chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: FLUX, PNC13
Symptoms: Blood test normal, Injection site pain, Myalgia, Nuclear magnetic resonance imaging normal
Clinical narrative: This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received PREVNAR 13 and influenza vaccine (FLU), via unspecified routes of administration in the left arm on an unspecified date (reported as in October) at a single dose for immunisation. The patient's medical history and concomitant medications were not reported. The patient had muscle pain in both hips and upper arms on an unspecified date. He had four blood tests and three MRI and everything was normal. The patient was now seeing a pain doctor. It was reported that the most severe pain was in his left shoulder and at the injection site. Outcome of the events was unknown. Information on the batch number has been requested.
Sex: U
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. A patient of unspecified age and gender received PREVNAR 13, via an unspecified route of administration on an unspecified date at a single dose for immunization. The patient's medical history and concomitant medications were not reported. The patient experienced pain at injection site on an unspecified date. Outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.
Sex: U
Vaccine: PNC13
Symptoms: Pneumonia
Clinical narrative: This is a spontaneous report based on the information received by Pfizer from Merck & Co., Inc. (manufacturer control number: 01031158). A contactable physician reported for a patient of unspecified age and gender received PREVNAR 13, (Lot Number: Unknown), via an unspecified route of administration in Nov2017, at single dose for immunization. The patient medical history and concomitant medications were not reported. The patient hospitalized for 6 days (hospital unknown) with pneumonia in Jan2018. The outcome of the event was unknown. Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded.
Age: 64.0
Sex: M
Vaccine: PNC13
Symptoms: Limb discomfort, Pain in extremity, Swelling
Clinical narrative: This is a spontaneous report from a contactable pharmacist. A 64-year-old male patient started to receive PREVNAR 13 (Lot number: X13847, Expiry Date: 01Jul2020), via an unspecified route of administration in the left deltoid muscle on 09Nov2018 at 0.5 ml, single for Pneumonia prevention. The patient has no medical history and no concomitant medications. It was reported that the patient just came who received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) several weeks ago and he was just reporting some swelling and side effects on an unspecified date. He went to the doctor at the clinic and they looked at it and they gave him prednisone. He just experienced a lot of discomfort in his left arm. He was having it even when he puts on his shirt; it hurts. He said that he has to sleep on his right side at night because his left arm was bothering him, just things of that nature. When probed for the outcome of the event, the reporter stated, "He started the prednisone two days ago or he just took his second dose and the swelling is going down a little bit". Outcome of the event "swelling" was recovering, while outcome of the other events was unknown.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Erythema, Pruritus, Skin warm, Swelling
Clinical narrative: Redness, swollen, itchiness, warm to the touch.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Dysarthria, Feeling hot, Flushing, Seizure
Clinical narrative: Within 5 minutes of administration, patient felt dizzy, lightheaded, and flushed. She sat down for a few minutes but then "seized up" with her arms in clenched position and vision fixated on a point on the wall. She snapped out of it but then slurred speech for 10-15 seconds until she went back to normal. Then she felt hot and vomited. EMS took her to hospital and the next day patient said she was feeling better. Hospital could not determine cause and she is following up with her PCP.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Staring, Vomiting
Clinical narrative: Within 5 minutes of administration, patient felt dizzy, lightheaded, and flushed. She sat down for a few minutes but then "seized up" with her arms in clenched position and vision fixated on a point on the wall. She snapped out of it but then slurred speech for 10-15 seconds until she went back to normal. Then she felt hot and vomited. EMS took her to hospital and the next day patient said she was feeling better. Hospital could not determine cause and she is following up with her PCP.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Cough, Pain, Rash, Skin discolouration
Clinical narrative: Patient stated 6 small and 3 larger spots across both legs developed within 48 hours of vaccine. The sites sting and burn and vary in color from pink to dark purple throughout the day. They are slightly raised and still present. There has been no additional growth or decline in appearance since presenting. Skin is in-tact and not blistered. Patient also started with bouts of sneezing, coughing and scratchy throat that did subside once started ZYRTEC 10mg daily. However, appearance in rash has not changed since starting the medication. She has no intention of seeking medical treatment from her primary Dr. They are not causing her any disruption in daily living. I suggested TYLENOL, BENADRYL and ice packs to the area.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Sneezing, Swelling, Throat irritation
Clinical narrative: Patient stated 6 small and 3 larger spots across both legs developed within 48 hours of vaccine. The sites sting and burn and vary in color from pink to dark purple throughout the day. They are slightly raised and still present. There has been no additional growth or decline in appearance since presenting. Skin is in-tact and not blistered. Patient also started with bouts of sneezing, coughing and scratchy throat that did subside once started ZYRTEC 10mg daily. However, appearance in rash has not changed since starting the medication. She has no intention of seeking medical treatment from her primary Dr. They are not causing her any disruption in daily living. I suggested TYLENOL, BENADRYL and ice packs to the area.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Myalgia, Nausea, Pyrexia
Clinical narrative: Chills, fever, shivering, nausea, headache, muscle aches. Started approximately 6 hours after vaccine. Lasted approximately 15 hours. Worst symptoms were nausea and shivering.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Hyperaesthesia, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Pt says arm is sore and sensitive to touch at the injection site. Pt came in to be viewed by the pharmacist. Upon inspection, injection site is slightly more red than surrounding area and area of redness is slightly larger than size of quarter. Gave pt ice pack and recommended TYLENOL (pt unable to use NSAIDs). Told pt to continue to observe site and monitor pain. If any increase in site or pain, to call pharmacy again. Also, left note for pharmacy to call on Sunday 12/23 to follow up with patient.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: About 45 minutes after receiving the vaccine, the patient experienced nausea and vomiting.
Age: 56.0
Sex: M
Vaccine: FLUC4, VARZOS
Symptoms: Muscle strain, Tendonitis
Clinical narrative: PATIENT IS COMPLAINING HE STILL FEELS LIKE A PULLED MUSCLE OR TENDONITIS 105 DAYS LATER.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Decreased appetite, Erythema, Headache, Laboratory test
Clinical narrative: Body aches, fever, urinary urgency and incontinence, right arm tender, erythematous, and edematous, weak, drowsy, decreased appetite, headache.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Micturition urgency, Oedema peripheral, Pain, Pyrexia, Somnolence
Clinical narrative: Body aches, fever, urinary urgency and incontinence, right arm tender, erythematous, and edematous, weak, drowsy, decreased appetite, headache.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness, Urinary incontinence
Clinical narrative: Body aches, fever, urinary urgency and incontinence, right arm tender, erythematous, and edematous, weak, drowsy, decreased appetite, headache.
Age: 3.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Minor redness/swelling on vaccine day on bilateral arms. Increasing redness and swelling starting the following morning on both arms. Ibuprofen and Benadryl as needed. Mother to call if redness passes border markings.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest discomfort, Pain
Clinical narrative: Patient experiencing Chest tightness and pain.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Pt reported to pharmacy on 12-20-18 stating that two days after her flu vaccination she experienced pain in her left shoulder which did not subside. Two weeks after the injection she was started on Prednisone, and is currently undergoing physical therapy to left bursa injury.
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Pruritus, Throat irritation
Clinical narrative: Report of feeling of itchiness in throat and face approximately 20 min post vaccination. Pt. VS performed and stable. Pt. administered therapeutic injection per PCM orders: Diphenhydramine 50 mg IM, DEPO MEDROL 120 mg IM and ZANTAC 150 mg PO. Pt. monitored for 20 min post therapeutic injection and medications. Remained in stable condition. Pt. reported symptoms subsided and witnessed leaving clinic with mother with no symptoms remaining.
Age: 0.17
Sex: M
Vaccine: RV1
Symptoms: Barium enema normal, Constipation
Clinical narrative: Complete constipation. He completely stopped being able to have bowel movements independently.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Malaise, Myalgia, Pyrexia
Clinical narrative: Fever, general feeling of like she is sick, muscle soreness, and feeling sweaty upon doing small task like walking.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Abnormal behaviour, Asthenia, Catatonia, Cytogenetic analysis, Diet refusal
Clinical narrative: The morning we took patient to Clinic, he was a happy, healthy toddler who spoke in 5-word sentences and was learning to read. He knew his alphabet, as well as all of his shapes and colors. He could count to 20 and he knew all of his animals and their sounds. Family members described him as 'brilliant'. After receiving his flu vaccine, patient became very tired, so he went to bed early that evening. The morning after receiving his flu vaccine, patient was extremely tired and weak, unable to stand or speak. We believed that the flu vaccine had given patient flu-like symptoms, which I have experienced myself, so we let patient rest. It was my understanding that the flu symptoms can last for up to two weeks. As the days and weeks went by, patient was still not speaking. He began walking very slowly with a pigeon-toed, shuffling gait, as if he was in pain. He also refused to eat or even hold a spoon. Family members were convinced that he was "going through a phase" and that it would pass. As time went by, it became clear that it was not just a phase. We had patient evaluated by a pediatric neurologist who performed an MRI and EEG. We have seen several specialists who performed genetic and nutritional assessments. We have also consulted speech and occupational therapists. Being eligible for Pre-K, the school district evaluated for special needs services. The therapist that evaluated patient wrote his condition as "catatonic." When patient finally said his first word several months after the flu vaccine, the cadence of his voice was noticeably different ? flat and toneless. It has now been nearly two years since the vaccine. Patient is still in intensive ABA therapy for 8 hours a day, four days a week, as well as two days a week of special education. Instead of playing with toys like he did prior to the flu shot, patient exhibits extreme stimming behaviors. These include constant hopping, clapping, drumming, hitting his chest, or running in circles. Every aspect of patient's life has been affected. Before the vaccine, he enjoyed a variety of foods and would feed himself with utensils. After the vaccine, he refuses to eat all but a few foods, and must be spoon-fed. At the age of 5, patient is still not potty trained, and wears diapers full time. Patient is unable to verbalize any of his needs or feelings. Patient went from being a healthy, neurotypical child, to exhibiting extreme, life-altering behaviors the morning after receiving his flu vaccine. We firmly believe this is a case of vaccine injury.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Dysstasia, Electroencephalogram, Fatigue, Foot deformity, Gait disturbance
Clinical narrative: The morning we took patient to Clinic, he was a happy, healthy toddler who spoke in 5-word sentences and was learning to read. He knew his alphabet, as well as all of his shapes and colors. He could count to 20 and he knew all of his animals and their sounds. Family members described him as 'brilliant'. After receiving his flu vaccine, patient became very tired, so he went to bed early that evening. The morning after receiving his flu vaccine, patient was extremely tired and weak, unable to stand or speak. We believed that the flu vaccine had given patient flu-like symptoms, which I have experienced myself, so we let patient rest. It was my understanding that the flu symptoms can last for up to two weeks. As the days and weeks went by, patient was still not speaking. He began walking very slowly with a pigeon-toed, shuffling gait, as if he was in pain. He also refused to eat or even hold a spoon. Family members were convinced that he was "going through a phase" and that it would pass. As time went by, it became clear that it was not just a phase. We had patient evaluated by a pediatric neurologist who performed an MRI and EEG. We have seen several specialists who performed genetic and nutritional assessments. We have also consulted speech and occupational therapists. Being eligible for Pre-K, the school district evaluated for special needs services. The therapist that evaluated patient wrote his condition as "catatonic." When patient finally said his first word several months after the flu vaccine, the cadence of his voice was noticeably different ? flat and toneless. It has now been nearly two years since the vaccine. Patient is still in intensive ABA therapy for 8 hours a day, four days a week, as well as two days a week of special education. Instead of playing with toys like he did prior to the flu shot, patient exhibits extreme stimming behaviors. These include constant hopping, clapping, drumming, hitting his chest, or running in circles. Every aspect of patient's life has been affected. Before the vaccine, he enjoyed a variety of foods and would feed himself with utensils. After the vaccine, he refuses to eat all but a few foods, and must be spoon-fed. At the age of 5, patient is still not potty trained, and wears diapers full time. Patient is unable to verbalize any of his needs or feelings. Patient went from being a healthy, neurotypical child, to exhibiting extreme, life-altering behaviors the morning after receiving his flu vaccine. We firmly believe this is a case of vaccine injury.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Influenza like illness, Laboratory test, Nuclear magnetic resonance imaging, Regressive behaviour, Speech disorder
Clinical narrative: The morning we took patient to Clinic, he was a happy, healthy toddler who spoke in 5-word sentences and was learning to read. He knew his alphabet, as well as all of his shapes and colors. He could count to 20 and he knew all of his animals and their sounds. Family members described him as 'brilliant'. After receiving his flu vaccine, patient became very tired, so he went to bed early that evening. The morning after receiving his flu vaccine, patient was extremely tired and weak, unable to stand or speak. We believed that the flu vaccine had given patient flu-like symptoms, which I have experienced myself, so we let patient rest. It was my understanding that the flu symptoms can last for up to two weeks. As the days and weeks went by, patient was still not speaking. He began walking very slowly with a pigeon-toed, shuffling gait, as if he was in pain. He also refused to eat or even hold a spoon. Family members were convinced that he was "going through a phase" and that it would pass. As time went by, it became clear that it was not just a phase. We had patient evaluated by a pediatric neurologist who performed an MRI and EEG. We have seen several specialists who performed genetic and nutritional assessments. We have also consulted speech and occupational therapists. Being eligible for Pre-K, the school district evaluated for special needs services. The therapist that evaluated patient wrote his condition as "catatonic." When patient finally said his first word several months after the flu vaccine, the cadence of his voice was noticeably different ? flat and toneless. It has now been nearly two years since the vaccine. Patient is still in intensive ABA therapy for 8 hours a day, four days a week, as well as two days a week of special education. Instead of playing with toys like he did prior to the flu shot, patient exhibits extreme stimming behaviors. These include constant hopping, clapping, drumming, hitting his chest, or running in circles. Every aspect of patient's life has been affected. Before the vaccine, he enjoyed a variety of foods and would feed himself with utensils. After the vaccine, he refuses to eat all but a few foods, and must be spoon-fed. At the age of 5, patient is still not potty trained, and wears diapers full time. Patient is unable to verbalize any of his needs or feelings. Patient went from being a healthy, neurotypical child, to exhibiting extreme, life-altering behaviors the morning after receiving his flu vaccine. We firmly believe this is a case of vaccine injury.
Age: 18.0
Sex: F
Vaccine: FLUC4
Symptoms: Malaise, Syncope
Clinical narrative: Patient said she had never reacted to any vaccines in the past. She and her father both were administered the FLUCELVAX vaccine. She did not appear nervous or reluctant to get the shot. About 20 minutes later when at check outs her father said that she told him she wasn't feeling well and he told her to sit at deli while he finished his purchases. He said she then fainted before he could catch her. She was examined by Emergency services and was able to leave under her own power.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling abnormal, Pain in extremity, Vertigo
Clinical narrative: Patient had soreness in the arm for 4 days, but the real complaint is vertigo attacks that began the night after the vaccination. Three 5 minute long vertigo attacks have happened to the patient: one attack the night after the vaccination, one later that next day, and one on the 3rd day after the vaccination. The patient still feels "off" and is concerned that an attack could happen again. He has never had vertigo in the past.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Headache, chills, tiredness.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling
Clinical narrative: I had a large red spot at the injection site for over 3 1/2 weeks and a hard bump underneath the skin. About one week ago I noticed that the injection site was still hard and was turning black and blue. I contacted my doctor's office regarding it and they said it sometimes takes a while for it to go away. Now the black and blue area has the skin peeling as a scab would. The redness and swelling and heat are gone but I still have that hard bump underneath and it's slowly going down.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Skin exfoliation
Clinical narrative: I had a large red spot at the injection site for over 3 1/2 weeks and a hard bump underneath the skin. About one week ago I noticed that the injection site was still hard and was turning black and blue. I contacted my doctor's office regarding it and they said it sometimes takes a while for it to go away. Now the black and blue area has the skin peeling as a scab would. The redness and swelling and heat are gone but I still have that hard bump underneath and it's slowly going down.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Pain
Clinical narrative: Redness of the skin below the injection site about a size of a credit card after 2 days of receiving vaccination. Patient felt achy for a couple of days but feels fine. No achiness or rash.
Age: 5.0
Sex: U
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient received an additional flu vaccine in error.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Acne, Injection site bruising, Injection site erythema, Injection site reaction
Clinical narrative: Redness, bruising at site of injection-pimple formed.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Myalgia
Clinical narrative: Patient has muscle pain in the arm several weeks after the fact, I advised her that this was not ordinary. Pt claims the muscle hurts when pressed.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Balance disorder, Chills, Decreased appetite
Clinical narrative: Became violently ill 20 hours after the vaccination. Severe dizziness resulting in a fall at sudden onset, vomiting, intestinal distress, chills, no appetite, weakness, imbalance. Diagnosed with Labyrinthitis. Taking BENADRYL. A week later still have continued dizziness and imbalance and cannot drive a car.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fall, Impaired driving ability, Labyrinthitis, Malaise
Clinical narrative: Became violently ill 20 hours after the vaccination. Severe dizziness resulting in a fall at sudden onset, vomiting, intestinal distress, chills, no appetite, weakness, imbalance. Diagnosed with Labyrinthitis. Taking BENADRYL. A week later still have continued dizziness and imbalance and cannot drive a car.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Became violently ill 20 hours after the vaccination. Severe dizziness resulting in a fall at sudden onset, vomiting, intestinal distress, chills, no appetite, weakness, imbalance. Diagnosed with Labyrinthitis. Taking BENADRYL. A week later still have continued dizziness and imbalance and cannot drive a car.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Fatigue, Headache, Pain in extremity, Pollakiuria
Clinical narrative: Tired/sluggish, headache, fever, lack of appetite, constant urination, soreness in arm (much more than first shot). Did not have any of these side effects after the first shot in October.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Sluggishness
Clinical narrative: Tired/sluggish, headache, fever, lack of appetite, constant urination, soreness in arm (much more than first shot). Did not have any of these side effects after the first shot in October.
Age: 60.0
Sex: F
Vaccine: FLUA3
Symptoms: Chills, Cold sweat, Musculoskeletal stiffness
Clinical narrative: Patient stated that within a few hours had gotten the chills and cold sweats. She said it only lasted a few minutes. She said she developed stiffness in her hands that lasted a few weeks. She came to report it on 10/31/2018. We instructed her to check with her doctor. She said she wanted to wait a bit more. We had contacted the manufacturer the next day. They said that arthralgia and myalgia were side effects. We again followed up with her that next day and a few days later. We had submitted a report previously on this, but the computer was freezing up. So we submitted another report just in case. We had also submitted a VAERS Report when we contacted the drug company.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site swelling
Clinical narrative: Approximately 48 hours after shot was administered, skin around shot site became bright red, swollen, and inflamed. The reaction continued to grow to about the size of a large grapefruit.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Pain, Pain in extremity
Clinical narrative: Sore, achy arm. Tired, chills, body aches, possible fever.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Red, inflamed area approximately 2 inches wide by 4 inches long on patient's arm developed after the vaccine was given. Inflamed area was approximately 2 inches below the site of the vaccine. Dr. prescribed a MEDROL dose pak a day after vaccine was given.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Lip blister, Pain, Pyrexia
Clinical narrative: Fever, body aches, severe headach, blisters on lips.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Heart rate increased, Injection site erythema, Nasopharyngitis
Clinical narrative: Extremely cold, shivering, fast hear rate, fatigue, sleepiness, injection site redness.
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Somnolence
Clinical narrative: Extremely cold, shivering, fast hear rate, fatigue, sleepiness, injection site redness.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling face
Clinical narrative: Customer experienced swelling on lower left side of face. Doctor had her to take Benadryl otc.
Age: 0.67
Sex: F
Vaccine: DTAPIPVHIB, FLUX, HEP, PNC13
Symptoms: Dyskinesia, Electroencephalogram normal, Pyrexia, Seizure like phenomena, Tremor
Clinical narrative: I filled the above to my best ability. The paperwork I have from the office does not give details as to which Heb B and a few others. Therefore the selection didn't match perfectly to the one she had. 11-28-18 vaccines given. The next day low fever (like normal for her after vaccines). Then the following day (11-29-18) seizure like activity started in the evening (similar to infantile spasm look). The next day (11-30-18) they were continuously increasing to the point of being extremely concerned. I (mother to patient) called hospital triage line and they said to take her to ER. We did and she had a few "episodes" in front of the resident doctor who talked to the neurology team and decided to admit her for an EEG and possibly MRI. EEG came clear so MRI was dismissed. However, a follow up with neurology and optometry was recommended. Patient's seizure like activity has almost completely disappeared. However, she does have some random shakes and jerks now. Continued check-ups are needed in the future, but healthcare professionals agree that the vaccines had to cause this or contribute due to timing and decrease of the episodes without medical assistance.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Patient states she has been having pain in her right arm since she received the FLUZONE HD injection.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient came into the pharmacy and showed me her arm which was swollen and red from the site of administration (the deltoid) all the way down to near the elbow. She complained of itchiness but no pain. I recommended hydrocortisone 1% cream for her and to go to an urgent care clinic if symptoms don't approve after a couple of days. Vaccine was administered properly at the appropriate site (IM at deltoid). Patient even confirmed that she remembered me giving her the shot that way. No further information such as treatment outcome is known as of today (12/22/18). As for the result of the adverse event (item 21), she came into the pharmacy, told me the story, showed me her arm, and asked me for advice which I gave to her as stated above. Patient did NOT die. Item 21 is forcing me to put a check mark in a box for patient's date of death. At least that's what it looks like to me.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Pain at injection site similar to pain from bruise lasting for 5 days. Mild headache for a week. Now one week later, still have mild headache, neck pain, and arm has changed to itching, heat and red area at  & surrounding injection site.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Pain at injection site similar to pain from bruise lasting for 5 days. Mild headache for a week. Now one week later, still have mild headache, neck pain, and arm has changed to itching, heat and red area at  & surrounding injection site.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Injection site pain, Pain
Clinical narrative: Pain/soreness at injection site, followed by body aches, headache, flu-like symptoms overnight.
Age: 75.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient stated that he ended up in hospital for 6 weeks with Gullian-Barre syndrome. He was in the hospital for 2 weeks and then a rehab facility for 6 weeks. He said that he may be 90% back to his old self today (12/22/18).
Age: 24.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Rash
Clinical narrative: A NODULE, REDNESS AND ITCHING AT INJECTION SITE THE DAY AFTER VACCINE WAS ADMINISTERED. BILATERAL RASHES BEGAN 6 DAYS AFTER INJECTION.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Blood pressure increased, Heart rate increased, Immediate post-injection reaction, Pain
Clinical narrative: IMMEDIATE (WITHIN 3 MINUTES OF VACCINATION) PAIN ALL OVER BODY, CONCENTRATING IN BACK AND LOWER LEGS. SEVERE ENOUGH TO RAISE BLOOD PRESSURE AND PULSE SIGNIFICANTLY. AFTER TYLENOL AND BENADRYL, PAIN SUBSIDED (30 MINUTES).
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: IMMEDIATE (WITHIN 3 MINUTES OF VACCINATION) PAIN ALL OVER BODY, CONCENTRATING IN BACK AND LOWER LEGS. SEVERE ENOUGH TO RAISE BLOOD PRESSURE AND PULSE SIGNIFICANTLY. AFTER TYLENOL AND BENADRYL, PAIN SUBSIDED (30 MINUTES).
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Nausea
Clinical narrative: Headache. Nausea. Headache went away after first day. Nausea continues into Day 3.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Arthralgia, Hypoaesthesia, Injection site erythema, Injection site swelling, Injection site urticaria
Clinical narrative: Pt reported numbness in both arms and lower back and knees several hours post-vaccination. Husband described "pain and numbness in the fleshy part of her joints" and that it took 3-4 days for the aches and pains to go away. Pt did see her physician the day after vaccination and was told she was ok. Spoke to patient again on 12/22 and she is reporting red swollen hives at the injection site.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Following administration of PREVNAR 13 the patient experienced pain in the left shoulder, not at the injection site. Pain has continued since administration and patient can not raise her arm without pain.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Soreness and swelling with redness and warmth that is growing in size at both injection sites; worse on right (MMR). Afebrile. No SOB, or angioedema. Reviewed with Pediatrician. Concerned about developing cellulitis, esp on right. Started on AUGMENTIN 500mg BID x7 days. Use OTC pain relievers. To see PCP tomorrow morning. Margins of erythema marked with skin marker.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Neuralgia
Clinical narrative: Pt reports onset of intermittent neuralgia and numbness in both hands beginning the day following vaccination and continuing now 5 days later. No report of injection site reaction, erythema, swelling, or other systemic symptoms.
Age: 45.0
Sex: M
Vaccine: FLUR4
Symptoms: Abdominal pain upper, Diarrhoea, Pyrexia
Clinical narrative: Patient was experiencing no side effects when pharmacist called him back to check on him on 12/20. However, patient reports that on 12/21, he started experiencing stomach cramps and diarrhea, along with a low-grade (100 degrees) fever. He is not sure if it is related to the vaccine, as he said he also purchased some salad on 12/19. He did not start getting symptoms until after he had eaten some of the salad. He does not report any issues at the injection site to my knowledge.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Feeling abnormal, Headache, Rash, Rash generalised
Clinical narrative: Patient reported  that she was experiencing headache, dizziness, and a feeling of "disconnect" starting the day after vaccination and persisting for several days. Also, presented on the evening of 12/21/2018 to the pharmacist with what appeared to be a mild, but widespread rash on both arms. Patient says the rash started two days after the vaccine and is all over her body..
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Lethargy, Muscle spasms
Clinical narrative: Patient had all over body cramps, and muscle spasms along with chills and lethargy. Patient reported almost going to the ER.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Patients husband states she had high fever and sore arm. Per patient's husband symptoms were worse the evening immediately following the shot and were improving by morning. Reported the day after shot when he was asking for OTC recommendations for symptoms.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin, Pruritus, Rash, Transient ischaemic attack
Clinical narrative: Itching and Rash all over on arms and legs and still continues, Mini Stroke in November 6, 2018.
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Blood glucose normal, Dizziness, Seizure, Tongue oedema
Clinical narrative: Dizziness, tongue edema, seizure.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Influenza, Pain in extremity, Pyrexia
Clinical narrative: Fever 99.8, bad headache, leg pain. Feels just like bad case of the flu.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Immediate post-injection reaction, Injection site bruising, Injection site pain, Injection site paraesthesia
Clinical narrative: Patient received vaccine higher up on right arm and immediately felt pain afterwards, continued for about 3 days, got better and then came back. The site was swollen, and bruised lasting maybe a week. Pt is now left with a small bump at injection site, site is still tender and tingling and arm feels heavy. Pt has applied heat, taken MOTRIN OTC and ice, even had a massage. Pt is still feeling discomfort after 3 weeks.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Limb discomfort, Product administered at inappropriate site
Clinical narrative: Patient received vaccine higher up on right arm and immediately felt pain afterwards, continued for about 3 days, got better and then came back. The site was swollen, and bruised lasting maybe a week. Pt is now left with a small bump at injection site, site is still tender and tingling and arm feels heavy. Pt has applied heat, taken MOTRIN OTC and ice, even had a massage. Pt is still feeling discomfort after 3 weeks.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient reported redness spreading up arm/shoulder, swelling, itching.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes virus infection, Rash
Clinical narrative: Rash under the right arm pit  after 18 hours of administering the vaccine shown to the doctor. The indicated that he has active herpes. Treated with acyclovir 800mg ( 1 tablet 5 times a day for 10 days).
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Dry throat, Fatigue, Laryngitis, Malaise, Myalgia
Clinical narrative: 12/13 Thur am - vaccination at Care Center (Dr.'s nurse). Fri am - swam as normal; perhaps some general malaise and muscle soreness. Sat - muscle soreness. Sun - woke at 1:55 am after 3 hours of sleep. Throat raw/dry. General tiredness all day. Mon - slept ~4 hours; swam as normal; sore; voice weak. Tue-Fri - laryngitis; less than normal sleep; sore muscles began settling in neck (sore to turn head); took 4 ibuprofen early in week, 2 aceteminophen Friday.  Fri sore to swallow, laryngitis improving. Sat - visited walk-in clinic (Dr.) to rule out bacterial infection ahead of holiday.  Dx="J02.9 Pharyngitis, unspecified etiology"; no throat culture.  Feeling better but neck muscles still sore and voice not yet strong.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Odynophagia, Pain, Throat irritation
Clinical narrative: 12/13 Thur am - vaccination at Care Center (Dr.'s nurse). Fri am - swam as normal; perhaps some general malaise and muscle soreness. Sat - muscle soreness. Sun - woke at 1:55 am after 3 hours of sleep. Throat raw/dry. General tiredness all day. Mon - slept ~4 hours; swam as normal; sore; voice weak. Tue-Fri - laryngitis; less than normal sleep; sore muscles began settling in neck (sore to turn head); took 4 ibuprofen early in week, 2 aceteminophen Friday.  Fri sore to swallow, laryngitis improving. Sat - visited walk-in clinic (Dr.) to rule out bacterial infection ahead of holiday.  Dx="J02.9 Pharyngitis, unspecified etiology"; no throat culture.  Feeling better but neck muscles still sore and voice not yet strong.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site pain, Vaccination site warmth
Clinical narrative: Patient's husband stated patient's vaccinated upper arm was hot, sore/painful. The side effects started a couple hours after the vaccine and lasted >3 days. The husband couldn't remember how long the symptoms lasted, but he said the patient has since recovered.  The patient was not available for me to speak with per husband.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site swelling
Clinical narrative: Patient called to report itching and swelling near injection site 3 days after immunization, determined to be annoying but not severe, recommended that she take the antihistamine she had on hand and report to doctor if she felt it was necessary or if it got worse or spread, followed up with patient at 6pm, no progression of symptoms, but has not gone away yet.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Pyrexia
Clinical narrative: Headache, tenderness at injection site, and fever of 101.0 degrees.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chest pain, Dysgeusia, Hypoaesthesia, Mobility decreased
Clinical narrative: Extreme shoulder pain(10/10), full arm/hand numbness/immovability, shaking, radiating pain to chest and back, metallic taste in mouth. stayed 9 hours in the emergency room.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Tremor
Clinical narrative: Extreme shoulder pain(10/10), full arm/hand numbness/immovability, shaking, radiating pain to chest and back, metallic taste in mouth. stayed 9 hours in the emergency room.
Age: 25.0
Sex: M
Vaccine: FLUX, HPVX
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria
Clinical narrative: Immediately following injection swelling and erythema appearing at injection site. MD in next room was called immediately, swelling disappeared, slight erythema was still noted. Urticaria Pruritus and swelling at injection site, resolved quickly. Diphenhydramine 25 mg PRN.
Age: 22.0
Sex: F
Vaccine: HEPAB, VARCEL
Symptoms: Erythema, Induration
Clinical narrative: 01 7mm Erythemic induration, hot to touch and hard to touch. At vaccine administration site on R arm over triceps region. Induration appeared 02 days after administration of vaccine.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Erythema, Fatigue, Headache
Clinical narrative: Fever (102), Shaking Chills, Headache, Body Aches, Anorexia, Fatigue, Feeling like I was hit by a MAC truck. Lasted for approximately 21 hours. Arm soreness started at same time as above and has persisted from time of injection until now. Redness and swelling started on 12/22 and is still present today.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: Fever (102), Shaking Chills, Headache, Body Aches, Anorexia, Fatigue, Feeling like I was hit by a MAC truck. Lasted for approximately 21 hours. Arm soreness started at same time as above and has persisted from time of injection until now. Redness and swelling started on 12/22 and is still present today.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Fever (102), Shaking Chills, Headache, Body Aches, Anorexia, Fatigue, Feeling like I was hit by a MAC truck. Lasted for approximately 21 hours. Arm soreness started at same time as above and has persisted from time of injection until now. Redness and swelling started on 12/22 and is still present today.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Amnesia, Petit mal epilepsy
Clinical narrative: Petite mall seizures lasting half a day. (has had this type of seizure before, but has been years since the last once) memory loss.
Age: 63.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pain in arm, cannot move arm. Reported by patient's wife to pharmacist.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Minor fever and chills, strong nausea, malaise, body aches.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Headache
Clinical narrative: Severe headache, lightheadedness, admitted to ER.
Age: 67.0
Sex: M
Vaccine: PNC13
Symptoms: Administration site pain, Discomfort, Pain, Pain in extremity
Clinical narrative: Stabbing and shooting pain in arm starting at admin site and spreading down arm and into lats region. Severe enough to cause substantial discomfort and needed to take pain medication. Continued for over a week, progressively getting better but still bothersome.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Administration site swelling, Injection site erythema, Paraesthesia, Pruritus
Clinical narrative: Swelling, redness in the administration area and all of bicep. Pt reported "tingling" up to neck and down through entire arm. Pt also reported she felt "itchy" in affected area.
Age: 73.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Rash erythematous
Clinical narrative: Left arm red rash and swelling and pain.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Cold sweat, Feeling abnormal, Hyperhidrosis, Hypoaesthesia, Pain
Clinical narrative: Patient states that soon after receiving vaccine her arm began to feel "weird" and felt it moving up her arm. For the rest of the day, and a few days after, experienced hot and cold sweats. Pain scale 8. Reports of "dead arm" and husband had to help her in bed.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Nodule, Pyrexia
Clinical narrative: Patient states she had fever, and a large knot on her arm for a two days after the vaccine. Patient received the vaccine 12/18/18 and reported the symptoms 12/21 while picking up another medication. By 12/21 symptoms were begining to resolve. Did not seek treatment. State she did not have problems with the first shot.
Age: 39.0
Sex: F
Vaccine: PPV
Symptoms: Vaccination site induration, Vaccination site swelling, Vaccination site warmth
Clinical narrative: My arm at the site of the vaccine become hard, hot and swollen.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Malaise, Nausea, Pain
Clinical narrative: I became extremely sick to my stomach (never vomited), had chills and ached all over. This lasted throughout the night (started almost 12 hours exactly after the shot. When I got up at 6 am I felt like I'd been hit by a truck. By noon I felt fine. This was my second shot and I did not have this type of reaction the first time.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: On 12/19/18 the patient stated that her arm has been sore since she received her flu shot on 11/16/18. "It is starting to feel better now" - per the patient. She wanted to let us know that her arm was sore since, and we thought it should be reported. We stated yes for item 20 since it is improving.
Age: 80.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Local reaction, Peripheral swelling, Pyrexia
Clinical narrative: Her arm swells up got local infection reported cellulitis and fever.
Age: 21.0
Sex: F
Vaccine: FLU3
Symptoms: Lymphadenopathy, Swelling face
Clinical narrative: Pt received shot at 5pm on 12/21/2018, around 10pm her faced started swelling. She took a Benadryl 25mg. The next morning, 12/22/2018, her glands in her necks were  swollen, she took another Benadryl 25mg. Her symptoms got better during the day, but took one more Benadryl 25mg when she went to bed. Today, 12/23/2018, all the symptoms are gone.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood test, Electroencephalogram, Generalised tonic-clonic seizure, Laboratory test, Nuclear magnetic resonance imaging
Clinical narrative: I had a grand mal Seizure 36 hours after receiving the second shot of SHINGRIX. I have never had a seizure before.
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Pain in extremity, Rash
Clinical narrative: Pain in the leg couldn't put the pants on and broken out in patches all over by 12/23/18.
Age: 56.0
Sex: M
Vaccine: MMR, VARZOS
Symptoms: Chills, Pain, Pain in extremity, Pyrexia
Clinical narrative: Felt feverish, chills, achy, very sore throughout the arm in which the vaccine was injected.
Age: 24.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Paraesthesia
Clinical narrative: Patient described that during the administration of the flu vaccine, no pain was felt and there were no issues. The pneumonia vaccine was administered an inch from the flu vaccine in the same left arm. During administration of the pneumonia vaccine, pain was felt. The area was a bit red and pain persisted shortly after vaccination. Later the same day, the redness became more larger and the pain worsened to the point where it was difficult to lift the left arm. The patient also noted tingling down her arm towards her fingers as well as up her arm towards her neck the next day.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient received vaccine on October 13, 2018, and hours later has severe pain in upper left shoulder, dismissed the pain as part of the flu shot and it has never gotten any better. Patient took ibuprofen multiple times with some relief. Patient presents to pharmacy counter with first encounter since flu shot stating she has had pain in left shoulder where you received your flu shot and has daily pain in arm. She states it is hurting now. She has not reported to a doctor, no swelling or nodules, she presses on arm and says it may be a tight feeling there, she thought it would go away. Patient has had no relief with use of ibuprofen. At time of injections, adverse events are told may have redness, soreness or swelling, can last up to 2-3 days, can take TYLENOL and apply cold compresses every 20 minutes. Patient is now referred to doctor since she reports these symptoms now and have lasted longer than 7 days.
Age: 75.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Antinuclear antibody negative, Antiphospholipid antibodies, Arthralgia, Borrelia test negative, C-reactive protein increased
Clinical narrative: Swelling in arm reported and upper left arm. Hand real sore and sensitive, swelled up and couldn't even seen knuckles. Burning only when laid down in knuckles. Knuckles still swollen, but prednisone did help.
Age: 75.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Injection site swelling, Joint swelling, Pain in extremity, Peripheral swelling, Red blood cell sedimentation rate increased
Clinical narrative: Swelling in arm reported and upper left arm. Hand real sore and sensitive, swelled up and couldn't even seen knuckles. Burning only when laid down in knuckles. Knuckles still swollen, but prednisone did help.