SPINAL TAP AND CT SCAN DONE. WAS ADMITTED TO HOSPITAL AND THE NEXT DAY HAD A MRI DONE ON HIS BRAIN. HE WAS ON 3 ANTIBIOTICS AND AN ANTIVIRAL. HE COULD NOT KEEP HIS BALANCE AND COULD NOT SPEAK CLEARLY, HE HAD TROUBLE REMEMBERING HIS AGE AND HIS FAMILY, AND DIDN'T KNOW WHAT YEAR IT WAS. MRI WAS NEGATIVE. HE CAME HOME AND IS VERY TIRED AND HAS NO APPETITE.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: TUESDAY 9/25/18 WITHIN HOURS OF RECEIVING THE 2ND DOSE OF THE SHINGRIX PATIENT FELT TIRED, SORE ALL OVER, NAUSEATED, AND SLEPT MOST OF THE DAY. HE TRIED TO EAT SOUP AND THREW IT UP. WEDNESDAY 9/26/18 PATIENT FELT THE SAME NO CHANGE. WIFE TOOK HIM TO DOCTOR AND WAS TOLD TO GO TO THE HOSPITAL AND HAVE BLOOD WORK AND CHEST XRAY DONE. PATIENT HAD ALL TESTS DONE AND CAME BACK NORMAL. THURSDAY 9/27/2018 PATIENT HAD A TEMP OF 101.6, HE WAS SWEATING, HE WAS COLD, HOT, COULD NOT GET AROUND GOOD. WIFE HAD TO HOLD ON TO HIM SO HE COULD GET AROUND AND WOULDN'T FALL. HE COULDN'T TALK. HE GOT IN A TUB OF TEPID WATER, ALSO TOOK TYLENOL. WENT TO BED ALSO SHIVERING. FRIDAY 09/28/2018 HE WAS SHAKING UNCONTROLLABLY. WIFE TOOK HIM BACK TO DOCTOR AND WAS TOLD TO TAKE HIM TO THE ER FOR A SPINAL TAP AND CT SCAN DONE. WAS ADMITTED TO HOSPITAL AND THE NEXT DAY HAD A MRI DONE ON HIS BRAIN. HE WAS ON 3 ANTIBIOTICS AND AN ANTIVIRAL. HE COULD NOT KEEP HIS BALANCE AND COULD NOT SPEAK CLEARLY, HE HAD TROUBLE REMEMBERING HIS AGE AND HIS FAMILY, AND DIDN'T KNOW WHAT YEAR IT WAS. MRI WAS NEGATIVE. HE CAME HOME AND IS VERY TIRED AND HAS NO APPETITE.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: REDNESS AND SWELLING AROUND THE SITE, LITTLE BIT OF WARMTH, RECOMMENDED PATIENT USE BENADRYL, NO PAIN OR ITCHING.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Pain
Clinical narrative: No discomfort immediately after vaccine given. Noticed the next morning an intermittent shooting pain in right shoulder. States up to a "5-6" on pain scale. Reported to occupational health but was instructed to follow up with PCP.  When he saw his PCP, PCP told him to report to Occ. Health. 10/12/18 again reported to occ. health same intermittent pain. Referred back to PCP as this is not something occupational health can assess or treat.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test normal, Chills, Influenza virus test negative, Injection site pain, Laboratory test normal
Clinical narrative: Client received flu shot in Health Unit 10/9/18 approximately 1230 PM. Client chose to not stay in health unit for 15 min post flu vaccine administration. Client reports going to ER 10/9/18 approximately 6 PM for shaking, fever, and chills. She reports taking a TYLENOL before going to ER. Client reports her temperature and VS were normal. Client reports all tests, bloodwork, including flu test and pregnancy were all negative. Client reports being administered NS and no other medications or treatments. Client reports staying in ER for only 4 hours and reports the shaking stopped post NS administration. Client reports ER had no diagnosis or discharge instructions. Client reports ER does not think reaction is from Flu shot. Client reports feeling achy and feverish yesterday, 10/10/18, and stayed home. Client reports feeling better today, 10/11/18, but started to feel achy, feverish again and requested temperature check. Temperature and VS normal. No other complaints or signs/symptoms. Denies new meds, diet, or changes in appetite/BMs. Client reports feeling stressed at work recently and also admits not hydrating well enough. Client recommended to rest, hydrate with 2 L of water throughout day, and to report to MD if signs/symptoms worsen. Client was in stable condition in health unit, no signs or symptoms of distress, and no abnormal assessment with left deltoid (where Flu shot administered) except for minor but improved tenderness upon palpation.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pregnancy test negative, Pyrexia, Tremor
Clinical narrative: Client received flu shot in Health Unit 10/9/18 approximately 1230 PM. Client chose to not stay in health unit for 15 min post flu vaccine administration. Client reports going to ER 10/9/18 approximately 6 PM for shaking, fever, and chills. She reports taking a TYLENOL before going to ER. Client reports her temperature and VS were normal. Client reports all tests, bloodwork, including flu test and pregnancy were all negative. Client reports being administered NS and no other medications or treatments. Client reports staying in ER for only 4 hours and reports the shaking stopped post NS administration. Client reports ER had no diagnosis or discharge instructions. Client reports ER does not think reaction is from Flu shot. Client reports feeling achy and feverish yesterday, 10/10/18, and stayed home. Client reports feeling better today, 10/11/18, but started to feel achy, feverish again and requested temperature check. Temperature and VS normal. No other complaints or signs/symptoms. Denies new meds, diet, or changes in appetite/BMs. Client reports feeling stressed at work recently and also admits not hydrating well enough. Client recommended to rest, hydrate with 2 L of water throughout day, and to report to MD if signs/symptoms worsen. Client was in stable condition in health unit, no signs or symptoms of distress, and no abnormal assessment with left deltoid (where Flu shot administered) except for minor but improved tenderness upon palpation.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Oedema, Pain, Skin warm, Swelling
Clinical narrative: Red raised area with swelling, pain, tenderness, and warm to touch. Erythema and mild edema noted.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Tenderness
Clinical narrative: Red raised area with swelling, pain, tenderness, and warm to touch. Erythema and mild edema noted.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU4, PNC13, RV5
Symptoms: Haematochezia, Irritability, Occult blood positive, Rash, Ultrasound scan abnormal
Clinical narrative: Mother presented on 10/8/2018 with photo of a "Currant Jelly Stool" and the guaiac positive stool in a diaper. The history was one of severe fussiness for several hours prior to presentation, which resolved before attending daycare and acting normally until the concerning stool was produced. She continued to act normally. Aside from daycare, she had nothing raising flags about an infectious gastroenteritis. I think she had a spontaneously resolving intussusception. However, she could have had a viral illness from another cause as she broke out with a rash on 10/12/18, seen by my partner.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Headache, Pharyngeal paraesthesia, Pruritus, Throat irritation
Clinical narrative: Reported headache within 5 minutes of immunization. Reported scratchy, tingling, warm throat at 20 minutes post immunization. Itching of trunk and neck starting around 20 minutes post immunization. Redness noted from scratching, but no rash noted. All symptoms resolved at 2 hours post immunization with dose of ZYRTEC 10 mg PO and BENADRYL 25 mg PO. Monitoring in office throughout until symptoms resolved.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: According to mom after they returned home from flu clinic she was getting her ready for bed and she noticed that her arm hurt and there was a golf ball sized swollen red area on left deltoid. Redness also noted around area. According to mom area was still swollen on 10/11/18 and also today 10/12 but the swelling is coming down. I asked mom if child has ever had any reactions before, she stated "she doesn't remember with flu but has had mild redness after her vaccinations but nothing like this". I recommended mom to report to pediatrician and to not get another flu shot unless pediatrician approves it and to go through pediatrician.
Age: 0.75
Sex: M
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Body temperature increased, Febrile convulsion
Clinical narrative: Febrile seizure x 1. Max temp 105.3.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Left upper arm swollen, sore, and warm. Measured both left and right upper arms and left is 44cm and right is 41.5cm.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Asthenia, Dizziness, Hypoaesthesia
Clinical narrative: Patient is complaining of numbness on the left side of the face, light headness, weakness and his left arm starting to feel numb.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Muscular weakness, Pain in extremity, X-ray
Clinical narrative: Arm pain with increasing weakness and loss of range of motion. Though patient said she had some symptoms the day after, she did not report it until 10/11/18 (3 days later) after symptoms got worse.  Patient went to doctor, received x-ray, and was prescribed high dose steroids.
Age: 59.0
Sex: F
Vaccine: TYP
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: PT CAME TO THE PHARMACY ON 10/10/18 COMPLAINING THAT HER ARM WAS HURTING FROM THE TYPHIM VACCINE FROM 9/29/18. SHE ICED IT, BUT SHE SAID IT DID NOT LOOK SWOLLEN. SHE SAYS SHE SAW HER DR TWICE. THE FIRST TIME SHE WAS TOLD TO TAKE APAP, BUT SHE SAID IT DIDN'T HELP. THE SECOND TIME SHE SAW THE DR HE/SHE PRESCRIBED PREDNISONE.  SHE SAYS THAT IT IS STILL NOT HELPING HER AND SHE STILL HAS DISCOMFORT. I TOLD THE PT SHE SHOULD RETURN TO SEE HER DOCTOR AGAIN.
Age: 83.0
Sex: F
Vaccine: FLU3
Symptoms: Unevaluable event
Clinical narrative: Unknown.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Feeling abnormal, Influenza like illness
Clinical narrative: Patient stated that she "felt horrible" with flu like symptoms.
Age: 58.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Headache, Impaired work ability, Myalgia, Pyrexia
Clinical narrative: Patient stated that she "felt horrible" with flu like symptoms.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling (6cm) and erythema (5.5 cm) at Right upper anterior thigh. Itching with or without contact.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site mass, Pain in extremity, Radial nerve injury
Clinical narrative: Patient states she has had extreme pain in her arm and can feel a lump at the injection site. She says she does not have full use of that arm. She feels she was given the vaccine in a place that is "too high". I verified that it was given in the deltoid. She was advised to see her PCP and was given prednisone. Her PCP suggested her radial nerve may have been hit.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Headache, Malaise, Pyrexia
Clinical narrative: C/O HA, Malaise, joint pain, fever and chills.
Age: 41.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Rash, itching, redness around site of injection.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Fatigue, Pain, Pyrexia, Tremor
Clinical narrative: 8 PM; severe shaking and shivering, low fever 100F; mild aching; continued through the night. Shivering controlled by a heating pad. Next 24 hours general fatigue.
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Blood culture negative, Dizziness, Febrile infection, Malaise, Pyrexia
Clinical narrative: Patient received vaccine in early morning. By supper time he reports he was feeling ill and was dizzy and lightheaded. Was taken to ER by ambulance and was found to have fever of 103. was treated for sepsis. Initial Blood culture showed staph coagulase negative which was later determined to be a contaminant. Patient was admitted for febrile illness and sepsis although WBC was never elevated. spent 6 days in the hospital.
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Sepsis, White blood cell count normal
Clinical narrative: Patient received vaccine in early morning. By supper time he reports he was feeling ill and was dizzy and lightheaded. Was taken to ER by ambulance and was found to have fever of 103. was treated for sepsis. Initial Blood culture showed staph coagulase negative which was later determined to be a contaminant. Patient was admitted for febrile illness and sepsis although WBC was never elevated. spent 6 days in the hospital.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Localised infection, Peripheral swelling
Clinical narrative: Patient's arm was swollen, red and infected next day. Daughter is going to take him to the hospital today.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dizziness, Headache, Pyrexia
Clinical narrative: Dizziness, fever and chills, headache.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Laboratory test, Vaccination complication
Clinical narrative: PATIENT WAS HAVING "STROKE LIKE SYMPTOMS" AND WENT TO LOCAL HOSPITAL EMERGENCY DEPARTMENT. THEY DID MULTIPLE TESTS AND DETERMINED THAT THE SYMPTOMS WERE A REACTION TO THE VACCINE. THIS WAS REPORTED TO ME BY THE PATIENT'S HUSBAND.
Age: 59.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Bursitis, Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site
Clinical narrative: The pharmacist injected the vaccine too high up on my shoulder and caused inflammation of the bursa. Had pain and limited arm movement and swelling for 2 weeks. Went to doctor and she injected cortisone into shoulder and prescribed prednisone for a week to help with inflammation. Also has me doing arm exercises and ice on shoulder. Will see if this works.
Age: 59.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: The pharmacist injected the vaccine too high up on my shoulder and caused inflammation of the bursa. Had pain and limited arm movement and swelling for 2 weeks. Went to doctor and she injected cortisone into shoulder and prescribed prednisone for a week to help with inflammation. Also has me doing arm exercises and ice on shoulder. Will see if this works.
Age: 59.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Bursitis, Injected limb mobility decreased, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient states upper arm/shoulder is now sore after immunization.
Age: 59.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient states upper arm/shoulder is now sore after immunization.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Malaise, Pyrexia
Clinical narrative: The day after vaccine (10/07/18), mother states child complained of malaise, low grade fever(temp not taken by mother) soreness and redness at site.. that night as child undressed, redness and edema had increased. Redness was in a striped pattern on lateral upper area of rt arm. By the next morning the redness was generalized and covered upper 3/4 of upper rt arm. Edema was reduced with Motrin and malaise has improved. Child attended school with no issues. Redness began to subside on Wednesday 10/10/18 and had returned to normal 10/11/18. Child did not have to seek medical attention and missed no school. Mother did say that there was improvement after Benadryl given, also.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: No redness at injection site, but the flabby part of the arm was red(about palm size). Pt said that her arm was sore but that the redness was getting better.
Age: 60.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Erythema, Inflammation, Nausea, Pain
Clinical narrative: Red and inflamed arm (including bicep, triceps, deltoid area) entire arm above the elbow. Area is hot to the touch with sharp pain. Patient reported chills and fever of 104 degrees. She has nausea while sitting and walking (laying down she did not have nausea). She has whole body aches. Symptoms started the day after vaccination and became worse each day.
Age: 60.0
Sex: F
Vaccine: MNQ
Symptoms: Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Red and inflamed arm (including bicep, triceps, deltoid area) entire arm above the elbow. Area is hot to the touch with sharp pain. Patient reported chills and fever of 104 degrees. She has nausea while sitting and walking (laying down she did not have nausea). She has whole body aches. Symptoms started the day after vaccination and became worse each day.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Ear infection, Pyrexia, Seizure
Clinical narrative: Extreme ear infections, fever that will never break, seizure that lasted 15 minutes.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Dizziness, Headache, Influenza like illness
Clinical narrative: General Flu-Like symptoms: Except for headache, lasted until 12 pm following day when I took a meloxicam. Now much better. Symptoms: headache, muscle ache, light fever, chills, light headedness, lack of energy.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: General Flu-Like symptoms: Except for headache, lasted until 12 pm following day when I took a meloxicam. Now much better. Symptoms: headache, muscle ache, light fever, chills, light headedness, lack of energy.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient experienced pain at injection site and difuse redness over most of the upper bicep/deltoid portion of her arm. The site of reaction was warm to the touch, slightly swollen, and did not itch. Patient reports this rash started within 12 hours of getting the vaccine. She has gotten the FLUZONE HD vaccine in the past without issue, this was her first PNEUMOVAX 23 vaccine. The reaction was localized to the arm in which the vaccines were given, no systemic effects including difficulty of breathing or hives was experienced by the patient. She treated the pain  with ibuprofen and Tylenol, as well as icing the arm, which helped "a little". Advised patient to take benedryl to help with the redness and swelling of the arm.