chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Viral infection
Clinical narrative: 9/24- began with fever of 101.8. 9/25- fever continued after alternating Tylenol and Motrin every 4 hours. Inconsolable crying. Decreased appetite. 9/26- saw pediatrician, told it was a virus. Fever continued, even with Tylenol and Motrin given. Still inconsolable. Appetite almost nonexistent. Only 7oz of similac go and grow all day. Refusing any and everything else by mouth. Around 730pm, pinkish/light red rash began on face. Called pediatrician, advised was most likely a virus again. Given option of taking her to the ER or bringing her to the office in the AM. Fever has been consistently between 101.4-101.8 (rectal temperature). 9/27- rash worse on face but as day went on slowly less noticeable but more visible on chest, abdomen, and back, with rash starting to appear on upper extremities as well.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Cellulitis
Clinical narrative: CELLULITIS.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Breath holding, Crying, Cyanosis, Eye movement disorder, Hypotonia
Clinical narrative: Medical assistant administered Oral Rotavirus with out any complications. Proceeded to next vaccine PENTACEL. Patient started crying. Proceeded with next vaccine Hepatitis B and immediately MA noticed patient was holding his breath, turning blue, body stiff and eyes rolling to patients right side.  MA picked up patient and his body fell limp in her arms and loss consciousness momentarily and then regained consciousness again. Dr. was called in to exam room to examine pt. He was kept 30 minutes post injection for observation. He was alert and playing. Following my face with his eyes and responsive to stimulation and interacted with mother and siblings. No reaction or redness to injection sight noted and breathing stable.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, RV5
Symptoms: Laboratory test, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Medical assistant administered Oral Rotavirus with out any complications. Proceeded to next vaccine PENTACEL. Patient started crying. Proceeded with next vaccine Hepatitis B and immediately MA noticed patient was holding his breath, turning blue, body stiff and eyes rolling to patients right side.  MA picked up patient and his body fell limp in her arms and loss consciousness momentarily and then regained consciousness again. Dr. was called in to exam room to examine pt. He was kept 30 minutes post injection for observation. He was alert and playing. Following my face with his eyes and responsive to stimulation and interacted with mother and siblings. No reaction or redness to injection sight noted and breathing stable.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Computerised tomogram, Cough, Dyspnoea, Fatigue
Clinical narrative: One day after the shot I started feeling weak, having a headache and really tired. The second day I felt the same only shortness of breathe as well. Then at night I kept coughing I could hardly catch my breath. My husband took me to the hospital and my right lung was collapsed.
Age: 27.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Pneumothorax, X-ray
Clinical narrative: One day after the shot I started feeling weak, having a headache and really tired. The second day I felt the same only shortness of breathe as well. Then at night I kept coughing I could hardly catch my breath. My husband took me to the hospital and my right lung was collapsed.
Age: 56.0
Sex: F
Vaccine: FLU4, HEPAB, PPV
Symptoms: Facial paralysis, Facial paresis
Clinical narrative: Patient experience facial muscular failure the day after receiving vaccine from the pharmacy. She saw her primary care provider and was diagnosed with Bell's Palsy. The patient was told by her provider that the symptoms should subside in several days.
Age: 32.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: VACCINATION SITE RED, VERY WARM TO THE TOUCH, PAINFUL, SLIGHTLY SWOLLEN, AREA APPROXIMATELY THE SIZE OF A BASEBALL IN CIRCUMFERENCE SYMPTOMS LASTED 3-5 DAYS NO TREATMENT GIVEN (EXACT FLU VACCINE UNKNOWN).
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema
Clinical narrative: Arm turned red not at injection site, but on the back  and under the arm. Looked like it is probably improving now 2 days after the shot was given.
Age: 72.0
Sex: M
Vaccine: FLUA3
Symptoms: Tension headache
Clinical narrative: Tension headache, both sides of head, eyeball level.
Age: 55.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Peripheral swelling
Clinical narrative: Swelling under arm. seen by pcp and hospital er.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Pt developed rash in the vicinity of the injection site within a few hours of vaccination  initially was "extremely painful) for a day then pain receded but complains of "extreme" itching up to and including time of reporting. As of time of reporting (09/27 1115AM) rash unchaned in color or size        (coverage area approximately size of 3x5 inch area).
Age: 48.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Full blood count, Joint range of motion decreased, Metabolic function test, Musculoskeletal pain, Red blood cell sedimentation rate
Clinical narrative: Pt complain of should pain and decreased range of movement the next morning. Took Mobic without benefit. In process of getting x-ray, or possibly MRI, blood test.
Age: 48.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: X-ray limb
Clinical narrative: Pt complain of should pain and decreased range of movement the next morning. Took Mobic without benefit. In process of getting x-ray, or possibly MRI, blood test.
Age: 89.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal oedema, Throat irritation
Clinical narrative: The patient reported to the pharmacy on September 27, 2017. She stated that "a couple or so" hours after the administration of the vaccine, her throat felt funny and when she laid down for the evening, she felt like there may have been swelling in the back of it. Her breathing was not impeded and she was not concerned about the reaction, she just wanted to let us know. By the time she woke up in the morning, her throat had returned to normal and she suffered no lasting effects.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site erythema, Injection site reaction, Nausea, Urinary incontinence
Clinical narrative: Patient states after getting her FLUZONE HD shot and PNEUMOVAX 23 shot on 9/22/17 at about 230pm she began to develop symptoms of nausea and vomiting around 8pm 9/22/17. She continued with terrible nausea and vomiting and extreme fatigue for 3-4 days and only starting feeling better 9/26/17. She reports fatigue to the extent she had an episode of urinary incontinence. She was advised the shots really cannot cause illness, but she was sure this reaction was secondary to receiving the vaccinations. She also reports red welts at the site of injections. She reports that the redness and welts continued to develop over several days and was the worse that they had been on 9/26/17. She states that the redness developed over the 2 injection sites which were in the same arm and about 1-2 inches apart. She states the redness is now at least 4 inches square. She was advised to use benadryl, ice packs and pain relievers to help with those symptom.. She was advised to continue to watch the redness on the arm and consult her primary care provider if anything changes for the worst.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Urticaria, Vomiting
Clinical narrative: Patient states after getting her FLUZONE HD shot and PNEUMOVAX 23 shot on 9/22/17 at about 230pm she began to develop symptoms of nausea and vomiting around 8pm 9/22/17. She continued with terrible nausea and vomiting and extreme fatigue for 3-4 days and only starting feeling better 9/26/17. She reports fatigue to the extent she had an episode of urinary incontinence. She was advised the shots really cannot cause illness, but she was sure this reaction was secondary to receiving the vaccinations. She also reports red welts at the site of injections. She reports that the redness and welts continued to develop over several days and was the worse that they had been on 9/26/17. She states that the redness developed over the 2 injection sites which were in the same arm and about 1-2 inches apart. She states the redness is now at least 4 inches square. She was advised to use benadryl, ice packs and pain relievers to help with those symptom.. She was advised to continue to watch the redness on the arm and consult her primary care provider if anything changes for the worst.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Axillary pain, Injection site pain
Clinical narrative: Patient says injection site is sore but there is more pain under her arm in the armpit area.
Age: 4.0
Sex: M
Vaccine: IPV
Symptoms: Extra dose administered
Clinical narrative: On 09/15/17, the provider ordered vaccines for a 4 yr. old Well Child Exam. The provider ordered KINRIX, IPOL, MMR, & Varicella. So the Medical Assistant followed order in chart, which gave the patient an extra dose of IPOL, since one is already included in the KINRIX. On 09/16/17, the school nurse called for a copy of shot record and that is when the error was discovered. The MD in the clinic was notified immediately and grandmother(guardian) was called and notified as well. Grandmother denied any redness, swelling, fever, or any other symptoms and stated child was "running around like always".  Grandmother was advised to notify out office of any problems.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Chills, Cold sweat, Dizziness, Headache
Clinical narrative: 4 hours after injection - some stiffness in left upper arm with pain on any movement of the left arm.  Pain increasing during the night. By 6 hours (midnight) after I had chills, sweating, and fever. Any movement or touch was extremely painful. Took 3 Ibuprofen with minimal relief. By 6 AM I had headache and back ache. 15 minutes after getting up I nearly passed out -pale, clammy and faint. By 9 AM I was somewhat better. Now, 19 hour after injection, I still feel achy, injection site is painful to touch, and it is painful to raise my arm but overall I feel much better than this morning.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Hyperhidrosis, Injection site pain, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: 4 hours after injection - some stiffness in left upper arm with pain on any movement of the left arm.  Pain increasing during the night. By 6 hours (midnight) after I had chills, sweating, and fever. Any movement or touch was extremely painful. Took 3 Ibuprofen with minimal relief. By 6 AM I had headache and back ache. 15 minutes after getting up I nearly passed out -pale, clammy and faint. By 9 AM I was somewhat better. Now, 19 hour after injection, I still feel achy, injection site is painful to touch, and it is painful to raise my arm but overall I feel much better than this morning.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Pallor, Pyrexia, Tenderness
Clinical narrative: 4 hours after injection - some stiffness in left upper arm with pain on any movement of the left arm.  Pain increasing during the night. By 6 hours (midnight) after I had chills, sweating, and fever. Any movement or touch was extremely painful. Took 3 Ibuprofen with minimal relief. By 6 AM I had headache and back ache. 15 minutes after getting up I nearly passed out -pale, clammy and faint. By 9 AM I was somewhat better. Now, 19 hour after injection, I still feel achy, injection site is painful to touch, and it is painful to raise my arm but overall I feel much better than this morning.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Erythema, Lip swelling, Pruritus generalised, Swelling face
Clinical narrative: 11 hours after receiving influenza, pt. experienced generalized itching, hives, facial redness, SOB, facial swelling, tongue and lip swelling. Received BENADRYL, epinephrine, and prednisone. Recovering. Discharged from ED.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Swollen tongue, Urticaria
Clinical narrative: 11 hours after receiving influenza, pt. experienced generalized itching, hives, facial redness, SOB, facial swelling, tongue and lip swelling. Received BENADRYL, epinephrine, and prednisone. Recovering. Discharged from ED.
Sex: U
Vaccine: HIBV
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse, and refers to multiple unspecified patients of unknown age and gender. The patients' current conditions, medical history and concomitant medications were not reported. On multiple unspecified dates, the patients received improperly stored doses of PEDVAXHIB, lot number N001348, expiration date 31-OCT-2019, for prophylaxis (routes of administration were not provided). On unknown dates, the doses of PEDVAXHIB underwent temperature excursions of 9 degrees Celsius (°C) to 25°C for a time frame of 1 hour and 9°C to 25°C for 10 minutes, which were detected by the data logger. No adverse effects were reported. This is one of several cases received from the same reporter. Sender's Comments: US-009507513-1709USA012219: US-009507513-1709USA012220: US-009507513-1709USA012221: US-009507513-1709USA012222.
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from a registered nurse regarding an unspecified number of patients of unknown age and gender. The patients' medical history, concurrent conditions, and concomitant therapies were not reported. On unspecified dates, the patients were vaccinated with improperly stored doses of ROTATEQ oral liquid (lot number M041768; expiration date: 25-JUN-2018) for prophylaxis. According to the reporter, ROTATEQ doses were exposed to the following temperature excursions: between 32 degrees Fahrenheit (F) to 35 F for 1 minute, and 47 F to 77 F for 5 minutes. No previous temperature excursions were reported. No adverse effects were reported. A digital data logger was involved.
Age: 63.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Pain in extremity
Clinical narrative: This is a spontaneous report from a contactable pharmacist. A 63-year-old female patient received PREVNAR 13, (Lot S31257, Expiration date Jul2018, NDC number: 0005197102) intramuscular in left deltoid on 17Sep2017 about 13:20  at 0.5 ml single dose for immunisation, and FLUARIX QUADRIVALENT, (Lot 3DT97, Expiration date 30Jun2018) intramuscular in left deltoid on 17Sep2017 at unknown dose for immunisation. Medical history included ongoing asthma. Concomitant medication included light steroid 10 mg daily. The patient experienced really bad pain in that arm all the way down past her elbow on 17Sep2017. The event was non-serious. Therapeutic measures taken as a result of  the event included treatment with MOTRIN, TYLENOL, ASPIRIN, with no relief. The outcome was not recovered.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: After 24 hours, pt develop rash near chest and other parts of body-no sign of rash near area of injection.
Age: 13.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dyskinesia, Eye movement disorder, Loss of consciousness
Clinical narrative: Pt passed out and became ridged eyes rolled back, jerking for at least 20-30 seconds post-incident evaluation - A and O x 3 RRR CTA (B) Neuro grossly intact.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect route of drug administration
Clinical narrative: Patient given medication in IV route.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC13, RV5
Symptoms: Crying, Erythema of eyelid, Rash, Rash erythematous
Clinical narrative: Patient in office for 6 month wcc received multiple vaccines, patient was crying consistently mom walked to waiting room about 15-20 minutes later checked on mom in waiting room and she said she think baby was breaking out on forehead, I then looked at patients forehead and noticed red spots on forehead and her eyelids were red, brought patient back in the room Dr examined patient and intervention took place, and Dr determined it was a possible vaccine reaction. Patient given bendryl and pulse ox was checked which was good, checked back on patient 10 mins later and mom said she was doing better and rash was going away, checked pulse ox and again and checked back on patient 10 min later and mom said she was back to normal and checked patient and rash was almost completely gone. Dr went back in room to check on patient and instructions given to mom.
Sex: F
Vaccine: HEP
Symptoms: Nausea, Vomiting
Clinical narrative: Employee stated she felt nauseous waiting for post vaccination reaction. Employee than went into restroom and vomited. At 14:20 Medical supervisor was call to help employee, she was monitored  30mins. Employee continue to vomit and stated she wanted to go home, EMS was call at 15:00. Employee taken to hospital. Employee left center at 15:25.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Next day arm was red and swollen. Continued for several days.
Age: 62.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site urticaria, Local reaction, Vaccination site inflammation, Vaccination site swelling
Clinical narrative: (Pneumonia site only). Patient's arm broke out with hives, severe swelling and redness with inflammation of the area around the vaccination. She  only had a severe local like reaction, which caused her to have to be seen by her primary physician which prescribed her a MEDROL DOSEPAK and KEFLEX. She immediately saw an improvement after taking a few doses of the MEDROL.
Age: 55.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis 2 days after receiving the vaccine. She was treated at urgent care by MD. She received KEFLEX 500 mg QID, prednisone 20 mg BID, ibuprofen 600 mg TID.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Seizure
Clinical narrative: Seizure occurred 12-18 hours after he received the vaccine. Previous seizures on KEPPRA. Neurologist feels seizure not from vaccine, but due to the seizure happening within 72 hours of vaccine it is being reported.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Chest X-ray abnormal, Dysphonia, Dyspnoea, Erythema, Pruritus
Clinical narrative: Pt states that she received the vaccination, and approximately 40 minutes later noted that she had some itching in her arm that progressively worsened. Pt then noted some erythema to the area that seemed to crawl up her arm. She chased down a co-worker at the hospital to have her take a look at the area, when she noticed she began having difficulty breathing. The patient also had difficulty talking with itchy throat and mild stridor was documented by nursing and the patient's voice was hoarse. The patient was immediately seen by the ER physician and received breathing treatments, epinephrine and Benadryl. The patient did improve initially but then had a rebound and another dose of epinephrine was given. The patient's symptoms did improve after second dose of epinephrine and patient was able to speak in complete sentences and wheezing subsided.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Stridor, Throat irritation, Wheezing
Clinical narrative: Pt states that she received the vaccination, and approximately 40 minutes later noted that she had some itching in her arm that progressively worsened. Pt then noted some erythema to the area that seemed to crawl up her arm. She chased down a co-worker at the hospital to have her take a look at the area, when she noticed she began having difficulty breathing. The patient also had difficulty talking with itchy throat and mild stridor was documented by nursing and the patient's voice was hoarse. The patient was immediately seen by the ER physician and received breathing treatments, epinephrine and Benadryl. The patient did improve initially but then had a rebound and another dose of epinephrine was given. The patient's symptoms did improve after second dose of epinephrine and patient was able to speak in complete sentences and wheezing subsided.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Hypotension, Palpitations, Pruritus
Clinical narrative: Pt received vaccination and approximately 30 minutes later started to feel itchiness on her arm. Her coworker had experienced an anaphylactic reaction approximately 7 hours prior and she was concerned about her symptoms. Patient started feeling her heart racing, noted to have a heart rate in the 122s. Patient had a coworker take her blood pressure and was noted to be hypotensive. Patient stated she had difficulty breathing and was given a breathing treatment with Duonebs as well as a dose of Benadryl and Dexamethasone. I am especially concerned as this is the second patient to receive an adverse reaction to this same vaccine within the ER alone at our hospital. Both patients have received the flu vaccine yearly, as required per hospital protocol, without prior problems.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Hyperhidrosis, Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: 4 hours after injection - some stiffness in left upper arm with pain on any movement of the left arm.  Pain increasing during the night. By 6 hours (midnight) after I had chills, sweating, and fever. Any movement or touch was extremely painful. Took 3 Ibuprofen about 4:30 AM with some relief. By 9 AM I was somewhat better. Now, 19 hour after injection, injection site is painful to touch, and it is painful to raise my arm but overall I feel much better than this morning.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Pain in extremity, Pyrexia, Tenderness
Clinical narrative: 4 hours after injection - some stiffness in left upper arm with pain on any movement of the left arm.  Pain increasing during the night. By 6 hours (midnight) after I had chills, sweating, and fever. Any movement or touch was extremely painful. Took 3 Ibuprofen about 4:30 AM with some relief. By 9 AM I was somewhat better. Now, 19 hour after injection, injection site is painful to touch, and it is painful to raise my arm but overall I feel much better than this morning.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Dysphonia, Eye pain, Fatigue, Headache
Clinical narrative: Hoarseness, sore red eyes, aches all over body, headache, fatigue, weak.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Ocular hyperaemia, Pain
Clinical narrative: Hoarseness, sore red eyes, aches all over body, headache, fatigue, weak.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Redness and swelling at the injection site and several urticarial lesions on arms/face. Pt treated with oral benadryl and cool compresses with improvement.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: This case was reported by a nurse via sales rep and described the occurrence of rash in a 36-year-old male patient who received FLUARIX QUADRIVALENT (batch number K4GP4, expiry date 24th June 2018). Previously administered products included FLUARIX QUADRIVALENT with an associated reaction of no reaction on previous exposure to drug (in 2016). On 5th September 2017, the patient received FLUARIX QUADRIVALENT (intramuscular).5 ml. In September 2017, 2 days after receiving FLUARIX QUADRIVALENT, the patient experienced rash. On an unknown date, the outcome of the rash was unknown. The reporter considered the rash to be related to FLUARIX QUADRIVALENT. Additional details were reported as follows: The patient never had a reaction in the past. The patient received FLUARIX QUADRIVALENT to his left deltoid. The location of the rash was unknown by the sales representative. The sales representative stated that the facility was going to report the adverse event to VAERS.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect route of drug administration, Pain
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of pain in a 28-year-old female patient who received FLUARIX QUADRIVALENT (batch number K4GP4, expiry date 24th June 2018). On 14th September 2017, the patient received FLUARIX QUADRIVALENT (intramuscular) .5 ml. On 14th September 2017, immediately after receiving FLUARIX QUADRIVALENT, the patient experienced pain. The patient was treated with medication unknown, Ice Pack and NSAID's. On an unknown date, the outcome of the pain was unknown. The reporter considered the pain to be probably related to FLUARIX QUADRIVALENT. Additional details were reported as follows: The patient's physician was concerned that the vaccine was administered too high on her left deltoid and was not injected into the muscle. The patient experienced sharp pain which progressively got worse on 18th September 2017. She had to seek medical attention. The patient was told if the pain does not get better, then to follow up with her physician who would refer her to an orthopedic doctor. The patient was an avid swimmer and was unable to perform a single stroke. The sales rep stated the facility was going to report the adverse event to Vaers.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Throat irritation
Clinical narrative: Patient developed raspy cough and on itchy throat shortly after flu vaccine was given. He was given 7.5 ml of BENADRYL and observed for 20 minutes. Cough resolved.
Age: 27.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Skin warm
Clinical narrative: Redness and warm to touch.
Age: 61.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site swelling
Clinical narrative: After receiving vaccine, patient's arm began swelling at the site of the injection. Patient reported no other symptoms.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Computerised tomogram, Headache, Laboratory test
Clinical narrative: Extreme headache, treated at ER on 9/24/2017, treated at Dr. office on 9/26/2017. Pain continues even with pain and inflammation medications. It has not stopped in 4 days.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Erythema, Heart rate increased, Injection site erythema
Clinical narrative: 3 INCH REDNESS AT INJECTION SITE, REDNESS ON ONE SIDE OF FACE AND EAR, RAPID HEART BEAT, ANXIETY.
Age: 46.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Influenza, Injection site pain, Musculoskeletal pain, Pain, Pyrexia
Clinical narrative: PATIENT INDICATED THAT SHE EXPERIENCED SIDE EFFECTS OF THE VACCINATION, PAIN AT SITE, FEVER NO NUMBER GIVEN, VOMIT TIMES 2 IN 24 HOURS, FLU ACHY FEELING AND SORENESS AND SHOULDER PAIN.
Age: 46.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Vaccination complication, Vomiting
Clinical narrative: PATIENT INDICATED THAT SHE EXPERIENCED SIDE EFFECTS OF THE VACCINATION, PAIN AT SITE, FEVER NO NUMBER GIVEN, VOMIT TIMES 2 IN 24 HOURS, FLU ACHY FEELING AND SORENESS AND SHOULDER PAIN.
Age: 83.0
Sex: F
Vaccine: FLUA3
Symptoms: Lip swelling
Clinical narrative: Patient described upper lip swelling. No hives, no itching, no other symptoms noted. Patient took benedryl, resolved within 45 minutes.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Peripheral swelling
Clinical narrative: Patient got very dizzy, arm got swollen.
Age: 44.0
Sex: M
Vaccine: FLUC4, HEP, FLUC4, HEP
Symptoms: Rash generalised
Clinical narrative: RASHES NOTED ALL OVER BODY. TOOK BENADRYL BUT DID NOT HELP. TOOK MEDROL DOSEPACK AND RASH SEEMED BETTER BUT GOTTEN WORSE AGAIN.
Age: 44.0
Sex: M
Vaccine: FLUC4, HEP, FLUC4, HEP
Symptoms: Pruritus, Rash
Clinical narrative: RASHES NOTED ALL OVER BODY. TOOK BENADRYL BUT DID NOT HELP. TOOK MEDROL DOSEPACK AND RASH SEEMED BETTER BUT GOTTEN WORSE AGAIN.
Age: 46.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Disturbance in attention, Grip strength decreased, Hypoaesthesia, Immediate post-injection reaction, Injection site pain
Clinical narrative: Patient described pain at injection site at time of injection, stated she experienced feelings of numbness and difficulty with grip/making a fist within minutes to hours afterwards. Arm pain got progressively worse over the course of the day. Patient took one dose of ketorolac that she had on hand to help with pain/swelling. Patient was seeking medical attention at an urgent care for pain the next morning, also stated she was experiencing difficulty focusing her thoughts, tingling sensation on her scalp/back of her head. At the time of this reporting, no information regarding the result of the urgent care visit.
Age: 46.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Patient described pain at injection site at time of injection, stated she experienced feelings of numbness and difficulty with grip/making a fist within minutes to hours afterwards. Arm pain got progressively worse over the course of the day. Patient took one dose of ketorolac that she had on hand to help with pain/swelling. Patient was seeking medical attention at an urgent care for pain the next morning, also stated she was experiencing difficulty focusing her thoughts, tingling sensation on her scalp/back of her head. At the time of this reporting, no information regarding the result of the urgent care visit.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Chest discomfort, Dizziness, Dyspnoea, Exposure during pregnancy
Clinical narrative: Pregnant, estimated due date 01/19/2018. Employee developed chest tightness, racing heart, SOB, dizziness, flushing and slightly blurred vision 60 seconds after flu shot @ 1550. She returned to Employee Health (where vaccine was given) at 1551 complaining of the above symptoms. Her face was flushed and she appeared to be SOB. She was very anxious that this would affect her baby as she is in the 2nd trimester of pregnancy. She stated she has no allergies to food, drug, or other, and that she has never had a reaction to any vaccine. Her pulse was 96 and her resp. rate was 40 at that time. Employee was able to converse without difficulty. Her flushing rapidly dissipated. She began to feel better and at 1556 (her pulse remained @ 96) and walked with Employee Health Nurse to the treatment room (a short walk down the hall), where BP was checked and was 116/74. Respirations went down to 28/min. Employee was given water and said she was felt better after the water @ 1600. Her resp. rate was 24 and pulse rate 96 at that time. She said she wanted to call her obstetrician. She said she was scheduled to work until 1630. I told her I would call her manager and have her not return to her shift, and have her call her obstetrician before she left Emp. Health. I encouraged her to write Injury/illness report and to stay in Emp. Health for further monitoring. Employee refused to wait and insisted she felt better and insisted on returning to her shift (in pharmacy) until 4:30pm and would call her physician after that. Pt. began c/o chest tightness, SOB, flushing, dizziness, racing heart, and slightly blurred vision 60 seconds after flu vaccine given. Pt appeared flushed and SOB. Pt. anxious about "what will happen to my baby?". Pulse rate was 96 and Resp. rate was 40 (BP cuff not at hand). Pt able to converse normally. Pt denied any allergies to anything, and denied any reaction to any vaccine. Pt. did not want Employee Health nurse to call her physician.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Flushing, Palpitations, Vision blurred
Clinical narrative: Pregnant, estimated due date 01/19/2018. Employee developed chest tightness, racing heart, SOB, dizziness, flushing and slightly blurred vision 60 seconds after flu shot @ 1550. She returned to Employee Health (where vaccine was given) at 1551 complaining of the above symptoms. Her face was flushed and she appeared to be SOB. She was very anxious that this would affect her baby as she is in the 2nd trimester of pregnancy. She stated she has no allergies to food, drug, or other, and that she has never had a reaction to any vaccine. Her pulse was 96 and her resp. rate was 40 at that time. Employee was able to converse without difficulty. Her flushing rapidly dissipated. She began to feel better and at 1556 (her pulse remained @ 96) and walked with Employee Health Nurse to the treatment room (a short walk down the hall), where BP was checked and was 116/74. Respirations went down to 28/min. Employee was given water and said she was felt better after the water @ 1600. Her resp. rate was 24 and pulse rate 96 at that time. She said she wanted to call her obstetrician. She said she was scheduled to work until 1630. I told her I would call her manager and have her not return to her shift, and have her call her obstetrician before she left Emp. Health. I encouraged her to write Injury/illness report and to stay in Emp. Health for further monitoring. Employee refused to wait and insisted she felt better and insisted on returning to her shift (in pharmacy) until 4:30pm and would call her physician after that. Pt. began c/o chest tightness, SOB, flushing, dizziness, racing heart, and slightly blurred vision 60 seconds after flu vaccine given. Pt appeared flushed and SOB. Pt. anxious about "what will happen to my baby?". Pulse rate was 96 and Resp. rate was 40 (BP cuff not at hand). Pt able to converse normally. Pt denied any allergies to anything, and denied any reaction to any vaccine. Pt. did not want Employee Health nurse to call her physician.
Age: 44.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis
Clinical narrative: Patient developed cellulitis on the right arm.
Age: 59.0
Sex: M
Vaccine: HEPA
Symptoms: Asthenia, Cold sweat, Disorientation, Dizziness
Clinical narrative: Hepatitis A community outreach at the housing complex. Several minutes after the 11:00 am Hep. A vaccination the patient became lightheaded, disoriented and weakened. Touch to skin cool clammy. Patient was in a sitting position and given some cool water to drink given the warm temperature of the day. Medical doctor in attendance was called to assess patient and 911 ambulance services arrived. Around 11:25 am patient was aroused, alert and oriented for which MD continued assessing. Patient refused to be taken via ambulance to local hospital for further follow up and stated that he was alright.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Swelling, Tenderness
Clinical narrative: Red, raised, tender to touch, anterior inflammation from about six inches long by three inches wide.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Inflammation, Injection site erythema, Injection site induration
Clinical narrative: Received flu vaccine 9/25/17. Evening of 9/26/17 noted some redness around the site. By 9/27/17 redness had expanded to area 15cm long by 10cm wide on outer aspect of shoulder around the injection site. Firm, discretely bordered, NOT tender, not itchy. My impression is exuberant local inflammatory reaction. She had never had a similar reaction in past. We are using a different brand of flu vaccine this year. Patient has no history of atopic disease, however she does react strongly to poison ivy.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Feeling hot, Skin warm
Clinical narrative: Very red/hot cheeks, very red/hot kneees, very red/hot palms of hands. Reported to Doctors on Duty. MD prescribed prednisone. Symptoms lasted a few days.
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Pyrexia
Clinical narrative: Fever/chills overnight, no treatment, recovered next morning.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Rash macular, Swelling, Tenderness
Clinical narrative: Very painful to touch. Red blotchy area started today (9/17/17) lower on arm and moving towards tricep area. After physician on call Dr. was told to apply ice. The following day swelling and redness down.
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Laboratory test, Rash
Clinical narrative: Patient returned to pharmacy a few days after receiving flu shot. After staying here 15 mins, she started to break out w/in 30 mins with a rash and had difficulty breathing. Her doctor prescribed BACTRIM DS. She had an inhaler that helped her SOB. He is running labs and workup for CHF. Patient has no history of adverse reaction to vaccines.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site pain
Clinical narrative: (R) arm pain - bicep.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site urticaria
Clinical narrative: Redness at injection site, small hive at injection site, small knot at injection site, pain at injection site. Gave patient BENADRYL.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Headache, Loss of consciousness, Syncope
Clinical narrative: 9/21/17 approximately 10:50 AM the child experienced syncope with LOC after Tdap and meningococcal. Once recovered, she felt weakness again when ambulating W/O LOC. She had a HA and was sent to ER via EMS.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Redning swelling of left bicep.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever, nausea--patient was nausea morning after shot, then developed a low grade fever about 24 hours after shot-- patient stated that she might go to an urgent care.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Fatigue, Headache, Immediate post-injection reaction, Myalgia
Clinical narrative: Immediate muscular pain in the left arm; low-grade headache began about an hour following the vaccine, followed by mild nausea, stomach pains, fatigue, and general muscular aches.
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Nausea
Clinical narrative: Immediate muscular pain in the left arm; low-grade headache began about an hour following the vaccine, followed by mild nausea, stomach pains, fatigue, and general muscular aches.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Sore arm for over 3 weeks when movement. Still occurring.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Injection site swelling, Nodule, Pruritus, Rash
Clinical narrative: Mild swelling on R deltoid area at injection site but no rash or tenderness; rash on L forearm and both legs- erythematous, nodular 1-2 cm diameter each, pruritic but non-tender except for R medial knee area. Rashes on- L extensor forearm x1, L medial upper shin x1, L upper thigh x2, R medial upper shin x2, R anterior shin x1, R medial knee/ lower medial thigh x3 with mild swelling.
Age: 24.0
Sex: M
Vaccine: ANTH
Symptoms: Swelling, Tenderness
Clinical narrative: Mild swelling on R deltoid area at injection site but no rash or tenderness; rash on L forearm and both legs- erythematous, nodular 1-2 cm diameter each, pruritic but non-tender except for R medial knee area. Rashes on- L extensor forearm x1, L medial upper shin x1, L upper thigh x2, R medial upper shin x2, R anterior shin x1, R medial knee/ lower medial thigh x3 with mild swelling.
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient reported pain and extreme swelling at site of injection. The area was also very red and hard. Symptom also included fever. Patient reported to the ER. He was prescribed Levocetirizine.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Antinuclear antibody, Dry skin, Injection site urticaria, Local reaction, Pain in extremity
Clinical narrative: Patient called and notified me that she developed a dry rash, raised welts on her breasts, abdomen, and hips four days after receiving her FLUZONE QUAD shot. The first day, she only experienced a localized reaction (warm, swollen, sore right forearm). It started with hives under injection site. She denied taking any new meds or using any new soaps/lotions/detergents. She was a retired nurse so knew to go to ER if symptoms worsened.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Rash, Red blood cell sedimentation rate, Skin warm, Streptococcus test negative
Clinical narrative: Patient called and notified me that she developed a dry rash, raised welts on her breasts, abdomen, and hips four days after receiving her FLUZONE QUAD shot. The first day, she only experienced a localized reaction (warm, swollen, sore right forearm). It started with hives under injection site. She denied taking any new meds or using any new soaps/lotions/detergents. She was a retired nurse so knew to go to ER if symptoms worsened.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Patient called and notified me that she developed a dry rash, raised welts on her breasts, abdomen, and hips four days after receiving her FLUZONE QUAD shot. The first day, she only experienced a localized reaction (warm, swollen, sore right forearm). It started with hives under injection site. She denied taking any new meds or using any new soaps/lotions/detergents. She was a retired nurse so knew to go to ER if symptoms worsened.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Erythema, induration, and pain at the site of injection (Right Deltoid) that developed the following evening that patient got the vaccine (patient unclear exactly what time it began that evening). Erythema/Induration was about 15cm x 18cm.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Borrelia test negative, Facial paralysis
Clinical narrative: Received GARDASIL 9 (second dose) 9/11/17 and the next day developed right Bell's palsy. Almost resolved by 9/20/17.
Age: 77.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Broke out in a rash around torso 1 1/2 days after.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site warmth
Clinical narrative: Received the shingles vaccine on 4/16/17 - The next day experienced redness, itching and that the area was red and warm. Over the next 7-10 days the area enlarged 5 inch x 3 inch oval and continued to be warm, inflamed, itch.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Received the shingles vaccine on 4/16/17 - The next day experienced redness, itching and that the area was red and warm. Over the next 7-10 days the area enlarged 5 inch x 3 inch oval and continued to be warm, inflamed, itch.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hives developed 30 min. after administering FLULAVAL.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itching.
Age: 53.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Patient had a lump, redness, warm skin, pain at site of injection. She used ADVIL and a cold compress. She has allergy to Thimerosal (preservatives). She was given a preservation free shot. RPh consulted her and advised her to call her primary care MD if still uncomfortable.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain, Rash, Swelling
Clinical narrative: Skin rash after 24 hrs administration of FLUZONE HD and PNEUMOVAX. Redness, puffiness of skin, pain reported. Patient using BENADRYL.
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site joint pain, Injection site pain, Myalgia, Pain, Sleep disorder
Clinical narrative: Initially had a typical sore muscle response. About two hours after vaccine noted increased pain at left shoulder with movement. That night if I rolled over onto it, it would hurt to point of waking me up. Next day pain continued. By fourth day pain was worse and felt more like joint pain rather than muscle pain. Felt like a bursitis- with grinding feeling in shoulder with extension or movement such as brushing hair, turning steering wheel.
Age: 58.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Peripheral swelling, Vaccination complication
Clinical narrative: Patient called said was in pain and had swelling in the arm. Told patient it sounds like a type of reaction to the vaccination and to seek medical treatment at the er.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Muscle spasms, Pain in extremity
Clinical narrative: Pt reported developing significant cramping pain/aches in her lower left leg (and some in right leg but not as severe) starting 48 hours after receiving the injection. It lasted from approximately 3PM-5AM (the next morning). Pt consulted with her PCP and they eliminated other possible causes of lower leg pain (DVT, etc). Pt said she has past h/o leg cramps, but this pain was much worse than normal. Pt said that her pain has since subsided and she is not concerned about any lingering issues.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Erythema, Influenza like illness, Pruritus, Skin warm
Clinical narrative: Itchy within 15 minutes; hot red weal within an hour; weal grew to 5 cm X 10 cm in 24 hours. Flu-like symptoms 9/26/2017 for about 8 hours. Achy joints when I awoke on 9/26/2017.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Itchy within 15 minutes; hot red weal within an hour; weal grew to 5 cm X 10 cm in 24 hours. Flu-like symptoms 9/26/2017 for about 8 hours. Achy joints when I awoke on 9/26/2017.
Age: 68.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site pustule, Peripheral swelling, Vaccination complication
Clinical narrative: I RECEIVED PHONE CALL FROM HER PHYSICIAN ON REPORTING THAT SHE HAS ADVERSE EVENT FROM VACCINATION THAT SHE RECEIVED ON SATURDAY, 9/23/2017. PER PHYSICIAN, IT IS RED AND HER UPPER ARM IS SWOLLEN. PATIENT RECEIVED BOTH VACCINATION ON RIGHT ARM AND TOP INJECTION SITE WAS LITTLE PUSSY WHERE SHE RECEIVED FLU SHOT. I AM TRYING TO GET HOLD OFF PATIENT BUT NO LUCK.  I CALLED HER 3 TIMES AND ALSO LEFT MASSAGE TO CALL ME BACK.  I HAVE NOT HEARD BACK YET.
Age: 94.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site bruising, Injection site discolouration, Injection site pain
Clinical narrative: Patient came into the pharmacy inquiring as to if the formulation of the shot been changed from the previous years. Patient states that about 3 hours after receiving the injection the site began to burn and turn purple and tender to touch. Patient stated that for 2 - 3 days he was unable to lift his arm above his head. Upon his trip today, he states that he has regained mobility, there is no tenderness, but was concerned with the large bruise that was still present.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: On the evening after the vaccinations were administered, patient claims to have felt itchiness in the upper left arm and that it was swollen and red. By the next day (9/26/2017) she claims that beside the itching, she felt extreme pain (9 on a scale of 1 to 10). She said that she took a Benadryl. Patient came in today to report this adverse reaction and showed the pharmacist on duty her arm, which appeared red and swollen. She claims the pain is still around 8 or 9. Patient was advised to take Benadryl again this evening, along with a Pepcid and some Advil and use an ice pack. Pharmacy staff will follow up with patient's condition tomorrow morning.
Age: 1.08
Sex: M
Vaccine: MMRV
Symptoms: Pyrexia, Skin warm
Clinical narrative: Very bad fever up and down highest 102. Fever for four days it would go up and down never constant . Very hot legs arms and back.
Age: 1.58
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Patient developed hives several hours after injection, there was no anaphylaxis, hives have been recurrent.
Age: 69.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Dysstasia, Erythema, Feeling cold, Feeling hot
Clinical narrative: Patient went to bed feeling very cold, then woke up at around 4am feeling very warm, dizzy, and could not stand. Patient claims to have felt feverish at this time. Patient also said there was a very large bulge at the site of the injection. Next day, patient felt better, though not fully recovered, and arm was still warm to the touch. Patient returned to pharmacy on day 3, and upper arm was still pink, though he said he felt better today. Patient said symptoms are slowly abating, but said he has never had this severe of a reaction to a vaccine before.