chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Patient states that she is felt a sore arm right after getting the vaccination but expected it to resolve after a few days. It is now 11 days post vaccination and she visited her physician, PAC because she thought something wasn't right. She states she just feels like she wants to rub the muscle to make it feel better. She doesn't report issue with range of motion but did say she had weakness in that arm when lifting items, like milk jug. She picked up a prescription for a NSAID from her doctor to take for 15 days. She does state that the soreness comes and goes but has not totally gone away.
Age: 57.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Chills, Headache, Malaise, Nausea
Clinical narrative: 10 hours after shot, became nauseous, had a headache and had chills. Felt mildly sick for 3 days.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, chills, aching for at least 12 hours. This was the second dose. Had the same symptoms upon receiving the first dose, but they were more severe and lasted longer on the first dose (fever over 101 for 2 days).
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: Rash, Rash morbilliform, Streptococcus test negative
Clinical narrative: Morbilliform rash on trunk and neck started on 10/29/18.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Decreased appetite, Dizziness, Fatigue, Influenza like illness, Musculoskeletal stiffness
Clinical narrative: The day following 2nd shot of the SHINGRIX I felt flu like symptoms. Stiff muscles, sore all over. Very tired. I slept all day and felt nauseous. Dizzy when I woke up and not hungry. Just needed sleep. That was all day Saturday... the 2nd day. By Sunday, I woke up fine, just a very sore arm.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pain in extremity, Somnolence
Clinical narrative: The day following 2nd shot of the SHINGRIX I felt flu like symptoms. Stiff muscles, sore all over. Very tired. I slept all day and felt nauseous. Dizzy when I woke up and not hungry. Just needed sleep. That was all day Saturday... the 2nd day. By Sunday, I woke up fine, just a very sore arm.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Confusional state, Headache, Intracranial aneurysm
Clinical narrative: Per patient's wife the patient experienced severe head pain & confusion 2-3 days after receiving the flu vaccine. In the hospital the patient was told that his symptoms were consistent with a brain aneurysm. The doctor reportedly told the patient they did not think the symptoms were related to the flu vaccine but recommended that it be reported.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Flushing, Pharyngeal oedema
Clinical narrative: AFTER LEAVING THE PHARMACY PATIENT BEGAN TO HAVE TROUBLE BREATHING, FEELING FLUSHED, FELT LIKE HER THROAT WAS SWELLING. PATIENT WENT TO THE EMERGENCY ROOM AFTER SHE LEFT THE STORE.
Age: 1.67
Sex: M
Vaccine: FLUC4, HIBV, MMR, PNC13
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None.
Age: 1.08
Sex: M
Vaccine: MMR
Symptoms: Measles antibody positive, Measles post vaccine, Rubella antibody negative
Clinical narrative: Vaccine induced Measles.
Age: 72.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction
Clinical narrative: Pt had normal reaction of feeling tired and worn out and having a sore arm for 2-3 days after the vaccine, then on day 4 or 5 she reports that a spot below the injection site got warm, red, raised, itchy and painful. Per patient this is resolving. She called her MD who suggested that it was a systemic reaction to the shot and that it should resolve. I reinforced this and told her to call us if the reaction did not continue to improve or got worse.
Age: 72.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Pt had normal reaction of feeling tired and worn out and having a sore arm for 2-3 days after the vaccine, then on day 4 or 5 she reports that a spot below the injection site got warm, red, raised, itchy and painful. Per patient this is resolving. She called her MD who suggested that it was a systemic reaction to the shot and that it should resolve. I reinforced this and told her to call us if the reaction did not continue to improve or got worse.
Age: 3.0
Sex: M
Vaccine: FLUC4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Joint lock, Mobility decreased, Musculoskeletal pain, Pain
Clinical narrative: Patient IS EMPLOYED AT THIS OFFICE AND GOT HER ANNUAL FLU SHOT. SHE REPORTED TO ME TODAY THAT ABOUT 3 HOURS AFTER THE INJECTION SHE STARTED TO HAVE TYPICAL SITE SORENESS AFTER A VACCINE BUT ALSO NOTED TROUBLE LIFTING HER ARM. STILL HAVING SHOOTING PAIN IN SHOULDER AREA WITH CERTAIN MOVEMENT AND HER SHOULDER HAS LOCKED WITH MOVEMENT.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Aphasia, Confusional state, Full blood count, Headache, Nuclear magnetic resonance imaging brain
Clinical narrative: 10/22/18 9:37 AM started itching all over. 10/22/18 12:25 PM started experiencing confusion, aphasia that is still on going to date of today. Started developing headaches 10/28/18.
Age: 34.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus generalised
Clinical narrative: 10/22/18 9:37 AM started itching all over. 10/22/18 12:25 PM started experiencing confusion, aphasia that is still on going to date of today. Started developing headaches 10/28/18.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Facial pain, Headache, Neck pain, Neuralgia
Clinical narrative: Neck pain and headache for three weeks following vaccination. Self-treated with ibuprofen. The pain seemed to be along the trigeminal nerve on the right side of my neck, face and head. I had Shingles in this same nerve about four years ago and wonder if the vaccine could have triggered a small recurrence of the Shingles neuralgia.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal distension, Abdominal pain, Constipation, Headache, Injection site erythema
Clinical narrative: Patient received flu vaccine into left low deltoid. Patient felt immunization missed the muscle.  About 4-6 hrs later, she noted swelling, pain, and redness at the site. This began to subside about 3-4 days later, and today, 1 wk later, has only 2" x 2" bruising at the vaccination site. She also noted a slight frontal headache beginning night of vaccination and lasting about 2 days. Of the most concern to the patient was the onset the day after the vaccination of abdominal cramping, bloating, and constipation. Mild nausea, but no V/D. Appetite is good. No melana or hematochezia. Better, but not completely well, today, 6 days after onset. No fever or other symptoms. She had a similar issue of injection site redness and swelling with last year's flu shot, but without the abdominal complaints.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Injection site swelling, Nausea, Vaccination site bruising
Clinical narrative: Patient received flu vaccine into left low deltoid. Patient felt immunization missed the muscle.  About 4-6 hrs later, she noted swelling, pain, and redness at the site. This began to subside about 3-4 days later, and today, 1 wk later, has only 2" x 2" bruising at the vaccination site. She also noted a slight frontal headache beginning night of vaccination and lasting about 2 days. Of the most concern to the patient was the onset the day after the vaccination of abdominal cramping, bloating, and constipation. Mild nausea, but no V/D. Appetite is good. No melana or hematochezia. Better, but not completely well, today, 6 days after onset. No fever or other symptoms. She had a similar issue of injection site redness and swelling with last year's flu shot, but without the abdominal complaints.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Eyeglasses therapy, Ophthalmological examination abnormal, Strabismus, Urticaria
Clinical narrative: Broke out in hives all over her body, right eye crossed, permanently.
Age: 67.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site reaction, Vaccination site bruising, Vaccination site haemorrhage, Vaccination site nodule, Vaccination site swelling
Clinical narrative: Patient called pharmacy a few hours after administration and reported an injection site reaction.  Patient reported swelling, bruising, and a knot around the area of vaccination. Patient had an unusual amount of bleeding at time of vaccination, so there is the possibility that reaction was due to the hitting of a blood vessel, which may resulted in a hematoma. Again this reaction could be related to the bleeding or to a possible allergic reaction. Patient reported 4.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema
Clinical narrative: Patient call and stated significant redness on arm below injection site that extends down forearm.
Age: 73.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Headache, Neck pain, Urticaria
Clinical narrative: Patient had shooting pain in neck, headaches, trouble breathing(SOB), and hives. Patient went to the doctor today 10/30/18 and received a steroid pack.
Age: 73.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Dyspnoea, Headache, Rash papular, Rash pruritic
Clinical narrative: Patient had shooting pain in neck, headaches, trouble breathing(SOB), and hives. Patient went to the doctor today 10/30/18 and received a steroid pack.
Age: 73.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Wheezing
Clinical narrative: Patient had shooting pain in neck, headaches, trouble breathing(SOB), and hives. Patient went to the doctor today 10/30/18 and received a steroid pack.
Age: 73.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Headache, Neck pain, Urticaria
Clinical narrative: Developed a rash raised and pruritic on chest, face, back and buttocks on 10/19/18. Was short of breath and wheezing, headache, and back pain. Took Benadryl 25MG with some relief. Has repeated 2-3 doses of Benadryl, but rash remains over hips and buttocks as well as upper lip. Did NOT use the ER or clinic. Was seen today 10/30/18 in office with persistent rash on hips and buttocks. Prescribed Medrol Dosepak 4MG.
Age: 73.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Back pain, Dyspnoea, Headache, Rash papular, Rash pruritic
Clinical narrative: Developed a rash raised and pruritic on chest, face, back and buttocks on 10/19/18. Was short of breath and wheezing, headache, and back pain. Took Benadryl 25MG with some relief. Has repeated 2-3 doses of Benadryl, but rash remains over hips and buttocks as well as upper lip. Did NOT use the ER or clinic. Was seen today 10/30/18 in office with persistent rash on hips and buttocks. Prescribed Medrol Dosepak 4MG.
Age: 73.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Wheezing
Clinical narrative: Developed a rash raised and pruritic on chest, face, back and buttocks on 10/19/18. Was short of breath and wheezing, headache, and back pain. Took Benadryl 25MG with some relief. Has repeated 2-3 doses of Benadryl, but rash remains over hips and buttocks as well as upper lip. Did NOT use the ER or clinic. Was seen today 10/30/18 in office with persistent rash on hips and buttocks. Prescribed Medrol Dosepak 4MG.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: 57yr old patient with history of hypertension presented to PCP for follow up. Patient ordered flu vaccine and pneumococcal vaccine to be administered during visit on 10/25. CMA prepared and administered FLULAVAL QUAD 2018-2019 vaccine IM in patient's left deltoid and PNEUMOVAX-23 IM in patient's right deltoid ~1532. On 10/29, patient contacted nurse triage line stating left upper arm had itching and burning. Patient with no fevers, but some chills. Patient examined by MD later on 10/29 in office. MD noted mild redness in induration 2cmx2cm on left deltoid. Local skin/muscle reaction diagnosed.  patient educated and instructed to take OTC NSAIDS, warm compress and return in 1week if no improvement.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site reaction
Clinical narrative: 57yr old patient with history of hypertension presented to PCP for follow up. Patient ordered flu vaccine and pneumococcal vaccine to be administered during visit on 10/25. CMA prepared and administered FLULAVAL QUAD 2018-2019 vaccine IM in patient's left deltoid and PNEUMOVAX-23 IM in patient's right deltoid ~1532. On 10/29, patient contacted nurse triage line stating left upper arm had itching and burning. Patient with no fevers, but some chills. Patient examined by MD later on 10/29 in office. MD noted mild redness in induration 2cmx2cm on left deltoid. Local skin/muscle reaction diagnosed.  patient educated and instructed to take OTC NSAIDS, warm compress and return in 1week if no improvement.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient woke up on 10-5-18 with a rash under both breasts. The rash did not hurt or itch. The injection site was not red or sore. The rash went away by the end of 10-5-18 per the patient with no treatment needed.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling
Clinical narrative: PATIENT NOTICED SWOLLEN LIPS DURING THE EVENING THE SAME DAY PATIENT RECEIVED VACCINE. PATIENT TOOK BENADRYL WHICH HELPED BUT WHEN PATIENT WOKE UP THE NEXT MORNING SWELLING WAS BACK. PATIENT CALLED PHARMACY TO REPORT REACTIONS, SHE WAS ADVISED TO REPEAT BENADRYL AND CALL HER DOCTOR. PATIENT WAS ABLE TO MAKE APPOINTMENT WITH DOCTOR THAT DAY TO BE SEEN. ANY FURTHER OUTCOME IS UNKNOWN.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site swelling
Clinical narrative: I believe patient had a pretty severe injection site reaction to the flu shot today. It reacted instantly with swelling, a knot, and redness that expanded to be about the size of a baseball and felt firm like cellulitis. She had a benadryl in her purse and I had her take it. Monitored her for about 15 minutes and it started to look better. She stated she felt fine the entire time so I sent her home. PharmD, R.Ph.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Sweat gland disorder
Clinical narrative: Sweat gland issues rash on neck and inter-arms.
Age: 75.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Chills, Decreased appetite, Headache, Lip swelling, Musculoskeletal pain
Clinical narrative: Copy of 10/16/18 Triage call Encounter: Call returned to patient; Presenting Concern: Patient is calling to inform had SHINGRIX vaccine and Flu vaccine 10/15/18 1115. Onset of s/s of Yesterday 1300 sore shoulders, shivering-fever last night 102-feels feverish today but not feeling hot like last night. Has not taken temp today. HA and pain down back of head and back of neck (Able to touch chin to chest). Reports mild swelling face, lips, puffy around eyes but much better now since this morning when has much more swelling. Also nausea-no appetite-has not eaten today. Trying to drink water-1 glass water today. Has not taken an antihistamine. Does not have any on hand. Denies: Difficulty swallowing, tongue swelling, SOB, CP, rash, hives. Husband is on the way home. PLAN: Patient will have husband stop on way home to purchase antihistamine and then transport to closest ER. Patient has been instructed twice to call 911 with any increased swelling, difficulty swallowing, SOB, CP, onset of hives. Call placed to ER; RN. Member and or family advised to call back if symptoms worsen, do not improve, or if new symptoms develop or if has any further questions or concerns. The above individual verbalized understanding the advice given and agrees with the plan. Dr. informed verbally. Agrees with counsel provided. Added entry 10/30/18: Patient had reported that she did not go to the ED but symptoms did resolve.
Age: 75.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Nausea, Neck pain, Pyrexia, Swelling face, Swelling of eyelid
Clinical narrative: Copy of 10/16/18 Triage call Encounter: Call returned to patient; Presenting Concern: Patient is calling to inform had SHINGRIX vaccine and Flu vaccine 10/15/18 1115. Onset of s/s of Yesterday 1300 sore shoulders, shivering-fever last night 102-feels feverish today but not feeling hot like last night. Has not taken temp today. HA and pain down back of head and back of neck (Able to touch chin to chest). Reports mild swelling face, lips, puffy around eyes but much better now since this morning when has much more swelling. Also nausea-no appetite-has not eaten today. Trying to drink water-1 glass water today. Has not taken an antihistamine. Does not have any on hand. Denies: Difficulty swallowing, tongue swelling, SOB, CP, rash, hives. Husband is on the way home. PLAN: Patient will have husband stop on way home to purchase antihistamine and then transport to closest ER. Patient has been instructed twice to call 911 with any increased swelling, difficulty swallowing, SOB, CP, onset of hives. Call placed to ER; RN. Member and or family advised to call back if symptoms worsen, do not improve, or if new symptoms develop or if has any further questions or concerns. The above individual verbalized understanding the advice given and agrees with the plan. Dr. informed verbally. Agrees with counsel provided. Added entry 10/30/18: Patient had reported that she did not go to the ED but symptoms did resolve.
Age: 17.0
Sex: M
Vaccine: FLU4, HPV9, MNQ
Symptoms: Depression
Clinical narrative: Per report from patient's mother, the date after he received his vaccinations, he became severely depressed for 3 months.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site bruising, Pain, Swelling
Clinical narrative: Employee received the flu vaccine on 10/23/18 early in the am. When The employee returned to his home that evening he noticed swelling and slight pain. The morning of 10/24/18 he noticed bruising at the injection site and down his left upper arm.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Rash
Clinical narrative: Arm Rash - raised. Chills. Headache.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Aphasia, Asterixis, Decreased eye contact, Decreased interest, Irritability
Clinical narrative: Within about 4 days there was loss of eye contact, loss of speech or words, hand flapping, less interested in play, less social, squealing loud sounds, irritable.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Screaming, Social avoidant behaviour
Clinical narrative: Within about 4 days there was loss of eye contact, loss of speech or words, hand flapping, less interested in play, less social, squealing loud sounds, irritable.
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Tremor
Clinical narrative: Patient was shaking all day and had low grade fever on 10/29/18 and on 10/30/18 he still had low fever around 100.7 degrees.
Age: 0.67
Sex: F
Vaccine: FLUC4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Injection site swelling, Pain in extremity, Throat irritation, Wheezing
Clinical narrative: Employee called stating she received the influenza vaccine on 10/22/18 around 4pm. At 6pm she began to have an itchy throat. Around 10:30/11pm she started having wheezing and chest tightness so she took an albuterol nebulizer treatment. On 10/23 around 5:30/6am, she noticed her right arm, where she received the injection, was swollen around the injection site and around the upper arm. She also experience more chest tightness and wheezing at that time and took another albuterol nebulizer treatment. Then while at work on the 23rd she took her albuterol inhaler several times throughout her work day. around 5:30/6pm that day, after she was off work she went into ED due to experiencing even worsening chest tightness and had a feeling like her arm was going to "fall off" and more swelling at the injection site. Had her complete 4 breathing treatments in the ED before leaving. She was also prescribed prednisone, BENADRYL and more albuterol for home. She states she had no reaction to the flu vaccine in the past.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Pain
Clinical narrative: Bruise and pain to shoulder area since time of vaccination.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient stated she is still having soreness in her arm and shoulder. She was concerned the vaccine was administered too high.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Inflammation, Injection site pain, Insomnia, Musculoskeletal disorder, Pain in extremity
Clinical narrative: Patient complains of sore arms and not able to use her arms. Mostly left arm causing pain, site of the PNEUMOVAX 23. Patient states the night after she received the shot she was in so much pain she could not sleep. She states she cannot use her arms and that she has missed 2 days of work because of the pain. She saw a physician that prescribed a steroid to decrease inflammation. She is just starting this today.
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness around injection site, pain upon press the site. Swelling and hot when touched.
Age: 33.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Arm was red and swollen with about a 3 inch diameter from point of injection. Patient was counseled to take 2 ibuprofen with food every 4-6 hours and ice the area with a cold compress for about 20 minutes on/off. Planning to follow up with patient on 10/31/18.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal chest pain, Pain, Pain in jaw
Clinical narrative: I could feel the fluid going into my arm. Not much pain in the arm after the shot. That evening around 8:30 I started to get sharp burning pain in my back right side around my rib cage and under my right breast also pain in my right jaw area. Took 1000mg TYLENOL went away eventually, slept well. Next day around 3:30 the pain came back in the same areas took 1000mg TYLENOL pain eased up again.
Age: 4.0
Sex: F
Vaccine: FLU4, HIBV, PNC13
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Extra Hib Vaccine given above number of doses. No adverse event reported.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pruritus, Pyrexia, Urticaria
Clinical narrative: Itchiness, 2 inch circle of hives, redness and low grade fever of 99.5.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Erythema, Headache, Heart rate increased, Hypotension
Clinical narrative: Itchiness, 2 inch circle of hives, redness and low grade fever of 99.5.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pruritus, Injection site urticaria, Nausea, Pain, Pyrexia
Clinical narrative: Itchiness, 2 inch circle of hives, redness and low grade fever of 99.5.
Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Tremor
Clinical narrative: Itchiness, 2 inch circle of hives, redness and low grade fever of 99.5.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Burning sensation, Pain
Clinical narrative: SORENESS AND BURNING FROM FLU SHOT.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Pyrexia
Clinical narrative: Patient experienced fever, shivering, and diarrhea - started a couple of hours after receiving the vaccine and persisted throughout the evening/night. He woke up the next day and felt better.
Age: 73.0
Sex: F
Vaccine: FLUA3
Symptoms: Dizziness, Erythema, Nausea, Pruritus, Vertigo
Clinical narrative: Arm became very red and itchy and almost 3 weeks later the itchiness remains. Nausea occurred almost immediately after the shot and 30 minutes later a fainting feeling followed by vertigo that is still ongoing.
Age: 86.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: L Deltoid site red, swollen and very painful reddened area went down to forearm.
Age: 90.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: On 10/20 patient's right arm started feeling itchy and was red with a slight stinging feeling. It was slightly swollen. Over the past 10 days it has improved but still today, 11 days later, her arm has a small knot and is still itching some at the injection site. There is slight redness/swelling remaining (approv 1 inch in diameter).
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Pt had rash on immunization arm went to md and pt was put on cephalexin 500mg four times daily as infection precaution.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Muscle spasms
Clinical narrative: Patient received FLUARIX vaccine on 10/29/2018 at 8:00 PM, she called from home at 8:40 PM that she had started severe spasms in her neck about 30 minutes after getting vaccine. She believed that the pain was from the vaccine she just received. She complained that she was in so much pain that she could hardly walk and carry grocery bags. She was advised to go to Emergency Room, but she decided to wait until morning and took ibuprofen for pain overnight. In the morning of  10/30/2018, she went to walk-in clinic and the doctor at walk-in clinic ruled out the muscle spasms relation with vaccination specially when she received vaccine on her right hand and she had pain on left side of neck. Then she was prescribed Prednisone 20 mg, Methocarbamol 500 mg and Tramadol 50 mg for the treatment.
Age: 51.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Influenza like illness, Musculoskeletal stiffness, Rash vesicular
Clinical narrative: Flu like symptoms and muscle stiffness. Chicken pox like outbreak on lower left leg.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Alopecia, Blood test, Burning sensation, Dermatologic examination, Erythema
Clinical narrative: Beginning 9/16/18 patients whole body turned red (not hives). Patient began sweating profusely and her skin felt hot. Her scalp was burning. She claimed she looked sunburnt. Her hair began shedding in chunks and has since. She claims her sleep pattern has been interrupted. Patient feels off.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Gynaecological examination, Hyperhidrosis, Pain of skin, Skin warm
Clinical narrative: Beginning 9/16/18 patients whole body turned red (not hives). Patient began sweating profusely and her skin felt hot. Her scalp was burning. She claimed she looked sunburnt. Her hair began shedding in chunks and has since. She claims her sleep pattern has been interrupted. Patient feels off.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Sleep disorder
Clinical narrative: Beginning 9/16/18 patients whole body turned red (not hives). Patient began sweating profusely and her skin felt hot. Her scalp was burning. She claimed she looked sunburnt. Her hair began shedding in chunks and has since. She claims her sleep pattern has been interrupted. Patient feels off.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Fall, Fatigue, Influenza like illness, Injection site mass
Clinical narrative: Patient reported lump in arm at injection site. She described it being rock-like. She became extremely tired, experienced flu-like symptoms, fever, profuse urination and diarrhea. Patient also fell while sitting on the toilet.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Urine output increased
Clinical narrative: Patient reported lump in arm at injection site. She described it being rock-like. She became extremely tired, experienced flu-like symptoms, fever, profuse urination and diarrhea. Patient also fell while sitting on the toilet.
Age: 74.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Erythema, Pruritus, Rash generalised, Skin warm
Clinical narrative: Patient describes that 2-3 days after receiving the vaccinations she started to notice her right arm was very red, warm to the touch, and itchy. She came back to me today and described that while on a long trip out of the country the red spot developed into a rash all over her body but she is better now and has no rash.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Raised, red area below the site the vaccine was administered. Patient complained of the area being warm to touch and itchy. No further symptoms.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient reporting injection site is red, swollen, warm to the touch and redness is about 4" thick and wraps 1/2 way around upper arm where shot was given.
Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Exposure during pregnancy, Injection site pain, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: 35 weeks pregnant at time of vaccine. EDD 10/29/2018. A few days after receiving vaccine, I began noticing that point-tender pain was gone but deeper pain was developing in upper left arm. Within 1-2 weeks I was experiencing limited range of motion, unable to dress myself, reach for items, lift items, etc. Pain has persisted through 10/30 (date of this form submission) and continues to limit mobility and usefulness of left arm.
Age: 0.08
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was mixed up with an older infant who was also in the office at the time. The older infant (9 months old) was supposed to receive this vaccine. Instead of 2 month vaccines like planned, patient was given FLULAVAL 0.5 mg instead. No adverse reaction or fevers have occurred to date. However, pt is not yet 6 months old and therefore is too young for this vaccine. Parents were notified. CDC has been contacted and we are waiting to hear back for further instructions. As of right now pt is fine and has not suffered any adverse effects from this error. Will continue to follow up with parents.
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Haemorrhage, Vaccination site bruising
Clinical narrative: Patient stated that after receiving vaccine he noticed that he was bleeding more then usual. He then developed a yellow circle around vaccination site. Appears to have developed a black and blue mark that is now fading, causing the yellow color. Patients skin is still yellow.
Age: 0.0
Sex: F
Vaccine: HEP
Symptoms: Acne infantile, Eczema, Rash, Rash erythematous
Clinical narrative: What looked like baby acne started around 7/15/2018. I took her to her 2 month well check on 8/15/18, at that time her baby acne was clearing but she still had a red bumpy rash on the sides of her face. I didn't ask the Dr about it at the time because I thought it might still be leftover baby acne. However, the sides of her face never cleared and the rash appeared on her arms and legs. It continued to worsen and showed up on her chest, stomach, back, and scalp by about mid-September. I took her to her 4 month well check on 10/16/2018 and shared my concerns with her worsening rash. My daughter was seen by a nurse practitioner that day who confirmed that she has Eczema. I've spoken to my husband, he has no known allergies and never had eczema and I have no known allergies or eczema.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pain
Clinical narrative: Patient states that injection site is painful. Pain increases when patient moves arm. Patient states that putting ice on it seemed to alleviate some of the pain. Patient was also told they can take TYLENOL or ibuprofen to help with the pain. Patient was instructed to call the Dr if pain worsened or did not seem to be getting any better.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Contusion, Insomnia, Irritability, Myalgia
Clinical narrative: Large bruise, muscular pain, irritability, difficulty sleeping. Onset of symptoms was delayed several days, including the bruising and arm pain -- there was only a small jab mark two days after vaccination.
Age: 61.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient seeking treatment at an urgent care center on 10/30/2018 at 6 PM. Patient has localized swelling, pain, redness since waking on morning of 10/30/2018.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Erythema, Nausea, Skin exfoliation, Swelling face
Clinical narrative: Shakes for one day, next day started with red skin, face in particular. By 3 (10/25) face was very red. Red and swollen until Friday/Saturday. Blistering on Sunday, peeling on Monday. Mild nausea.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Shakes for one day, next day started with red skin, face in particular. By 3 (10/25) face was very red. Red and swollen until Friday/Saturday. Blistering on Sunday, peeling on Monday. Mild nausea.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypotension, Influenza like illness, Pain, Peripheral swelling
Clinical narrative: Patient called next day stating her arm was swollen with defined red margins wrapping around the deltoid and bicep stretching the skin. She said she felt feverish and achy all over like flu like symptoms. Her blood pressure became very low measured by patient at 90/45 around 2:30am. She stated it came up a few hours later to about 107/78. She still took her blood pressure morning medications then called the pharmacy shortly after doing so. Pharmacist went over all symptoms patient experienced and had patient call her primary physician. Pharmacist followed up with the patient later in the day. She will see her doctor the following day on 10/31/18. She will notify pharmacy after seen by her doctor.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pyrexia, Skin tightness
Clinical narrative: Patient called next day stating her arm was swollen with defined red margins wrapping around the deltoid and bicep stretching the skin. She said she felt feverish and achy all over like flu like symptoms. Her blood pressure became very low measured by patient at 90/45 around 2:30am. She stated it came up a few hours later to about 107/78. She still took her blood pressure morning medications then called the pharmacy shortly after doing so. Pharmacist went over all symptoms patient experienced and had patient call her primary physician. Pharmacist followed up with the patient later in the day. She will see her doctor the following day on 10/31/18. She will notify pharmacy after seen by her doctor.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site swelling, Paraesthesia
Clinical narrative: About 15 minutes after shot. Patient reported a tingling down her left arm. Says felt like her arm was going to sleep. Very red and swollen at injection site.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysarthria, Fatigue, Gait disturbance, Headache, Intensive care
Clinical narrative: Woke approximately 12 hours after injection with nightmares. Felt poorly (tired, nauseous, headache) that day (10/6); following day felt slightly better but felt worse on Monday (10/8).  By Tuesday (10/9), feeling worse, began to slur words and had slight difficulty in walking. Went to local hospital and was immediately admitted as a possible stroke patient. Transferred to another hospital (neural ICU) through Thursday, 10/11, then transferred to regular bed through 10/12, when I was discharged.  Dr. was the chief neurologist on my case. When discharged, Dr. indicated that they could find no definite cause for my condition. They were considering the timing of the Shingrix vaccine.  Additional tests are ongoing--I have not received them yet.  Dr. later stated the timing of the vaccine likely was involved but to what extent is unknown.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Laboratory test, Nausea, Nightmare
Clinical narrative: Woke approximately 12 hours after injection with nightmares. Felt poorly (tired, nauseous, headache) that day (10/6); following day felt slightly better but felt worse on Monday (10/8).  By Tuesday (10/9), feeling worse, began to slur words and had slight difficulty in walking. Went to local hospital and was immediately admitted as a possible stroke patient. Transferred to another hospital (neural ICU) through Thursday, 10/11, then transferred to regular bed through 10/12, when I was discharged.  Dr. was the chief neurologist on my case. When discharged, Dr. indicated that they could find no definite cause for my condition. They were considering the timing of the Shingrix vaccine.  Additional tests are ongoing--I have not received them yet.  Dr. later stated the timing of the vaccine likely was involved but to what extent is unknown.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Product administered at inappropriate site, Vaccination complication
Clinical narrative: Doctor office notified the pharmacy that the patient had a reaction to the vaccine and was hospitalized. Per doctor office, it was due to incorrect administration of the vaccine too high in the deltoid and into the joint space instead. Patient was evaluated for DVT while in the hospital but has since been discharged.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Employee experienced soreness at site of injection for several days then on 10/23/18 woke up with sharp pain in the shoulder same side of injection (left shoulder). Feeling pain when raising arms to reach for anything. Pain is worse while sleeping. Treated with TYLENOL, ADVIL and Ice.
Age: 22.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Dizziness, Immediate post-injection reaction, Syncope, Vision blurred
Clinical narrative: Patient felt lightheaded immediately following both vaccinations. Patient tried getting up to leave, but was unable to make it out of the pharmacy before sitting down on the ground. Symptoms: Lightheadedness, dizziness, blurry vision, syncope.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Starting 2 hours after vaccination - patient was complaining of fever/chills, nausea, and vomiting. As of 10/30/18 at 8 AM when adverse reactions were brought to the pharmacy attention the patient was still experiencing the adverse reactions.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Cyst, Neuralgia, Pain in extremity, Peripheral swelling, Sleep disorder
Clinical narrative: Patient states she started having left arm pain the evening after the vaccination and believed this was normal because she was educated about the side effects of the vaccine. However, after 3-4 days of pain, she began to think it was something more serious. She developed arm swelling from her shoulder to above her elbow that required the use of a Methylprednisolone dose pack. She still has limited use of her left arm over a month after vaccine administration and cannot put any pressure on the arm without extreme pain (no sleeping on arm, picking up items, etc.). Patient had an ultrasound of left arm and a small fatty cyst was discovered. It is unknown if this was present before administration, or developed after administration. Patient has also needed muscle relaxers to help with pain. She states she is now having nerve pain shooting into her neck, down to her shoulder and down past her elbow. Patient is going to complete at least 4 sessions of physical therapy to help with pain. The symptoms have not resolved at all since administration and have only progressed, even a month after administration.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Ultrasound scan abnormal
Clinical narrative: Patient states she started having left arm pain the evening after the vaccination and believed this was normal because she was educated about the side effects of the vaccine. However, after 3-4 days of pain, she began to think it was something more serious. She developed arm swelling from her shoulder to above her elbow that required the use of a Methylprednisolone dose pack. She still has limited use of her left arm over a month after vaccine administration and cannot put any pressure on the arm without extreme pain (no sleeping on arm, picking up items, etc.). Patient had an ultrasound of left arm and a small fatty cyst was discovered. It is unknown if this was present before administration, or developed after administration. Patient has also needed muscle relaxers to help with pain. She states she is now having nerve pain shooting into her neck, down to her shoulder and down past her elbow. Patient is going to complete at least 4 sessions of physical therapy to help with pain. The symptoms have not resolved at all since administration and have only progressed, even a month after administration.
Age: 74.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site cyst, Injection site pain, Injection site swelling
Clinical narrative: Patient states she started having left arm pain the evening after the vaccination and believed this was normal because she was educated about the side effects of the vaccine. However, after 3-4 days of pain, she began to think it was something more serious. She developed arm swelling from her shoulder to above her elbow that required the use of a Methylprednisolone dose pack. She still has limited use of her left arm over a month after vaccine administration and cannot put any pressure on the arm without extreme pain (no sleeping on arm, picking up items, etc.). Patient had an ultrasound of left arm and a small fatty cyst was discovered. It is unknown if this was present before administration, or developed after administration. Patient has also needed muscle relaxers to help with pain. She states she is now having nerve pain shooting into her neck, down to her shoulder and down past her elbow. Patient is going to complete at least 4 sessions of physical therapy to help with pain. The symptoms have not resolved at all since administration and have only progressed, even a month after administration.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Infection, Influenza, Mobility decreased, Poor quality sleep
Clinical narrative: One day after the vaccine, I could not move my arm upward, swollen, red rashes appeared, very painful. I went to Immediate Care who prescribed antibiotics 3 times a day for seven days and steroid cream for my arm. That same evening, felt like Flu symptoms, could not sleep well. By the 4th day Oct. 28 was feeling better but still slight headaches.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Rash, Rash erythematous, Swelling
Clinical narrative: One day after the vaccine, I could not move my arm upward, swollen, red rashes appeared, very painful. I went to Immediate Care who prescribed antibiotics 3 times a day for seven days and steroid cream for my arm. That same evening, felt like Flu symptoms, could not sleep well. By the 4th day Oct. 28 was feeling better but still slight headaches.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Loss of consciousness, Memory impairment, Seizure like phenomena, Syncope
Clinical narrative: Patient was administered the FLUZONE QUAD shot and two minutes after, she looked faint, and fell over from the chair. Patient was shaking and losing consciousness and looked as though she was going through a seizure. Pharmacist repeatedly asked the patient if she was okay, if she could hear her, and if she can breathe, and laid the patient on her side. She called her technician over for help and once technician saw the situation, she asked pharmacist if she should call 911. Pharmacist answered yes. The patient started shaking again for another 10 seconds or so, and then regained consciousness. Pharmacist and technician helped the patient sit up (on the floor) and the patient could not recall what had just happened. Pharmacist explained that the patient fainted and asked the patient if she has any seizure disorders or taking any seizure medication. The patient answered no. Pharmacist informed the patient that the paramedics were on their way, but the patient expressed that she did not want the service. Pharmacist replied that she is unable to cancel because the paramedics were already on their way. The patient's hands were clammy and asked for water, but at this point, technician was on the phone with the 9-1-1 operator and was ordered not to give the patient any food or water. The operator also instructed technician to lay the patient on her left side, so pharmacist and technician was in the process of helping the patient stand up when the patient went through another shaking episode (which lasted around 10-15 seconds). After she came to, they explained to the patient that the operator instructed for them to place her on her side, lying down until the paramedics arrive. She consented. Pharmacist asked the patient if she wanted to contact anyone and the patient proceeded to call her mother on her phone. The paramedics arrived and did a workup on the patient and suggested that the patient go with them to get a full workup done, but the patient refused, and signed the electronic waver that the paramedics had on their computer. The patient stated that she usually gets very faint when she gets shots and that she felt fine at that moment. Pharmacist signed as a witness. The patient left the consult room afterwards.
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: Patient was administered the FLUZONE QUAD shot and two minutes after, she looked faint, and fell over from the chair. Patient was shaking and losing consciousness and looked as though she was going through a seizure. Pharmacist repeatedly asked the patient if she was okay, if she could hear her, and if she can breathe, and laid the patient on her side. She called her technician over for help and once technician saw the situation, she asked pharmacist if she should call 911. Pharmacist answered yes. The patient started shaking again for another 10 seconds or so, and then regained consciousness. Pharmacist and technician helped the patient sit up (on the floor) and the patient could not recall what had just happened. Pharmacist explained that the patient fainted and asked the patient if she has any seizure disorders or taking any seizure medication. The patient answered no. Pharmacist informed the patient that the paramedics were on their way, but the patient expressed that she did not want the service. Pharmacist replied that she is unable to cancel because the paramedics were already on their way. The patient's hands were clammy and asked for water, but at this point, technician was on the phone with the 9-1-1 operator and was ordered not to give the patient any food or water. The operator also instructed technician to lay the patient on her left side, so pharmacist and technician was in the process of helping the patient stand up when the patient went through another shaking episode (which lasted around 10-15 seconds). After she came to, they explained to the patient that the operator instructed for them to place her on her side, lying down until the paramedics arrive. She consented. Pharmacist asked the patient if she wanted to contact anyone and the patient proceeded to call her mother on her phone. The paramedics arrived and did a workup on the patient and suggested that the patient go with them to get a full workup done, but the patient refused, and signed the electronic waver that the paramedics had on their computer. The patient stated that she usually gets very faint when she gets shots and that she felt fine at that moment. Pharmacist signed as a witness. The patient left the consult room afterwards.
Age: 2.0
Sex: M
Vaccine: PNC13
Symptoms: Abdominal pain, Abnormal behaviour, Conversion disorder, Diet refusal
Clinical narrative: Mom came into office to report client would not eat dinner after the shot and was hysterical and was consolable. He was quite during daycare throughout the day and "just not himself". Mom was not able to get child to take TYLENOL but she was worried that he was hurting all over.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Injection site rash, Injection site warmth, Pain
Clinical narrative: SHINGRIX vaccine Severe pain for 4 days, soreness at site for 2 weeks, rash and hotness at injection site, extreme fatigue.