chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Pain in extremity
Clinical narrative: After the vaccine was administered she went to work as a dishwasher, her work day was no different than other days. When she got off, she could not move her left arm. Her daughter applied BENGAY and she took 2 TYLENOL 500mg tablets with little improvement. Her pain was 10 out of 10. It started on the left side of her back, went down her arm and continues around to the left side of her chest. The injection site was sensitive to the touch. The next day her pain lessened to 4 or 5 out of ten with the same pain area. She took 2 more TYLENOL 500mg tablets. She also complain of shortness of breath and chest pain, which she claims was resolved with ALKA SELTZER. No abnormal changes to her diet and she does not normally have heartburn. Today she complains of the same pain area with her pain being a 4 or 5 out of ten. The injection site is red and is warm and sensitive to the touch. She has taken 1 TYLENOL 500mg tablet today. After discussing with a provider in the clinic, we recommend that she go the the ER to make sure that there is not something else going on.
Age: 0.5
Sex: F
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Irritability, Lethargy, Pyrexia
Clinical narrative: Severe leg pain and swelling fever over 104.5 extremely cranky fussy lethargic.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, IPV, MMR, MMRV
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccination given.  Accidentally gave MMRV instead of Varicella.
Sex: U
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Vaccine was on 1-22-19 and noticed swelling under my left armpit on 1-23-19 in the evening while taking a shower. The injection site is still swollen and painful as of 1-24-19. I did feel fatigued on 1-23-19. I have not seeked any medical attention yet.
Age: 11.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Pyrexia, Sensory loss
Clinical narrative: Fever, L arm sensation loss?
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: Vaccine was on 1-22-19 and noticed swelling under my left armpit on 1-23-19 in the evening while taking a shower. The injection site is still swollen and painful as of 1-24-19. I did feel fatigued on 1-23-19. I have not seeked any medical attention yet.
Age: 3.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a nurse regarding a 3-year patient of an unknown gender. The patients' concurrent conditions and medical history were not provided. On 14-JAN-2019, the patient was vaccinated with an improperly stored PROQUAD (route of administration and dose were not reported) for prophylaxis (lots # and expiration dates: R020676, 15-JAN-2020; R020816, 16-JAN-2020; R020677, 15-JAN-2020; R020814, 16-JAN-2020), however, it was unknown which specific lot the patient received. A sterile diluent was used to reconstitute the vaccines was properly stored. No adverse effects were reported. The vaccines were exposure to a temperature excursion of 9°C to 25°C (9.2°C) during 2 hours which was called by a data logger. There was not previous temperature excursion. This is one of the several reports received from the same reported.; Sender's Comments:  US-009507513-1901USA005742: US-009507513-1901USA005741: US-009507513-1901USA005740: US-009507513-1901USA005743: US-009507513-1901USA005573:
Age: 3.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a nurse regarding a 3-year patient of an unknown gender. The patients' concurrent conditions and medical history were not provided. On 14-JAN-2019, the patient was vaccinated with an improperly stored dose of PROQUAD (route of administration, and dose were not reported) for prophylaxis (lots # and expiration dates: R020676, 15-JAN-2020; R020816, 16-JAN-2020; R020677, 15-JAN-2020; R020814, 16-JAN-2020), however, it was unknown which specific lots the patient received. A sterile diluent was used to reconstitute the vaccines was properly stored. No adverse effects were reported. The vaccines were exposure to a temperature excursion of 9°C to 25°C (9.2°C) during 2 hours which was called by a data logger. There was not previous temperature excursion. This is one of several reports received from the same reporter.; Sender's Comments:  009507513-1901USA005742: 009507513-1901USA005741: 009507513-1901USA005743: 009507513-1901USA005739: US-009507513-1901USA005573:
Age: 3.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a nurse regarding a 4-year patient of an unknown gender. The patient's concurrent conditions and medical history were not provided. On 14-JAN-2019, the patient was vaccinated with an improperly stored dose of PROQUAD (route of administration and dose were not reported) for prophylaxis (lots # and expiration dates: R020676, 15-JAN-2020; R020816, 16-JAN-2020; R020677, 15-JAN-2020; R020814, 16-JAN-2020), however, it was unknown which specific lots the patient received. A sterile diluent was used to reconstitute the vaccines was properly stored. No adverse effects were reported. The vaccines were exposure to a temperature excursion of 9°C to 25°C (9.2°C) during 2 hours which was called by a data logger. There was not previous temperature excursion. This is one of several reports received from the same reporter.; Sender's Comments:  US-009507513-1901USA005742: US-009507513-1901USA005740: US-009507513-1901USA005743: US-009507513-1901USA005739: US-009507513-1901USA005573:
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a male patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. In or around 08-SEP-2017, the patient was inoculated with the ZOSTAVAX (lot number, dosage and route of administration not provided) for routine health maintenance and for its intended purpose the prevention of shingles (herpes zoster). Shortly after receiving the ZOSTAVAX, the patient suffered a persistent strain of herpes zoster and was diagnosed with shingles. As a direct and proximate result of the ZOSTAVAX vaccine, symptoms have resulted in physical limitations not present prior to using zoster vaccine.The patient has also experienced mental and emotional distress due to resulting physical limitations and the seriousness of his condition. As a result of the ZOSTAVAX, the patient sustained severe and permanent personal injuries. Further, as a tragic consequence, the patient suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result, the patient has suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the events was considered to be not recovered. Persistent strain of herpes zoster/zoster was considered disabling. Additional information has been requested.
Age: 16.0
Sex: U
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: This spontaneous report was received from a medical assistant who refers to a 16 year old patient of unknown gender. There was no information about the patient's concurrent conditions, medical history or concomitant medication provided. On 21-JAN-2019, the patient was vaccinated with an adult dose of VAQTA lot # R022122, expiration date 09-AUG-2019 (exact dose and route of administration were not reported) for prophylaxis. No adverse effects were reported.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 17-Jan-2019 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 62 years old female patient who received 0.5 ml dose vaccine FLUZONE HIGH DOSE (batch number: UI981AA, expiry date, dose in series not reported) via unknown route in the unknown administration site on 15-Jan-2019. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. It was a case of actual medication error due to inappropriate age at vaccine administration and overdose. No adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Sex: U
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 17-Jan-2019 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 3 years 8 month old patient who received dose of 0.5 ml of vaccine QUADRACEL (batch number: C5500CA, expiry date: 16-Aug-2020) (route not reported) in the left arm on 29-Sep-2018. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication was none. Reported as no other vaccines. It was a case of actual medication error due to Inappropriate age at vaccine administration. It was not reported if any adverse event was experienced. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender- none.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC13, RV5
Symptoms: Abnormal behaviour, Crying, Excessive eye blinking, Hypotonia, Loss of consciousness
Clinical narrative: After vaccination, client cried vigorously for about 30 seconds, then stopped and went limp. His eyelids fluttered and he appeared to have lost consciousness. This lasted less than 15 seconds. After regaining consciousness, client remained pale (but not cyanotic) and with a "dazed" look. No difficulty breathing or other distress noted, and no signs of an allergic reaction. Client's behavior after vaccination was markedly different than prior to vaccination - he was not babbling or crying, and showed minimal movement of extremities. He did not appear in acute distress, and safety was maintained. RN called 911 for further evaluation and support. Paramedics arrived on scene within 5 minutes, and in that time client became more alert and less pale. Paramedics monitored client in clinic for about 15 minutes and after discussion with mother, client was transported to ER via ambulance.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC13, RV5
Symptoms: Mobility decreased, Pallor, Staring
Clinical narrative: After vaccination, client cried vigorously for about 30 seconds, then stopped and went limp. His eyelids fluttered and he appeared to have lost consciousness. This lasted less than 15 seconds. After regaining consciousness, client remained pale (but not cyanotic) and with a "dazed" look. No difficulty breathing or other distress noted, and no signs of an allergic reaction. Client's behavior after vaccination was markedly different than prior to vaccination - he was not babbling or crying, and showed minimal movement of extremities. He did not appear in acute distress, and safety was maintained. RN called 911 for further evaluation and support. Paramedics arrived on scene within 5 minutes, and in that time client became more alert and less pale. Paramedics monitored client in clinic for about 15 minutes and after discussion with mother, client was transported to ER via ambulance.
Age: 85.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Nausea, Pyrexia, Rash pruritic, Stoma site erythema
Clinical narrative: PATIENT DEVELOPED FEVER, AND SEVERE NAUSEA. FEVER AND NAUSEA SUBSIDED AFTER 48 HOURS BUT AN "ITCHY RASH" AND REDNESS DEVELOPED AT SITE OF FEEDING TUBE AND UNDER THE BREAST AREA. ADVISED CAREGIVER TO ADMINISTER BENADRYL FOR THE RASH TO SEE IF IT ALLEVIATES THE APPEARANCE OR THE ITCHING. ALSO ADVISED THAT DUE TO THE SUPSICIOUS LOCATION OF THE RASH AND IT NOT BEING ANYWHERE ELSE THAT IT MAY BE SHE HAS SIMPLY DEVELOPED A YEAST INFECTION. AT THIS TIME NO TREATMENT FOR THE FEVER OR NAUSEA IS NEEDED BECAUSE BOTH HAD SUBSIDED.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV
Symptoms: Rash, Vaccination site rash
Clinical narrative: Rash started 3 days after receiving MMRV and Hep A vaccine, also after starting new antibiotics for bilateral otitis media. Rash started on the trunk and spread to her extremities and face. Rash clustered around the vaccine site on her thigh. Parents gave her BENADRYL and hydrocortisone cream.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site pain, Livedo reticularis, Pain, Pain in extremity
Clinical narrative: Pain at injection site at right deltoid, burning pain that radiated down his right arm, subtle mottling of skin at the back of his hand. No itch or welts. Ice pack was applied at inj. site. Note: he had been calm and tolerated the tetanus booster fine at the right upper arm on the same evening.
Age: 62.0
Sex: F
Vaccine: FLUC4, TDAP
Symptoms: Burning sensation, Hypoaesthesia, Pain in extremity, Rash
Clinical narrative: Right arm with rash, burning, pain, numbing sensation per patient. Topical and oral medication provided to relieve symptoms.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Blister, Erythema, Pain, Swelling
Clinical narrative: Redness, swelling distal to site. Isolated blister adjacent to the area. Pain/swelling mainly. Tx'ed with ibuprofen and cool compresses with improvement.
Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site rash
Clinical narrative: Patient was given her 1st SHINGRIX on 01/18/19 in her left arm and came to pharmacy on 01/24/19 with a rash in her upper left arm under the injection site upper to the elbow about 2 inches in diameter, no fever, I called GlaxoSmith and spook to the clinic, where they confirm this is a normal side effect and CDC still recomend the pt to complete the vaccine series.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Cardiac tamponade, Catheterisation cardiac abnormal, Dyspnoea, Echocardiogram, Echocardiogram abnormal
Clinical narrative: SHINGRIX #1 6/8/18. Admitted 7/10/18 DOE, mod pericardial effusion. Discharged 7/12/18 on diuretics. Readmitted 7/15/18 for emergent pericardial window (surgical emergent pericardiocentesis for tamponade). SHINGRIX #2 9/10/18. SOB, increased LE edema 11/6/18, 11/28/18. Admitted 11/30/18 pericardiocentesis drained 400cc fluid. Discharged 12/4/18. S/P tamponade.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Oedema peripheral, Pericardial drainage, Pericardial effusion, Pericardial excision
Clinical narrative: SHINGRIX #1 6/8/18. Admitted 7/10/18 DOE, mod pericardial effusion. Discharged 7/12/18 on diuretics. Readmitted 7/15/18 for emergent pericardial window (surgical emergent pericardiocentesis for tamponade). SHINGRIX #2 9/10/18. SOB, increased LE edema 11/6/18, 11/28/18. Admitted 11/30/18 pericardiocentesis drained 400cc fluid. Discharged 12/4/18. S/P tamponade.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Persistent left shoulder pain.
Age: 13.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Patient complained of rash/itching on the left upper arm approximately 48 hours after injection. Patient was evaluated and given triamcinolone 0.1% cream twice daily until resolved.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Neck pain, Pain in extremity
Clinical narrative: RN Message Notes: KEY SYMPTOMS:immunization, headache, joint pain, knees, arms, neck (s/p fever 100, chills last night). ONSET/DURATION/INTENSITY:last night, better today, pain 3/10 PERTINENT HISTORY:recieved SHINGRIX 1/22. TRIED (BETTER/WORSE):antihistamine, shower, helps plans to take ALEVE. Additional Information: See RN call notes.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: RN Message Notes: KEY SYMPTOMS:immunization, headache, joint pain, knees, arms, neck (s/p fever 100, chills last night). ONSET/DURATION/INTENSITY:last night, better today, pain 3/10 PERTINENT HISTORY:recieved SHINGRIX 1/22. TRIED (BETTER/WORSE):antihistamine, shower, helps plans to take ALEVE. Additional Information: See RN call notes.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Large multiple areas of rash.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Persistent itching. Given 25 mg oral BENADRYL at 5:45 PM.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash pruritic, Rash pustular
Clinical narrative: Patient has a rash on his left lower leg that is itchy (not painful) with pustules. I recommended that he see his doctor.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Vomiting, chills  muscle aches, fever, headache, nausea,diarrhea, extreme fatigue, sore arm.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Vomiting, chills  muscle aches, fever, headache, nausea,diarrhea, extreme fatigue, sore arm.
Sex: F
Vaccine: VARZOS
Symptoms: Acute left ventricular failure, Cardiac failure congestive, Chest pain, Death, Dyspnoea
Clinical narrative: Information has been received from a lawyer and spouse (representative of estate of decedent) regarding a case in litigation concerning a female patient (Decedent) of unknown age. The patient's medical history, concurrent conditions and concomitant medication use were not provided. In or around 27-JAN-2014, the patient (Decedent) was inoculated with ZOSTAVAX (dose, route of administration, site of administration and lot # were not provided) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Shortly after receiving the ZOSTAVAX vaccine, the patient (Decedent) suffered from focalized left chest wall tenderness, shortness of breath, pleuritic chest pain and chronic chest pain requiring hospitalizations. The patient (Decedent) was diagnosed with pneumonia and acute systolic congestive heart failure. As a direct and proximate result of these injuries, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the decedent suffered significant medical expenses, severe pain and suffering, other damages, and ultimately death on 02-APR-2014. The husband of decedent claimed wrongful death of Decedent. As a direct and proximate result of the ZOSTAVAX vaccine, the decedent suffered serious and dangerous side effects, including death, as well as other severe and personal injuries which are permanent and lasting in nature, physical pain and mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate consequence of ZOSTAVAX, the patient sustained serious personal injuries and related losses including, but not limited to, the following: The patient required healthcare and services; the patient incurred medical and related expenses; and the patient suffered mental anguish, physical pain and suffering, diminished capacity for the enjoyment of life, a diminished quality of life, and other losses and damages. The outcome of pneumonia and acute systolic congestive heart failure was considered to be unknown. The causality assessment was considered related. The cause of death was not reported. It was unknown if an autopsy was performed. Upon internal review, pneumonia, acute systolic congestive heart failure and death were determined to be medically significant events. Pneumonia and acute systolic congestive heart failure were considered to be disabling. Additional information has been requested.; Reported Cause(s) of Death: Death.
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal chest pain, Pleuritic pain, Pneumonia
Clinical narrative: Information has been received from a lawyer and spouse (representative of estate of decedent) regarding a case in litigation concerning a female patient (Decedent) of unknown age. The patient's medical history, concurrent conditions and concomitant medication use were not provided. In or around 27-JAN-2014, the patient (Decedent) was inoculated with ZOSTAVAX (dose, route of administration, site of administration and lot # were not provided) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Shortly after receiving the ZOSTAVAX vaccine, the patient (Decedent) suffered from focalized left chest wall tenderness, shortness of breath, pleuritic chest pain and chronic chest pain requiring hospitalizations. The patient (Decedent) was diagnosed with pneumonia and acute systolic congestive heart failure. As a direct and proximate result of these injuries, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the decedent suffered significant medical expenses, severe pain and suffering, other damages, and ultimately death on 02-APR-2014. The husband of decedent claimed wrongful death of Decedent. As a direct and proximate result of the ZOSTAVAX vaccine, the decedent suffered serious and dangerous side effects, including death, as well as other severe and personal injuries which are permanent and lasting in nature, physical pain and mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate consequence of ZOSTAVAX, the patient sustained serious personal injuries and related losses including, but not limited to, the following: The patient required healthcare and services; the patient incurred medical and related expenses; and the patient suffered mental anguish, physical pain and suffering, diminished capacity for the enjoyment of life, a diminished quality of life, and other losses and damages. The outcome of pneumonia and acute systolic congestive heart failure was considered to be unknown. The causality assessment was considered related. The cause of death was not reported. It was unknown if an autopsy was performed. Upon internal review, pneumonia, acute systolic congestive heart failure and death were determined to be medically significant events. Pneumonia and acute systolic congestive heart failure were considered to be disabling. Additional information has been requested.; Reported Cause(s) of Death: Death.
Age: 19.0
Sex: F
Vaccine: FLUC4
Symptoms: Eye swelling, Joint swelling, Peripheral swelling, Urticaria
Clinical narrative: This spontaneous case initially received from other non-healthcare professional on 08-Nov-2018, concerns a 19-year-old, adult, female patient. The patient's vaccination history included unspecified flu vaccines without any adverse events. The patient had no relevant medical history and concomitant medications. On 05-Nov-2018, the patient was administered FLUCELVAX (QIVc) [influenza vaccine, subunit influenza virus vaccine polyvalent, cell-culture derived, dose: 0.5 ml, route of administration, anatomical location, batch number and expiry date: not reported] for protection against seasonal influenza. On 06-Nov-2018, the patient developed hives all over the body and swelling of the eyes, wrists, knees, and fingers. On an unspecified date in Nov-2018, the patient went to the emergency room (ER), where she was given Benadryl (diphenhydramine, paracetamol, phenylpropanolamine hydrochloride) and unspecified steroid shot and was sent to home. The reporter stated that the swelling and hives had not gone away. At the time of the report, the patient had not recovered from the events.  The reporter assessed the case as non-serious. This case was considered as lost to follow up, as the reporter had not given the consent to follow up. Follow-up received from the consumer on 15-Jan-2019: Med info number (SEQ19-00290) was added in additional information tab. This case was considered as lost to follow-up, since the consumer has not given consent to provide further information. It was confirmed that, the consumer couldn't provide the lot number. No new information was available. Hence, no changes were made in the narrative.; Reporter's Comments: A 19-year-old female patient experienced hives all over the body, swelling of eyes, wrist and knees, 1 day after receipt of FLUCELVAX QIVc vaccine. Considering the plausible temporal relationship between vaccination and reported events, plausible biological mechanism and lack of any underlying conditions or alternative more plausible causes, the company assessed the events as possibly related to suspect vaccine. The company assessed this case as serious (medically significant).
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 01/11/19 Patient called and reported her left deltoid developed a large reddened area covering her complete deltoid muscle. It was tender to touch and warm to touch. Symptoms developed during early am on 1/9/19. Pt reported no fever, no itching and discomfort relieved with OTC TYLENOL. Reddened area decreased in deltoid but appeared below elbow. Will continue OTC TYLENOL as needed. 1/12/19 symptoms resolved now.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Warmth and erythema and swelling nearly the entire left thigh-not tender to touch.
Age: 1.25
Sex: F
Vaccine: FLU4, HIBV, PNC13
Symptoms: Decreased activity, Pyrexia
Clinical narrative: Fever beginning few hours after immunizations. Tmax 103.3. Decreased activity. Pt examined 1/15 - physical exam normal.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Joint stiffness
Clinical narrative: Numbness and tightness from forearm to hand. When closing fingers to make a fist fingers feel tight.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain of skin, Skin burning sensation
Clinical narrative: Patient had 1st SHINGRIX 9/18/18. Had swollen arm and warm arms for 1 week. Returned for 2nd shot on 12/27/18, didn't have as bad a reaction. Was just sore. All side effects were gone on 2nd dose within 5 days. Was fine for about 2 weeks and then on 1/14/19, she woke up on and felt like her skin was tender, achy, and burning like she had just been given a shot.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Immediate post-injection reaction, Injection site pain, Pain, Product administered at inappropriate site, X-ray limb normal
Clinical narrative: Immediate pain in the shoulder upon injection, unlike any previous vaccinations received. Injection was given higher than any previous influenza injections which had been in the deltoid muscle. Pharmacist did not palpate arm to locate muscle nor did he push shirt sleeve up to fully visualize upper arm. Pain was acute and continued to be acute for several weeks. Pain was felt at rest for 1 week and upon activities of daily living for at least 2 months (lifting arm to bathe or dress, using arm when turning automobile steering wheel, etc.). Patient was evaluated by primary physician on Oct. 12, 2018 due to severity of pain. He advised rest arm, take non-steroidal anti-inflammatories and to return if the shoulder pain did not resolve. Patient returned Nov. 1, 2018 as pain was not as excruciating but was still severe enough to interfere with or cause pain during previously routine activities. Patient consulted orthopedist Dr. on Nov. 13, 2018 who advised that any improvement was a good indication of eventual resolution, to continue to take non-steroidal anti-inflammatories and to return if there was not improvement. Shoulder pain has slowly improved, although it continues to cause pain in certain positions such as lifting the arm overhead or forward. As of the date of this report, Jan. 24, 2019, the shoulder pain has not fully resolved and care in activities as well as continued use of non-steroidal anti-inflammatories is still necessary.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Onset of tingling, slight numbness on right side of face and tongue about 20 minutes after injection. Outcome: lasting about 2 hours and gradually diminishing.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Decreased interest, Diet refusal, Headache, Injection site swelling, Lip swelling
Clinical narrative: Immediately after coming home swelling of the injection site then spread to the whole body and leg were there were no injections, took him to urgent care immediately. Fever, headache, vomiting, not interested in toys or food. Not normal for him.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, IPV, VARCEL
Symptoms: Peripheral swelling, Pyrexia, Swelling, Vomiting
Clinical narrative: Immediately after coming home swelling of the injection site then spread to the whole body and leg were there were no injections, took him to urgent care immediately. Fever, headache, vomiting, not interested in toys or food. Not normal for him.
Age: 13.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Dizziness, Visual impairment
Clinical narrative: Pt felt light headed and dizzy a few minutes after injection. She laid down and waited with her mother. She kept saying that her vision was "funny, like in a tunnel". She was monitored for about 30 minutes after injection before leaving clinic.
Age: 13.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Delirium, Dizziness, Inappropriate affect
Clinical narrative: Patient here for nurse visit, nurse administered the MENACTRA first into the left deltoid patient tolerated with minimal complaints, nurse then HPV vaccine into right deltoid, patient became giggly and states "oh I feel dizzy", instructed patient to lie down onto back and notified Dr., upon arrival of Dr. patient was responding to questions with appropriate answers, patient kept stating "you got me high like at the dentist", patient was laughing often and appearing delirious BENADRYL, susp, total of 50 mg given in office. Improved/stable prior to leaving checked on that afternoon w mom, no concerns.
Age: 55.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Limb injury
Clinical narrative: SHOULDER INJURY.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Hypotonia
Clinical narrative: Observed patient fall limp while sitting on bed against wall, nursing notified physician, upon physician arrival patient was AAOx3 within 1 minute, laid patient back onto bed and held legs above level of heart, patient was able to leave within 30 minutes with family at side and no other episodes.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Headache, Pain in jaw
Clinical narrative: Patient had a headache for 6-7 days, extreme tiredness, then extreme left upper jaw pain that followed after headache for 7 days pt went to dentist for an exam everything dental was fine. Pt feel it was related to the shot and nothing else.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Rash, Rash erythematous
Clinical narrative: Felt awful, red raised rash 3x3 inches around waist.
Age: 15.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, VARCEL, HPV9, MNQ, TDAP, VARCEL
Symptoms: Fall, Unresponsive to stimuli
Clinical narrative: Completed administering vaccines, patient and family refused to stay the 30 minute in office wait time, states "we are going downstairs, we will wait there", patient ambulated to check out counter, staff notified nurse, upon arrival patient was on floor unresponsive for approx 30 seconds, patient the opened eyes questioning what had happened, patient was then AAOx3, assisted patient to stand and ambulate to patient room, patient waited in office approx 30 minutes without any further episodes, aunt was called later that evening and did not voice any concerns.
Age: 15.0
Sex: F
Vaccine: HPV9, MNQ, TDAP, VARCEL, HPV9, MNQ, TDAP, VARCEL
Symptoms: Unresponsive to stimuli
Clinical narrative: Completed administering vaccines, patient and family refused to stay the 30 minute in office wait time, states "we are going downstairs, we will wait there", patient ambulated to check out counter, staff notified nurse, upon arrival patient was on floor unresponsive for approx 30 seconds, patient the opened eyes questioning what had happened, patient was then AAOx3, assisted patient to stand and ambulate to patient room, patient waited in office approx 30 minutes without any further episodes, aunt was called later that evening and did not voice any concerns.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Muscle fatigue
Clinical narrative: Intense chill and shivering occurred three times the day after the vaccination - at 4:30am, 2:00pm, and 7:30pm; I took ADVIL each time which seemed to help. Lingering chills occurred two days after the vaccination, but much reduced. I also experienced muscle fatigue and headaches the day after the vaccination; the ADVIL definitely helped relieve these.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Crying, Eczema, Emotional distress, Insomnia, Loss of consciousness
Clinical narrative: After Vaccines patient cried in pain for hours upon hours. She was completely unconsolable. She wouldn't drink anything or sleep. She just screamed in pain. This contained for about 5 hours until she finally passed out in my arms. She continued to wake up throughout the night screaming in pain. About 4 days after receiving the vaccines she developed a rash all over her body. Doctor said it was severe eczema. She stated that she had never seen a case so bad in an infant. She stated she had eczema in places where only adults normally get it.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Middle insomnia, Pain, Rash generalised, Screaming
Clinical narrative: After Vaccines patient cried in pain for hours upon hours. She was completely unconsolable. She wouldn't drink anything or sleep. She just screamed in pain. This contained for about 5 hours until she finally passed out in my arms. She continued to wake up throughout the night screaming in pain. About 4 days after receiving the vaccines she developed a rash all over her body. Doctor said it was severe eczema. She stated that she had never seen a case so bad in an infant. She stated she had eczema in places where only adults normally get it.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Immunisation reaction, Induration, Skin warm
Clinical narrative: Received immunization 01/03/2019 at approx. 4pm. No problems experienced until awoke Saturday 01/05/2019 with 6 in diameter redness, firm and hot to touch. No fever or other problems noted. Went to Urgent Care, physician stated it was a reaction to immunization and an antibiotic (does not know name) X 7 days, and BENADRYL po. Started to look better on Monday 01/09/2019.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Gulf war syndrome, Headache, Irritable bowel syndrome, Post-traumatic stress disorder
Clinical narrative: Now suffering from Gulf War illness, IBS, chronic fatigue, blurred vision, headaches, PTSD.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Vision blurred
Clinical narrative: Now suffering from Gulf War illness, IBS, chronic fatigue, blurred vision, headaches, PTSD.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Asthenia, Blood test normal, Computerised tomogram normal, Generalised tonic-clonic seizure, Malaise
Clinical narrative: Patient's stepmom called the day after patient received vaccines and left a message that patient was not feeling well and felt very weak and at one time went down on his knees from being so weak. This nurse returned the call and left a message to call this nurse back - no call was returned to this nurse. Today (1/24/19) this nurse received a call from patient's mother, stating patient was taken to the ER on 1/17/19 due to having a grand mal seizure. The mother states patient went down on his knees and clawed at the couch cushion to get himself up and had a grand mal seizure. Mother states she was not present, patient was with his stepmother. Patient's mom states many tests were done at the ER including a CT scan and blood work and everything came back normal. Patient's mom states the ER doctor told them these symptoms were most likely caused from the vaccines. The mother called this nurse wanting to report this happened.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Muscular weakness, Vaccination complication
Clinical narrative: Patient's stepmom called the day after patient received vaccines and left a message that patient was not feeling well and felt very weak and at one time went down on his knees from being so weak. This nurse returned the call and left a message to call this nurse back - no call was returned to this nurse. Today (1/24/19) this nurse received a call from patient's mother, stating patient was taken to the ER on 1/17/19 due to having a grand mal seizure. The mother states patient went down on his knees and clawed at the couch cushion to get himself up and had a grand mal seizure. Mother states she was not present, patient was with his stepmother. Patient's mom states many tests were done at the ER including a CT scan and blood work and everything came back normal. Patient's mom states the ER doctor told them these symptoms were most likely caused from the vaccines. The mother called this nurse wanting to report this happened.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Myalgia, Pyrexia
Clinical narrative: Soreness at site, fever, muscle aches.
Age: 33.0
Sex: M
Vaccine: RAB
Symptoms: Diarrhoea, Influenza like illness, Injection site pain, Lymphadenopathy, Pain
Clinical narrative: Donor states he began having diarrhea and flu-like symptoms (not feeling good, achy) later in the evening post injection. On waking the next morning, donor states his lymph nodes were swollen on left side of his neck, arm was sore from shoulder to wrist, painful to move fingers on left hand. Donor states he felt his pain level was over 10 (from pain scale of  0-10). Donor took 4 Ibuprofen pills and states his pain level decreased to 4/10 within an hour post self-medication. Contacted donor at 1330 and he states pain is now 2/10.
Age: 33.0
Sex: M
Vaccine: RAB
Symptoms: Pain in extremity
Clinical narrative: Donor states he began having diarrhea and flu-like symptoms (not feeling good, achy) later in the evening post injection. On waking the next morning, donor states his lymph nodes were swollen on left side of his neck, arm was sore from shoulder to wrist, painful to move fingers on left hand. Donor states he felt his pain level was over 10 (from pain scale of  0-10). Donor took 4 Ibuprofen pills and states his pain level decreased to 4/10 within an hour post self-medication. Contacted donor at 1330 and he states pain is now 2/10.
Age: 50.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea and emesis within 5 hours of administration, followed several hours later with several episodes of diarrhea. Low grade fever of 99-100.
Age: 54.0
Sex: F
Vaccine: RAB, VARZOS
Symptoms: Injection site pain
Clinical narrative: Patient reports to the pharmacy today, January 24, 2019, to receive her 2nd dose of SHINGRIX. Once weekly since her last vaccination she states she receives sharp pain at the injection site on her left arm. This occurs roughly once a week and lasts about 3 seconds. No complaints about negatively effecting quality of life. She attributes this vaccine to this reaction because she felt this same sensation when she was diagnosed with shingles.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Pain and swelling in the left arm upper arm. Pain from wrist the shoulder. No redness noted.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Extensive swelling of vaccinated limb, Injection site pain, Insomnia, Neck pain
Clinical narrative: Pain and swelling in the left arm upper arm. Pain from wrist the shoulder. No redness noted.
Age: 72.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Neuralgia
Clinical narrative: Pain and swelling in the left arm upper arm. Pain from wrist the shoulder. No redness noted.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood culture, Blood lactic acid, Chest discomfort, Chills, Culture urine
Clinical narrative: Tightness of chest, trouble breathing, headache, shivering and fever. Woke 0430 am. Wife called 911 and was taken to emergency room. BP 148/81. Temp. 100.5. Pulse 98.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Differential white blood cell count, Dyspnoea, Fibrin D dimer, Full blood count, Glomerular filtration rate
Clinical narrative: Tightness of chest, trouble breathing, headache, shivering and fever. Woke 0430 am. Wife called 911 and was taken to emergency room. BP 148/81. Temp. 100.5. Pulse 98.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Influenza virus test, Liver function test, Metabolic function test, Pyrexia
Clinical narrative: Tightness of chest, trouble breathing, headache, shivering and fever. Woke 0430 am. Wife called 911 and was taken to emergency room. BP 148/81. Temp. 100.5. Pulse 98.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Troponin, Urine analysis
Clinical narrative: Tightness of chest, trouble breathing, headache, shivering and fever. Woke 0430 am. Wife called 911 and was taken to emergency room. BP 148/81. Temp. 100.5. Pulse 98.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Extreme arm pain, Red swollen hot, Terrible pain, Felt tired and sluggish for 2 days.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Sluggishness
Clinical narrative: Extreme arm pain, Red swollen hot, Terrible pain, Felt tired and sluggish for 2 days.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, C-reactive protein increased, Immediate post-injection reaction, Myalgia, Polymyalgia rheumatica
Clinical narrative: Muscle pain, shoulders, arms, hips, totally debilitating, started right after immunization and gotten progressively worse, diagnosed with PMR on 11/9/18.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Red blood cell sedimentation rate increased
Clinical narrative: Muscle pain, shoulders, arms, hips, totally debilitating, started right after immunization and gotten progressively worse, diagnosed with PMR on 11/9/18.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Arthralgia, Influenza virus test negative, Malaise, Nausea
Clinical narrative: Stomach ache, joint pains, malaise, nausea.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Patient experienced a low grade fever, headache and body aches.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: The patient returned to the pharmacy today, 1/24, to pick up prescriptions for pain and adverse events stemming from receiving her second dose of SHINGRIX on Saturday, 1/19. The patient was seen by her doctor today and informed me that she has had severe arm pain, redness, swelling at the injection site as well as flu-like symptoms (she said all of the symptoms on her VIS at one point or other during the conversation.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Abdominal pain lower, Abdominal pain upper, Asthenia, Blood bilirubin increased, Chromaturia
Clinical narrative: Complained of feeling weak, stomach cramps, lower abdominal cramping, upper quadrant pain right and left sides, bright orange urine, runny gray stools with loss of appetite and nausea starting about 1 hour after vaccination. Yellow skin and eyes occurred approx. 3 days after vaccination.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Decreased appetite, Diarrhoea, Faeces discoloured, Hepatitis A antibody negative, Hepatitis A antigen negative
Clinical narrative: Complained of feeling weak, stomach cramps, lower abdominal cramping, upper quadrant pain right and left sides, bright orange urine, runny gray stools with loss of appetite and nausea starting about 1 hour after vaccination. Yellow skin and eyes occurred approx. 3 days after vaccination.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Hepatitis B, Hepatitis B core antibody negative, Hepatitis B core antigen, Hepatitis B surface antibody negative, Hepatitis C antibody negative
Clinical narrative: Complained of feeling weak, stomach cramps, lower abdominal cramping, upper quadrant pain right and left sides, bright orange urine, runny gray stools with loss of appetite and nausea starting about 1 hour after vaccination. Yellow skin and eyes occurred approx. 3 days after vaccination.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Liver function test increased, Nausea, Ocular icterus, Ultrasound abdomen abnormal, Yellow skin
Clinical narrative: Complained of feeling weak, stomach cramps, lower abdominal cramping, upper quadrant pain right and left sides, bright orange urine, runny gray stools with loss of appetite and nausea starting about 1 hour after vaccination. Yellow skin and eyes occurred approx. 3 days after vaccination.
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Arthropathy, Influenza, Injected limb mobility decreased, Injection site pain, Joint stiffness
Clinical narrative: Influenza, injectable, quadrivalent, preservative-free. I had a flu vaccine on Oct. 12th. I continued a rigorous workout routine through that weekend with no problems and a couple days into the next week without any issues. Then I started feeling some cold/flu symptoms and took a couple of days off from working out and that is when both my shoulders felt tight with limited mobility (as if I had just completed a lifting routine at the gym). A day after the tightness the pain started in my shoulders and continued radiating down to my hands over a period of about two weeks. My left shoulder and arm continue to experience moderate to severe pain starting in my shoulder and radiating down to my left hand. It feels as if my shoulder is popping in and out of alignment and impinging on the nerves. My right shoulder continues to have very mild pain (mostly in the morning) with occasional sharp pain spikes during normal movement throughout the day.
Age: 57.0
Sex: M
Vaccine: FLUX
Symptoms: Mobility decreased, Musculoskeletal pain, Nasopharyngitis, Pain, Pain in extremity
Clinical narrative: Influenza, injectable, quadrivalent, preservative-free. I had a flu vaccine on Oct. 12th. I continued a rigorous workout routine through that weekend with no problems and a couple days into the next week without any issues. Then I started feeling some cold/flu symptoms and took a couple of days off from working out and that is when both my shoulders felt tight with limited mobility (as if I had just completed a lifting routine at the gym). A day after the tightness the pain started in my shoulders and continued radiating down to my hands over a period of about two weeks. My left shoulder and arm continue to experience moderate to severe pain starting in my shoulder and radiating down to my left hand. It feels as if my shoulder is popping in and out of alignment and impinging on the nerves. My right shoulder continues to have very mild pain (mostly in the morning) with occasional sharp pain spikes during normal movement throughout the day.