chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Rash, Skin warm
Clinical narrative: Employee developed a rash under bra area hours after receiving the vaccine.  States the rash is warm and sensitive, but does not itch.  She has no other symptoms.
Age: 48.0
Sex: F
Vaccine: TDAP
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Paraesthesia
Clinical narrative: redness at injection site, swelling at injection site, numbness and tingling in hand of arm which vaccine was given.
Age: 25.0
Sex: F
Vaccine: YF
Symptoms: Chills, Dysaesthesia, Neurological examination normal, Pain, Paraesthesia
Clinical narrative: On days 2 and 3 post vaccination, she experienced chills and body ache, which was resolved by day 5 post vaccination, when she developed symmetric dyesthesia (hot sensation) in both her legs, beginning in the foot and calves, and slowly extending upward to her mid thighs over several hours. No weakness, pain, numbness or tingling in any part of her body, including area affected by paresthesia.   By day 7 post vaccination, the dyesthesia had receded back to both calves and feet, and by day 8 had fully resolved except for a small patch of dyesthesia over several inch area of side of right foot.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Hypersensitivity, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: NOTE:  This is the patient?s 5th injectable IIV4 flu vaccine: 10/30/15,  12/4/15,  11/3/17,  12/14/18 and 1/8/20 1/9/20 office visit: History: The patient presents for rash.  Affected area includes left thigh.   The patient?s mother describes the affected area as itchy and red.  Associated symptoms include erythema (skin) and pruritus.  Additional information: Yesterday, afternoon he started having redness and itching on his left thigh from the influenza vaccine. 1/9/20 Physical Exam: Skin: left thigh with large urticaria area at the immunization injection site. 1/9/20  Assessment and Patient Plan: Allergic reaction, initial encounter.  Related to influenza vaccine.  Please use Benadryl cream and hydrocortisone cream.  If getting worse, or not improving, please return.  If he is having difficulty breathing or the area is getting larger, go to ER.  Follow up in 3 ? 5 days. 1/13/20  Scheduled office visit: History: Recheck rash.  The problem is improving.  Associated symptoms include pruritis.  Pertinent negatives include cough, fever, painful rash, vomiting and wheezing.  Additional information: possible allergic reaction to influenza vaccine ? came to walk-ins the day after vaccines for itching and redness.  Given Benadryl and hydrocortisone cream.  Mother thinks it is improved. 1/13/20  Assessment and Patient Plan:  Allergic reaction, initial encounter.  May discontinue Benadryl cream and hydrocortisone cream.  Will place alert in his chart for the influenza vaccine.  Return to office if no improvement or worsening. 1/24/20 at 9:25 Phone call:  Mom returned my call RE: flu vaccine given on 1/8: she says pt still has a dime size light bruise at the injection site (LVL) & tender to touch, otherwise he is fine.  She said sx's started the next day.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: NOTE:  This is the patient?s 5th injectable IIV4 flu vaccine: 10/30/15,  12/4/15,  11/3/17,  12/14/18 and 1/8/20 1/9/20 office visit: History: The patient presents for rash.  Affected area includes left thigh.   The patient?s mother describes the affected area as itchy and red.  Associated symptoms include erythema (skin) and pruritus.  Additional information: Yesterday, afternoon he started having redness and itching on his left thigh from the influenza vaccine. 1/9/20 Physical Exam: Skin: left thigh with large urticaria area at the immunization injection site. 1/9/20  Assessment and Patient Plan: Allergic reaction, initial encounter.  Related to influenza vaccine.  Please use Benadryl cream and hydrocortisone cream.  If getting worse, or not improving, please return.  If he is having difficulty breathing or the area is getting larger, go to ER.  Follow up in 3 ? 5 days. 1/13/20  Scheduled office visit: History: Recheck rash.  The problem is improving.  Associated symptoms include pruritis.  Pertinent negatives include cough, fever, painful rash, vomiting and wheezing.  Additional information: possible allergic reaction to influenza vaccine ? came to walk-ins the day after vaccines for itching and redness.  Given Benadryl and hydrocortisone cream.  Mother thinks it is improved. 1/13/20  Assessment and Patient Plan:  Allergic reaction, initial encounter.  May discontinue Benadryl cream and hydrocortisone cream.  Will place alert in his chart for the influenza vaccine.  Return to office if no improvement or worsening. 1/24/20 at 9:25 Phone call:  Mom returned my call RE: flu vaccine given on 1/8: she says pt still has a dime size light bruise at the injection site (LVL) & tender to touch, otherwise he is fine.  She said sx's started the next day.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Fatigue, Gingival swelling, Headache
Clinical narrative: 1/25/2020  -  Fever, arm pain, nauseous, weak, headaches, tiredness, chills, body pain. 1/26/2020  -  now  -  Arm pain, headaches, tongue blisters and swollen gums
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Tongue blistering
Clinical narrative: 1/25/2020  -  Fever, arm pain, nauseous, weak, headaches, tiredness, chills, body pain. 1/26/2020  -  now  -  Arm pain, headaches, tongue blisters and swollen gums
Age: 18.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: Per mother patient started with a rash to bilateral inner thighs, then broke out in a pinkish rash from her elbows to her wrists, after rash spread to her flank area. Mom gave patient Benadryl which stopped the itching but did not improve the rash. Advised mom on 01/29/20 if rash does not improve visit pcp.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain
Clinical narrative: pain in upper left arm at time of injection without swelling, redness or warmth. Continued pain in left upper arm now reaching almost to elbow
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Chills, Cough, Fatigue, Influenza like illness, Pain
Clinical narrative: I expected to have flu-like symptoms the next day and I did; fatigue, body ache especially my legs, chills, etc.  That went away in about 24-36 hours.  On Monday, I realized I had developed numerous subcutaneous hive-like lumps in the muscles of both thighs.  They are not particularly itchy or bothersome but numerous and they stop around both knees.  They feel like large mosquito bites under the skin and they are less noticeable when not showering.  The heat of the water must exacerbate the issue.  I have asked others and not one else has had this response.  I still have these lumps and plan to visit my MD tomorrow.  I also have developed a wheeze/cough.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urticaria, Wheezing
Clinical narrative: I expected to have flu-like symptoms the next day and I did; fatigue, body ache especially my legs, chills, etc.  That went away in about 24-36 hours.  On Monday, I realized I had developed numerous subcutaneous hive-like lumps in the muscles of both thighs.  They are not particularly itchy or bothersome but numerous and they stop around both knees.  They feel like large mosquito bites under the skin and they are less noticeable when not showering.  The heat of the water must exacerbate the issue.  I have asked others and not one else has had this response.  I still have these lumps and plan to visit my MD tomorrow.  I also have developed a wheeze/cough.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Acne, Chills, Fatigue, Hypersensitivity, Influenza like illness
Clinical narrative: I expected to have flu-like symptoms the next day and I did; fatigue, body ache especially my legs, chills, etc.  That went away in about 24-36 hours.  On Monday, I realized I had developed numerous subcutaneous hive-like lumps in the muscles of both thighs.  They are not particularly itchy or bothersome but numerous and they stop around both knees.  They feel like large mosquito bites under the skin and they are less noticeable when not showering.  The heat of the water must exacerbate the issue.  I have asked others and not one else has had this response.  I still have these lumps and plan to visit my MD tomorrow.  I also have developed a wheeze/cough.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Limb mass, Pain in extremity, Peripheral swelling, Rash pruritic, Rash vesicular
Clinical narrative: I expected to have flu-like symptoms the next day and I did; fatigue, body ache especially my legs, chills, etc.  That went away in about 24-36 hours.  On Monday, I realized I had developed numerous subcutaneous hive-like lumps in the muscles of both thighs.  They are not particularly itchy or bothersome but numerous and they stop around both knees.  They feel like large mosquito bites under the skin and they are less noticeable when not showering.  The heat of the water must exacerbate the issue.  I have asked others and not one else has had this response.  I still have these lumps and plan to visit my MD tomorrow.  I also have developed a wheeze/cough.
Age: 65.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Swelling
Clinical narrative: I expected to have flu-like symptoms the next day and I did; fatigue, body ache especially my legs, chills, etc.  That went away in about 24-36 hours.  On Monday, I realized I had developed numerous subcutaneous hive-like lumps in the muscles of both thighs.  They are not particularly itchy or bothersome but numerous and they stop around both knees.  They feel like large mosquito bites under the skin and they are less noticeable when not showering.  The heat of the water must exacerbate the issue.  I have asked others and not one else has had this response.  I still have these lumps and plan to visit my MD tomorrow.  I also have developed a wheeze/cough.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fever of 100.9 degrees. Body aches and tired feeling that lasted approx 36 hours. Treated with over the counter tylenol which did not seem to help.
Age: 1.0
Sex: M
Vaccine: MMRV, PNC13
Symptoms: Rash maculo-papular
Clinical narrative: Developed maculopapular, non-vesicular, non-petechial, non-ecchymotic, non-purpric, non-ulcerative predom on trunk, abdomen, back scatterd on legs, back of neck, very sporadic on palms and soles on 1-27-20
Age: 1.17
Sex: F
Vaccine: VARCEL
Symptoms: Rash, Rash vesicular, Scab, Skin lesion
Clinical narrative: Developed initial lesion on face on 1/27.  No fever but has had development of ongoing varicellaform lesions over entire body, some starting to crust at 48 hours.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Blood test, Injected limb mobility decreased, Injection site swelling, Tension
Clinical narrative: On 12/11 patient's blood was drawn for lab work.  About 3 days after vaccine, outside of shoulder at injection site, area was slightly swollen including tendons as it limited movement. Patient took aspirin but it did not help much. Today the tension is not as bad but it is pinching a nerve with certain movements; that is, feels  tension when extending arm to side until it gets shoulder height or feels a cramp when puts arm behind back.    On 1/27/20 went to doctor's office and staff directed him to the vaccine provider.  Then the pharmacy directed patient to VAERS but neither provided advice. Patient has doctor appointment scheduled for 2/5.   Arm is improving, recovery at 60%.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site inflammation, Vaccination site pain, Vaccination site swelling
Clinical narrative: INFLAMMED RAISED RED CIRCLE SURROUNDING VACCINATION AREA; PT SAYS IT BURNS AND ITCHES, IS WARM TO THE TOUCH.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccination site warmth
Clinical narrative: INFLAMMED RAISED RED CIRCLE SURROUNDING VACCINATION AREA; PT SAYS IT BURNS AND ITCHES, IS WARM TO THE TOUCH.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Back pain, Blood pressure increased, Chest X-ray, Computerised tomogram kidney abnormal
Clinical narrative: Patient recieved first dose of the shingrix vaccine on 10/15/19 had low dose fever, body aches, and nausea post injection but was fine after 24 hours. After second dose, patient started have left side pain (kidney area and to lower back) one week after the  second dose. She went to PCP with elevated blood pressure, and thought she may be dehydrated. PCP gave ok to go home, and patient tried to eat and drink something which helped a little. She took a nap and woke up feeling worse, and PCP directed her to go to ER. At ER, EKG looked fine, but did a CT with contrast and found the renal infarction. She was admitted. There they did another EKG, chest Xray, and CT with contrast. Was given pain meds in hospital and lovenox inj. was discharged 5 days later with follow up with vascular specialist and now on coumadin. Again, could be coincidence with factor V leiden disorder but thought it was imporant to report.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Electrocardiogram normal, Nausea, Pain, Pyrexia, Renal infarct
Clinical narrative: Patient recieved first dose of the shingrix vaccine on 10/15/19 had low dose fever, body aches, and nausea post injection but was fine after 24 hours. After second dose, patient started have left side pain (kidney area and to lower back) one week after the  second dose. She went to PCP with elevated blood pressure, and thought she may be dehydrated. PCP gave ok to go home, and patient tried to eat and drink something which helped a little. She took a nap and woke up feeling worse, and PCP directed her to go to ER. At ER, EKG looked fine, but did a CT with contrast and found the renal infarction. She was admitted. There they did another EKG, chest Xray, and CT with contrast. Was given pain meds in hospital and lovenox inj. was discharged 5 days later with follow up with vascular specialist and now on coumadin. Again, could be coincidence with factor V leiden disorder but thought it was imporant to report.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Scan with contrast abnormal
Clinical narrative: Patient recieved first dose of the shingrix vaccine on 10/15/19 had low dose fever, body aches, and nausea post injection but was fine after 24 hours. After second dose, patient started have left side pain (kidney area and to lower back) one week after the  second dose. She went to PCP with elevated blood pressure, and thought she may be dehydrated. PCP gave ok to go home, and patient tried to eat and drink something which helped a little. She took a nap and woke up feeling worse, and PCP directed her to go to ER. At ER, EKG looked fine, but did a CT with contrast and found the renal infarction. She was admitted. There they did another EKG, chest Xray, and CT with contrast. Was given pain meds in hospital and lovenox inj. was discharged 5 days later with follow up with vascular specialist and now on coumadin. Again, could be coincidence with factor V leiden disorder but thought it was imporant to report.
Age: 1.08
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Differential white blood cell count normal, Full blood count normal, Periorbital swelling, Rash
Clinical narrative: 01/22/2020-rash-Urgent Care clinic-oral steroids 01/23/2020-puffy eyes-ER-Epi, Steroid, Benadryl. Admitted for observation. Discharged from hospital 01/24/2020
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus
Clinical narrative: Per patient's provider, patient had a delayed hypersensitivity reaction last night.  Left deltoid with 5 cm x 6 cm area of erythema.   It started with itching last night.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Rash macular
Clinical narrative: Red blotches and redness on sore arm at injection site.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: pt stated that she has been having pain when lifting up her left arm after receiving the injection
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Axillary pain, Cellulitis, Chest discomfort, Chest pain
Clinical narrative: Patient was here on Monday, January 27.  While she was here she got the Pneumovax 23 in the left deltoid muscle.  By Monday night it was red, hot, swollen, hard, and very tender.  By the next morning it was even worse.  She developed pain radiating down her arm past the elbow and down into the hand.  She developed ringing in her ears.  She also noticed that with some red streaking going down to the elbow, pain in the left axilla, and pain radiating into her anterior chest. As it progressed she developed tightness in her chest and had trouble breathing.  She also complains of headache, fatigue, myalgia, arthralgia.     When she woke up this morning the chest pressure was gone, but everything else was worse so she presented to the clinic for evaluation.  She rates her pain as a 6 when she is holding the arm still and a 10 when she moves it at all  It hurts bad enough that she cannot tolerate having any clothing touch her arm.  She still has pain in her left axilla and from the deltoid all the way down her left arm into her fingers.  She also still has ringing in her ears.  She can see red streaking down her arm to the elbow.  She currently denies any shortness of breath or respiratory distress.  She denies any chest pain.   1. Cellulitis of arm  She has red streaking down her arm and into the lymph tissue.  This may just be as a sensitivity reaction but in order to cover for potential cellulitis I am going to treat her with cephalexin 500 mg every 6 hours for 10 days.  I have asked her to apply ice and heat off-and-on.  Advised her to wear a sling and elevate her arm as much as possible.  If the symptoms do not improve or if they worsen she has been instructed to seek immediate medical care.  2. Hypersensitivity reaction at injection site, Drug-induced hypersensitivity reaction    4. Injection site reaction   Patient has obviously developed a hypersensitivity reaction at the injection site from the Pneumovax?23 injection.  We will document this in her medical record.  We will also report this.  5. Radiculopathy of arm   I have asked her to elevate her arm, use ice and heat.  6. Headache   She will use Tylenol as needed.  She deferred a prescription for narcotic.  7. Fatigue   I recommend she rest as much as possible until this passes.  8. Myalgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  9. Arthralgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  10. Ringing in ears   She will let me know if the ringing in her ears does not resolve.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Drug reaction with eosinophilia and systemic symptoms, Dyspnoea, Fatigue, Headache, Injection site erythema
Clinical narrative: Patient was here on Monday, January 27.  While she was here she got the Pneumovax 23 in the left deltoid muscle.  By Monday night it was red, hot, swollen, hard, and very tender.  By the next morning it was even worse.  She developed pain radiating down her arm past the elbow and down into the hand.  She developed ringing in her ears.  She also noticed that with some red streaking going down to the elbow, pain in the left axilla, and pain radiating into her anterior chest. As it progressed she developed tightness in her chest and had trouble breathing.  She also complains of headache, fatigue, myalgia, arthralgia.     When she woke up this morning the chest pressure was gone, but everything else was worse so she presented to the clinic for evaluation.  She rates her pain as a 6 when she is holding the arm still and a 10 when she moves it at all  It hurts bad enough that she cannot tolerate having any clothing touch her arm.  She still has pain in her left axilla and from the deltoid all the way down her left arm into her fingers.  She also still has ringing in her ears.  She can see red streaking down her arm to the elbow.  She currently denies any shortness of breath or respiratory distress.  She denies any chest pain.   1. Cellulitis of arm  She has red streaking down her arm and into the lymph tissue.  This may just be as a sensitivity reaction but in order to cover for potential cellulitis I am going to treat her with cephalexin 500 mg every 6 hours for 10 days.  I have asked her to apply ice and heat off-and-on.  Advised her to wear a sling and elevate her arm as much as possible.  If the symptoms do not improve or if they worsen she has been instructed to seek immediate medical care.  2. Hypersensitivity reaction at injection site, Drug-induced hypersensitivity reaction    4. Injection site reaction   Patient has obviously developed a hypersensitivity reaction at the injection site from the Pneumovax?23 injection.  We will document this in her medical record.  We will also report this.  5. Radiculopathy of arm   I have asked her to elevate her arm, use ice and heat.  6. Headache   She will use Tylenol as needed.  She deferred a prescription for narcotic.  7. Fatigue   I recommend she rest as much as possible until this passes.  8. Myalgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  9. Arthralgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  10. Ringing in ears   She will let me know if the ringing in her ears does not resolve.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site hypersensitivity, Injection site induration, Injection site pain, Injection site streaking, Injection site swelling
Clinical narrative: Patient was here on Monday, January 27.  While she was here she got the Pneumovax 23 in the left deltoid muscle.  By Monday night it was red, hot, swollen, hard, and very tender.  By the next morning it was even worse.  She developed pain radiating down her arm past the elbow and down into the hand.  She developed ringing in her ears.  She also noticed that with some red streaking going down to the elbow, pain in the left axilla, and pain radiating into her anterior chest. As it progressed she developed tightness in her chest and had trouble breathing.  She also complains of headache, fatigue, myalgia, arthralgia.     When she woke up this morning the chest pressure was gone, but everything else was worse so she presented to the clinic for evaluation.  She rates her pain as a 6 when she is holding the arm still and a 10 when she moves it at all  It hurts bad enough that she cannot tolerate having any clothing touch her arm.  She still has pain in her left axilla and from the deltoid all the way down her left arm into her fingers.  She also still has ringing in her ears.  She can see red streaking down her arm to the elbow.  She currently denies any shortness of breath or respiratory distress.  She denies any chest pain.   1. Cellulitis of arm  She has red streaking down her arm and into the lymph tissue.  This may just be as a sensitivity reaction but in order to cover for potential cellulitis I am going to treat her with cephalexin 500 mg every 6 hours for 10 days.  I have asked her to apply ice and heat off-and-on.  Advised her to wear a sling and elevate her arm as much as possible.  If the symptoms do not improve or if they worsen she has been instructed to seek immediate medical care.  2. Hypersensitivity reaction at injection site, Drug-induced hypersensitivity reaction    4. Injection site reaction   Patient has obviously developed a hypersensitivity reaction at the injection site from the Pneumovax?23 injection.  We will document this in her medical record.  We will also report this.  5. Radiculopathy of arm   I have asked her to elevate her arm, use ice and heat.  6. Headache   She will use Tylenol as needed.  She deferred a prescription for narcotic.  7. Fatigue   I recommend she rest as much as possible until this passes.  8. Myalgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  9. Arthralgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  10. Ringing in ears   She will let me know if the ringing in her ears does not resolve.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site warmth, Myalgia, Pain, Pain in extremity, Radiculopathy
Clinical narrative: Patient was here on Monday, January 27.  While she was here she got the Pneumovax 23 in the left deltoid muscle.  By Monday night it was red, hot, swollen, hard, and very tender.  By the next morning it was even worse.  She developed pain radiating down her arm past the elbow and down into the hand.  She developed ringing in her ears.  She also noticed that with some red streaking going down to the elbow, pain in the left axilla, and pain radiating into her anterior chest. As it progressed she developed tightness in her chest and had trouble breathing.  She also complains of headache, fatigue, myalgia, arthralgia.     When she woke up this morning the chest pressure was gone, but everything else was worse so she presented to the clinic for evaluation.  She rates her pain as a 6 when she is holding the arm still and a 10 when she moves it at all  It hurts bad enough that she cannot tolerate having any clothing touch her arm.  She still has pain in her left axilla and from the deltoid all the way down her left arm into her fingers.  She also still has ringing in her ears.  She can see red streaking down her arm to the elbow.  She currently denies any shortness of breath or respiratory distress.  She denies any chest pain.   1. Cellulitis of arm  She has red streaking down her arm and into the lymph tissue.  This may just be as a sensitivity reaction but in order to cover for potential cellulitis I am going to treat her with cephalexin 500 mg every 6 hours for 10 days.  I have asked her to apply ice and heat off-and-on.  Advised her to wear a sling and elevate her arm as much as possible.  If the symptoms do not improve or if they worsen she has been instructed to seek immediate medical care.  2. Hypersensitivity reaction at injection site, Drug-induced hypersensitivity reaction    4. Injection site reaction   Patient has obviously developed a hypersensitivity reaction at the injection site from the Pneumovax?23 injection.  We will document this in her medical record.  We will also report this.  5. Radiculopathy of arm   I have asked her to elevate her arm, use ice and heat.  6. Headache   She will use Tylenol as needed.  She deferred a prescription for narcotic.  7. Fatigue   I recommend she rest as much as possible until this passes.  8. Myalgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  9. Arthralgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  10. Ringing in ears   She will let me know if the ringing in her ears does not resolve.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness, Tinnitus
Clinical narrative: Patient was here on Monday, January 27.  While she was here she got the Pneumovax 23 in the left deltoid muscle.  By Monday night it was red, hot, swollen, hard, and very tender.  By the next morning it was even worse.  She developed pain radiating down her arm past the elbow and down into the hand.  She developed ringing in her ears.  She also noticed that with some red streaking going down to the elbow, pain in the left axilla, and pain radiating into her anterior chest. As it progressed she developed tightness in her chest and had trouble breathing.  She also complains of headache, fatigue, myalgia, arthralgia.     When she woke up this morning the chest pressure was gone, but everything else was worse so she presented to the clinic for evaluation.  She rates her pain as a 6 when she is holding the arm still and a 10 when she moves it at all  It hurts bad enough that she cannot tolerate having any clothing touch her arm.  She still has pain in her left axilla and from the deltoid all the way down her left arm into her fingers.  She also still has ringing in her ears.  She can see red streaking down her arm to the elbow.  She currently denies any shortness of breath or respiratory distress.  She denies any chest pain.   1. Cellulitis of arm  She has red streaking down her arm and into the lymph tissue.  This may just be as a sensitivity reaction but in order to cover for potential cellulitis I am going to treat her with cephalexin 500 mg every 6 hours for 10 days.  I have asked her to apply ice and heat off-and-on.  Advised her to wear a sling and elevate her arm as much as possible.  If the symptoms do not improve or if they worsen she has been instructed to seek immediate medical care.  2. Hypersensitivity reaction at injection site, Drug-induced hypersensitivity reaction    4. Injection site reaction   Patient has obviously developed a hypersensitivity reaction at the injection site from the Pneumovax?23 injection.  We will document this in her medical record.  We will also report this.  5. Radiculopathy of arm   I have asked her to elevate her arm, use ice and heat.  6. Headache   She will use Tylenol as needed.  She deferred a prescription for narcotic.  7. Fatigue   I recommend she rest as much as possible until this passes.  8. Myalgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  9. Arthralgia   She will use Tylenol as needed.  She deferred a prescription for narcotic.  10. Ringing in ears   She will let me know if the ringing in her ears does not resolve.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Headache, Loss of personal independence in daily activities, Magnetic resonance imaging brain normal
Clinical narrative: Within 24 hours my daughter developed headaches. These headaches increased in duration and strength within the next two weeks. She has had almost permanent headaches since then (over 6 years) and is on various medications to be able to function/keep the headaches partially in check.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Seen for WBV today (1/29/2020) and mom mentioned that when he had the flu vaccine in October, he had a rash on his abdomen that started approximately 2 hours after vaccine administration. Rash was itchy. No respiratory distress, oral swelling or vomiting.  Rash resolved on own the following day with no other symptoms.  Described rash as large red bumps.  Did not appear on other parts of body. Showed her photos of rashes on line and she pointed to urticarial rash.  She did not seek medical care at the time of the event.
Age: 10.0
Sex: F
Vaccine: FLU4, HEP, HEPA, VARCEL
Symptoms: Injection site pruritus, Vaccination complication, Vaccination site erythema, Vaccination site pain, Vaccination site warmth
Clinical narrative: Pt presented with erythema, tenderness, warmth and itchiness to vaccine site where varicella vaccine was administered. MD diagnosed pt with adverse vaccine reaction on 1/29/20. Prescribed Benadryl and Hydrocortisone cream.  Pt to return the following day (1/30/20) for follow up; site marked to monitor if erythema increases.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Blood creatine phosphokinase increased, Blood creatinine normal, Blood urea normal, Full blood count normal, Hypoaesthesia
Clinical narrative: One day after receiving vaccine pt developing progressively worsening pain in L deltoid, at the site of the injection. He also had one episode of numbness/parasthesias in the left upper extremity. Presented to clinic 14 days after vaccine, where he had pain severely limiting his arm abduction (almost none, due to pain upon active abduction) due to pain experienced at the mid-L deltoid. Denied fever, nausea or vomiting, hematuria, dizziness; pain or weakness in any other extremity. On exam had mild edema to the area without erythema, induration, fluctuance, or tenderness. He was advised to take Motrin q6h, ice, and rest. Seen for follow up 7 days later, with significant improvement in pain, though active ROM still limited to approx 100 degs of midline due to pain.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Metabolic function test normal, Pain, Paraesthesia
Clinical narrative: One day after receiving vaccine pt developing progressively worsening pain in L deltoid, at the site of the injection. He also had one episode of numbness/parasthesias in the left upper extremity. Presented to clinic 14 days after vaccine, where he had pain severely limiting his arm abduction (almost none, due to pain upon active abduction) due to pain experienced at the mid-L deltoid. Denied fever, nausea or vomiting, hematuria, dizziness; pain or weakness in any other extremity. On exam had mild edema to the area without erythema, induration, fluctuance, or tenderness. He was advised to take Motrin q6h, ice, and rest. Seen for follow up 7 days later, with significant improvement in pain, though active ROM still limited to approx 100 degs of midline due to pain.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Electrocardiogram normal, Pain in extremity, Pyrexia, Tremor
Clinical narrative: Fever, vomiting, shaking, sore arm
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Urine analysis normal, Vomiting
Clinical narrative: Fever, vomiting, shaking, sore arm
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Skin warm, Tenderness
Clinical narrative: Unknown of vaccine lot numbers as the vaccination was placed by an outside facility. Patient had vaccine Shingles and Pneumonia to placed in  right arm on 1/28/2020 at another facility. Today 1/29/2020 patient had a specialty appointment with foot doctor and asked for provider to see the right arm. Patient reported it is  warm to touch, sensitive to area and painful.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Decreased appetite, Headache, Insomnia
Clinical narrative: Patient received first dose on 8/31; patient had no problems that she recalls. Patient has had Zostavax vaccine also.  About 7 years ago patient reports shingles on eye, forehead, head, and eyebrow.   Patient started to get chills so took bath and could not sleep all night long. Both arms were sore and uncomfortable. Patient took ibuprofen and acetaminophen.  Patient had stomach pain and felt nauseated. Patient had 100 fever.  Patient took another acetaminophen this morning when woke up.  Still has same symptoms, loss of appetite, headache, pain in arms if lays on it.   Patient is very uncomfortable.  Patient probably only had 1 hour of sleep last night.   In terms of recovery, symptoms are probably the same at this at this point. Patient has not called doctor or pharmacist yet since handout says they will last 2-3 days.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Limb discomfort, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Patient received first dose on 8/31; patient had no problems that she recalls. Patient has had Zostavax vaccine also.  About 7 years ago patient reports shingles on eye, forehead, head, and eyebrow.   Patient started to get chills so took bath and could not sleep all night long. Both arms were sore and uncomfortable. Patient took ibuprofen and acetaminophen.  Patient had stomach pain and felt nauseated. Patient had 100 fever.  Patient took another acetaminophen this morning when woke up.  Still has same symptoms, loss of appetite, headache, pain in arms if lays on it.   Patient is very uncomfortable.  Patient probably only had 1 hour of sleep last night.   In terms of recovery, symptoms are probably the same at this at this point. Patient has not called doctor or pharmacist yet since handout says they will last 2-3 days.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Headache, Musculoskeletal chest pain, Vomiting
Clinical narrative: Patient came in for an MA visit for her second HPV9 shot. Waiting the initial period for immediate reaction before releasing the patient. The mother called the next day to report a possible reaction to vaccine. This is the phone mssg: "Pt got HPV booster 1/20/20. Pt has symptoms now and mom not sure if symptoms are related or not. She has been vomiting and very sharp painful HA since yesterday night. Unsure fever, pain under right rib. Tylenol did not help with pain. No visible reaction at injection site.  Per mom she did not have reaction with first shot."
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Chest pain, Dizziness, Dyspepsia, Fatigue, Headache
Clinical narrative: 1-25-2020  6:40 pm chest pain/heartburn, 9 pm  itchy skin, 10:30 heartburn still active and not relieved by tums. Itchy skin and rectum, Tiredness  1-26-2020  2:30 am welts on upper legs, face, elbow, knuckles. Heartburn - took baking soda. 3:30 am took 50 mg benadryl, applied Caladryl to skin, kept cool. 12 pm reapplied Caladryl, groggy and woozy. 4 pm itching increasing. took 25 mg, reapplied Caladryl. 10:30 pm woozy and tired. took 25 mg benedryl.  1-27-2020 7 am hands itching, applied Caladryl, 7 pm heartburn felt in chest and back took 25 mg benadryl and simethicone. foot itching, applied Caladryl. hemorroidal itching  1-28-2020 7 am knees itching and welting, applied Caladryl. 9 am ankles itching, took 25 mg benadryl. 7 pm heartburn, took simethicone. 10 pm anal itching, applied preparation H suppository, took 100 mg fanitodine  1-29-2020 7 am itching behind knees, upper arms, andles, ears - applied Caladryl. headache and hemorroidal itching, applied preparation H. 6 pm heartburn and mild itching continues
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: 1-25-2020  6:40 pm chest pain/heartburn, 9 pm  itchy skin, 10:30 heartburn still active and not relieved by tums. Itchy skin and rectum, Tiredness  1-26-2020  2:30 am welts on upper legs, face, elbow, knuckles. Heartburn - took baking soda. 3:30 am took 50 mg benadryl, applied Caladryl to skin, kept cool. 12 pm reapplied Caladryl, groggy and woozy. 4 pm itching increasing. took 25 mg, reapplied Caladryl. 10:30 pm woozy and tired. took 25 mg benedryl.  1-27-2020 7 am hands itching, applied Caladryl, 7 pm heartburn felt in chest and back took 25 mg benadryl and simethicone. foot itching, applied Caladryl. hemorroidal itching  1-28-2020 7 am knees itching and welting, applied Caladryl. 9 am ankles itching, took 25 mg benadryl. 7 pm heartburn, took simethicone. 10 pm anal itching, applied preparation H suppository, took 100 mg fanitodine  1-29-2020 7 am itching behind knees, upper arms, andles, ears - applied Caladryl. headache and hemorroidal itching, applied preparation H. 6 pm heartburn and mild itching continues
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Osteomyelitis
Clinical narrative: Patient said that Md said that she got a bone infection from the vaccine. He treated her with Doxycycline Hyclate 100mg 1bid for 7 days. Patient also stated that after second dose she also had a reaction and was treated again .
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Body-aches followed by cycles of fever and chills and then continued body-aches lasted 34 hours.  Period of fever cycle was over a 12 hour period.
Age: 21.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event
Clinical narrative: Patient was administrated a varicella  vaccine on 12/09/2019, When Medical assistant logged the route for this  vaccine M.A  used the drop box and indicated by mistake that the vaccine was given intramuscular when this vaccine was given subcutaneous. This  patient was given the varicella Subcutaneous.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Injection site reaction, Pain
Clinical narrative: Initially about 1-2 hrs. after my arm was sore and felt like a bruise. Within the first 24 hrs. about 9hrs. later I felt like I had the flu with chills and fatigue and I canceled my dinner plans for that evening. Stayed in bed starting about 4pm and slept thru the night Atm was still extremely sore and ached to lift or move. It was in my upper left arm and I am right handed. By Friday 1/24/2020 my arm had a pink rash located from the injection site down to my elbow and just in the outside of my arm. My Sunday morning the rash had disappeared.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Rash erythematous
Clinical narrative: Initially about 1-2 hrs. after my arm was sore and felt like a bruise. Within the first 24 hrs. about 9hrs. later I felt like I had the flu with chills and fatigue and I canceled my dinner plans for that evening. Stayed in bed starting about 4pm and slept thru the night Atm was still extremely sore and ached to lift or move. It was in my upper left arm and I am right handed. By Friday 1/24/2020 my arm had a pink rash located from the injection site down to my elbow and just in the outside of my arm. My Sunday morning the rash had disappeared.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site erythema, Injection site infection, Injection site swelling
Clinical narrative: Swelling of the arm from my shoulder to my elbow, goose egg swelling in one specific area of vaccine injection location, redness at the same site, aches in joints of other body areas, infection site redness, and puss/infection in the same area, loss of arm movement above chest level, all for 2 to 3 days of affliction.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chest discomfort, Constipation, Dyspnoea, Fatigue
Clinical narrative: Tightness in forehead and chest, mild headache, heavy breathing, heart pumping, fatigue, lethargy, weakness. insomnia, constipation. After weekly self-injections of methotrexate, symptoms worsen; after about ten days, signs of imminent shingles outbreak begin. Doctor has prescribed course of acyclovir and has advised postponement of upcoming Actemra infusion.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Herpes zoster, Insomnia, Lethargy, Tension headache
Clinical narrative: Tightness in forehead and chest, mild headache, heavy breathing, heart pumping, fatigue, lethargy, weakness. insomnia, constipation. After weekly self-injections of methotrexate, symptoms worsen; after about ten days, signs of imminent shingles outbreak begin. Doctor has prescribed course of acyclovir and has advised postponement of upcoming Actemra infusion.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pain radiating from wrist to shoulder of left arm, no swelling of arm
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Pain, Pain in extremity
Clinical narrative: Pt describes feeling fine when he initially recieved the vaccine, but after waking up from  a nap at 8 pm he noticed redness, a hard lump under his skin where he recieved the vaccine, and pain shooting  down his arm. It was about 12 hours from when he recieved the shot to when he noticed the symptoms. This is his third vaccine in the series and he did not notice any adverse effects with the first two.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Amnesia, Seizure
Clinical narrative: Pt reports seizure that lasted and estimated 15 minutes.  Seizure onset was about 35 hours post-vaccination.  Pt has no history of seizures.  Pt reports being hospitalized overnight and given IV Keppra in the Emergency room.  Pt stable now and has not experienced any seizures since.  Reports some memory loss since seizure.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling of body temperature change, Headache, Influenza like illness, Nausea
Clinical narrative: flu like, headache, nauseous, hot/cold, fatigue, your arm swollen and aches.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Peripheral swelling
Clinical narrative: flu like, headache, nauseous, hot/cold, fatigue, your arm swollen and aches.
Age: 70.0
Sex: F
Vaccine: FLUA3
Symptoms: Injected limb mobility decreased, Injection site nerve damage, Injection site pain, Middle insomnia, Product administered at inappropriate site
Clinical narrative: Patient called the pharmacy on January 28th, 2020 to inform the pharmacist that she believed that when she received the flu shot on October 18th, 2019, the needle hit a nerve, causing some long-term pain. She thinks that the pharmacist that gave her the shot was forceful and instead of pinching the area of the deltoid muscle, the vaccine was administered too low. She stated that after she received the vaccine, her arm was severely sore and that the pain never subsided. She went to her physician and other healthcare professionals, who concluded that it may have been from the flu shot after some time. The pain wakes her up at night and she cannot really lift her arm nor pick up bags in the left arm/hand.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Muscle tightness, Nausea, Palpitations, Tremor
Clinical narrative: Chills, Shakiness, Neck/Jaws/Legs Tightness Racing Heart, Nausea
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Burning sensation, Limb discomfort, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: Two days after the vaccine was given, Patient started to have neck pain. Then it began to burn in upper arm to elbow. Her arm swometimes feels heavy and aches. Middle 3 fingers tingle
Sex: F
Vaccine: VARZOS
Symptoms: Ischaemic stroke, Magnetic resonance imaging brain abnormal
Clinical narrative: Ischemic stroke/Acute ischemic stroke; This case was reported by a lawyer and described the occurrence of ischemic stroke in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   The initial information was received on 27 January 2020, via medical records(The case was medically confirmed). As per medical records, the patient had administered Shingrix vial kit on 28 April 2018. The patient had Ischemic stroke in May 2018 and Acute ischemic stroke (Other cerebral Infarction). The patient was hospitalized for ischemic stroke. The MRI was abnormal with left sided finding of small lesion in left frontparietal junction consist with ischemic stoke, with duration of the problem was for 5 days. The time to onset from first dose was unknown.      Lab Comments: The patient had MRI in 2018  with impression left sided finding of small lesion In left frontoparietal junction consist with ischemic stoke.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Biopsy skin, Discomfort, Skin infection, Urticaria
Clinical narrative: Hives - one week Skin infection - 5 weeks " 2 weeks " Lesser treatments Under treatment August thru January Changed medicine 5 times.  Much Discomfort.
Age: 89.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Blood urine present, Chest X-ray abnormal, Cough, Dysstasia, Fall
Clinical narrative: None stated.
Age: 89.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Malaise, Oropharyngeal discomfort, Pneumonia
Clinical narrative: None stated.
Age: 89.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 6.0
Sex: M
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient was given flu shot by PCP on 1/28/2020, presented to the Emergency Department for pain, swelling, and redness around the injection site