chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Injection site hypersensitivity, Pain in extremity, Paraesthesia
Clinical narrative: PAINS IN MY LEFT ARM AFTER THE SHOT; This spontaneous report received from a patient via company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient was previously treated with  covid-19 vaccine ad26.cov2.s for covid-19 prophylaxis (dose in series 1). The patient received covid-19 vaccine ad26.cov2.s (dose in series 2) (suspension for injection, intramuscular, batch number was not reported) dose was not reported, administered on an unspecified date to Left Arm for covid-19 prophylaxis. The batch number was not reported and has been requested. No concomitant medications were reported.  Patient trying to get a hold of Johnson's medical because they gave out the Covid Booster Shot because patient started to have pains in left arm (dose in series 2) after the shot and patient like to ask for a remedy for this. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of pains in my left arm after the shot was not reported. This report was non-serious.
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: PAINS IN MY LEFT ARM AFTER THE SHOT; This spontaneous report received from a patient via company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient was previously treated with  covid-19 vaccine ad26.cov2.s for covid-19 prophylaxis (dose in series 1). The patient received covid-19 vaccine ad26.cov2.s (dose in series 2) (suspension for injection, intramuscular, batch number was not reported) dose was not reported, administered on an unspecified date to Left Arm for covid-19 prophylaxis. The batch number was not reported and has been requested. No concomitant medications were reported.  Patient trying to get a hold of Johnson's medical because they gave out the Covid Booster Shot because patient started to have pains in left arm (dose in series 2) after the shot and patient like to ask for a remedy for this. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of pains in my left arm after the shot was not reported. This report was non-serious.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Blood glucose normal, Blood test normal, Dizziness, Dyspnoea
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram QT prolonged, Electrocardiogram abnormal, Flushing, Nausea, Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dyspnoea
Clinical narrative: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe
Age: 7.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: We took our 7 year old to the Pharmacy on Saturday, August 31, 2024 around noon. Filled out paperwork (showing she's about 45 pounds and years old). Requested new COVID vaccine. Pharmacist called us about an hour and a half later to tell us he made a mistake and gave her the adult dose. Dose was 0.3ML instead of the third of that she should have received for her age. Fever spiked to 102 that night and she was very tired and sore for the next two days.
Age: 7.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Fatigue, Incorrect dose administered, Pain, Product administered to patient of inappropriate age, Pyrexia
Clinical narrative: We took our 7 year old to the Pharmacy on Saturday, August 31, 2024 around noon. Filled out paperwork (showing she's about 45 pounds and years old). Requested new COVID vaccine. Pharmacist called us about an hour and a half later to tell us he made a mistake and gave her the adult dose. Dose was 0.3ML instead of the third of that she should have received for her age. Fever spiked to 102 that night and she was very tired and sore for the next two days.
Sex: M
Vaccine: HPV9
Symptoms: Immediate post-injection reaction, Vaccination site pain
Clinical narrative: My son received his second dose of G9 yesterday and reported immediately that it really hurt and complained that it hurt for several hours after the shot.; This spontaneous report was received from a Company representative referring his son as a male patient of unspecified age.  The patient's medical history, concurrent conditions, concomitant therapies and drug reactions/allergies were not reported.  On 26-AUG-2024 (also reported as "yesterday"), the patient was vaccinated with the 2nd dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (reported as "G9") (lot #, expiry date, anatomical location and route of administration were not provided) administered as prophylaxis.  On that same date, the patient immediately reported that it really hurt (vaccination site pain). The outcome of the event was not provided, however, the patient complained that it hurt for several hours after the shot. It was unknown if patient sought medical attention or received treatment for the event.  The causal relationship between vaccination site pain and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) was not reported.  Lot number is being requested and will be submitted if received.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site discolouration, Vaccination site mass
Clinical narrative: There is a 50 cent piece diameter sized purple lump at the site of the vaccine
Sex: F
Vaccine: RSV
Symptoms: Chills, Exposure during pregnancy, Feeding disorder, Headache, Hypoaesthesia
Clinical narrative: Braxton Hicks contractions; could not eat for over 24 hours; Fever; Chills; injection site swelled up and it was hot to the touch; injection site swelled up and it was hot to the touch; numbness of the patient's lower back; tingling from her buttocks to her legs; headache pain; Body aches; Syncope; This is a spontaneous report received from a Nurse.  A 34-year-old female patient (pregnant) received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 08Aug2024 as dose number unknown, single (Batch/Lot number: unknown) for maternal immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE SWELLING (non-serious), VACCINATION SITE WARMTH (non-serious) all with onset 08Aug2024, outcome "unknown" and all described as "injection site swelled up and it was hot to the touch"; CHILLS (non-serious) with onset 09Aug2024, outcome "unknown"; PYREXIA (non-serious) with onset 09Aug2024, outcome "unknown", described as "Fever"; DECREASED APPETITE (non-serious) with onset 09Aug2024, outcome "recovered" (10Aug2024), described as "could not eat for over 24 hours"; UTERINE CONTRACTIONS DURING PREGNANCY (non-serious) with onset 10Aug2024, outcome "unknown", described as "Braxton Hicks contractions"; PAIN (non-serious) with onset Aug2024, outcome "unknown", described as "Body aches"; SYNCOPE (medically significant) with onset Aug2024, outcome "unknown"; HEADACHE (non-serious) with onset Aug2024, outcome "unknown", described as "headache pain"; HYPOAESTHESIA (non-serious) with onset Aug2024, outcome "recovered" (Aug2024), described as "numbness of the patient's lower back"; PARAESTHESIA (non-serious) with onset Aug2024, outcome "recovered" (Aug2024), described as "tingling from her buttocks to her legs". Additional information: Patient was 35 going into her 36th week.  Causality for "injection site swelled up and it was hot to the touch" was determined associated to device constituent of rsv vaccine prot.subunit pref 2v (malfunction).  The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.; Sender's Comments: A possibly contributory role of ABRYSVO in triggering the onset of the reported events cannot be fully excluded, considering the temporal relationship.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling, Injection site warmth, Pain, Paraesthesia, Pyrexia
Clinical narrative: Braxton Hicks contractions; could not eat for over 24 hours; Fever; Chills; injection site swelled up and it was hot to the touch; injection site swelled up and it was hot to the touch; numbness of the patient's lower back; tingling from her buttocks to her legs; headache pain; Body aches; Syncope; This is a spontaneous report received from a Nurse.  A 34-year-old female patient (pregnant) received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 08Aug2024 as dose number unknown, single (Batch/Lot number: unknown) for maternal immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE SWELLING (non-serious), VACCINATION SITE WARMTH (non-serious) all with onset 08Aug2024, outcome "unknown" and all described as "injection site swelled up and it was hot to the touch"; CHILLS (non-serious) with onset 09Aug2024, outcome "unknown"; PYREXIA (non-serious) with onset 09Aug2024, outcome "unknown", described as "Fever"; DECREASED APPETITE (non-serious) with onset 09Aug2024, outcome "recovered" (10Aug2024), described as "could not eat for over 24 hours"; UTERINE CONTRACTIONS DURING PREGNANCY (non-serious) with onset 10Aug2024, outcome "unknown", described as "Braxton Hicks contractions"; PAIN (non-serious) with onset Aug2024, outcome "unknown", described as "Body aches"; SYNCOPE (medically significant) with onset Aug2024, outcome "unknown"; HEADACHE (non-serious) with onset Aug2024, outcome "unknown", described as "headache pain"; HYPOAESTHESIA (non-serious) with onset Aug2024, outcome "recovered" (Aug2024), described as "numbness of the patient's lower back"; PARAESTHESIA (non-serious) with onset Aug2024, outcome "recovered" (Aug2024), described as "tingling from her buttocks to her legs". Additional information: Patient was 35 going into her 36th week.  Causality for "injection site swelled up and it was hot to the touch" was determined associated to device constituent of rsv vaccine prot.subunit pref 2v (malfunction).  The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.; Sender's Comments: A possibly contributory role of ABRYSVO in triggering the onset of the reported events cannot be fully excluded, considering the temporal relationship.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.
Sex: F
Vaccine: RSV
Symptoms: Syncope, Uterine contractions during pregnancy
Clinical narrative: Braxton Hicks contractions; could not eat for over 24 hours; Fever; Chills; injection site swelled up and it was hot to the touch; injection site swelled up and it was hot to the touch; numbness of the patient's lower back; tingling from her buttocks to her legs; headache pain; Body aches; Syncope; This is a spontaneous report received from a Nurse.  A 34-year-old female patient (pregnant) received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 08Aug2024 as dose number unknown, single (Batch/Lot number: unknown) for maternal immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE SWELLING (non-serious), VACCINATION SITE WARMTH (non-serious) all with onset 08Aug2024, outcome "unknown" and all described as "injection site swelled up and it was hot to the touch"; CHILLS (non-serious) with onset 09Aug2024, outcome "unknown"; PYREXIA (non-serious) with onset 09Aug2024, outcome "unknown", described as "Fever"; DECREASED APPETITE (non-serious) with onset 09Aug2024, outcome "recovered" (10Aug2024), described as "could not eat for over 24 hours"; UTERINE CONTRACTIONS DURING PREGNANCY (non-serious) with onset 10Aug2024, outcome "unknown", described as "Braxton Hicks contractions"; PAIN (non-serious) with onset Aug2024, outcome "unknown", described as "Body aches"; SYNCOPE (medically significant) with onset Aug2024, outcome "unknown"; HEADACHE (non-serious) with onset Aug2024, outcome "unknown", described as "headache pain"; HYPOAESTHESIA (non-serious) with onset Aug2024, outcome "recovered" (Aug2024), described as "numbness of the patient's lower back"; PARAESTHESIA (non-serious) with onset Aug2024, outcome "recovered" (Aug2024), described as "tingling from her buttocks to her legs". Additional information: Patient was 35 going into her 36th week.  Causality for "injection site swelled up and it was hot to the touch" was determined associated to device constituent of rsv vaccine prot.subunit pref 2v (malfunction).  The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.; Sender's Comments: A possibly contributory role of ABRYSVO in triggering the onset of the reported events cannot be fully excluded, considering the temporal relationship.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Cough, Muscle twitching, Pharyngitis, Streptococcus test positive, Tremor
Clinical narrative: Patient received the first dose of the HPV vaccine on 8/27/24. The following day, she developed shakiness and twitching in both legs,  which her mother referred to as "stepping." Mom also described an urge to rub her legs.Patient also experienced a mild cough. No other neurological symptoms.
Age: 74.0
Sex: M
Vaccine: RSV
Symptoms: Asthma, Condition aggravated
Clinical narrative: Very Unusual Marked Worsening of Asthma, now improved but not resolved
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, PNC20, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Pt received MMR, Varicella, Havrix, & PCV20 on 7/23/24 and again on 8/30/24.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site induration, Peripheral swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient came to rx dept today asking for a topical agent to treat itching on her left arm from a injection site reaction. She stated that her arm felt mildly swollen and it was itchy. I requested her doctor contact but she informed me that she has not seen her doct on a long time and wanted an otc crems. I recommended benadryl cream and cold compress. I also recommended benadryl oral 25mg at bedtime instead of cream if cream did not provide relief. Advised pat to see doctor if symptoms persist, Other Vaccines:  VaccineTypeBrand: PREVNAR 20; Manufacturer: Pfizer; LotNumber: HP7364; Route: IM; BodySite: Left Deltoid; Dose: 1; VaxDate: 08/20/2024
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Nausea, Pain, Pyrexia
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Medium, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Injection site rash, Rash
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild, Additional Details: patient described pain at injection site with rash on front and around shoulder that linked to rash on the chest with tiredness and fatigue. all other symptoms ruled out. taking ibuprofen for arm pain and counseled to take benadryl and to contact primary care physician. no difficulty breathing and nothing life threatening when called on 8/24/2024 two days after injection
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Medium, Additional Details: pt received antibiotic from provider to treat cellulitus resulting from injection
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills, Confusional state, Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Chills-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Mild
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Seizure, Syncope
Clinical narrative: Systemic: Chills-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Mild
Age: 20.0
Sex: F
Vaccine: MMR
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Other Vaccines:  VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 946586; Route: im; BodySite: ; Dose: ; VaxDate: 08/25/2024, VaccineTypeBrand: heplisav-B; Manufacturer: dynavax; LotNumber: 944915; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Additional Details: Left arm pain limiting use of arm
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: NUMBNESS/TINGLING OF FINGERS AND HAND-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: PT IS COMPLAINING OF TINGLING/NUMBNESS IN HIS HAND AND FINGERS OF HIS LEFT HAND THAT STARTED AFTER HE RECIEVED THE SHINGLES VACCINE
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site swelling, Paraesthesia
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: NUMBNESS/TINGLING OF FINGERS AND HAND-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: PT IS COMPLAINING OF TINGLING/NUMBNESS IN HIS HAND AND FINGERS OF HIS LEFT HAND THAT STARTED AFTER HE RECIEVED THE SHINGLES VACCINE
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Pallor, Presyncope
Clinical narrative: Systemic: vaso vagal response-Mild, Additional Details: PT got pale and had near syncopal reaction after receiving Tdap (boostrix injection).  Pt recovered without any major complications.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Contusion, Erythema, Fatigue, Influenza like illness, Injection site bruising
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Exhaustion / Lethargy-Severe, Additional Details: patient reported to the pharmacy 6 days after receiving vaccines because her arm was still red, swollen, and bruised. she reported systemic symptoms (feeling flulike and tired) for 2 days. that has resolves but there is still some pain/redness at injection site. no care required. , Other Vaccines:  VaccineTypeBrand: tdap boostrix; Manufacturer: ; LotNumber: 4799g; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: hm8949; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: rsv abrysvo; Manufacturer: ; LotNumber: hm9865; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Lethargy
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Exhaustion / Lethargy-Severe, Additional Details: patient reported to the pharmacy 6 days after receiving vaccines because her arm was still red, swollen, and bruised. she reported systemic symptoms (feeling flulike and tired) for 2 days. that has resolves but there is still some pain/redness at injection site. no care required. , Other Vaccines:  VaccineTypeBrand: tdap boostrix; Manufacturer: ; LotNumber: 4799g; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: hm8949; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: rsv abrysvo; Manufacturer: ; LotNumber: hm9865; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Exhaustion / Lethargy-Severe, Additional Details: patient reported to the pharmacy 6 days after receiving vaccines because her arm was still red, swollen, and bruised. she reported systemic symptoms (feeling flulike and tired) for 2 days. that has resolves but there is still some pain/redness at injection site. no care required. , Other Vaccines:  VaccineTypeBrand: tdap boostrix; Manufacturer: ; LotNumber: 4799g; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: hm8949; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: rsv abrysvo; Manufacturer: ; LotNumber: hm9865; Route: im; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 53.0
Sex: F
Vaccine: FLUC4
Symptoms: Anaphylactic reaction, Asthenia, Confusional state, Dizziness, Dyspnoea
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: tachycardia, loss of consciousness, arms and shoulders were extremely warm-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Systemic: Weakness-Severe, Other Vaccines:  VaccineTypeBrand: Spikevax 2024-2025 covid 12yr+; Manufacturer: moderna; LotNumber: 3042646; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 08/27/2024
Age: 53.0
Sex: F
Vaccine: FLUC4
Symptoms: Fatigue, Lethargy, Loss of consciousness, Skin warm, Syncope
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: tachycardia, loss of consciousness, arms and shoulders were extremely warm-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Systemic: Weakness-Severe, Other Vaccines:  VaccineTypeBrand: Spikevax 2024-2025 covid 12yr+; Manufacturer: moderna; LotNumber: 3042646; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 08/27/2024
Age: 53.0
Sex: F
Vaccine: FLUC4
Symptoms: Tachycardia, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: tachycardia, loss of consciousness, arms and shoulders were extremely warm-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Severe, Systemic: Weakness-Severe, Other Vaccines:  VaccineTypeBrand: Spikevax 2024-2025 covid 12yr+; Manufacturer: moderna; LotNumber: 3042646; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 08/27/2024
Age: 70.0
Sex: F
Vaccine: PNC20
Symptoms: Abdominal pain, Erythema, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: LEFT ARM RED, SWOLLEN AND ITCHY-Mild
Age: 70.0
Sex: F
Vaccine: PNC20
Symptoms: Peripheral swelling, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: LEFT ARM RED, SWOLLEN AND ITCHY-Mild
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Rash
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Mild, Additional Details: patient reported friday 8/23/24 that her harm was sore to life after injection which has improved but then developed rash at and around injection site. went to urgent care saturday am 8/24/24 and dr started patient on keflex.
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Mild, Additional Details: HE IS WARM TO TOUCH AT INJECTION SITE, HE WILL GO AND SEE EITHER DR OR URGENT CARE AFTER REPORTING HERE. I TOLD HIM TO KEEP ME UPDATED.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Mild, Additional Details: HE IS WARM TO TOUCH AT INJECTION SITE, HE WILL GO AND SEE EITHER DR OR URGENT CARE AFTER REPORTING HERE. I TOLD HIM TO KEEP ME UPDATED.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Urticaria
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: small hives on left arm,right ankle/foot and behind ear about an hour after recieving vaccine
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Head discomfort, Mobility decreased, Muscular weakness, Neck pain
Clinical narrative: Systemic: Severe neck pain with weakness and shooting pain down bilateral arms. Patient unable to lift or turn head without severe discomfort.-Severe, Systemic: Weakness-Medium
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Pain, Pain in extremity
Clinical narrative: Systemic: Severe neck pain with weakness and shooting pain down bilateral arms. Patient unable to lift or turn head without severe discomfort.-Severe, Systemic: Weakness-Medium
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Erythema, Inflammation, Injected limb mobility decreased, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: inflammation and redness from elbow to wrist (skin also painful to touch). limited range of motion.-Medium, Systemic: Joint Pain-Medium, Additional Details: Patient states no pain/redness or inflammation on injection site but is experiencing inflammation, redness and skin tenderness from  elbow down to fingers of the vaccinated arm. Patient also states limited range of motion (cannot raise arm)
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Tenderness
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: inflammation and redness from elbow to wrist (skin also painful to touch). limited range of motion.-Medium, Systemic: Joint Pain-Medium, Additional Details: Patient states no pain/redness or inflammation on injection site but is experiencing inflammation, redness and skin tenderness from  elbow down to fingers of the vaccinated arm. Patient also states limited range of motion (cannot raise arm)
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Systemic: Fever-Medium, Other Vaccines:  VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer; LotNumber: lm2223; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 08/27/2024, VaccineTypeBrand: Fluzone HD; Manufacturer: Sanofi-Pasteur; LotNumber: ut8409ba; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
Age: 33.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Dizziness, Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Medium
Age: 33.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Medium
Age: 33.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Dizziness, Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Other Vaccines:  VaccineTypeBrand: BOOSTRIX; Manufacturer: ; LotNumber: CX4HL; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 08/28/2024, VaccineTypeBrand: PFIZER; Manufacturer: ; LotNumber: LM2222; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 08/28/2024
Age: 33.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Seizure, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Other Vaccines:  VaccineTypeBrand: BOOSTRIX; Manufacturer: ; LotNumber: CX4HL; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 08/28/2024, VaccineTypeBrand: PFIZER; Manufacturer: ; LotNumber: LM2222; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 08/28/2024
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: bled profusely from injection site and swelling of tissue-Mild
Age: 21.0
Sex: F
Vaccine: HPV9
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild
Age: 81.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Asthenia, Brain fog, Confusional state, Cough, Dysphonia
Clinical narrative: Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Systemic: Weakness-Medium, Additional Details: pt had weakness, inability to control bodily functions for 3 days, brain fog, headache, slept for hours during day, voice became soft & deep cough
Age: 81.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Lethargy
Clinical narrative: Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Systemic: Weakness-Medium, Additional Details: pt had weakness, inability to control bodily functions for 3 days, brain fog, headache, slept for hours during day, voice became soft & deep cough
Age: 81.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Confusional state, Fatigue, Lethargy, Mobility decreased, Pain
Clinical narrative: Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Systemic: Weakness-Medium, Additional Details: pt had weakness, inability to control bodily functions for 3 days, brain fog, headache, slept for hours during day, voice became soft & deep cough
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Injection site bruising, Injection site erythema, Injection site indentation, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Details: chief complaint area is warm and very tender to touch, soreness and red with indentation in the middle of injection site
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling, Injection site warmth, Rash
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Details: chief complaint area is warm and very tender to touch, soreness and red with indentation in the middle of injection site
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Other Vaccines:  VaccineTypeBrand: MenACWY, Menquadfi; Manufacturer: Sanofi Pasteur; LotNumber: U8259AB; Route: IM; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Dysphagia, Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: area felt hot-Mild, Additional Details: Patient stated that issues started on wednesday, the day after vaccine but she only took benadryl on thursaday. when she came in to see ,her arm was red around the arm. like red red around the arm. she took benadryl that help.
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Rash, Skin warm, Throat tightness
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: area felt hot-Mild, Additional Details: Patient stated that issues started on wednesday, the day after vaccine but she only took benadryl on thursaday. when she came in to see ,her arm was red around the arm. like red red around the arm. she took benadryl that help.
Age: 62.0
Sex: M
Vaccine: RSV
Symptoms: Dizziness, Hypotension, Immediate post-injection reaction, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypotension-Mild, Additional Details: vaccine related syncope , felt dizzy upon injection, and about half a minute later was feeling super dizzy, had to lie down on the floor with leg up on the chair. felt better after about a minute. h2o provided, bp measured 5 minutes later came back 124/64 with hr 55. pt felt fine and left the store upon showing appreciation of how pharmacy staff responded to the episode
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Injection site pain, Mobility decreased
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Additional Details: patient complaining of severe shoulder pain cannot raise arm
Age: 65.0
Sex: M
Vaccine: FLUA4
Symptoms: Arthralgia, Asthenia, Dizziness, Gait inability, Hypoaesthesia
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Weakness-Severe, Additional Details: Patient stated that he felt back spasms and weakness after recieving the vaccine. Stated that he could not walk. Sat down in pharmacy and symptoms have gone away in about 5 minutes
Age: 65.0
Sex: M
Vaccine: FLUA4
Symptoms: Muscle spasms
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Weakness-Severe, Additional Details: Patient stated that he felt back spasms and weakness after recieving the vaccine. Stated that he could not walk. Sat down in pharmacy and symptoms have gone away in about 5 minutes
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Other Vaccines:  VaccineTypeBrand: Prevnar 20; Manufacturer: Pfizer; LotNumber: HP7365; Route: Intramuscular; BodySite: Left Arm; Dose: ; VaxDate: 08/25/2024
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Other Vaccines:  VaccineTypeBrand: flucelvax; Manufacturer: sequirus; LotNumber: 946578; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Seizure
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: convulsions, pt did not have pain, but form wont let me continue without selecting something on that section-Severe, Systemic: Seizure-Severe, Other Vaccines:  VaccineTypeBrand: Fluzone Trivalent 2024/2025; Manufacturer: Sanofi; LotNumber: UT8408KA; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Other Vaccines:  VaccineTypeBrand: FluVaccine; Manufacturer: Flucelvax Trival 2024-2025; LotNumber: 946578; Route: IM; BodySite: Right Arm; Dose: 1; VaxDate: 08/29/2024
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Hypertension
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypertension-Severe, Additional Details: pt was dizzy, BP went up to 190/101, hr 70, within 5 minutes bp came down to 155/88, hr 59, then 149/86, hr 57 5 min later, pt was seen at md office at 430pm today, bp ok she stated in the 130s systolic, she is doing well, will have vaccines done in MD office in future. , Other Vaccines:  VaccineTypeBrand: FLUCELVAX TRIVALENT 2024/2025; Manufacturer: SEQIRUS; LotNumber: 388523; Route: IM; BodySite: RIGHT ARM; Dose: 1; VaxDate: 08/30/2024
Age: 44.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Injection site erythema, Injection site swelling, Pain, Pruritus
Clinical narrative: Soreness beginning 12 hours after shot continued  for 5 days, redness at shot location continues for 5 days, swelling at shot location 3 days post shot. Itching began 3 days post shot and continues
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: I gave a 16 year old the 18 year and older flu vaccine.
Age: 72.0
Sex: M
Vaccine: PNC20
Symptoms: Angiogram abnormal, Anion gap, Aortic arteriosclerosis, Arteriosclerosis coronary artery, Atelectasis
Clinical narrative: 8/29/24: This is a 72 year old male with a past medical history of A-fib s/p ablation on Xarelto, who presents to the ED today with the complaint of left arm pain s/p vaccination this morning.  Patient reports that he had a routine checkup with his PCP this morning.  He states that he received his pneumonia vaccine around 9 AM without complication.  He states that around 10 AM his arm started to get sore which he decided to ignore.  Later on in the afternoon he noticed that his arm was getting even more painful and he was now having difficulty lifting it above his head.  His wife took a look at the area and noticed that it was extremely swollen and bruised so they decided to come to the ED.  Besides the shot today, the patient denies any acute injuries or traumas he also denies any numbness, tingling, weakness, chest pain, shortness of breath, or any other complaints at this time.  Patient is on Xarelto blood thinner.  Patient's pain is pretty severe, difficulty with raising his left arm up above 90 degrees.  Initial plan was to apply compressive bandage discharge the patient.  Swelling got progressively worse here in the emergency department.  At that time we did decide to get vascular imaging and admit the patient for further monitoring of the compartment and swelling.  The imaging was otherwise unremarkable.  Patient will be observed overnight.  Patient should be able to be discharged in the morning as long as swelling does not progress.  I did explain that he should hold his dose of Xarelto tomorrow.  He does take it for A-fib. He was discharged 8/30/24 to continue monitoring at home.
Age: 72.0
Sex: M
Vaccine: PNC20
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: 8/29/24: This is a 72 year old male with a past medical history of A-fib s/p ablation on Xarelto, who presents to the ED today with the complaint of left arm pain s/p vaccination this morning.  Patient reports that he had a routine checkup with his PCP this morning.  He states that he received his pneumonia vaccine around 9 AM without complication.  He states that around 10 AM his arm started to get sore which he decided to ignore.  Later on in the afternoon he noticed that his arm was getting even more painful and he was now having difficulty lifting it above his head.  His wife took a look at the area and noticed that it was extremely swollen and bruised so they decided to come to the ED.  Besides the shot today, the patient denies any acute injuries or traumas he also denies any numbness, tingling, weakness, chest pain, shortness of breath, or any other complaints at this time.  Patient is on Xarelto blood thinner.  Patient's pain is pretty severe, difficulty with raising his left arm up above 90 degrees.  Initial plan was to apply compressive bandage discharge the patient.  Swelling got progressively worse here in the emergency department.  At that time we did decide to get vascular imaging and admit the patient for further monitoring of the compartment and swelling.  The imaging was otherwise unremarkable.  Patient will be observed overnight.  Patient should be able to be discharged in the morning as long as swelling does not progress.  I did explain that he should hold his dose of Xarelto tomorrow.  He does take it for A-fib. He was discharged 8/30/24 to continue monitoring at home.
Age: 72.0
Sex: M
Vaccine: PNC20
Symptoms: Blood sodium decreased, Blood urea nitrogen/creatinine ratio, Blood urea normal, Carbon dioxide decreased, Cardiomegaly
Clinical narrative: 8/29/24: This is a 72 year old male with a past medical history of A-fib s/p ablation on Xarelto, who presents to the ED today with the complaint of left arm pain s/p vaccination this morning.  Patient reports that he had a routine checkup with his PCP this morning.  He states that he received his pneumonia vaccine around 9 AM without complication.  He states that around 10 AM his arm started to get sore which he decided to ignore.  Later on in the afternoon he noticed that his arm was getting even more painful and he was now having difficulty lifting it above his head.  His wife took a look at the area and noticed that it was extremely swollen and bruised so they decided to come to the ED.  Besides the shot today, the patient denies any acute injuries or traumas he also denies any numbness, tingling, weakness, chest pain, shortness of breath, or any other complaints at this time.  Patient is on Xarelto blood thinner.  Patient's pain is pretty severe, difficulty with raising his left arm up above 90 degrees.  Initial plan was to apply compressive bandage discharge the patient.  Swelling got progressively worse here in the emergency department.  At that time we did decide to get vascular imaging and admit the patient for further monitoring of the compartment and swelling.  The imaging was otherwise unremarkable.  Patient will be observed overnight.  Patient should be able to be discharged in the morning as long as swelling does not progress.  I did explain that he should hold his dose of Xarelto tomorrow.  He does take it for A-fib. He was discharged 8/30/24 to continue monitoring at home.