chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Aspiration joint, Blood culture, Blood test, Blood test normal, Culture urine
Clinical narrative: Puked on the afternoon of Sunday May 28th with no fever or other signs of distress. He ate 'brat diet' foods (banana, bread, rice puffs, apple sauce) that night without any vomiting or discomfort. Patient first presented with a high fever (>103 degrees) and a refusal to walk or bear weight on his legs at home on the morning of May 29th. Took patient to primary care pediatrician for initial sick visit in the morning on Monday May 29th. After dosing him with acetaminophen and ibuprofen during the day and checking back in with the doctor, his continued high fever and refusal to walk prompted the primary care pediatrician to recommend Emergency Room visit. At the hospital, patient had blood work done to check white blood cell count, and other lab markers as well as a blood culture to test for infections, and an x-ray of his right side, and had urine extracted via catheter for cultures. During this time he appeared to respond more painfully to touch/manipulation of the right leg below the hip. All tests came back inconclusive, and attending ER doctor consulted with orthopedic doctors hospital, who thought he may be presenting with septic joint due to fever and how he was holding his leg while at rest. We transfered to hospital where the orthopedic doctor attempted a hip aspiration, but was unable to withdraw any fluid from the joint to perform an analysis on. Patient was admitted for observation Tuesday May 30th. While at Hospital he continued to have both a fever and pain in his lower appendages; it was still not entirely clear where exactly his pain was located and he still refused to walk or bear weight until about Thursday, June 1st, when he started to show signs of improving. May 31st the attending orthopedic doctor recommended an MRI of his foot to determine if patient had a bone infection or soft tissue inflamation; the MRI showed that it was soft tissue inflamation in his right foot (pain had moved from hip/knee area to foot, and also presented on left side, although less intensely than right). After the MRI, he was officially diagnosed with myositis from an unknown vector. Hospital discharged us on May 30th as patient's fever and overall pain seemed to be improving; he was willing to put pressure on his legs to stand with assistance, and roll around with assistance; neither of which he did prior in his hospitalization. Sometime in the weekend/week of June 3rd he recovered enough to walk, although it took him many days if not a week or more to walk without a 'drunken' stumble or hesitation/delay in getting up off the floor.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Dysstasia, Gait disturbance, Myositis, Nuclear magnetic resonance imaging abnormal, Pain
Clinical narrative: Puked on the afternoon of Sunday May 28th with no fever or other signs of distress. He ate 'brat diet' foods (banana, bread, rice puffs, apple sauce) that night without any vomiting or discomfort. Patient first presented with a high fever (>103 degrees) and a refusal to walk or bear weight on his legs at home on the morning of May 29th. Took patient to primary care pediatrician for initial sick visit in the morning on Monday May 29th. After dosing him with acetaminophen and ibuprofen during the day and checking back in with the doctor, his continued high fever and refusal to walk prompted the primary care pediatrician to recommend Emergency Room visit. At the hospital, patient had blood work done to check white blood cell count, and other lab markers as well as a blood culture to test for infections, and an x-ray of his right side, and had urine extracted via catheter for cultures. During this time he appeared to respond more painfully to touch/manipulation of the right leg below the hip. All tests came back inconclusive, and attending ER doctor consulted with orthopedic doctors hospital, who thought he may be presenting with septic joint due to fever and how he was holding his leg while at rest. We transfered to hospital where the orthopedic doctor attempted a hip aspiration, but was unable to withdraw any fluid from the joint to perform an analysis on. Patient was admitted for observation Tuesday May 30th. While at Hospital he continued to have both a fever and pain in his lower appendages; it was still not entirely clear where exactly his pain was located and he still refused to walk or bear weight until about Thursday, June 1st, when he started to show signs of improving. May 31st the attending orthopedic doctor recommended an MRI of his foot to determine if patient had a bone infection or soft tissue inflamation; the MRI showed that it was soft tissue inflamation in his right foot (pain had moved from hip/knee area to foot, and also presented on left side, although less intensely than right). After the MRI, he was officially diagnosed with myositis from an unknown vector. Hospital discharged us on May 30th as patient's fever and overall pain seemed to be improving; he was willing to put pressure on his legs to stand with assistance, and roll around with assistance; neither of which he did prior in his hospitalization. Sometime in the weekend/week of June 3rd he recovered enough to walk, although it took him many days if not a week or more to walk without a 'drunken' stumble or hesitation/delay in getting up off the floor.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Pain in extremity, Pyrexia, Soft tissue inflammation, Tenderness, Vomiting
Clinical narrative: Puked on the afternoon of Sunday May 28th with no fever or other signs of distress. He ate 'brat diet' foods (banana, bread, rice puffs, apple sauce) that night without any vomiting or discomfort. Patient first presented with a high fever (>103 degrees) and a refusal to walk or bear weight on his legs at home on the morning of May 29th. Took patient to primary care pediatrician for initial sick visit in the morning on Monday May 29th. After dosing him with acetaminophen and ibuprofen during the day and checking back in with the doctor, his continued high fever and refusal to walk prompted the primary care pediatrician to recommend Emergency Room visit. At the hospital, patient had blood work done to check white blood cell count, and other lab markers as well as a blood culture to test for infections, and an x-ray of his right side, and had urine extracted via catheter for cultures. During this time he appeared to respond more painfully to touch/manipulation of the right leg below the hip. All tests came back inconclusive, and attending ER doctor consulted with orthopedic doctors hospital, who thought he may be presenting with septic joint due to fever and how he was holding his leg while at rest. We transfered to hospital where the orthopedic doctor attempted a hip aspiration, but was unable to withdraw any fluid from the joint to perform an analysis on. Patient was admitted for observation Tuesday May 30th. While at Hospital he continued to have both a fever and pain in his lower appendages; it was still not entirely clear where exactly his pain was located and he still refused to walk or bear weight until about Thursday, June 1st, when he started to show signs of improving. May 31st the attending orthopedic doctor recommended an MRI of his foot to determine if patient had a bone infection or soft tissue inflamation; the MRI showed that it was soft tissue inflamation in his right foot (pain had moved from hip/knee area to foot, and also presented on left side, although less intensely than right). After the MRI, he was officially diagnosed with myositis from an unknown vector. Hospital discharged us on May 30th as patient's fever and overall pain seemed to be improving; he was willing to put pressure on his legs to stand with assistance, and roll around with assistance; neither of which he did prior in his hospitalization. Sometime in the weekend/week of June 3rd he recovered enough to walk, although it took him many days if not a week or more to walk without a 'drunken' stumble or hesitation/delay in getting up off the floor.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Weight bearing difficulty, White blood cell count, X-ray limb, X-ray normal, X-ray of pelvis and hip
Clinical narrative: Puked on the afternoon of Sunday May 28th with no fever or other signs of distress. He ate 'brat diet' foods (banana, bread, rice puffs, apple sauce) that night without any vomiting or discomfort. Patient first presented with a high fever (>103 degrees) and a refusal to walk or bear weight on his legs at home on the morning of May 29th. Took patient to primary care pediatrician for initial sick visit in the morning on Monday May 29th. After dosing him with acetaminophen and ibuprofen during the day and checking back in with the doctor, his continued high fever and refusal to walk prompted the primary care pediatrician to recommend Emergency Room visit. At the hospital, patient had blood work done to check white blood cell count, and other lab markers as well as a blood culture to test for infections, and an x-ray of his right side, and had urine extracted via catheter for cultures. During this time he appeared to respond more painfully to touch/manipulation of the right leg below the hip. All tests came back inconclusive, and attending ER doctor consulted with orthopedic doctors hospital, who thought he may be presenting with septic joint due to fever and how he was holding his leg while at rest. We transfered to hospital where the orthopedic doctor attempted a hip aspiration, but was unable to withdraw any fluid from the joint to perform an analysis on. Patient was admitted for observation Tuesday May 30th. While at Hospital he continued to have both a fever and pain in his lower appendages; it was still not entirely clear where exactly his pain was located and he still refused to walk or bear weight until about Thursday, June 1st, when he started to show signs of improving. May 31st the attending orthopedic doctor recommended an MRI of his foot to determine if patient had a bone infection or soft tissue inflamation; the MRI showed that it was soft tissue inflamation in his right foot (pain had moved from hip/knee area to foot, and also presented on left side, although less intensely than right). After the MRI, he was officially diagnosed with myositis from an unknown vector. Hospital discharged us on May 30th as patient's fever and overall pain seemed to be improving; he was willing to put pressure on his legs to stand with assistance, and roll around with assistance; neither of which he did prior in his hospitalization. Sometime in the weekend/week of June 3rd he recovered enough to walk, although it took him many days if not a week or more to walk without a 'drunken' stumble or hesitation/delay in getting up off the floor.
Age: 7.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Zoster vaccine was given to the patient instead of Varicella vaccine. Patient had no reaction 40 minutes post vaccine administration. She did not have any reactions by 9:30 am on 8/18/2017.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Hyperaesthesia, Rash, Rash erythematous
Clinical narrative: Localized red rash, raised and sensitive to touch. Cephalexin 500mg TID x 7 days.
Age: 44.0
Sex: F
Vaccine: HEPAB
Symptoms: Diarrhoea, Influenza like illness, Pain in extremity, Vomiting
Clinical narrative: Body aches, vomiting, diarrhea. "I felt like I had the flu".
Age: 44.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Fatigue, Vomiting
Clinical narrative: Fatigue, vomiting, diarrhea.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Anxiety, Immediate post-injection reaction, Seizure
Clinical narrative: Client received three vaccines this day- Tdap, MCV4 and HPV9. Client was very anxious. The HPV was administered last, and the client immediately experienced a brief seizure, lasting about a minute (?). The mother was also present. The client came out of the seizure without incident. We stayed with her, letting her regain herself, about 30 minutes. No vitals were taken. The client seemed fine, just unable to remember what happened. The mom was very frightened, she has a son that has epilepsy. Follow up phone call the next day- mom reports client is doing just fine.
Age: 1.08
Sex: F
Vaccine: HEPA, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: Parent advised that MMRV was given instead of MMR, parent informed to watch for high fevers and possible rash.
Age: 87.0
Sex: M
Vaccine: PPV
Symptoms: Face oedema, Lip swelling, Throat irritation
Clinical narrative: Left side Lip and cheek swelling/ Scratchy Throat. IV Benadryl and Pepcid given. Ice applied to lip and cheek.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: PATIENT HAS A RED HOT RASH ABOUT THE SIZE OF A DOLLAR BILL NEAR THE SITE OF INJECTION, BUT NOT ON SITE OF REACTION-SUGGESTED TREATMENT OF ICE AND CORTISONE CREAM. PATIENT IS ALSO SORE FROM IMZ, A NORMAL REACTION.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: PT STATES SHE CONTRACTED CELLULITIS IN THE LEFT ARM DUE TO THE VACCINATIONS, SHE WENT TO URGENT CARE, SEEN BY DR, HER ARM WAS RED AND SWOLLEN FROM THE SHOULDER TO THE WRIST, NO RED LINES PRESENT. SHE WAS GIVEN AN ERX FOR CEPHALEXIN 500MG QIDX14D #56, I AM UNAWARE OF THE OUTCOME JUST YET AS ANTIBIOTIC THERAPY HAS JUST BEGUN.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: PATIENT & MOM CAME BACK TO PHARMACY-REPORTED BUMPS ON HER ARM. SHE WENT TO SCHOOL TO PICK UP SCHEDULE AND THEN RETURNED AS SHE EXPERIENCED ITCHINESS, WORSENING OF BUMPS AND REDNESS ON FACE, ARMS AND LEGS. CALLED HER MD OFFICE AND TRIAGE NURSE HAD ME HAVE PT GO TO EMERGENCY ROOM.
Age: 66.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Balance disorder, Impaired driving ability, Nausea
Clinical narrative: Patient's wife came in and stated that patient experienced heavy nausea. It was affecting his equilibrium that he was not able to drive himself around and that she was needing to drive him to different places. Patient had the symptoms for a few days, but was relieved at the time of reporting the incident.
Age: 38.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site cellulitis, Injection site swelling, Injection site warmth, Pyrexia, Vomiting
Clinical narrative: Patient reports fever and vomiting 12-14 hours after injections. She also reports extreme swelling and fever around injections site that ER doctor diagnosed as cellulitis. Patient is being treated with antibiotics. She also stated reactions appears to be mostly located around PNEUMOVAX injection site.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Abasia, Asthenia, Back pain, Blood glucose increased, Blood test
Clinical narrative: High temperature, several pain in groin and upper thigh, lower back pain, loss of appetite, spike in glucose levels, inability to walk, blurred vision, extremely low energy level. Medical clinic reviewed. Chest X-ray negative, urinalysis negative for infection, sore arm, swelling and redness, blood draw, (elevated white blood cells). Patient is an active 66 year old with high tolerance for pain. Dr concurred with patient on adverse reaction.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Body temperature increased, Chest X-ray normal, Decreased appetite, Erythema, Groin pain
Clinical narrative: High temperature, several pain in groin and upper thigh, lower back pain, loss of appetite, spike in glucose levels, inability to walk, blurred vision, extremely low energy level. Medical clinic reviewed. Chest X-ray negative, urinalysis negative for infection, sore arm, swelling and redness, blood draw, (elevated white blood cells). Patient is an active 66 year old with high tolerance for pain. Dr concurred with patient on adverse reaction.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Limb discomfort, Pain in extremity, Peripheral swelling, Urine analysis, Vision blurred
Clinical narrative: High temperature, several pain in groin and upper thigh, lower back pain, loss of appetite, spike in glucose levels, inability to walk, blurred vision, extremely low energy level. Medical clinic reviewed. Chest X-ray negative, urinalysis negative for infection, sore arm, swelling and redness, blood draw, (elevated white blood cells). Patient is an active 66 year old with high tolerance for pain. Dr concurred with patient on adverse reaction.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: White blood cell count increased
Clinical narrative: High temperature, several pain in groin and upper thigh, lower back pain, loss of appetite, spike in glucose levels, inability to walk, blurred vision, extremely low energy level. Medical clinic reviewed. Chest X-ray negative, urinalysis negative for infection, sore arm, swelling and redness, blood draw, (elevated white blood cells). Patient is an active 66 year old with high tolerance for pain. Dr concurred with patient on adverse reaction.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Communication disorder, Computerised tomogram, Disorientation, Electroencephalogram normal, Generalised tonic-clonic seizure
Clinical narrative: She began having seizures, which I didn't identify as a seizure until she had a grand mal and I called the ambulance. After that she began having seizure at least once a week. Finally, after months of trying to get into a medical facility to run tests, we found there was no abnormal signs in the brain and really no physically medical reason she should be having the seizures. She's been on meds since we found Dr., which have helped somewhat. She missed a lot of school the past two years, but has maintained a good grade average with the help of a plan. She shakes upon wakening and often times during the day she can get disoriented, can't talk or control her face.  She has had to be assisted into the nurses office due to inability to communicate. Ambulance was called on a school outing to come get her from bus due to a seizure.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Loss of personal independence in daily activities, Nuclear magnetic resonance imaging, Seizure, Speech disorder, Tremor
Clinical narrative: She began having seizures, which I didn't identify as a seizure until she had a grand mal and I called the ambulance. After that she began having seizure at least once a week. Finally, after months of trying to get into a medical facility to run tests, we found there was no abnormal signs in the brain and really no physically medical reason she should be having the seizures. She's been on meds since we found Dr., which have helped somewhat. She missed a lot of school the past two years, but has maintained a good grade average with the help of a plan. She shakes upon wakening and often times during the day she can get disoriented, can't talk or control her face.  She has had to be assisted into the nurses office due to inability to communicate. Ambulance was called on a school outing to come get her from bus due to a seizure.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered, Wrong drug administered
Clinical narrative: MMRV was given, MMR should have been given to patient.
Age: 22.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pruritus, Injection site swelling, Rash erythematous
Clinical narrative: Injection site became very big and large bruise, patient stated it itched, and that she had a rash with very small red bumps that did not itch.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented to the pharmacy with a 3inch by 4inch red, slightly raised, warm patch at the injection site. She stated that she didn't think that it had gotten any bigger. She received the immunization 8/17/17 in the afternoon and did not notice the reaction until after 6pm on 8/18/17. Patient stated that she would take TYLENOL for the reaction but did not feel that it was an allergic reaction and did not seek medical treatment.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site pain, Muscle tightness, Pain, Pain in extremity
Clinical narrative: Per conversation with patient 8/18/17: - Muscle pain at injection site after shot, documented report to the pharmacy of "muscle tightness" on 9/30/16 - Pain, tingling, numbness in entire left arm and hand persistent for about 3 to 4 months, but then tapered away - Reports that she continues to have "aches" before storms now.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Per conversation with patient 8/18/17: - Muscle pain at injection site after shot, documented report to the pharmacy of "muscle tightness" on 9/30/16 - Pain, tingling, numbness in entire left arm and hand persistent for about 3 to 4 months, but then tapered away - Reports that she continues to have "aches" before storms now.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Decreased appetite, Fatigue, Pyrexia, Vomiting
Clinical narrative: Low grade fever - first 24 hours. Vomiting - since shot. Screaming - off and on since shot. Poor appetite - since shot. Fatigue -since shot.
Age: 17.0
Sex: F
Vaccine: HEPA, JEV1
Symptoms: Abdominal pain, Rash, Rash erythematous, Vaccination complication
Clinical narrative: Approx. six hours post vaccination, red spots appeared on both forearms and later that night on one upper leg. Painful but not itchy. Urgent care was accessed and pt  was told that it was probably a non-histamine related reaction due to vaccination. No treatment was given and patient released. Further follow-up 2 days later and leg spots have increased and forearm spots were fading.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient reports getting shingles in her genitalia area.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site pain
Clinical narrative: Pain at injection site of left deltoid muscle. Sore even at rest .
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Cough, Decreased appetite, Diarrhoea, Irritability, Rash
Clinical narrative: Got immunizations 08/15/17 was warm and fussy 08/16/17 up until appointment. Parents did not give TYLENOL. He was not eating as well as normal. Slight cough this morning. No fever, nasal discharge; cough; vomiting; diarrhea. Decreased appetite. Rash on legs and back.
Sex: U
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Skin warm, Vomiting
Clinical narrative: Got immunizations 08/15/17 was warm and fussy 08/16/17 up until appointment. Parents did not give TYLENOL. He was not eating as well as normal. Slight cough this morning. No fever, nasal discharge; cough; vomiting; diarrhea. Decreased appetite. Rash on legs and back.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Skin warm
Clinical narrative: Red, itchy bump at injection site. Hot to touch. She noticed at noon 8/15/17.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Lethargy, Malaise, Pain, Peripheral swelling
Clinical narrative: Fever, chills, pain swelling of entire arm fever 102 lasting 12 hours, aches, lethargic, overall sickness feeling.
Age: 84.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Fever, chills, pain swelling of entire arm fever 102 lasting 12 hours, aches, lethargic, overall sickness feeling.
Age: 74.0
Sex: F
Vaccine: FLUA3
Symptoms: Dyspnoea, Feeling abnormal, Hypertension, Thirst
Clinical narrative: After administration of FLUAD pt stated that did not feel right. Assessment showed high BP, extreme thirst, and shortness of breath. After 5 minute assessment breathing was much more labored. EMS called and EPIPEN administered. EMS arrived in about 12 minutes.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Hypoaesthesia, Mobility decreased, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: At 1:30 AM the morning after receiving PNEUMOVAX, pt. experienced pain in the entire arm, numbness in fingers and had trouble moving her arm. This was still happening when she came in to the pharmacy the morning of 8/18/17. Still had pain and stiffness in entire arm as of 6 PM when pt. came back in the pharmacy.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Patient said she had swelling and warmth to the touch on injection site.
Age: 13.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Right upper arm red, swollen, and warm to the touch.
Age: 54.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Back pain, Chest pain, Fatigue, Injection site pain, Tenderness
Clinical narrative: Patient described pain and tenderness at injection site, spreading to back and then chest throughout several days. Patient is complaining of pain and sensitivity on chest and overall tiredness 6 days post injection.
Age: 53.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: Injection site reaction. Redness in area, warmth, pain initially but has worn off after 4 days.
Age: 19.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Shortly after receiving the vaccine, patient felt faint. Pt. was placed in a chair. Patient began to sweat profusely and lost color in his face but never loss consciousness. He also claimed he was feeling nauseous. Patient received a cool rag  for his forehead and patient requested a dose of benadryl. He was given 10ml of liquid benadryl 12.5mg/5ml. Within approximately 30 minutes, pt began to feel better.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Patient presented to the pharmacy with redness, warmth and tenderness around injection site.
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reported itching, swelling, and redness at injection site the evening of receiving the vaccine and still there 2 days later.
Age: 33.0
Sex: F
Vaccine: PPV
Symptoms: Injection site irritation, Injection site swelling, Scab, Scar
Clinical narrative: Patient received vaccine on 8/6/17. Next day patient reported excessive swelling, irritation, but no other concerning symptoms at the time. On 8/19/17, patient presented to administering pharmacist, and showed her arm, where a scab had formed and fallen off. The skin was lighter underneath that area, possible scarring. Patient does have a tattoo on that arm, but I verified that shot was administered in a non ink containing area of that arm. Patient is still experiencing some irritation/scabbing. Recommended monitoring, self care such as keeping moisturized, and follow up with physician if irritation continues or signs of infection.
Age: 37.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Pt claims that next day arm turned red and warm around injection site area with some pain. Pt went to emergency room later that evening, said that doctor told her it was cellulitis. Brought in prescriptions for cephalexin and prednisone around 8:30 pm on 8/16/17.
Age: 25.0
Sex: F
Vaccine: HPV9
Symptoms: Disturbance in attention, Dizziness, Fatigue, Nausea
Clinical narrative: Dizziness, fatigue, nausea, difficulty concentrating.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Respiratory tract congestion
Clinical narrative: Approximately one week after receiving the flu shot, patient developed cough and congestion.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Pyrexia
Clinical narrative: PATIENT DEVELOPED HIGH FEVER (102F) AND WAS UNABLE TO MOVE RIGHT ARM. FEVER PERSISTED AFTER TYLENOL.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: EE received 2nd vaccination for her Hepatitis B series- at approximately: 9:15AM on: 8/19/2017- without instance. Around 1:25PM, EE began to feel nausea- which led to vomiting. Medical Staff evaluated- EE does not take any medications (prescribed nor OTC/PRN), has not had any illnesses in past 1 month- no recent pregnancies and no HX of any allergies. EE c/o nausea- did vomit x2- c/o of headache post emesis. No other S/S noted nor disclosed per EE.
Age: 22.0
Sex: M
Vaccine: MMR, VARZOS
Symptoms: Wrong drug administered
Clinical narrative: COUNSEL PATIENT. HE WAS GETTING IMMUNIZATIONS TO REGISTER FOR SCHOOL. HE GOT MMR AND VARIVAX. IT WAS THE SECOND DOSE FOR BOTH. MY TECH INPUTTED EVERYTHING CORRECTED. I PULLED AND MIXED ZOSTAVAX INSTEAD. I CHECKED THE BOTTLE LOTS AND EXP DATE BUT DID NOT REALIZE UNTIL I WAS FILLING OUT THE FORM THAT I ADMINISTERED THE WRONG VACCINE.
Age: 64.0
Sex: M
Vaccine: FLU4, TDAP, VARZOS
Symptoms: Injection site discomfort, Injection site erythema, Injection site nodule
Clinical narrative: LARGE KNOT AT ZOSTAVAX SITE. RED AND UNCOMFORTABLE.
Age: 53.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site reaction, redness, warmth, pain and swelling.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Gait disturbance, Hypersensitivity, Injection site bruising, Injection site erythema, Injection site warmth
Clinical narrative: The nurse gave my son the vaccines. At night when I changed him to go to sleep I noticed his leg swollen and red. The next day I called his pediatrician to let them know if it was normal and the nurse said that it was fine as long as he wasn't vomiting or having fever. The next day after that, my son kept touching his leg and he was limping and the area where the vaccine was had a big red circle, it was still swollen, and in the middle of the red circle was a bruise and it was warm to the touch. I took him to the hospital at five because I wasn't comfortable about it and the doctor told me that it was an allergy reaction. My son received diphenhydramine and hydrocortisone for medications.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Peripheral swelling
Clinical narrative: The nurse gave my son the vaccines. At night when I changed him to go to sleep I noticed his leg swollen and red. The next day I called his pediatrician to let them know if it was normal and the nurse said that it was fine as long as he wasn't vomiting or having fever. The next day after that, my son kept touching his leg and he was limping and the area where the vaccine was had a big red circle, it was still swollen, and in the middle of the red circle was a bruise and it was warm to the touch. I took him to the hospital at five because I wasn't comfortable about it and the doctor told me that it was an allergy reaction. My son received diphenhydramine and hydrocortisone for medications.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Pt called pharmacy AM of 8/19 to report and get advice on her injection site reaction. Her left upper arm is bruised, swollen and painful to the touch. She has not noted any fevers or chills and will contact her physician if that should occur. Pt was advised to ice the area, take TYLENOL &/or ibuprofen and to keep an eye on the bruised area to watch for any growth or continued swelling.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Dermatitis exfoliative
Clinical narrative: Generalized erythroderma.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site vesicles
Clinical narrative: Patient developed redness and swelling to the site of injection (left arm) 24 hours after accompanied with pain and itching. On the 2nd day post injection developed several blisters to the sites. Three days after bad episode of vomiting.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Vomiting
Clinical narrative: Patient developed redness and swelling to the site of injection (left arm) 24 hours after accompanied with pain and itching. On the 2nd day post injection developed several blisters to the sites. Three days after bad episode of vomiting.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Diarrhoea, Fatigue, Pyrexia, Vomiting
Clinical narrative: Fever; Vomiting; Diarrhea; Exhaustion; 48 hours.
Age: 38.0
Sex: M
Vaccine: TTOX
Symptoms: Chills, Erythema, Pain, Pyrexia, Swelling
Clinical narrative: Severe pain and swelling. Redness, tenderness down entire arm and into chest. Fever , aches, chills.
Age: 38.0
Sex: M
Vaccine: TTOX
Symptoms: Tenderness
Clinical narrative: Severe pain and swelling. Redness, tenderness down entire arm and into chest. Fever , aches, chills.
Age: 44.0
Sex: F
Vaccine: PNC13
Symptoms: Dyspnoea, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Severe redness, severe swelling, pain, hot to touch, lasting (currently on day 6), shortness of breath, impaired mobility.
Age: 44.0
Sex: F
Vaccine: PNC13
Symptoms: Mobility decreased
Clinical narrative: Severe redness, severe swelling, pain, hot to touch, lasting (currently on day 6), shortness of breath, impaired mobility.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Local injection site reaction with swelling, redness, induration and pruritis extending from shoulder down posterior arm to left elbow; started within hours of receiving vaccine, was the worst on day #3 and was starting to improve by day #4 after vaccination. At time of evaluation by healthcare provider, induration, redness and itching were most bothersome to pt. At time of eval induration measured 7 cm l x 5 cm w, and area of erythema measured 17 cm l x 10 cm w. Patient was treated with topical steroid of medium potency (Kenalog 0.1% cream one app daily) and recommended to use cool compresses until resolution, with instruction to f/u for reevaluation if any change in or new  symptoms.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Cellulitis, Injection site induration
Clinical narrative: Tdap given at other office. Induration to left arm noted, looks like it was given below landmark. Treated for cellulitis.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site reaction, Rash macular
Clinical narrative: The patient was vaccinated on a Friday afternoon and noticed the reaction Saturday evening on the inside of her left arm.  t was presented to me on Sunday afternoon. There was a red blotch. The patient said it had been darker but was not causing her any pain, discomfort, itching, etc. I told her BENADRYL could be taken as well as icing the area. I advised her to seek medical care immediately if the area began to swell past a major joint such as the shoulder or elbow. I advised her to monitor the area but to see a physician if the area had not improved by Tuesday.
Age: 68.0
Sex: F
Vaccine: PNC13
Symptoms: Acute kidney injury, Hypotension, Injection site erythema, Laboratory test, Skin reaction
Clinical narrative: Hypotension and skin reaction.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Pt states are injection cause her to get a fever over 102F with her arm swollen and red painful, could not move arm. Took advil, tylenol to help with fever, had to ice her injection site to bring the inflammation down,  pt was bedridden for 3 days.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Adverse reaction, Injection site erythema, Injection site swelling
Clinical narrative: Has a red raised quarter sized injection site reaction following injection, today three days later it has started traveling down her arm and a second reaction has occurred.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Redness and swelling at injection site 10 cm. Tender axilla, body aches, fatigue. No fever. Patient given ciprofloxacin and Benadryl. Unknown outcomes.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema, Immediate post-injection reaction, Induration, Insomnia
Clinical narrative: Pt reported feeling pain and seeing redness right after the IMZ was given, as the day progressed the area became warm and swollen. That evening pt's arm was red, hard, swollen and a bruise was beginning to form. Pt could not sleep on that side. The bruise grew to approx 1 inch below shoulder to 1 inch above elbow. The arm stayed red, hard and swollen. The pt reports that the redness & hardness went down after 2 days. She came into the pharmacy to report this on day 5, she still had minor swelling in the arm and the bruise was turning green and yellow but was still very large. Pt was concerned she was having an allergic rxn to the bandage we used for the IMZ. I told her I wasn't sure that was what happened but I would file a report and investigate her concerns.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Peripheral swelling, Skin discolouration
Clinical narrative: Pt reported feeling pain and seeing redness right after the IMZ was given, as the day progressed the area became warm and swollen. That evening pt's arm was red, hard, swollen and a bruise was beginning to form. Pt could not sleep on that side. The bruise grew to approx 1 inch below shoulder to 1 inch above elbow. The arm stayed red, hard and swollen. The pt reports that the redness & hardness went down after 2 days. She came into the pharmacy to report this on day 5, she still had minor swelling in the arm and the bruise was turning green and yellow but was still very large. Pt was concerned she was having an allergic rxn to the bandage we used for the IMZ. I told her I wasn't sure that was what happened but I would file a report and investigate her concerns.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye pruritus, Nasal congestion, Ocular hyperaemia
Clinical narrative: Pt reported severe nasal congestion, red itchy eyes and shortness of breath with 2-3 hours of vaccine. Symptoms resolved within 5 hours. Pt used decongestant to alleviate symptoms.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Hyperhidrosis, Injection site induration, Pain in extremity, Paraesthesia, Rash
Clinical narrative: Vaccination given in the morning- exact time unknown- patient started with a rash and possibly fainted that night. The next day the rash has extended, experiencing sweating, sore arm, hard spot where vaccine was given and tingling in her thumb.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: On 8/20/17 10am, patient reported localized swelling/slight warm on site of injection located on Left Arm Deltoid. Injection was given on 8/19/17 10.30am. Informed patient it would go away in a few days. Recommended to ice the local area and to take Benadryl.
Age: 59.0
Sex: M
Vaccine: PNC13
Symptoms: Computerised tomogram, Cough
Clinical narrative: Inflammation of airways causing incessant cough unrelieved by 4 rounds of 3 different antibiotics, steroids, codeine cough syrup, tessalon pearls, Zyrtec, monteleukast.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site pain, Injection site swelling
Clinical narrative: PATIENT CAME AND EXPLAINED THAT SHE GOT SWELLING AND PAIN AT SITE OF INJECTION ON THE DAY AFTER ADMINISTRATION DATE. DIAGNOSE CELLULITIS AND PRESCRIBED HER CEPHALEXINE 500 MG CAPSULES 1 CAP Q12 FOR 7 DAYS.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure decreased, Cold sweat, Presyncope
Clinical narrative: THE PATIENT HAD A VAGAL RESPONSE DURING THE ADMINISTRATION OF THE VACCINE. SHE BEGAN TO FEEL CLAMMY AND AS IF THOUGH SHE MIGHT PASS OUT. SHE REQUESTED A COOL, WET CLOTH. HER BLOOD PRESSURE DROPPED TO 97/61. (SHE MENTIONED SHE HAD A SIMILAR REACTION WHEN BLOOD WAS DRAWN FOR LABS BEFORE.)
Age: 94.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: Fever, chills, shortness of breath with an elderly patient, who reported calling 911 because of these symptoms. Symptoms have resolved, but patient reports feeling fatigued recovering from these symptoms.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: Fever, chills, shortness of breath with an elderly patient, who reported calling 911 because of these symptoms. Symptoms have resolved, but patient reports feeling fatigued recovering from these symptoms.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site urticaria, Injection site warmth
Clinical narrative: Site hard, hot and red hives appearing to run across  arm t armpit. Still a little red today and warm, but better. Took a bendryl and iced site.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Cyanosis, Laboratory test, Pallor, Unresponsive to stimuli, Vomiting
Clinical narrative: Nonresponsive, pale, blue in face. Threw up.
Age: 12.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Chills, Injection site cellulitis, Injection site discolouration, Injection site pain
Clinical narrative: Patient's mom called pharmacy 08/20/17 at 5:47 PM to report reaction. Stated on 8/17 patient was experiencing soreness, fevers, and discoloration at that was actively spreading as far as 2 inches below the injection site. She was taking pictures and recording times to monitor symptom improvement. Patient was taken to hospital and diagnosed with cellulitis that originated at site of injection. She was prescribed antibiotics which she picked up at a different pharmacy and mom states symptoms seem to be improving but she still has chills. They just moved to the area and currently have no primary doctor to report to.
Age: 12.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Pyrexia
Clinical narrative: Patient's mom called pharmacy 08/20/17 at 5:47 PM to report reaction. Stated on 8/17 patient was experiencing soreness, fevers, and discoloration at that was actively spreading as far as 2 inches below the injection site. She was taking pictures and recording times to monitor symptom improvement. Patient was taken to hospital and diagnosed with cellulitis that originated at site of injection. She was prescribed antibiotics which she picked up at a different pharmacy and mom states symptoms seem to be improving but she still has chills. They just moved to the area and currently have no primary doctor to report to.
Age: 12.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Cellulitis, Crying, Dyspnoea, Fatigue, Injection site erythema
Clinical narrative: Patient's mom called pharmacy 08/20/17 at 5:47 PM to report reaction. Stated on 8/17 patient was experiencing soreness, fevers, and discoloration at that was actively spreading as far as 2 inches below the injection site. She was taking pictures and recording times to monitor symptom improvement. Patient was taken to hospital and diagnosed with cellulitis that originated at site of injection. She was prescribed antibiotics which she picked up at a different pharmacy and mom states symptoms seem to be improving but she still has chills. They just moved to the area and currently have no primary doctor to report to.
Age: 12.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Injection site rash, Lymphadenopathy, Moaning, Pain in extremity, Pyrexia
Clinical narrative: Patient's mom called pharmacy 08/20/17 at 5:47 PM to report reaction. Stated on 8/17 patient was experiencing soreness, fevers, and discoloration at that was actively spreading as far as 2 inches below the injection site. She was taking pictures and recording times to monitor symptom improvement. Patient was taken to hospital and diagnosed with cellulitis that originated at site of injection. She was prescribed antibiotics which she picked up at a different pharmacy and mom states symptoms seem to be improving but she still has chills. They just moved to the area and currently have no primary doctor to report to.
Age: 12.0
Sex: F
Vaccine: TDAP, TDAP
Symptoms: Sensation of foreign body, Urticaria
Clinical narrative: Patient's mom called pharmacy 08/20/17 at 5:47 PM to report reaction. Stated on 8/17 patient was experiencing soreness, fevers, and discoloration at that was actively spreading as far as 2 inches below the injection site. She was taking pictures and recording times to monitor symptom improvement. Patient was taken to hospital and diagnosed with cellulitis that originated at site of injection. She was prescribed antibiotics which she picked up at a different pharmacy and mom states symptoms seem to be improving but she still has chills. They just moved to the area and currently have no primary doctor to report to.
Age: 1.08
Sex: M
Vaccine: DTAP, FLU3, HEPA, MMR, PNC13, VARCEL
Symptoms: Aphasia, Autism spectrum disorder, Communication disorder, Decreased eye contact, Developmental delay
Clinical narrative: Prior to vaccinations on 10/2/2015, the patient reach all developmental milestones. He was making eye contact, saying "duuhg" while pointing with one finger at a dog, and responding when his name was called. After getting the vaccinations: DTaP (Diphtheria, Tetanus, acellular Pertussis), INFs pres free 6-35m (FLUZONE) (Influenza), MMR (Measles, Mumps, Rubella), PNUcn13 (PREVNAR 13) (Pneumococcal conjugate, 13 valent), and VAR (Varicella, chickenpox) all on 10/2/2015, he lost all those skills. He regressed into a child that no longer: attempted to talk, point with a finger, make eye contact or any gestures for social communication. He was later diagnosed with autism.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia, Rash vesicular
Clinical narrative: Low grade fever and varicella-like rash in typical chicken pox distribution first appearing on 08/19/2017 (10 days after vaccination).
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Gait disturbance, Hypersensitivity, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Received 4 vaccines around 11:30am on Friday 8-18-17 by 4:30 noticed left thigh was red, swollen and hot to the touch. By Saturday morning 8-19-17 entire upper left thigh was swollen and redness spreader. Still hot to the touch and was itchy with pain to walk. Went to ER by 4pm on 8-19-17 where they diagnosed it as an allergic reaction.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pruritus
Clinical narrative: Received 4 vaccines around 11:30am on Friday 8-18-17 by 4:30 noticed left thigh was red, swollen and hot to the touch. By Saturday morning 8-19-17 entire upper left thigh was swollen and redness spreader. Still hot to the touch and was itchy with pain to walk. Went to ER by 4pm on 8-19-17 where they diagnosed it as an allergic reaction.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Injection site mass, Pyrexia
Clinical narrative: Patient developed a very large lump under the injection site on his leg. He also had a fever over 101 the night after he received his shots. The lump took around 3 days to go away. I called the office and was told it was normal and to watch to make sure it didn't get too much bigger.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Rash pruritic
Clinical narrative: Patient describes a rash over various parts of her body that is itchy. She said she treats it w/an oatmeal bath or baking soda bath and that she will follow up with her doctor.
Age: 65.0
Sex: M
Vaccine: FLUA3, VARZOS
Symptoms: Erythema, Joint swelling, Peripheral swelling
Clinical narrative: Per patient 2 days later arm, elbow, forearm, wrist became red swollen. Went to urgent care, been prescribed cephalexin for 10 days.
Age: 0.08
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Autism spectrum disorder, Catatonia, Listless, Mobility decreased, Unresponsive to stimuli
Clinical narrative: Patient was 5.5 weeks premature. At 8 weeks, he was given the below vaccines. Within few hours he became catatonic, listless and would not move, eat or cry. He vomited. Approximately 24 hours later he began to be responsive again. Shows signs of autism.
Age: 0.08
Sex: M
Vaccine: DTAP, HIBV, PNC13
Symptoms: Vomiting
Clinical narrative: Patient was 5.5 weeks premature. At 8 weeks, he was given the below vaccines. Within few hours he became catatonic, listless and would not move, eat or cry. He vomited. Approximately 24 hours later he began to be responsive again. Shows signs of autism.