chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Dyskinesia, Fall, Head injury, Hypotonia, Loss of consciousness
Clinical narrative: Patient was seen today for an immunization visit with nurse. Initially, patient was due for 5 vaccines, but was only given 2 vaccines. The vaccines given was Hep B and MMR was administered after. After patient was given second vaccine, MMR, patient had a suspected adverse reaction to vaccine. Patient's body went limp and fell head first on to a chair before falling to the ground and hitting his head. Patient was put on his side by 2 staff nurses and seizure-like symptoms began. Patient lost consciousness and his body started to jerk. Episode lasted about 5 seconds. Ambulance was called at this time. Patient was able to regain consciousness and was oriented x3. Patient was able to talk to staff. He denies having history of seizures in the past. He said this has not happened to him before. Patient was able to walk to exam room and sit in chair. After sitting, patient had a second episode of unconsciousness and had same seizure-like movements that lasted about 5 seconds. Patient was able to regain consciousness once again and was oriented x3. Patient was laid on the floor for safety precaution in case another episode occurred. Patient laid down and verbalized he felt fine. Vitals were taken at this time. Blood pressure was 104/56, pulse was 58, and O2 saturation was 100%. Ambulance came around 12:15 pm but patient was still unsteady off his feet.
Age: 17.0
Sex: M
Vaccine: HEP, MMR
Symptoms: Seizure like phenomena, Vaccination complication
Clinical narrative: Patient was seen today for an immunization visit with nurse. Initially, patient was due for 5 vaccines, but was only given 2 vaccines. The vaccines given was Hep B and MMR was administered after. After patient was given second vaccine, MMR, patient had a suspected adverse reaction to vaccine. Patient's body went limp and fell head first on to a chair before falling to the ground and hitting his head. Patient was put on his side by 2 staff nurses and seizure-like symptoms began. Patient lost consciousness and his body started to jerk. Episode lasted about 5 seconds. Ambulance was called at this time. Patient was able to regain consciousness and was oriented x3. Patient was able to talk to staff. He denies having history of seizures in the past. He said this has not happened to him before. Patient was able to walk to exam room and sit in chair. After sitting, patient had a second episode of unconsciousness and had same seizure-like movements that lasted about 5 seconds. Patient was able to regain consciousness once again and was oriented x3. Patient was laid on the floor for safety precaution in case another episode occurred. Patient laid down and verbalized he felt fine. Vitals were taken at this time. Blood pressure was 104/56, pulse was 58, and O2 saturation was 100%. Ambulance came around 12:15 pm but patient was still unsteady off his feet.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site swelling
Clinical narrative: Patient experienced swelling of the right deltoid muscle. Patient noticed swelling in the evening after receiving vaccine in the morning. Patient self treated with warm compresses. Stated the swelling had gone down by the time he came into the pharmacy the next morning to report. Instructed patient to continue to use warm compress and to alternate with cold compress. Also instructed patient to lie down and keep arm above heart to promote swelling to decrease.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Mobility decreased, Pain in extremity
Clinical narrative: The patient presented on 10/05/18 around 10:30 AM to ask about arm soreness after a flu immunization. She received it on 10/03 and has had arm pain and some limited movement/numbness. It appears she has been aggravating it further by trying to move it and massage the arm. She has never received a flu vaccine previously and has never had a reaction previously to vaccines she has received. She had not taken any medication at time of speaking with me. I suggested resting the arm and taking tylenol to help with pain and inflammation. If symptoms do not improve, go to see the doctor. Will call patient for follow up over the weekend. I called patient around 3 pm today (10/05) and she has taken a dose of tylenol and is about to take another. She just got home and will be icing and resting her arm.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Balance disorder, Blood test, Chest pain, Computerised tomogram
Clinical narrative: On 10/03/2018 around 4:19 AM I woke up to use the restroom, as soon as I finished using the bathroom, I had intense ringing in both ears, along with nausea, felt like throat was closing up, burning in chest and throat, head felt really hot, sweating, shortness of breath, heart racing, seeing white. I had my mom take me to the hospital. On 10/04/2018 around 12:30 AM, I felt the same symptoms coming on as the previous morning, but acutely. All of a sudden I felt very dizzy and weak. My body started to uncontrollably shake all over, and I had my mom rush me to the hospital. On 10/05/2018 I woke up around 10:30 AM and had signs of vertigo. Dizziness, ringing in ears, felt unbalanced like my equilibrium was off. I performed the BPPV test and had my mom record my eyes to see if they were moving and they were. I visited my primary care and he said these were all signs my nervous system was reacting to the shot. He diagnosed me with acute GBS.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Feeling hot, Guillain-Barre syndrome
Clinical narrative: On 10/03/2018 around 4:19 AM I woke up to use the restroom, as soon as I finished using the bathroom, I had intense ringing in both ears, along with nausea, felt like throat was closing up, burning in chest and throat, head felt really hot, sweating, shortness of breath, heart racing, seeing white. I had my mom take me to the hospital. On 10/04/2018 around 12:30 AM, I felt the same symptoms coming on as the previous morning, but acutely. All of a sudden I felt very dizzy and weak. My body started to uncontrollably shake all over, and I had my mom rush me to the hospital. On 10/05/2018 I woke up around 10:30 AM and had signs of vertigo. Dizziness, ringing in ears, felt unbalanced like my equilibrium was off. I performed the BPPV test and had my mom record my eyes to see if they were moving and they were. I visited my primary care and he said these were all signs my nervous system was reacting to the shot. He diagnosed me with acute GBS.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Hyperhidrosis, Nausea, Palpitations, Throat irritation, Throat tightness
Clinical narrative: On 10/03/2018 around 4:19 AM I woke up to use the restroom, as soon as I finished using the bathroom, I had intense ringing in both ears, along with nausea, felt like throat was closing up, burning in chest and throat, head felt really hot, sweating, shortness of breath, heart racing, seeing white. I had my mom take me to the hospital. On 10/04/2018 around 12:30 AM, I felt the same symptoms coming on as the previous morning, but acutely. All of a sudden I felt very dizzy and weak. My body started to uncontrollably shake all over, and I had my mom rush me to the hospital. On 10/05/2018 I woke up around 10:30 AM and had signs of vertigo. Dizziness, ringing in ears, felt unbalanced like my equilibrium was off. I performed the BPPV test and had my mom record my eyes to see if they were moving and they were. I visited my primary care and he said these were all signs my nervous system was reacting to the shot. He diagnosed me with acute GBS.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Tinnitus, Tremor, Urine analysis, Vertigo, Visual impairment
Clinical narrative: On 10/03/2018 around 4:19 AM I woke up to use the restroom, as soon as I finished using the bathroom, I had intense ringing in both ears, along with nausea, felt like throat was closing up, burning in chest and throat, head felt really hot, sweating, shortness of breath, heart racing, seeing white. I had my mom take me to the hospital. On 10/04/2018 around 12:30 AM, I felt the same symptoms coming on as the previous morning, but acutely. All of a sudden I felt very dizzy and weak. My body started to uncontrollably shake all over, and I had my mom rush me to the hospital. On 10/05/2018 I woke up around 10:30 AM and had signs of vertigo. Dizziness, ringing in ears, felt unbalanced like my equilibrium was off. I performed the BPPV test and had my mom record my eyes to see if they were moving and they were. I visited my primary care and he said these were all signs my nervous system was reacting to the shot. He diagnosed me with acute GBS.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Ear swelling, Mouth swelling, Pharyngeal oedema, Swelling
Clinical narrative: Started as swelling in neck and left ear, has since progressed to throat and mouth.
Sex: F
Vaccine: HPV4
Symptoms: Dizziness
Clinical narrative: This spontaneous report was received from a nurse via company representative and refers to a female patient of unknown age. The patient's concurrent conditions, pertinent medical history, drug reactions/ allergies and concomitant medications were not provided. On an unknown date in 2011(reported as "seven years ago"), the patient was vaccinated with GARDASIL (strength, dose, route of administration, lot number and expiration date were not reported) for prophylaxis. Then, approximately in 2011, the patient experienced dizziness. The outcome of dizziness was unknown at the time of the report. The causality assessment between GARDASIL and dizziness was not reported.
Sex: M
Vaccine: VARZOS
Symptoms: Aphasia, Cognitive disorder, Corticobasal degeneration, Gait inability, Tremor
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a male patient (age unknown). The patient's medical history, concurrent conditions and concomitant medication use were not provided. On an unspecified date, the patient was vaccinated with ZOSTAVAX, (lot# and route unknown) for routine health maintenance for the prevention of shingles. Shortly after receiving ZOSTAVAX, the patient began to experience tremors in his hands, which progressed into significant cognitive decline including the loss of his ability to speak and walk. In response to these complaints the patient presented to his primary care physician, specialists and local hospital and was ultimately diagnosed with Corticobasal Degeneration (CBD). The patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. Upon internal review Corticobasal Degeneration was considered medically significant. Additional information has been requested.
Sex: F
Vaccine: HPV9
Symptoms: Exposure during pregnancy, Pregnancy test positive
Clinical narrative: This spontaneous report was received from a nurse practitioner referring to a 21 year old female patient. The patient's relevant medical history, drug reactions/allergies and concomitant medication were not reported. On an unknown date, the patient was vaccinated with the first and second dose of GARDASIL 9 for prophylaxis (strength, dosage schedule, lot number and expiration date were not reported). On an unknown date, the patient was evaluated in an unspecified emergency room for a urinary tract infection; additionally, the patient had a pregnancy test and it was negative. On 24-SEP-2018, the patient was seen in the office for a follow-up visit and was vaccinated intramuscularly with the third dose of GARDASIL 9 lot number: R0002345, expiration date: 16-OCT-2020. On the same day, the patient informed that she had not had her period in a while and a pregnancy test was performed resulting positive. The last menstrual period (LMP), date of conception and estimated date of delivery (EDD) were unknown and could not be calculated. The pregnancy and fetal outcome were unknown. The outcome of urinary tract infection and was also unknown. Causality assessment was not provided. Lot number R0002345 is an invalid lot number for hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine.
Sex: F
Vaccine: MMRV
Symptoms: Exposure via eye contact, Eye irritation
Clinical narrative: This spontaneous report was received from a physician and refers to a 36 year old female patient. Information regarding the patient's concurrent conditions included tobacco user. The patient had a medical history of drug allergy to PHENERGAN. The patient had no concomitant medications. On an unknown date, the patient had an accidental eye exposure with PROQUAD (dose, lot # and expiration date were not provided). On 04-OCT-2018, the patient experienced burning sensation in her eye. On the same date, the patient was seen in the medical office and the patient was given an unspecified treatment for the event. No laboratory diagnostic studies were performed. No hospitalization was required. The outcome of eye irritation was not recovered/not resolved. The causality between the event eye irritation and PROQUAD was not reported.
Sex: M
Vaccine: MENB, MNQ
Symptoms: Cellulitis, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: This is a spontaneous report from a contactable other HCP via Pfizer sales representative. A 17-years-old male patient received TRUMENBA, at single dose and MENACTRA, both on 24Sep2018 for immunisation. Medical history was none. There were no concomitant medications. The patient experienced cellulitis in left arm, headache, fatigue, sweats and chills on 25Sep2018 with outcome of unknown. No fever and vitals were normal. Information on the batch number has been requested.; Sender's Comments: Based on the information available, the Company cannot exclude that the suspect meningococcal group b rlp2086 contributed to the development of the reported events cellulitis in left arm, headache, fatigue, sweats and chills .
Age: 70.0
Sex: M
Vaccine: RAB
Symptoms: Hypoaesthesia, Pruritus
Clinical narrative: Initial information received on 27-Sep-2018 regarding an unsolicited valid non-serious case received from a consumer. This case involves a 70 years old male patient who experienced numbness in his fingers on the right arm where he received the injection and itching across his back, while he received vaccines DIPHTHERIA, TETANUS AND NOS PERTUSSIS VACCINE and IMOVAX RABIES. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 10-Sep-2018, the patient received a 1.0 ml dose of suspect RABIES (HDC) VACCINE (lot NI8051M and Exp. Date 26-FEB-2019) via unknown route in the right arm and another two doses on 13-Sep-2018 and 17-Sep-2018 respectively. On 06-Sep-2018, the patient received a dose of suspect DIPHTHERIA, TETANUS AND NOS PERTUSSIS VACCINE produced by unknown manufacturer lot number not reported via unknown route in unknown administration site. On 20-SEP-2018, the patient developed a non-serious numbness in his fingers on the right arm where he received the injection 10 days following the administration of RABIES (HDC) VACCINE, 14 days following the administration of DIPHTHERIA and TETANUS AND NOS PERTUSSIS VACCINE. On 27-SEP-2018, the patient developed a non-serious itching across his back 17 days following the administration of RABIES (HDC) VACCINE, 21 days following the administration of DIPHTHERIA and TETANUS AND NOS PERTUSSIS VACCINE. No information about relevant tests reported. Final diagnosis was numbness in his fingers on the right arm where he received the injection and itching across his back. No information about a corrective treatment reported. The patient outcome is unknown for events. Documents held by sender: none.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Injection site erythema, Injection site swelling, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, Chills, sore throat, red swollen site.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: 3 inches diameter rash at site of immunization; warm to touch; patient feels abscess underneath; recommended patient go to a minute clinic or urgent care center for antibiotic.
Age: 27.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus, Rash erythematous
Clinical narrative: 10/1/18: approx. 12 hours after injection, patient started itching and had small random red bumps to bilat arms, bilat hip area, stomach and upper back/shoulder/neck area. 10/5/18: employee reported that the itching had not resolved on its own. No treatment taken until today. Employee checked in with me the employee Health/Infection Prevention Nurse. I took employee to the pharmacy where she was given Ceftirizine Hydrochloride 10mg PO x 1. Employee asked to monitor symptoms over the weekend and to seek further treatment if they worsen.
Age: 89.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site extravasation, Injection site irritation
Clinical narrative: Fluid leaked out of the injection site, pharmacist giving vaccine rubbed in fluid to skin and the skin became very red and irritated.
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Patient came in for flu shot. About 10 minutes after receiving the vaccine, the patient's mom reported the patient fainted. This lasted for a few seconds. He came back to the pharmacy and reported dizziness and some nausea. His BP was 119/71. He felt better and went home after an hour.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Vomiting
Clinical narrative: VOMITING WITHIN 24 HOURS AFTER INJECTION AND RASH 48 HOURS AFTER INJECTION.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Erythema, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Very painful arm red swollen circle that started size of a golf ball and on day 3 spread larger than softball to over top of shoulder and down toward elbow. Started antibiotics and day 4 is still about size of softball and still very painful into neck to under armpit and shoulder.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling
Clinical narrative: Very painful arm red swollen circle that started size of a golf ball and on day 3 spread larger than softball to over top of shoulder and down toward elbow. Started antibiotics and day 4 is still about size of softball and still very painful into neck to under armpit and shoulder.
Age: 74.0
Sex: M
Vaccine: PNC13
Symptoms: Swelling face, Swollen tongue
Clinical narrative: Patient says swelling of face and tongue occurred 3 weeks after shot and has continued off and on up to the present. He has taken steroids, allergy meds, and PEPCID and no success of it going away.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Bacterial test negative, Diarrhoea, Frequent bowel movements, Parasitic blood test negative, Polymerase chain reaction positive
Clinical narrative: Infant developed watery diarrhea stools greater than 10 times daily on the day after vaccinations.  No fever, no blood observed in the stools. Still continuing to have frequent watery and loose stools greater than 6 times daily on 10/3/2018 (10 days after vaccinations given). Normal stools for infant are 1-2 times daily. No change in diet or foods (mostly breast fed, but occasional formula supplements).
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Rotavirus test positive, Viral test negative
Clinical narrative: Infant developed watery diarrhea stools greater than 10 times daily on the day after vaccinations.  No fever, no blood observed in the stools. Still continuing to have frequent watery and loose stools greater than 6 times daily on 10/3/2018 (10 days after vaccinations given). Normal stools for infant are 1-2 times daily. No change in diet or foods (mostly breast fed, but occasional formula supplements).
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site reaction, Pain, Pyrexia, Rash erythematous, Rash pruritic
Clinical narrative: Patient presented on 10/4 at 9:00 AM with a large, softball sized red, itchy rash around injection site on R arm. Patient dosed with BENADRYL and given ice pack to use PRN and advised to seek medical attention if it worsened. Patient went to school, per my request, the nurse assessed him at 2:00 PM. The size of the reaction had decreased drastically, but was still red and slightly feverish;  the itching and other symptoms had subsided for the most part. He was given an ice pack and refused benadryl and stayed at school per his usual. Patient reported being fine other than slight soreness the say after.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Pain, Peripheral swelling, Pruritus
Clinical narrative: Patient received PNEUMONAX 23 on 10/4/18 around 10am, patient noticed some redness, some itching and soreness and tenderness in evening time. Her right arm was little bit warm also. Patient took extra strength TYLENOL, that helped little bit. Patient called pharmacy on 10/5/18 in morning. Patient also came to pharmacy to show her arm. I (Pharm. D) looked her right arm. Her arm was somewhat swollen, red and tender to touch. But it was not much severe allergic reaction. I also recommended to take one or 2 dose of TYLENOL if needed. And to take BENADRYL for itching. Patient also went to Urgent care just to make sure. Nurse practitioner recommended taking BENADRYL and steroid. But patient didn't want to take steroid. And assured patient that she will be okay in 1-2 days. Patient was very pleasant in nature.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Skin warm, Tenderness
Clinical narrative: Patient received PNEUMONAX 23 on 10/4/18 around 10am, patient noticed some redness, some itching and soreness and tenderness in evening time. Her right arm was little bit warm also. Patient took extra strength TYLENOL, that helped little bit. Patient called pharmacy on 10/5/18 in morning. Patient also came to pharmacy to show her arm. I (Pharm. D) looked her right arm. Her arm was somewhat swollen, red and tender to touch. But it was not much severe allergic reaction. I also recommended to take one or 2 dose of TYLENOL if needed. And to take BENADRYL for itching. Patient also went to Urgent care just to make sure. Nurse practitioner recommended taking BENADRYL and steroid. But patient didn't want to take steroid. And assured patient that she will be okay in 1-2 days. Patient was very pleasant in nature.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient donated 880mls of plasma and did not receive the 500mls of saline that would normally be given due to problem with fluid lines. She was given oral fluids for supplementation, patient only consumed 2-3ozs. Patient was given a Tetanus vaccination and was asked to wait in waiting area for 15 minutes for observation. Patient advised staff within 2 minutes that she was light headed and dizzy and was brought back into office. Comfort measures given, patient lost consciousness for 20-30 seconds. EMS called.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Contusion, Erythema
Clinical narrative: Bruising, slight redness. Reviewed normal course, resolution and complication after vaccine, advised patient to increase movement of arm, and to use ice as needed, if not better patient would return back.
Age: 60.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Intermittent, but pretty consistent Sore arm, tingles in nerve. Been approximately 3 weeks. Heat and/or Cold packs don't seem to help.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Vaccination site induration, Vaccination site rash
Clinical narrative: Induration and erythematous rash proximate to vaccine administration site. Treated for cellulitis.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Peripheral swelling
Clinical narrative: Patient received HIGH DOSE FLUZONE in left arm and PNEUMOVAX 23 in the right. Upon awakening this morning, her arm was red, swollen, and hurt to use. She went her healthcare provider and he prescribed CIPRO and prednisone.
Age: 61.0
Sex: M
Vaccine: FLUR4, FLUR4
Symptoms: Cellulitis, Injection site erythema, Rash macular
Clinical narrative: Two local assisted living residents presented with redness on lateral upper left arm 1-2 inches below the injection site. They were both taken to a local clinic for treatment. The first case was diagnosed with cellulitis and the second was under observation. This prompted the assisted living to examine the injection sites of all residents who received seasonal influenza vaccinations on 10/3/2018. Patient was found to have a 8 cm kidney shaped blotchy red area on the lateral upper left arm 1-2 inches below the injection site. He was advised to seek medical treatment but refused. Assisted living staff are monitoring the situation carefully.
Age: 61.0
Sex: M
Vaccine: FLUR4, FLUR4
Symptoms: Injection site reaction, Rash macular
Clinical narrative: Two local assisted living residents presented with redness on lateral upper left arm 1-2 inches below the injection site. They were both taken to a local clinic for treatment. The first case was diagnosed with cellulitis and the second was under observation. This prompted the assisted living to examine the injection sites of all residents who received seasonal influenza vaccinations on 10/3/2018. Patient was found to have a 8 cm kidney shaped blotchy red area on the lateral upper left arm 1-2 inches below the injection site. He was advised to seek medical treatment but refused. Assisted living staff are monitoring the situation carefully.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site bruising, Injection site discolouration, Injection site swelling, Malaise
Clinical narrative: IMMEDIATELY DEVELOPED PURPLE/BLUE BUMP AT INJECTION SITE. BUMP EVENTUALLY SUBSIDED BUT PATIENT THEN HAD SEVERAL RED BUMPS THE DAY AFTER VACCINATION WITH LARGE BRUISE AT INJECTION SITE. PATIENT ALSO STATED THAT SHE EXPERINCED HEADACHES THAT CAME AND WENT. ALSO SHE HAD SEVERE MALAISE THE DAY AFTER VACCINATION.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous
Clinical narrative: IMMEDIATELY DEVELOPED PURPLE/BLUE BUMP AT INJECTION SITE. BUMP EVENTUALLY SUBSIDED BUT PATIENT THEN HAD SEVERAL RED BUMPS THE DAY AFTER VACCINATION WITH LARGE BRUISE AT INJECTION SITE. PATIENT ALSO STATED THAT SHE EXPERINCED HEADACHES THAT CAME AND WENT. ALSO SHE HAD SEVERE MALAISE THE DAY AFTER VACCINATION.
Age: 53.0
Sex: F
Vaccine: FLUX
Symptoms: Dyspnoea, Injection site pain, Lymphadenopathy, Parosmia
Clinical narrative: Short of breath, smell of fumes, clavical left lymph node swelling, left arm soreness at injection site.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Warm, swelling and redness, slight pain in the arm from sholder to elbow. Pt is not running fever. Pt will watch and notify Dr. if continues.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Ear swelling, Headache, Hyperhidrosis
Clinical narrative: The evening after receiving the high dose influenza vaccine the patient report suffering the following symptoms: fever, chills, sweating, itching, swollen/sore throat, swollen ears, headache, pain in joints, pain in hands. patient says she phone her physician and has an appointment for next week.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Oropharyngeal pain, Pain in extremity, Pharyngeal oedema, Pruritus, Pyrexia
Clinical narrative: The evening after receiving the high dose influenza vaccine the patient report suffering the following symptoms: fever, chills, sweating, itching, swollen/sore throat, swollen ears, headache, pain in joints, pain in hands. patient says she phone her physician and has an appointment for next week.
Age: 0.5
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: No events or outcomes at this time.
Age: 62.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Myalgia, Nausea
Clinical narrative: Patient experienced fatigue, muscle aches, nausea, erythema and swelling at LT deltoid. At office visit to address reaction, doctor advised cold compress to area of swelling, ondansetron as needed for nausea, Ibuprofen 600mg every 8 hours as needed.
Age: 73.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Cellulitis, Erythema, Inflammation, Pain, Peripheral swelling
Clinical narrative: Patient came to the pharmacy on 10/05/2018 complaining of severe swelling in the left arm after receiving the vaccines. The affected area appeared to be large, red, swollen, inflamed, painful, and hot to touch. The patient stated the symptoms started the day after receiving the vaccines. Patient was advised to seek medical care immediately. She went to see the doctor at the urgent care center on 10/05/2018 and was diagnosed with cellulitis of the left arm. Patient was prescribed AUGMENTIN 875 mg tablets (1 tablet twice daily for 10 days). She started her treatment course 10/05/2018.
Age: 73.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Skin warm
Clinical narrative: Patient came to the pharmacy on 10/05/2018 complaining of severe swelling in the left arm after receiving the vaccines. The affected area appeared to be large, red, swollen, inflamed, painful, and hot to touch. The patient stated the symptoms started the day after receiving the vaccines. Patient was advised to seek medical care immediately. She went to see the doctor at the urgent care center on 10/05/2018 and was diagnosed with cellulitis of the left arm. Patient was prescribed AUGMENTIN 875 mg tablets (1 tablet twice daily for 10 days). She started her treatment course 10/05/2018.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Swelling, Vaccination complication
Clinical narrative: Patient said he experienced swelling, malaise and overall sickness. He did not feel well for 3 days.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Feeling abnormal, Injection site pain, Pain in extremity
Clinical narrative: The patient called on 10/04/2018. When she got the first dose of SHINGRIX on 7/3/2018, right after she got the shot, she felt the pain went down from her injection site to her wrist. and "she felt she was run over by a truck". She felt so weak that she stayed in bed for 4 days. After 4 days, all of symptoms and pain were gone. Now she is afraid of her second dose.
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Blood thyroid stimulating hormone, C-reactive protein increased, Differential white blood cell count, Full blood count, Metabolic function test
Clinical narrative: Pruritic risen red rash, over half of body irregular in shapes, random dispersment. Edema to bilateral hands. Possible Serum Sickness Like reaction.
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: N-terminal prohormone brain natriuretic peptide, Oedema peripheral, Platelet count, Rash erythematous, Rash pruritic
Clinical narrative: Pruritic risen red rash, over half of body irregular in shapes, random dispersment. Edema to bilateral hands. Possible Serum Sickness Like reaction.
Age: 88.0
Sex: M
Vaccine: FLU3
Symptoms: Red blood cell sedimentation rate, Vitamin B12, Vitamin D, White blood cell count increased
Clinical narrative: Pruritic risen red rash, over half of body irregular in shapes, random dispersment. Edema to bilateral hands. Possible Serum Sickness Like reaction.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Herpes simplex, Herpes simplex test negative, Nausea
Clinical narrative: This is the second SHINGRIX shot I have had. The first was on 2/26/18 to which I had minimal reaction, just a sore arm at the injection site. For this second shot on 5/26/18, within 24 hours I developed headache, fatigue and mild nausea. These faded within 24 hours, but on the third day (5/28/18) I developed a huge outbreak of multiple herpes simplex (HSV-1)on both of my lips. I called my primary care physician, but was unable to get an appointment until 5/30/18 at the walk-in clinic. Dr. prescribed Valcyclovir that I took that day. Ten days after the SHINGRIX shot, on 6/6/18 I finally saw my dermatologist's PA. She took a swab of the sores on my lips to test for both herpes simplex and zoster, although she thought the report would be negative due to the length of time from the beginning of the outbreak as well as taking the anti-viral Valcyclovir. The test results were indeed negative for both. My cold sores continued to heal for another week. Total healing time was over 2 weeks (15 days). Summary: I have occasionally had herpes simplex on my lips since childhood, perhaps several time per year. I have never had the serious outbreak that came after the second SHINGRIX shot.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes, Viral test negative
Clinical narrative: This is the second SHINGRIX shot I have had. The first was on 2/26/18 to which I had minimal reaction, just a sore arm at the injection site. For this second shot on 5/26/18, within 24 hours I developed headache, fatigue and mild nausea. These faded within 24 hours, but on the third day (5/28/18) I developed a huge outbreak of multiple herpes simplex (HSV-1)on both of my lips. I called my primary care physician, but was unable to get an appointment until 5/30/18 at the walk-in clinic. Dr. prescribed Valcyclovir that I took that day. Ten days after the SHINGRIX shot, on 6/6/18 I finally saw my dermatologist's PA. She took a swab of the sores on my lips to test for both herpes simplex and zoster, although she thought the report would be negative due to the length of time from the beginning of the outbreak as well as taking the anti-viral Valcyclovir. The test results were indeed negative for both. My cold sores continued to heal for another week. Total healing time was over 2 weeks (15 days). Summary: I have occasionally had herpes simplex on my lips since childhood, perhaps several time per year. I have never had the serious outbreak that came after the second SHINGRIX shot.
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Balance disorder, Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Onset of low-grade fever, chills, muscle aches and headache within ~6 hours of injection, and continuing throughout night until about 11:00 the next day (~21 hours duration, but with mild headache still present as I'm typing this report). Also had imbalance issues when I got up at night. I took two (2) Aleve at night ~2:00 AM to help with the headache.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Pharyngeal oedema, Urticaria
Clinical narrative: Patient received flu shot. Upon returning to her workplace she experienced hives and difficulty breathing due to throat swelling. Patient was taken to emergency department and was given BENADRYL, epinephrine, steroids, and ZANTAC. Patient was given discharge BENADRYL, steroids, and ZANTAC. This information was taken from the mother. Attempted to contact patient and there was no answer. I left a message.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Multiple sclerosis, Nuclear magnetic resonance imaging abnormal, Scan with contrast, Vision blurred
Clinical narrative: I received the flu vaccine on the morning of October 13th 2017 and the round 10 - 11 PM that night the vision in my left eye started to become blurry I thought maybe I was tired because I was working two jobs at the time so I just brushed it off as being tired over the course of the next two to three days the vision and my left eye continue to deteriorate I called my manager at the time and told her what was happening and she instructed me to contact the company's employee health which I did and they sent me to urgent care but they could not help me so they sent me to an eye doctor Who inspected my eye in depth and could not find anything wrong with it he told me that if it did not get better within a week that he would send me for an MRI wow about 2 days later after that appointment the vision had gotten so bad I could not see at all out of my left eye so on Friday October 20th at about 11:30 PM I decided to go to the emergency room where they did two separate MRIs one with contrast and one without contrast and it came back that I was diagnosed with multiple sclerosis and I was then admitted into the hospital for the next three days.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Visual impairment
Clinical narrative: I received the flu vaccine on the morning of October 13th 2017 and the round 10 - 11 PM that night the vision in my left eye started to become blurry I thought maybe I was tired because I was working two jobs at the time so I just brushed it off as being tired over the course of the next two to three days the vision and my left eye continue to deteriorate I called my manager at the time and told her what was happening and she instructed me to contact the company's employee health which I did and they sent me to urgent care but they could not help me so they sent me to an eye doctor Who inspected my eye in depth and could not find anything wrong with it he told me that if it did not get better within a week that he would send me for an MRI wow about 2 days later after that appointment the vision had gotten so bad I could not see at all out of my left eye so on Friday October 20th at about 11:30 PM I decided to go to the emergency room where they did two separate MRIs one with contrast and one without contrast and it came back that I was diagnosed with multiple sclerosis and I was then admitted into the hospital for the next three days.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chest X-ray, Dysstasia, Erythema, Muscular weakness, Pain in extremity
Clinical narrative: PATIENT RECEIVED BOTH PNEUMOVAX 23 AND FLUZONE HD. HE HAD REDNESS AND SWELLING WITH EXTREME ARM PAIN. IT LASTED THROUGH THE NIGHT, LEGS BECAME EXTREMELY WEAK AND PATIENT COULD NOT STAND ON HIS OWN. PATIENT WENT TO LOCAL HOSPITAL THINKING IT MAY BE HEART RELATED OR STROKE SYMPTOMS. THEY TREATED  HIM WITH CEPHALEXIN 500MG CAPS.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Peripheral swelling, Ultrasound Doppler
Clinical narrative: PATIENT RECEIVED BOTH PNEUMOVAX 23 AND FLUZONE HD. HE HAD REDNESS AND SWELLING WITH EXTREME ARM PAIN. IT LASTED THROUGH THE NIGHT, LEGS BECAME EXTREMELY WEAK AND PATIENT COULD NOT STAND ON HIS OWN. PATIENT WENT TO LOCAL HOSPITAL THINKING IT MAY BE HEART RELATED OR STROKE SYMPTOMS. THEY TREATED  HIM WITH CEPHALEXIN 500MG CAPS.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Right arm pain starting at injection site the day of the tdap injection. No weakness, no numbness. Has electric like pain from the upper arm to the hand on the unlar side to the pinky.. Has not improved. Does take ibuprofen to help. No swelling and no rash. Vaccination reaction, initial encounter - NEURONTIN 100 mg capsule; Take 3 caps by mouth at night x 1-2 week, 2 caps by mouth for 1 week, then 1 cap by mouth for 1 week, then stop - DELTASONE 20 mg tablet; Take 1 tablet (20 mg total) by mouth daily for 5 days.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Chills, Migraine, Palpitations, Peripheral swelling
Clinical narrative: Arm swollen, fever, chills, chest pain, heart palpitations, migraine headaches.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Arm swollen, fever, chills, chest pain, heart palpitations, migraine headaches.
Age: 63.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Patient called the pharmacy about 7pm on 10/5/18 stating that a couple hours ago she began experiencing chills, fever (101 degrees), fatigue and pain in the arm the vaccine was administered. Advised patient if she experienced chest pain, tremor, headache, stiffness or sweating to seek medical attention.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue
Clinical narrative: Chills, fatigue.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Cough, Ocular hyperaemia, Tremor
Clinical narrative: Red eyes, shaking, cough and weakness. Symptoms resolved within 24 hours.
Age: 69.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Malaise, Nausea, Vomiting
Clinical narrative: Patient states she had nausea and vomiting shortly after getting the vaccine. She states this required a visit to the hospital. She states she felt sick for approximately 30 days after vaccination.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: The patient reported arm pain after 3 weeks from the date of the shot. She complained that her arm ached after reaching for the door.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Myalgia
Clinical narrative: Developed intense uncontrollable upper torsochills which lasted 30 minutes.The event resolved on its own.The next day I experienced significant muscle soreness in my upper torso(this being the area most affected by these intense chills). I sought no treatment.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Burning sensation, Paraesthesia
Clinical narrative: Within 10 minutes of receiving the flu vaccination, my fingertips on my left hand began to tingle and burn. I was still in the store, so I went back to the pharmacist to ask if this was a concern. He said he may have hit a nerve and it would most likely go away. I continued my daily activities and didn't notice the tingle when I was working, but at rest it was still noticeable by 8:00PM so I began to fill this out. I'll seek an appointment with my Primary Dr. tomorrow if it continues, but not certain if I can get in on a Saturday. Will go to a clinic if it still persists. Am VERY concerned about getting GBS.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented to the pharmacy with swelling and redness around the injection site. She stated this began to develop the night following the injection. Patient stated the area felt warm to the touch. Pharmacist recommended BENADRYL and hydrocortisone cream. Pharmacist stated they would follow up with the patient.
Age: 78.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site pain
Clinical narrative: Patient is complaining of severe pain a few inches below injection site.
Age: 76.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Fluid retention, Peripheral swelling
Clinical narrative: Patient had swelling, fluid accumulation, and redness near her elbow in the right arm. The pain, swelling, and redness was distal from the injection site. The adverse effects were resolving on their own at the time of reporting without treatment.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states that she has been having pain in her left arm since she received the vaccine. She states that her left arm is sore and she can't lift it without hurting. She has not gone to the doctor yet to get it checked.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Flushing, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Client returned to RN from her office 2 hours after reporting waves of feeling lightheaded, tingling of upper extremities, flushing, and L arm swelling at injection site. Injection site appeared raised, swollen, warm to the touch, painful and approx 4"x4" in size. Client denied difficulty breathing, swelling of the tongue/face/throat, rash/hives. She was alert and oriented x3 and VS WNL. BENADRYL 50 mg PO given. Cold pack applied to the left arm and client was seated for continued observation. VS monitored Q15' for 1hr and she made a steady improvement. No further reports of upper extremity tingling, feeling light headed, decreased swelling and redness of left arm (not as raised 3"x2") and not as warm. No further reports of feeling flushed. Client escorted to husband who was going to drive her to be examined at the ER. Advised client of risk of delayed anaphylaxis and need for ER follow up and reporting to her primary care. Client stated understanding. Called client for follow up but did not return phone call.
Age: 43.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia
Clinical narrative: Client returned to RN from her office 2 hours after reporting waves of feeling lightheaded, tingling of upper extremities, flushing, and L arm swelling at injection site. Injection site appeared raised, swollen, warm to the touch, painful and approx 4"x4" in size. Client denied difficulty breathing, swelling of the tongue/face/throat, rash/hives. She was alert and oriented x3 and VS WNL. BENADRYL 50 mg PO given. Cold pack applied to the left arm and client was seated for continued observation. VS monitored Q15' for 1hr and she made a steady improvement. No further reports of upper extremity tingling, feeling light headed, decreased swelling and redness of left arm (not as raised 3"x2") and not as warm. No further reports of feeling flushed. Client escorted to husband who was going to drive her to be examined at the ER. Advised client of risk of delayed anaphylaxis and need for ER follow up and reporting to her primary care. Client stated understanding. Called client for follow up but did not return phone call.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site swelling
Clinical narrative: Swelling at injection site immediately after injection and slight pain. VS remained WNL and no other symptoms reported. Client refused to stay for monitoring. Advised if symptoms worsen to call 911 or go to ER for examination. Cold pack applied to L arm. Called client to follow up 10/5/2018 and has not returned my call.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Arthropathy, Hyperthyroidism, Joint effusion, Joint swelling, Peripheral swelling
Clinical narrative: Total arm swelling three days after receiving injection. All major joints began to swell within two weeks. Have selfies of all major joint swelling: both knees/toes, ankles/hands/wrists.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Psoriasis, Rosacea, Serum sickness, Shoulder arthroplasty
Clinical narrative: Total arm swelling three days after receiving injection. All major joints began to swell within two weeks. Have selfies of all major joint swelling: both knees/toes, ankles/hands/wrists.
Age: 51.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: PATIENT'S HUSBAND CALLED STATING THAT PATIENT'S ARM WAS SWOLLEN SLIGHTLY FROM INJECTION SITE, DOWN THE BACK OF THE ARM TO HER ELBOW AND WAS WARMER THAN THE REST OF THE BODY. THE SWOLLEN ARE WAS "HARD AS A ROCK" AND SHE HAD COMPLAINED THROUGHOUT THE DAY THAT HER ARM WAS PAINFUL. PATIENT HAD TAKEN ALIEVE THROUGHOUT THE DAY, AND IT WAS SUGGESTED THAT SHE APPLY ICE TO THE SWOLLEN ARE FOR SHORT PERIODS AND TAKE BENADRYL IF SHE FELT NEEDED. IF THE ARE DID NOT IMPROVE SHE SHOULD TRY CALLING AN ON CALL PHYSICIAN FOR FURTHER TREATMENT OR IF NECESSARY SEEK MORE URGENT MEDICAL TREATMENT IF THEY FELT IT WAS TO THAT EXTENT. ALSO ADVISED FOR A FOLLOW UP CALL THE NEXT DAY TO SEE WHAT THE PROGRESS WAS ON THE REACTION.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Pruritus
Clinical narrative: Patient reported intense itching to left arm 45 minutes after receiving vaccine. Itching proceeded to worsen and spread across chest, and down the patient's left side. No hives were reported. Patient took BENADRYL and symptoms began to lessen.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Peripheral swelling, Swelling
Clinical narrative: Patient stated that the time of onset was that evening (10-3-18) and was painful overnight. She was not able to move her arm for the first 48 hours. Today (10-5-18) the pain is predominately gone, but the swelling is getting worse (started on 10-3-18). Swelling has now radiated down to her elbow and down her left arm. Patient stated she has tried OTC BENADRYL and ibuprofen.
Age: 91.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient had severe pain in left arm and difficulty moving her arm up and down, then she went to see her doctor who prescribed cephalexin capsules for her.
Age: 58.0
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Amnesia, Blood test, Cerebrovascular accident, Disturbance in attention, Headache
Clinical narrative: Headache; stroke-like memory loss, loss of concentration.
Age: 58.0
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Amnesia
Clinical narrative: Headache; stroke-like memory loss, loss of concentration.