chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Neurological examination normal
Clinical narrative: Patient received TRUMENBA vaccine on 02/25/19 in our office, she was fine immediately after the vaccination. Child was seen next day in our office. Mom reports that she called our office that evening but she hung up rather than requesting answering service to connect to the doctor on call. She never called again that evening or night as child was doing better. She called next day and was seen immediately. Visit note from DOS 02/26/19 Mom reports that in the evening after few hours of vaccination, she started c/o pain in the left arm and felt very cold and chills. She also felt pain on her left side of body and back. It was associated with headache and dizziness and she felt very tired. Mom reports that she saw the patient's both hands turning purplish for few minutes. Mom gave her blanket and warm towel and immediately her hands became normal, after sometime she felt a little better but kept c/o pain in the left arm which is still there but less than yesterday. Still c/o mild dizziness and headache. No vision changes, no fainting, no vomiting, no chest pain, no palpitations, no abdominal pain, no weakness of any part of the body, no breathing difficulty. Injection site is hurting today when touched but pain over left side and back is much better. She noted swelling and redness over the injection site yesterday night which slightly increased today. Orthostatic BP normal, pulse ox normal in both upper limbs, neurovascular examination is normal, patient is well looking, no distress, no weakness will consider augmentin if not better Motrin as advised Observe closely for additional symptoms, call office/go to ER if worsening symptoms, any skin color change,any cyanosis/blue or purple discoloration, difficulty breathing, any fever, increasing redness or swelling, lethargy, persistent dizziness or headache, any vomiting, vision changes, chest pain/palpitations/persistent or worsening pain/tingling or numbness,any weakness. Call office immediately if any new concern or persistent symptoms. Mom and patient verbalized understanding will f/u tomorrow via phone call.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Pain in extremity, Skin discolouration
Clinical narrative: Patient received TRUMENBA vaccine on 02/25/19 in our office, she was fine immediately after the vaccination. Child was seen next day in our office. Mom reports that she called our office that evening but she hung up rather than requesting answering service to connect to the doctor on call. She never called again that evening or night as child was doing better. She called next day and was seen immediately. Visit note from DOS 02/26/19 Mom reports that in the evening after few hours of vaccination, she started c/o pain in the left arm and felt very cold and chills. She also felt pain on her left side of body and back. It was associated with headache and dizziness and she felt very tired. Mom reports that she saw the patient's both hands turning purplish for few minutes. Mom gave her blanket and warm towel and immediately her hands became normal, after sometime she felt a little better but kept c/o pain in the left arm which is still there but less than yesterday. Still c/o mild dizziness and headache. No vision changes, no fainting, no vomiting, no chest pain, no palpitations, no abdominal pain, no weakness of any part of the body, no breathing difficulty. Injection site is hurting today when touched but pain over left side and back is much better. She noted swelling and redness over the injection site yesterday night which slightly increased today. Orthostatic BP normal, pulse ox normal in both upper limbs, neurovascular examination is normal, patient is well looking, no distress, no weakness will consider augmentin if not better Motrin as advised Observe closely for additional symptoms, call office/go to ER if worsening symptoms, any skin color change,any cyanosis/blue or purple discoloration, difficulty breathing, any fever, increasing redness or swelling, lethargy, persistent dizziness or headache, any vomiting, vision changes, chest pain/palpitations/persistent or worsening pain/tingling or numbness,any weakness. Call office immediately if any new concern or persistent symptoms. Mom and patient verbalized understanding will f/u tomorrow via phone call.
Sex: U
Vaccine: DTAPHEPBIP
Symptoms: Somnolence
Clinical narrative: This case was reported by a physician via sales rep and described the occurrence of sleepiness in a infant patient who received PEDIARIX for prophylaxis. On an unknown date, the patient received the 1st dose of PEDIARIX. On an unknown date, unknown after receiving PEDIARIX, the patient experienced sleepiness. On an unknown date, the outcome of the sleepiness was recovered/resolved. It was unknown if the reporter considered the sleepiness to be related to PEDIARIX. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced sleepiness after the dose of PEDIARIX and mother was concerned and wanted to know if this was a known reaction. Sleepiness had resolved by the time of adverse event was shared with GlaxoSmithKline. The reporter agreed to follow up with GlaxoSmithKline.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash generalised
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of generalized rash in a 81-year-old female patient who received SHINGRIX (batch number 9KT7T, expiry date unknown) for prophylaxis. On 12th December 2018, the patient received the 1st dose of SHINGRIX. On 13th December 2018, 1 days after receiving SHINGRIX, the patient experienced generalized rash. The patient was treated with Hydrocortisone Ointment. On an unknown date, the outcome of the generalized rash was recovered/resolved. It was unknown if the reporter considered the generalized rash to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX in the left arm. The patient experienced a body rash after first dose of SHINGRIX. The pharmacist was unsure when rash started, it could have been the next day, but the pharmacist was not sure. The pharmacist stated the patient did not see her physician and the rash resolved after a couple weeks. The patient treated it with hydrocortisone ointment.
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, Influenza like illness, Injection site erythema
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of intramuscular formulation administered by other route in a adult female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 2nd dose of SHINGRIX (subcutaneous). On an unknown date, unknown after receiving SHINGRIX, the patient experienced intramuscular formulation administered by other route, injection site erythema and influenza-like symptoms. On an unknown date, the outcome of the intramuscular formulation administered by other route and injection site erythema were unknown and the outcome of the influenza-like symptoms was recovered/resolved. Additional details were provided as follows: The age at vaccination was not reported. The registered nurse reported one of her coworkers received the second dose of SHINGRIX subcutaneously, which lead to intramuscular formulation administered by other route. The reporter stated the patient subsequently had redness at the injection site and flu-like symptoms. The reporter stated the flu-like symptoms that resolved after 36 hours. When agent requested healthcare professional (HCP) full demographics, HCP provided the patient's contact information. When agent again requested HCP contact information as the reporter the chat was ended abruptly by the HCP. The reporter reported as physicain however in narrtive reporter was given as nurse, so reporter nurse was captured in the case.
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Inappropriate schedule of product administration, Recurrent cancer
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of recurrent cancer in a female patient who received SHINGRIX for prophylaxis. Co-suspect products included SHINGRIX (batch number N9CA2, expiry date 2nd July 2021) for prophylaxis.  The patient's past medical history included cancer. On 28th May 2018, the patient received the 1st dose of SHINGRIX. On 6th March 2019, the patient received the 2nd dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX and not applicable after receiving SHINGRIX, the patient experienced recurrent cancer (serious criteria GSK medically significant) and drug dose administration interval too long. On an unknown date, the outcome of the recurrent cancer and drug dose administration interval too long were unknown. It was unknown if the reporter considered the recurrent cancer to be related to SHINGRIX. Additional details were reported as follows: The age at vaccination was not reported. The patient was a cancer survivor. The patient received 2nd dose of SHINGRIX 10 months apart from a 1st dose of SHINGRIX, which led to the lengthening of the vaccination interval. The patient's cancer returned sometime after1st dose of SHINGRIX. The reporter did not know the exact date of cancer returned. The reporter declined to provide patients initials or date of birth.
Age: 63.0
Sex: F
Vaccine: TYP
Symptoms: Fatigue, Injection site pain
Clinical narrative: Approximately 2 to 2.5 hours after injection, fatigue and extreme pain in and around the injection site. Pain level was a 10 on scale of 1 to 10. Pain was constant (not stabbing nor throbbing).
Age: 54.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Pain at injection site when given. Four hours after shot extreme tiredness. Went to bed and had stomach pain, fever, body aches and tiredness. The next day all symptoms continued and I spent the day sleeping and in bed. My fever was elevated by one degree. Day 2 still feeling some tiredness but fever is gone.
Age: 56.0
Sex: F
Vaccine: MMR
Symptoms: Measles antibody negative, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: Pt. reports 2 days after receiving the vaccine she started to have mild 2/10 pain in her right arm. After about 1-2 weeks the mild pain started to progress down her arm. At this time also noted some stiffness in her thumb. Notes it causes mild 2/10 pain to move her thumb. Has tried ibuprofen, but the pain has not improved. No other symptoms noted. States she will follow-up with her PCP if the pain worsens.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Mother reported noticing rash, swelling and redness to left arm. Patient denied any discomfort or pain to left arm. Patient was taken to ER and cortisone was prescribed. Cortisone was effective, rash and swelling has subsided.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling at injection site, big, red, sore, warm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Report by parent (father) on Monday (3/11/2019) four hours after immunization administration the upper left arm began to be itchy and red, fever and swelling began after midnight, had fever on Tuesday and child was trying to scratch at arm. No fever today but still swollen, maybe less red.  No pus or discharge at site of injection. EXAM: 4"X4" moderately erythematous and mildly warm to touch swollen upper left extremity. Provider drew a border with surgical pen around erythematous area in order to monitor for next 48 hours. Prescribed AUGMENTIN ES 600mg/5ml sig. 5ml orally every 12 hours for 10 days; Diphenhydramine HCl 12.5mg/5ml sig. 6ml orally q 6 hours as needed for itch; Ibuprofen 100mg/5ml sig. 6ml orally every 8 hours as needed for pain or fever.  Instructed parent to monitor and return to clinic for increasing redness, increased swelling, return of fever.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site reaction, Neck pain, Pain in extremity
Clinical narrative: The second Shingles vaccine shot is throwing me for a loop. My left arm, where the shot was given, was out of commission for the rest of the day. It was difficult to have restful sleep last night with a very sore arm. I started having chills but my body's temperature was warm with tense headache and bodily pain in the back of my neck. I took 2 TYLENOL PM last night but they didn't help. I understand that this is to be expected according to the medical literature. I am still going through the adverse reaction but I am hoping that these symptoms will subside after tomorrow.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Poor quality sleep, Skin warm
Clinical narrative: The second Shingles vaccine shot is throwing me for a loop. My left arm, where the shot was given, was out of commission for the rest of the day. It was difficult to have restful sleep last night with a very sore arm. I started having chills but my body's temperature was warm with tense headache and bodily pain in the back of my neck. I took 2 TYLENOL PM last night but they didn't help. I understand that this is to be expected according to the medical literature. I am still going through the adverse reaction but I am hoping that these symptoms will subside after tomorrow.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was given DtaP instead of flu vaccine. No adverse Rxns were noted.
Age: 0.5
Sex: M
Vaccine: PNC13
Symptoms: Cough, Pneumonia, Pyrexia
Clinical narrative: The baby was receiving PREVNAR 13 as scheduled. While after vaccination about 1 month, he developed fever, cough, and then pneumonia and admitted in hospital for 1 week treatment. Many friends of mine using PREVNAR 13 and some of them developed pneumonia after that. What a vaccine from Pfizer.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Had SHINGRIX shot 3/4/19 (1st of 2) and arm became swollen immediately. One week later it is still slightly sore. Fever began 3/6/19 as well as occasional feelings of nausea. Fever was kept under control for three days by use of acetaminophen.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Depression, Headache, Hyperhidrosis, Lethargy
Clinical narrative: After receiving the second dose of the shingles vaccine: I experienced vomiting 7 hours later, went to bed and slept for the night and woke up sweating, a high temperature, chills, headache, nausea, muscle aches, feeling depressed, lethargic for the entire day. I know these reactions (side-effects) are listed in the brochure that was provided to me at the pharmacy but the severity of the side-effects makes me question whether it is safe to administer this vaccine to the age group it is intended...I continued to experience side-effects: esp. headache, muscle aches for several days after the vaccination. It was a good thing my husband was here to manage all my chores for me. I experienced some of these same symptoms after the first shot but not to the extent of the second shot. (A prescribed vaccine...second shot).
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: After receiving the second dose of the shingles vaccine: I experienced vomiting 7 hours later, went to bed and slept for the night and woke up sweating, a high temperature, chills, headache, nausea, muscle aches, feeling depressed, lethargic for the entire day. I know these reactions (side-effects) are listed in the brochure that was provided to me at the pharmacy but the severity of the side-effects makes me question whether it is safe to administer this vaccine to the age group it is intended...I continued to experience side-effects: esp. headache, muscle aches for several days after the vaccination. It was a good thing my husband was here to manage all my chores for me. I experienced some of these same symptoms after the first shot but not to the extent of the second shot. (A prescribed vaccine...second shot).
Sex: F
Vaccine: HPV4
Symptoms: Arthropod bite, Condition aggravated, Food allergy, Laboratory test, Loss of consciousness
Clinical narrative: 1st shot small side effects. 2nd shot loss of consciousness, seizures, causing inability to speak, form sentences, walk without support. Constant migraines, Dr's said migraine swelling could cause the rest. Never had a migraine before these shots. Oh, 1st shot abnormal periods, 2nd shot permanent period and bled for 6 mo straight. Has to take full time BC to stop that from happening. Dr visits every 2 weeks, a lot of verification. Final conclusion, tick bite complication. Also read a lot about this shot allowing suppressed tick bite complications to re-ignite. Dermatologist finally found tick bite causing alpha-gal after more than a year of incapacitating sickness that caused a 2nd from top of class girl to drop out and become home schooled, because she was either throwing up or light sensitive with the migraines.
Sex: F
Vaccine: HPV4
Symptoms: Loss of personal independence in daily activities, Malaise, Menorrhagia, Menstrual disorder, Migraine
Clinical narrative: 1st shot small side effects. 2nd shot loss of consciousness, seizures, causing inability to speak, form sentences, walk without support. Constant migraines, Dr's said migraine swelling could cause the rest. Never had a migraine before these shots. Oh, 1st shot abnormal periods, 2nd shot permanent period and bled for 6 mo straight. Has to take full time BC to stop that from happening. Dr visits every 2 weeks, a lot of verification. Final conclusion, tick bite complication. Also read a lot about this shot allowing suppressed tick bite complications to re-ignite. Dermatologist finally found tick bite causing alpha-gal after more than a year of incapacitating sickness that caused a 2nd from top of class girl to drop out and become home schooled, because she was either throwing up or light sensitive with the migraines.
Sex: F
Vaccine: HPV4
Symptoms: Photophobia, Seizure, Speech disorder, Vomiting, Walking aid user
Clinical narrative: 1st shot small side effects. 2nd shot loss of consciousness, seizures, causing inability to speak, form sentences, walk without support. Constant migraines, Dr's said migraine swelling could cause the rest. Never had a migraine before these shots. Oh, 1st shot abnormal periods, 2nd shot permanent period and bled for 6 mo straight. Has to take full time BC to stop that from happening. Dr visits every 2 weeks, a lot of verification. Final conclusion, tick bite complication. Also read a lot about this shot allowing suppressed tick bite complications to re-ignite. Dermatologist finally found tick bite causing alpha-gal after more than a year of incapacitating sickness that caused a 2nd from top of class girl to drop out and become home schooled, because she was either throwing up or light sensitive with the migraines.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Pharmacy called me in yesterday for 2nd dose of SHINGRIX inj. Went in around 6pm and received injection in my left arm. Pretty sore as it was last time, however, all day today I have been running a low grade fever, chills, stomach pain (not cramps), headaches and fatigued...barely keep my head up fatigue. This did not happen on the first dose and not sure if this is normal.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Pharmacy called me in yesterday for 2nd dose of SHINGRIX inj. Went in around 6pm and received injection in my left arm. Pretty sore as it was last time, however, all day today I have been running a low grade fever, chills, stomach pain (not cramps), headaches and fatigued...barely keep my head up fatigue. This did not happen on the first dose and not sure if this is normal.
Sex: F
Vaccine: PNC13
Symptoms: Rash
Clinical narrative: This is a spontaneous report from a non-contactable consumer. A female patient of an unspecified age received PREVNAR 13, (Lot number and expiration date were not reported), with route of administration and therapy date unspecified, at a single dose for immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, both the patient's forearms broke out in rashes. The outcome of the event, 'both the patient's forearms broke out in rashes', was unknown. No follow-up attempts are possible. No further information is expected.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Feeling hot, Pruritus generalised
Clinical narrative: Patient received her influenza vaccination on 10/3/2018 at 11:00 at her left deltoid region. Patient stated that 10 minutes later she felt warm all over and now complained of generalized pruritus. There was no rash per se and there was no swelling at the injection site. She denied prior influenza vaccination allergies she denied any other medication allergies. Patient stated she had her usual food intake after the vaccine of tuna. She denied wheeze or cough. There was no swelling of the face or oropharynx or elsewhere on her body. In the ED patient was treated with prednisone 40 mg PO and BENADRYL 25 mg PO and was observed for an hour. Patient was discharged to continue BENADRYL. Pruritus. Prednisone, 40 mg, once, po; Diphenhydramine, 25 mg, once, po.
Age: 69.0
Sex: M
Vaccine: FLUA3
Symptoms: Rash
Clinical narrative: Rash.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Ataxia, Blood immunoglobulin G decreased, Clostridium test positive, Cyanosis, Disturbance in attention
Clinical narrative: Second episode of symptoms included altered concentration level, spasticity of head/neck, neck pain, difficulty swallowing, difficulty speaking - "spasticity dysphonia", tremor, stiffness, muscle spasms, laryngospasm, pneumonia, cyanosis, truncal instability, opisthotonus, reflex spasm, muscle twitching, episodic jerking/myoclonus, hyperreflex, ataxia, freezing, shuffling, falls, etc. Symptoms would wax and wane. Treatment included penicillin, prednisone, ROBAXIN, clonazepam, primidone, potassium chloride, vitamin D supplement, antihistamine, various headache medications, speech therapy, etc.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Dyskinesia, Dysphagia, Dysphonia, Fall, Feeling cold
Clinical narrative: Second episode of symptoms included altered concentration level, spasticity of head/neck, neck pain, difficulty swallowing, difficulty speaking - "spasticity dysphonia", tremor, stiffness, muscle spasms, laryngospasm, pneumonia, cyanosis, truncal instability, opisthotonus, reflex spasm, muscle twitching, episodic jerking/myoclonus, hyperreflex, ataxia, freezing, shuffling, falls, etc. Symptoms would wax and wane. Treatment included penicillin, prednisone, ROBAXIN, clonazepam, primidone, potassium chloride, vitamin D supplement, antihistamine, various headache medications, speech therapy, etc.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Gait disturbance, Hyperreflexia, Imaging procedure, Laboratory test, Laryngospasm
Clinical narrative: Second episode of symptoms included altered concentration level, spasticity of head/neck, neck pain, difficulty swallowing, difficulty speaking - "spasticity dysphonia", tremor, stiffness, muscle spasms, laryngospasm, pneumonia, cyanosis, truncal instability, opisthotonus, reflex spasm, muscle twitching, episodic jerking/myoclonus, hyperreflex, ataxia, freezing, shuffling, falls, etc. Symptoms would wax and wane. Treatment included penicillin, prednisone, ROBAXIN, clonazepam, primidone, potassium chloride, vitamin D supplement, antihistamine, various headache medications, speech therapy, etc.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Muscle spasms, Muscle spasticity, Muscle twitching, Musculoskeletal stiffness, Myoclonus
Clinical narrative: Second episode of symptoms included altered concentration level, spasticity of head/neck, neck pain, difficulty swallowing, difficulty speaking - "spasticity dysphonia", tremor, stiffness, muscle spasms, laryngospasm, pneumonia, cyanosis, truncal instability, opisthotonus, reflex spasm, muscle twitching, episodic jerking/myoclonus, hyperreflex, ataxia, freezing, shuffling, falls, etc. Symptoms would wax and wane. Treatment included penicillin, prednisone, ROBAXIN, clonazepam, primidone, potassium chloride, vitamin D supplement, antihistamine, various headache medications, speech therapy, etc.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Neck pain, Nuclear magnetic resonance imaging, Opisthotonus, Pneumonia, Posture abnormal
Clinical narrative: Second episode of symptoms included altered concentration level, spasticity of head/neck, neck pain, difficulty swallowing, difficulty speaking - "spasticity dysphonia", tremor, stiffness, muscle spasms, laryngospasm, pneumonia, cyanosis, truncal instability, opisthotonus, reflex spasm, muscle twitching, episodic jerking/myoclonus, hyperreflex, ataxia, freezing, shuffling, falls, etc. Symptoms would wax and wane. Treatment included penicillin, prednisone, ROBAXIN, clonazepam, primidone, potassium chloride, vitamin D supplement, antihistamine, various headache medications, speech therapy, etc.
Age: 44.0
Sex: F
Vaccine: TD
Symptoms: Spasmodic dysphonia, Speech disorder, Tremor, Vitamin D decreased, White blood cell count decreased
Clinical narrative: Second episode of symptoms included altered concentration level, spasticity of head/neck, neck pain, difficulty swallowing, difficulty speaking - "spasticity dysphonia", tremor, stiffness, muscle spasms, laryngospasm, pneumonia, cyanosis, truncal instability, opisthotonus, reflex spasm, muscle twitching, episodic jerking/myoclonus, hyperreflex, ataxia, freezing, shuffling, falls, etc. Symptoms would wax and wane. Treatment included penicillin, prednisone, ROBAXIN, clonazepam, primidone, potassium chloride, vitamin D supplement, antihistamine, various headache medications, speech therapy, etc.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: MMRV given SQ in (L) arm 3/11/19, increased redness and swelling at injection site noticed approximately 24 hours later, developed fever at 24 hours. Today approx 3 inch erythematous, warm, swollen area around injection site, very tender to touch.
Age: 37.0
Sex: M
Vaccine: FLU4, YF, FLUX, YF
Symptoms: Blood creatinine normal, CSF culture negative, CSF glucose normal, CSF protein normal, CSF white blood cell count negative
Clinical narrative: On 3/8 after returning from skiing with severe headache, fever, photophobia. No neurologic deficits and mental status intact. CBC, LFTs, Cr all normal. CSF 3/12- with normal protein and glucose, 700 WBC- all lymphs/monos. CSF cultures neg to date.
Age: 37.0
Sex: M
Vaccine: FLU4, YF, FLUX, YF
Symptoms: Full blood count normal, Headache, Liver function test normal, Photophobia, Pyrexia
Clinical narrative: On 3/8 after returning from skiing with severe headache, fever, photophobia. No neurologic deficits and mental status intact. CBC, LFTs, Cr all normal. CSF 3/12- with normal protein and glucose, 700 WBC- all lymphs/monos. CSF cultures neg to date.
Age: 37.0
Sex: M
Vaccine: FLU4, YF, FLUX, YF
Symptoms: Antibody test positive, CSF eosinophil count, CSF glucose normal, CSF lymphocyte count increased, CSF monocyte count negative
Clinical narrative: On 3/8 after returning from skiing with severe headache, fever, photophobia. No neurologic deficits and mental status intact. CBC, LFTs, Cr all normal. CSF 3/12- with normal protein and glucose, 700 WBC- all lymphs/monos. CSF cultures neg to date.
Age: 37.0
Sex: M
Vaccine: FLU4, YF, FLUX, YF
Symptoms: CSF protein normal, CSF red blood cell count positive, CSF white blood cell count increased, Computerised tomogram head normal, Headache
Clinical narrative: On 3/8 after returning from skiing with severe headache, fever, photophobia. No neurologic deficits and mental status intact. CBC, LFTs, Cr all normal. CSF 3/12- with normal protein and glucose, 700 WBC- all lymphs/monos. CSF cultures neg to date.
Age: 37.0
Sex: M
Vaccine: FLU4, YF, FLUX, YF
Symptoms: Lumbar puncture abnormal, Meningitis bacterial, Photophobia, Polymerase chain reaction positive, Pyrexia
Clinical narrative: On 3/8 after returning from skiing with severe headache, fever, photophobia. No neurologic deficits and mental status intact. CBC, LFTs, Cr all normal. CSF 3/12- with normal protein and glucose, 700 WBC- all lymphs/monos. CSF cultures neg to date.
Age: 37.0
Sex: M
Vaccine: FLU4, YF, FLUX, YF
Symptoms: Viral infection
Clinical narrative: On 3/8 after returning from skiing with severe headache, fever, photophobia. No neurologic deficits and mental status intact. CBC, LFTs, Cr all normal. CSF 3/12- with normal protein and glucose, 700 WBC- all lymphs/monos. CSF cultures neg to date.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Cough, Pyrexia
Clinical narrative: Persistant Fever (over 102 deg F); Dry Cough.
Age: 2.0
Sex: F
Vaccine: VARCEL
Symptoms: Incontinence, Regressive behaviour
Clinical narrative: Previously potty-trained toddler became incontinent for 3 days following administration of the vaccine. Daycare teachers also commented on this, without any knowledge of the vaccine having been given. Eventually potty-training habits returned. Also child fell asleep unusually quickly (less than 5 minutes), and she was less talkative for about a week following administration of the vaccine.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site hypoaesthesia, Injection site pruritus
Clinical narrative: Numbness in upper arm near injection site and extreme itching of surrounding skin.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Myalgia
Clinical narrative: Pt states that his neck to elbow and rib cage area under his arm are all very sore with muscle ache. Had improved in the 72 hrs post injections but was still very uncomfortable.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever of 101.5 - the fever lasted for about 12 hours.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: Had Hives, and red itchy rash 6 days post vaccination, slowly improving.
Age: 0.75
Sex: F
Vaccine: DTAPHEPBIP, IPV, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given two doses of the polio vaccine by receiving PEDIARIX and a separate polio vaccine on top of that. To my knowledge there has not been any adverse events.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Irritability, Rash erythematous
Clinical narrative: Patient developed red spots on her right leg, back and arms. Doesn't bother her. Not itchy. No fevers, irritability.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Anxiety, Anxiety disorder, Autism spectrum disorder, Condition aggravated, Decreased eye contact
Clinical narrative: The site of injections was painful, warm and swelled for a month. I thought the nurse injected me wrong at first but then read that could be a side effect. About a month later I ended up having autistic like symptoms, not able to make eye contact, inability to socialize in a normal setting at work. I had onset of repetitive behaviors and severe anxiety. I could no longer function in my position as a manager at work due to my health related issues. I clearly remember having these exact symptoms after receiving the Dtap shot many years ago and put two and two together it was the shot. It took me 3 years in both cases to detox from the ingredients in the vaccine. I had a severe immune response to this vaccine.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Disturbance in social behaviour, Immune system disorder, Impaired work ability, Injection site pain, Injection site swelling
Clinical narrative: The site of injections was painful, warm and swelled for a month. I thought the nurse injected me wrong at first but then read that could be a side effect. About a month later I ended up having autistic like symptoms, not able to make eye contact, inability to socialize in a normal setting at work. I had onset of repetitive behaviors and severe anxiety. I could no longer function in my position as a manager at work due to my health related issues. I clearly remember having these exact symptoms after receiving the Dtap shot many years ago and put two and two together it was the shot. It took me 3 years in both cases to detox from the ingredients in the vaccine. I had a severe immune response to this vaccine.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site warmth, Laboratory test normal, Stereotypy, Vaccine positive rechallenge
Clinical narrative: The site of injections was painful, warm and swelled for a month. I thought the nurse injected me wrong at first but then read that could be a side effect. About a month later I ended up having autistic like symptoms, not able to make eye contact, inability to socialize in a normal setting at work. I had onset of repetitive behaviors and severe anxiety. I could no longer function in my position as a manager at work due to my health related issues. I clearly remember having these exact symptoms after receiving the Dtap shot many years ago and put two and two together it was the shot. It took me 3 years in both cases to detox from the ingredients in the vaccine. I had a severe immune response to this vaccine.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HEP, PNC13, RV5
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given PEDIARIX and Hepatitis B vaccines and no adverse event occurred to my knowledge.
Age: 10.0
Sex: F
Vaccine: MMRV
Symptoms: Malaise, Nasopharyngitis, Nausea, Pyrexia, Rash
Clinical narrative: 9 days post vaccination, Patient started feeling malaise, cold and nausea. 11 days after she developed mild fevers of about 100.6. 12 days post vaccination, she is still experiencing nausea and then broke out in a head to toe rash. Her rash is itchy and painful.
Age: 10.0
Sex: F
Vaccine: MMRV
Symptoms: Rash generalised, Rash pruritic
Clinical narrative: 9 days post vaccination, Patient started feeling malaise, cold and nausea. 11 days after she developed mild fevers of about 100.6. 12 days post vaccination, she is still experiencing nausea and then broke out in a head to toe rash. Her rash is itchy and painful.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Body temperature increased, Cellulitis, Erythema, Peripheral swelling
Clinical narrative: Child began with a low grade temp of 99.9 degrees F on 3/12/19. Right arm began with swelling and redness on 03/12/2019. Was diagnosed with Cellulitis to right arm.
Age: 24.0
Sex: M
Vaccine: TYP
Symptoms: Abdominal pain upper, Diarrhoea, Diarrhoea haemorrhagic, Dyspepsia, Fatigue
Clinical narrative: I was taking VIVOTIF for about a week and had carried on as one would normally. However, by Friday, I was having bouts of diarrhea, sometimes with streaks of blood. On Friday and Saturday evenings, I felt generally unwell, feverish, and fatigued. On Saturday evening specifically, my stomach was in pain, as if I had very bad heartburn. Since finishing the vaccine, the diarrhea and worse side effects have subsided but still persist to some degree: being overly tired by the afternoon and loose stools.
Age: 24.0
Sex: M
Vaccine: TYP
Symptoms: Malaise, Pyrexia
Clinical narrative: I was taking VIVOTIF for about a week and had carried on as one would normally. However, by Friday, I was having bouts of diarrhea, sometimes with streaks of blood. On Friday and Saturday evenings, I felt generally unwell, feverish, and fatigued. On Saturday evening specifically, my stomach was in pain, as if I had very bad heartburn. Since finishing the vaccine, the diarrhea and worse side effects have subsided but still persist to some degree: being overly tired by the afternoon and loose stools.
Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Nodule, Skin warm
Clinical narrative: THE PATIENT REPORTED THAT 3 DAYS AFTER SHE RECEIVED THE VACCINE, THAT SHE EXPERIENCED A FEVER IN HER ARM AND REDNESS THAT WENT ALL THE WAY ALMOST TO HER ELBOW.  SHE SAYS THAT AT THE TIME SHE COULD NOT EVEN IDENTIFY THE INJECTION SITE AT THE TIME OF INJECTION BUT AFTER THE FEVER STARTED THAT A LITTLE KNOT FORMED OVER THE INJECTION SITE. THIS LASTED A FEW DAYS AND THEN THE SYMPTOMS WENT AWAY.  SHE REPORTED THIS WHEN SHE SHOWED UP TO RECEIVE ANOTHER VACCINATION OF A DIFFERENT NATURE A FEW MONTHS LATER.
Age: 1.5
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: C-reactive protein, Full blood count, Injection site cellulitis
Clinical narrative: Cellulitis L thigh, presumably at site of VARIVAX.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Impaired work ability, Influenza like illness, Injection site pain
Clinical narrative: I have a fever, and chills, and body aching all over. I have had a headache and feel like I have the flu....so much so I can't work or sleep.....The injection site is sore but I counted on that....just taking over the counter TYLENOL ....
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Pain, Pyrexia
Clinical narrative: I have a fever, and chills, and body aching all over. I have had a headache and feel like I have the flu....so much so I can't work or sleep.....The injection site is sore but I counted on that....just taking over the counter TYLENOL ....
Age: 1.25
Sex: M
Vaccine: DTAP, MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: None at this time that we are aware of other than 2 doses of Varicella were given at the same time to the patient.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site warmth, Pain
Clinical narrative: Pain in L deltoid x8 days, s/p TDAP administration at our clinic on 3/6/2019. Pain has been worsening. Pain is worse with motion. L deltoid feels warm and is diffusely TTP. No appreciable swelling. Pt cannot recall where injection site was on arm. No fevers, other joint pains. No discharge, streaking. No Hx negative vaccine reaction. Has been taking 800-100mg ibu q6h for pain - limitedly effective.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Cardiac monitoring, Computerised tomogram, Full blood count, Metabolic function test, Respiratory distress
Clinical narrative: Moderate respiratory distress, tachypnea, wheezing stridor.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Stridor, Tachypnoea, Urine analysis, Wheezing
Clinical narrative: Moderate respiratory distress, tachypnea, wheezing stridor.
Age: 0.33
Sex: M
Vaccine: DTAPIPV, HIBV, IPV, PNC13, RV1
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse effects seen thus far (24 - hours after incident). Patient received double dose of inactivated polio vaccine (KINRIX + IPOL).
Age: 1.33
Sex: M
Vaccine: DTAP, MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: None stated (unknown).
Age: 52.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm
Clinical narrative: Pt reported redness about the size of a half dollar Tuesday night, told pt to take some BENADRYL and TYLENOL, patient ended up coming to the pharmacy on Wednesday and and increased in size.  Had not taken anything for it yet, but had increased in size to a length of about 6 inches and was warm to the touch.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Head injury, Loss of consciousness, Tremor
Clinical narrative: Patient called and stated she became shaky, had the chills, had a low grade temp, passed out and hit her head on a wall.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Injection site warmth, Muscle spasms, Pain, Pruritus
Clinical narrative: Per patient, patient experienced soreness, itching, cramps in finger, and swelling from injection site. Injection site was warm to touch but patient does not have any fever. As of 03/13/19, patient's symptoms had be reduced. Pain had been reduced, swelling had been reduced, itching had been reduced.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Bone pain, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Pain and soreness in injection site, all over body aches especially up neck and in bones, fever, headache, chills, tiredness, vomiting (12 hours after vaccine but stopped after a couple of hours). All other symptoms lasted about 40 hours except the soreness at injection site which I still have.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain, Pyrexia, Vomiting
Clinical narrative: Pain and soreness in injection site, all over body aches especially up neck and in bones, fever, headache, chills, tiredness, vomiting (12 hours after vaccine but stopped after a couple of hours). All other symptoms lasted about 40 hours except the soreness at injection site which I still have.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Malaise, Tinnitus
Clinical narrative: Patient felt malaise following the immunization; it lasted for about one day. Patient also experience 'ringing in the ear'; it was significant and lasted for about five days.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Dyspnoea, Erythema, Oxygen saturation decreased, Pain, Swelling face
Clinical narrative: Patient complained of pain in bottom and started acting like she was having difficulty breathing. Symptoms progressed to redness, facial swelling, hives, decreased oxygen saturation and wheezing. Symptoms responded to Epinephrine and BENADRYL. Patient monitored in office for one hour. Patient's oxygen increased, swelling decreased and mild hives on cheeks.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Urticaria, Wheezing
Clinical narrative: Patient complained of pain in bottom and started acting like she was having difficulty breathing. Symptoms progressed to redness, facial swelling, hives, decreased oxygen saturation and wheezing. Symptoms responded to Epinephrine and BENADRYL. Patient monitored in office for one hour. Patient's oxygen increased, swelling decreased and mild hives on cheeks.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Fatigue
Clinical narrative: Patient was standing outside the exam room and stated he felt he was tired. I helped him to the ground to lie down. He laid there for 5 minutes BP 119/71. He sat up BP 107/55. Gave patient water and had him lay back down for another 5 minutes. He stated he felt better and sat up BP 94/74. Patient did not eat in the morning. I explained to mom to have him eat something and if got worse take him to emergency. I walked patient to the car.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Immediate post-injection reaction, Injection site pain, Limb discomfort, Pain, Pain in extremity
Clinical narrative: Patient had immediate pain at time of injection and reported discomfort and pain in arm the same day. Patient has swelling and finds it painful to lift arm. Provider assessed that immunization may have been given too high in the deltoid. Pain and soreness still present 2 weeks after immunization received.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Peripheral swelling, Product administered at inappropriate site
Clinical narrative: Patient had immediate pain at time of injection and reported discomfort and pain in arm the same day. Patient has swelling and finds it painful to lift arm. Provider assessed that immunization may have been given too high in the deltoid. Pain and soreness still present 2 weeks after immunization received.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Pain in extremity, Skin tightness
Clinical narrative: Patient's arm has been sore and tight for 4 weeks after the shot, he said he can hardly lift it up but no redness or bruising though.
Age: 52.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Patient is experiencing pain, tingling and numbness in the fingers.
Age: 57.0
Sex: F
Vaccine: HEPA, RAB, TYP
Symptoms: Asthenia, Computerised tomogram head normal, Drug screen, Fibrin D dimer normal, Full blood count normal
Clinical narrative: Generalized weakness. Vitals were normal except BP was mildly low (96/60). Over several hours her strength gradually improved. She was admitted to the hospital on site for observation and neuro checks overnight.
Age: 57.0
Sex: F
Vaccine: HEPA, RAB, TYP
Symptoms: Hypotension, Laboratory test normal, Neurological examination, Troponin I normal, Urine analysis normal
Clinical narrative: Generalized weakness. Vitals were normal except BP was mildly low (96/60). Over several hours her strength gradually improved. She was admitted to the hospital on site for observation and neuro checks overnight.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site dryness, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Patient reported that she had a reaction from her first dose, which was administered 10/25/2018. Patient reported that within a day of the immunization she experienced swelling, redness and bumps at the injection site. It lasted approximately 2 months and then began gradually going down. Patient saw her dermatologist about a month after the immunization and was advised to use her steroid cream for the area. She reported that by January the swelling and redness were gone but she still experienced itchiness and bumps. At this time patient reports that the area is still dry, bumpy and itchy.
Age: 63.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Injected limb mobility decreased, Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: 63 year old patient presented to the clinic 3 days after PCV13 vaccine given today for acute sudden left shoulder pain. Patient was recently at the clinic OCT 31 2018 and he received PREVNAR vaccine on his left arm. That night he started feeling the injection area stiff and sore but then he developed a sharp 10/10 left shoulder pain with radiation to the left arm, no weakness of numbness, he is not able to lift his left arm about the head, limited to about less than 15 degree in abduction, he uses his right arm hand to help lift the left one. He denies lifting any heavy objects, denies trauma, denies any further injuries. He had pneumonia vaccine before and never had reaction to it. Denies swelling of the shoulder, redness, no other issues. Patient then presented a day later to the ER c/o itching, redness to face and neck, tongue swelling and wheezing. Pt stated s/sx began after he took his second dose of naproxen. Pt was prescribed naproxen for the pain and hydrocodone. Pt stated he took both medications last night, today only the naproxen, then the other s/sx began. Symptoms: Muscle pain; Treatment Drugs Used: Naproxen Dose: 500 Units: MG Freq: BID Route: PO
Age: 63.0
Sex: M
Vaccine: PNC13
Symptoms: Myalgia, Pain, Pain in extremity, Pruritus, Swollen tongue
Clinical narrative: 63 year old patient presented to the clinic 3 days after PCV13 vaccine given today for acute sudden left shoulder pain. Patient was recently at the clinic OCT 31 2018 and he received PREVNAR vaccine on his left arm. That night he started feeling the injection area stiff and sore but then he developed a sharp 10/10 left shoulder pain with radiation to the left arm, no weakness of numbness, he is not able to lift his left arm about the head, limited to about less than 15 degree in abduction, he uses his right arm hand to help lift the left one. He denies lifting any heavy objects, denies trauma, denies any further injuries. He had pneumonia vaccine before and never had reaction to it. Denies swelling of the shoulder, redness, no other issues. Patient then presented a day later to the ER c/o itching, redness to face and neck, tongue swelling and wheezing. Pt stated s/sx began after he took his second dose of naproxen. Pt was prescribed naproxen for the pain and hydrocodone. Pt stated he took both medications last night, today only the naproxen, then the other s/sx began. Symptoms: Muscle pain; Treatment Drugs Used: Naproxen Dose: 500 Units: MG Freq: BID Route: PO