chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: MENB, MNQ
Symptoms: Crying, Depression, Emotional disorder, Nausea, Pyrexia
Clinical narrative: This is a spontaneous report obtained from a contactable nurse through a Pfizer sales representative. This nurse reported on behalf of physician. A 18-year-old female patient received, on an unknown date, TRUMENBA in the arm, at 0.5 ml, single dose and MENACTRA in the arm, both for immunization. The vaccines were given in a different arm. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced nausea and had a fever for a couple of days. She also reported feeling depressed and would start crying when talking to people. She was most concerned about the emotional effect she felt the vaccine had on her. The patient recovered from nausea and fever; while clinical outcome of the other events was unknown.
Sex: U
Vaccine: MENB
Symptoms: Rash, Urticaria
Clinical narrative: This is a spontaneous report from a contactable physician and nurse via Pfizer sales representative. This physician and nurse reported similar events for 6 patients. This is 2nd of 6 reports. An approximate 16-year-old patient received the first dose of TRUMENBA via an unspecified route of administration on an unspecified date at single dose for immunization. The patient experienced rash\hives following first dose of meningococcal group B RLP2086. The symptoms were moderate and event resolved after few days. Sender's Comments: Linked Report(s): US-PFIZER INC-2017286355 same reporter/product/event, different patient.
Sex: U
Vaccine: MENB
Symptoms: Rash, Urticaria
Clinical narrative: This is a spontaneous report from a contactable physician and from a contactable nurse via a Pfizer sales representative. These physician and nurse reported similar events for 6 patients. This is the 5th of six reports. An approximately 16 year-old patient of an unspecified race, ethnicity and gender received the first single dose of TRUMENBA via an unspecified route of administration on an unspecified date for immunisation. The patient medical history and concomitant medications were not reported. The patient experienced rash\hives following the vaccination on an unspecified date. Symptoms were moderate and resolved after few days on an unspecified date. Sender's Comments: Linked Report(s) : US-PFIZER INC-2017286355 same reporter/product/events, different patient.
Sex: F
Vaccine: MENB
Symptoms: Arthralgia, Peripheral swelling, Pyrexia
Clinical narrative: This is a spontaneous report obtained from a contactable physician through a Pfizer sales representative. A 18 year old female patient of an unspecified race and ethnicity received, on 31May2017, the first dose of TRUMENBA in the arm, at single dose, for immunization. Relevant medical history included Crohn's disease. Concomitant medications were unknown. On 31May2017, the patient experienced swelling of feet, joint pain in knees and feet and fever. Clinical outcome of the events was unknown at time of this report.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: This is a spontaneous report from a contactable nurse. A 16-year-old male patient received TRUMENBA (lot R94916, expiry date 31Jan2019, NDC number: 0005-0100-10) intramuscular, in left deltoid, on 27Jun2017 at 15:36, at 0.5 ml single, for immunisation. Prior vaccinations (within 4 weeks) were none. The patient medical history was none. The patient had an ongoing allergy to cefprozil (taken from 2013). Concomitant vaccination included MENACTRA (lot U5514AC, expiry date 12Mar2018) intramuscular, in right deltoid, on 27Jun2017, at 0.5 ml single, for immunisation. The patient previously took a dose of MENACTRA in 2011 for immunization. On 27Jun2017 at the injection site there was spreading of redness on the skin which was reported as a non-serious event. Since an unspecified date in Jun2017 it was very painful, very hot to the touch and the patient had limited range of motion in his left arm. These events have been considered medically significant by the reporter who saw the patient on 28Jun2017 and on 29Jun2017 and the redness was kind of big, spreading even worse. They measured the dimensions of the redness on 29Jun2017 morning and it was 5.3 inches in length and 4.2 inches in width. The patient was being treated for localized warmth and limited range of motion. Pain and redness had not yet resolved at the time of report. The other events outcome was unknown. The reporter assessed the events as related to TRUMENBA. Sender's Comments: The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, as appropriate. The case will be reassessed if additional information becomes available.
Sex: F
Vaccine: MENB
Symptoms: Headache, Neck pain
Clinical narrative: This is a spontaneous report from a contactable pharmacist who reported for her daughter. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration on an unspecified date at the paediatrician's office at single dose for immunization. The patient's medical history was not reported. The patient's concomitant medications were not reported. The pharmacist asked about a vaccine that her daughter received earlier this week and some problems she was having. The pharmacist mentioned that she (patient) complained severe like neck pain and headache on an unspecified date. So the pharmacist just needed to know if to seek medical attention or was this common. Pharmacist was requested to visit the nearest emergency room and call 911. The outcome of the event was unknown.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: CSF test, Chills, Full blood count, Headache, Meningitis viral
Clinical narrative: Received BEXSERO on 7/6/17 at approx 16:30 by 18:30-19:00 Had abrupt onset headache severe, photophobia, nausea and rigors. Afebrile went to ER- Had spinal tap Dx viral meningitis Woke today 7/7 at 10:30a and felt fine as of report.
Age: 19.0
Sex: F
Vaccine: MENB
Symptoms: Metabolic function test, Nausea, Photophobia
Clinical narrative: Received BEXSERO on 7/6/17 at approx 16:30 by 18:30-19:00 Had abrupt onset headache severe, photophobia, nausea and rigors. Afebrile went to ER- Had spinal tap Dx viral meningitis Woke today 7/7 at 10:30a and felt fine as of report.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site oedema, Peripheral swelling, Pruritus
Clinical narrative: Patient was given a PNEUMOVAX shot (presumably in her R deltoid by pharmacy staff) on 6/27/2017 and presented to the care clinic in the same pharmacy on 6/29/2017 for swelling, redness and itching in R arm. The patient's VS were stable though the dependent tissue below her R tricep was erythematous, edematous and appears to have some nonblanching areas of capillary pooling. Area was marked with a pen. She did not have pain or fever. No treatment was given. Advised her to monitor and return to clinic or PCP the following day to check for progression of area.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Area of injection site has a 2.2cm X 4.5cm redness, swelling, and bruising noted to right arm. Patient advised per provider to keep area clean and dry. To use warm compress to area. Patient started on Cephalexin 500MG 1 capsule, 4 times a day for 7 days. Patient advised to return in 3 days if area not improved or sooner if area continues to get worse or does not start to look better.
Age: 66.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Abdominal pain, Asthenia, Chills, Headache, Injection site pain
Clinical narrative: Patient reports within 15 to 20 minutes she experienced head pain in the back of head/neck, nausea, vomiting, abdominal pain, weakness, pale skin, pain in injection site, fever, Chills, severe pain on the right upper arm, pain with movement of right arm.
Age: 66.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Nausea, Neck pain, Pain, Pallor, Pyrexia
Clinical narrative: Patient reports within 15 to 20 minutes she experienced head pain in the back of head/neck, nausea, vomiting, abdominal pain, weakness, pale skin, pain in injection site, fever, Chills, severe pain on the right upper arm, pain with movement of right arm.
Age: 66.0
Sex: F
Vaccine: PNC13, TDAP
Symptoms: Vomiting
Clinical narrative: Patient reports within 15 to 20 minutes she experienced head pain in the back of head/neck, nausea, vomiting, abdominal pain, weakness, pale skin, pain in injection site, fever, Chills, severe pain on the right upper arm, pain with movement of right arm.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Redness, swelling the size of a half dollar around the injection site.
Age: 61.0
Sex: M
Vaccine: DTAP
Symptoms: Fatigue, Malaise, Neutropenia, Platelet count decreased, Pyrexia
Clinical narrative: Febrile, neutropenic, thrombocytopenic illness w/ fatigue and malaise. Observed 3 days in hospital. Made spontaneous recovery; Vaccine NDC: 58160-842-52; Exp.: 07/05/2019.
Age: 61.0
Sex: M
Vaccine: DTAP
Symptoms: Thrombocytopenia, White blood cell count decreased
Clinical narrative: Febrile, neutropenic, thrombocytopenic illness w/ fatigue and malaise. Observed 3 days in hospital. Made spontaneous recovery; Vaccine NDC: 58160-842-52; Exp.: 07/05/2019.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site nodule, Lymphadenopathy, Paraesthesia
Clinical narrative: Large nodule at injection site (L arm), lymphadenopathy L cervical region, paresthesias to fingers R hand.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Lip swelling, Urticaria
Clinical narrative: Patient developed diffuse hives about 5 hours after getting the vaccine. Reported some lip swelling (possible anaphylaxis) but was not seen until next day and all symptoms were completely resolved that that time.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Photophobia, Vision blurred
Clinical narrative: 2 hours after the vaccine I developed blurred vision and light sensitivity. I saw a Dr on Monday because nothing cleared. Tuesday vision began to clear and by a week later vision is finally back to normal.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 7-3-17: PNEUMOVAX 23 was administered around 4:45pm. Patient said the next day she developed extreme tiredness, fatique, low grade fever, soreness and redness at injection site on upper left arm. She was so tired that she was pretty much in bed all day and it was hard to move the left arm. The redness moved down about 2 inches from the injection site later the day and formed like a red band circled around her upper left arm also warm when she touched it. She took a hot shower the same day 7-4-17. Patient tried ice compression on and off all day on 7-5-17. She felt better and she could move around. Pt said the red band is gone  by 7-7-17 and she is back to normal.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: 7-3-17: PNEUMOVAX 23 was administered around 4:45pm. Patient said the next day she developed extreme tiredness, fatique, low grade fever, soreness and redness at injection site on upper left arm. She was so tired that she was pretty much in bed all day and it was hard to move the left arm. The redness moved down about 2 inches from the injection site later the day and formed like a red band circled around her upper left arm also warm when she touched it. She took a hot shower the same day 7-4-17. Patient tried ice compression on and off all day on 7-5-17. She felt better and she could move around. Pt said the red band is gone  by 7-7-17 and she is back to normal.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Herpes zoster, Pruritus
Clinical narrative: Patient started within 12 hours of receiving the vaccine with a mild case of shingles in the location she usually gets them. She had been counseled prior to receiving the vaccine that this was a possibility due to live vaccine. She stated they were itching and uncomfortable. When she called originally I advised she call her doctor or go to urgent care ASAP to begin antiviral treatment to prevent worsening of the symptoms. I called her again this evening and she had not done that. She stated that as of now, 7:25PM on 7/7, the shingles had not worsened and were starting to feel a little more comfortable. She had been applying DESITIN to the site.
Age: 73.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site induration, Injection site nodule, Injection site warmth, Pruritus
Clinical narrative: Patient had itching after administration, the itching continued throughout the next week. 6 days after immunization a hard, red, hot nodule appeared at injection site along with severe itching and rash/hives. Patient was advised to use a cold compress and take anti-histamine such as Benadryl.
Age: 73.0
Sex: F
Vaccine: PNC13
Symptoms: Rash, Urticaria
Clinical narrative: Patient had itching after administration, the itching continued throughout the next week. 6 days after immunization a hard, red, hot nodule appeared at injection site along with severe itching and rash/hives. Patient was advised to use a cold compress and take anti-histamine such as Benadryl.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV9, MENB, MNQ, TDAP, VARCEL
Symptoms: Pallor, Syncope
Clinical narrative: Client had a syncope episode seconds after receiving the last injection (HPV) while still in the chair. Client was reclined in the chair. Client was pale during spell. Syncope last about five seconds. She denied nausea and no emesis. Client's V/S were B/P108/58, pulse 72, and Respirations 20. Client was then moved to a sitting position after 10 min and did well, stated feeling better. After 5 more minutes in the sitting position she was asked to stand and tolerated well. Client was asked to be in observation in waiting area for 15 min. 3:05 while in waiting area she became pale again V/S B/P108/58, Pulse72, and Resp 20. Client was layed down for 15 min and recovered.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Cough, Injection site erythema, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: In first days after vaccine, had typical mild redness at vaccine site, which resolved. Then 8 days after vaccine, site on R arm became swollen, blotchy red, itchy from elbow to shoulder. Minimal cough developed at same time. Advised local treatment with ice, hydrocortisone cream, and had them follow up in office next day. By the next day, the arm had returned almost to normal, but hives spread to abdomen bilaterally. No respiratory distress or facial swelling. No fever. Treated at that time with Benadryl, and hives resolved over the next 1-2 days.
Age: 2.0
Sex: M
Vaccine: DTAP, PNC13
Symptoms: Rash macular, Urticaria
Clinical narrative: In first days after vaccine, had typical mild redness at vaccine site, which resolved. Then 8 days after vaccine, site on R arm became swollen, blotchy red, itchy from elbow to shoulder. Minimal cough developed at same time. Advised local treatment with ice, hydrocortisone cream, and had them follow up in office next day. By the next day, the arm had returned almost to normal, but hives spread to abdomen bilaterally. No respiratory distress or facial swelling. No fever. Treated at that time with Benadryl, and hives resolved over the next 1-2 days.
Age: 34.0
Sex: M
Vaccine: JEV1, TYP
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Myalgias, headache, fever, chills about 30 minutes after vaccine administration.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Feeding disorder, Lymph node pain, Lymphadenopathy, Mastication disorder, Pain in jaw
Clinical narrative: My doctor gave me PNEUMOVAX vaccine last Thursday 29th June and told me that there won't be any reactions. I am over 65 so I took the vaccine. I got the shot about 11am and about 1pm I had severe jaw pain and I could not eat anything or chew anything. I didn't know what it was and never thought it be the vaccine. By evening the pain was more and by next day (Friday) my lymph glands under my ears had swollen (on the left side only - injection was given on left arm) and sore. Next day it was really bad so I took a PANADOL tablet. The glands were sore to touch and my husband who also had the vaccine had high fever all night. I rang my doctor but he said it can't be the vaccine and take PANADOL. Today is the fifth day and I still have painful swollen glands but the swelling has gone down a bit. I am having trouble chewing food and eating. I am still taking PANADOL. How long will this continue? What should I do? This is a horrible side effect and I had no idea about it until I searched on-line. I think there should be enough warning about this product. Obviously doctors are not warned enough. I would like to know how can get rid of this pain.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Exposure during pregnancy, Stillbirth
Clinical narrative: This is a prospective pregnancy case. This 31-year-old female subject enrolled in an open label study. The subject received Flu Seasonal QIV Dresden 0.5 ml on 1st November 2016. The subject's estimated date of delivery was 20th May 2017. The subject received Flu Seasonal QIV Dresden during the first trimester of pregnancy. On an unknown date, an unknown time after receiving Flu Seasonal QIV Dresden, the subject developed vaccine exposure during pregnancy (Non-serious). The outcome of vaccine exposure during pregnancy was unknown. The pregnancy was ongoing. Additional details were provided as follows: The patient received a dose of FLUARIX QUADRIVALENT (batch number B5592, expiry date 20th June 2017). The date of last menstrual period was unknown. Follow up information was received from nurse on 18th January 2017: The patient's demographic details were updated. The date of last menstrual period was updated as 13th August 2016 and number of fetus was updated as 1. The patient had a normal conception. The patient received the vaccine at 11 weeks and 3 days of gestation. The VAERS details were updated. Follow up information was received from nurse on 27th June 2017: This case was upgraded to serious for event stillbirth (serious criteria GSK medically significant). On 8th May 2017, 188 days after vaccination with FLUARIX QUADRIVALENT, the foetus died inside the utero (near term). The cause of death was not specifically known but could have been a cord wrapped around the baby. The nurse does not wish to reach out to the mother and drag out a traumatic experience and be delicate. The nurse wants safety to reach out to the physician who would be better able to answer questions.
Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Pyrexia, Swelling
Clinical narrative: Fever > 102 .9. Swelling. Redness to site.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of injection site swelling in a 5-year-old female patient who received KINRIX (batch number 7574T, expiry date 19th May 2019). On 23rd June 2017, the patient received KINRIX (intramuscular). In June 2017, less than a week after receiving KINRIX, the patient experienced injection site swelling, injection site erythema, injection site warmth and injection site itching. On an unknown date, the outcome of the injection site swelling, injection site erythema, injection site warmth and injection site itching were unknown. The reporter considered the injection site swelling, injection site erythema, injection site warmth and injection site itching to be probably related to KINRIX. Additional details were reported as follows: This case was reported by licensed practical nurse. After the injection of KINRIX, the patient went swimming in a chlorinated pool. The patient experienced redness and swelling at the injection site. The site was warm to the touch and was also itchy. The patient was scheduled to be seen by the medical staff later on the day of reporting. This case had been linked to the US2017098852, reported by the same reporter.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Headache, 101.1 fever, chills, and fatigue on 7/6/17 at 3 AM. Patient took acetaminophen at 3 AM and naproxen sodium at 4 PM. Patient seen in office on 7/7/2017 for this issue and was prescribed methylprednisolone 4 mg tablet therapy pack.
Age: 12.0
Sex: U
Vaccine: HEPA, IPV, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted following the administration of the above vaccines. RN monitored patient - took vitals and was assessed by Health Department Pediatrician. Patient was monitored for 30 min.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Received vaccine on 06/28/17 and came to clinic on 06/29/17 right arm swollen, red, warm to touch and patient has a low grade fever.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Patient vaccinated on 06/24/2017 onset of symptoms began about 07/01/2017 on scalp and forehead. Patient went to E.R. on 07/04/17 diagnosed with shingles by MD and given antivirals. Follow up with primary MD on 07/07/17 and given more meds.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Pyrexia
Clinical narrative: Nurse received call from mother, reporting Pt had fever of 104.0 after receiving immunizations and was evaluated and a clinic. Patient temp 6/27/17 was 99.0.
Age: 78.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: Pt. noticed (R) deltoid was tender to touch after receiving TDaP (within minutes). Area became swollen with a lump on 7/1. Continues to have swelling, pain at site. No numbness or paresthesia. Advised warm pack, OTC analgesics.
Age: 1.0
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Nodule, Pyrexia
Clinical narrative: FEVER TO 103, REDNESS AT INJECTION SITE, NODULES
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Abnormal loss of weight, Antibody test negative, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Antiphospholipid antibodies negative
Clinical narrative: Patient developed sore throat, muscle aches and weakness starting the day after vaccination. He was seen in the ED on day 5 following vaccine with fever and myalgia. He was hospitalized on day 13-15 following vaccine with myosistis and weight loss with CPK elevated to 583 at it's peak. He was again hospitalized with progressive unintentional weight loss and continued muscle pain on day 23-28 following vaccine (15-20 pound unintentional loss). Following his first admission, he was treated with 10 days of Doxycylcine (as recommended by pediatric ID consultant) which did not seem to alter his course. He was also seen by Rheumatology consultant on his second admission.
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased, C-reactive protein increased, CSF test normal, Endoscopy upper gastrointestinal tract abnormal
Clinical narrative: Patient developed sore throat, muscle aches and weakness starting the day after vaccination. He was seen in the ED on day 5 following vaccine with fever and myalgia. He was hospitalized on day 13-15 following vaccine with myosistis and weight loss with CPK elevated to 583 at it's peak. He was again hospitalized with progressive unintentional weight loss and continued muscle pain on day 23-28 following vaccine (15-20 pound unintentional loss). Following his first admission, he was treated with 10 days of Doxycylcine (as recommended by pediatric ID consultant) which did not seem to alter his course. He was also seen by Rheumatology consultant on his second admission.
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Gastritis, Laboratory test normal, Muscular weakness, Myalgia, Mycoplasma test positive
Clinical narrative: Patient developed sore throat, muscle aches and weakness starting the day after vaccination. He was seen in the ED on day 5 following vaccine with fever and myalgia. He was hospitalized on day 13-15 following vaccine with myosistis and weight loss with CPK elevated to 583 at it's peak. He was again hospitalized with progressive unintentional weight loss and continued muscle pain on day 23-28 following vaccine (15-20 pound unintentional loss). Following his first admission, he was treated with 10 days of Doxycylcine (as recommended by pediatric ID consultant) which did not seem to alter his course. He was also seen by Rheumatology consultant on his second admission.
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Myositis, Nuclear magnetic resonance imaging brain normal, Oropharyngeal pain, Pyrexia, Red blood cell sedimentation rate increased
Clinical narrative: Patient developed sore throat, muscle aches and weakness starting the day after vaccination. He was seen in the ED on day 5 following vaccine with fever and myalgia. He was hospitalized on day 13-15 following vaccine with myosistis and weight loss with CPK elevated to 583 at it's peak. He was again hospitalized with progressive unintentional weight loss and continued muscle pain on day 23-28 following vaccine (15-20 pound unintentional loss). Following his first admission, he was treated with 10 days of Doxycylcine (as recommended by pediatric ID consultant) which did not seem to alter his course. He was also seen by Rheumatology consultant on his second admission.
Age: 16.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Respiratory viral panel, Rheumatoid factor negative, Streptococcus test negative
Clinical narrative: Patient developed sore throat, muscle aches and weakness starting the day after vaccination. He was seen in the ED on day 5 following vaccine with fever and myalgia. He was hospitalized on day 13-15 following vaccine with myosistis and weight loss with CPK elevated to 583 at it's peak. He was again hospitalized with progressive unintentional weight loss and continued muscle pain on day 23-28 following vaccine (15-20 pound unintentional loss). Following his first admission, he was treated with 10 days of Doxycylcine (as recommended by pediatric ID consultant) which did not seem to alter his course. He was also seen by Rheumatology consultant on his second admission.
Age: 1.17
Sex: M
Vaccine: MMR
Symptoms: Pyrexia
Clinical narrative: 100 degree fever, as of now.
Age: 44.0
Sex: F
Vaccine: MNQ
Symptoms: Chills, Dizziness, Musculoskeletal stiffness, Pain, Peripheral swelling
Clinical narrative: 0n 7/7 - patient started to have fever, dizziness, chills, neck stiffness, body ache, swollen arm. Went to PCP and was told it was reaction from vaccine was given ibuprofen.
Age: 44.0
Sex: F
Vaccine: MNQ
Symptoms: Pyrexia
Clinical narrative: 0n 7/7 - patient started to have fever, dizziness, chills, neck stiffness, body ache, swollen arm. Went to PCP and was told it was reaction from vaccine was given ibuprofen.
Age: 31.0
Sex: M
Vaccine: FLU3
Symptoms: Hordeolum, Lip swelling, Swelling face
Clinical narrative: Swelling on face started and has not subsided. Face swelling on lower lip, under both eyes, on left side of chin and stye on right eye.
Age: 52.0
Sex: M
Vaccine: MNQ
Symptoms: Chills, Hypersensitivity, Musculoskeletal stiffness, Peripheral swelling, Pyrexia
Clinical narrative: Had a vaccine on 7/6/17. He developed swollen arm, neck stiffness, fever, chills. Patient went to PCP was told he had allergic reaction and was told to take ibuprofen/TYLENOL. Stated that he feels much better today (7/8/2017).
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Eye pain, Eye pruritus, Eye swelling, Ocular hyperaemia, Rash erythematous
Clinical narrative: Red rash to face; bilateral eye pain with redness, itching, swelling, right eye swollen worse than left eye; symptoms occrured less than 24 hours after vaccines were administered; Benadryl given with no relief; seen at Urgent Care just under 48 hours after vaccines administered and instructed to continue Benadryl with prednisone and Pepcid.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Patient had redness and swelling from injection site down to wrist and was painful to the touch.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Patient had redness and swelling from injection site down to wrist and was painful to the touch.
Age: 45.0
Sex: F
Vaccine: PPV
Symptoms: Feeling abnormal, Headache, Panic reaction, Paraesthesia oral, Throat irritation
Clinical narrative: Approximately 15 minutes after receiving the PNEUMOVAX 23 injection, the patient reported feeling tingling of the tongue and across her cheekbones. She said she was starting to feel panicked. I sat with her to assess the situation and she quickly calmed down, although her symptoms persisted. She felt the need to clear her throat but said she did not feel any tightness, swelling, trouble swallowing, or trouble breathing. She had a drink of water. Her tongue did not appear swollen, her color was good, no rash or hives were present, she was speaking calmly and normally, and she reported that her symptoms were gradually improving although a headache developed. It did not seem appropriate to administer epinephrine or diphenhydramine at this point. After about 45 minutes of monitoring she had improved and went home with instructions to take diphenhydramine and call 911 if she experienced any worsening of symptoms. I followed up with her the next morning (7/8/17 at approximately 11am) and she said that after going home, she did take the diphenhydramine because she still felt a little "funny" and went to sleep. Upon wakening her symptoms had fully resolved and she had no remaining concerns.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Hypoaesthesia, Injection site pain, Insomnia, Local swelling, Pain
Clinical narrative: ANTHRAX Booster given on Saturday, May 14th, 2016 in the morning. By the afternoon, onset symptoms- swelling, pain, achy, feverish. By Sunday evening, moderate to severe aching pain to right arm radiating up the neck/shoulder; numbness and unable to sleep due to the pain despite Motrin 800mg prn. On Monday, the numbness and pain were improving but swelling was notable to right side of face, neck, chest and arm/shoulder. Right arm measured 4cm larger than left arm. By Tuesday, symptoms resolving.
Age: 43.0
Sex: F
Vaccine: ANTH
Symptoms: Peripheral swelling, Pyrexia, Swelling, Swelling face
Clinical narrative: ANTHRAX Booster given on Saturday, May 14th, 2016 in the morning. By the afternoon, onset symptoms- swelling, pain, achy, feverish. By Sunday evening, moderate to severe aching pain to right arm radiating up the neck/shoulder; numbness and unable to sleep due to the pain despite Motrin 800mg prn. On Monday, the numbness and pain were improving but swelling was notable to right side of face, neck, chest and arm/shoulder. Right arm measured 4cm larger than left arm. By Tuesday, symptoms resolving.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Balance disorder, Pyrexia, Rash
Clinical narrative: Day of vaccination - afternoon hours: child had loss of balance sporadically through out day. Would loose balance while standing or walking. Balance issues continued over a 20 + day period. The symptoms gradually decreased and when away after 30 days or so. Developed fever on 8/18/2016 and rash on 8/21/2016. rash cleared in about 48 hours of being present. Fever came back on 8/24/2016 and rash two days later on 8/26.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Patient presented with a silver dollar size red area surrounding injection site. She stated that there was no pain or tenderness associated with the inflamed area. Patient noticed the area this morning and came to the pharmacy seeking advice. I instructed her to take Benadryl. She will follow-up with us if the area worsens or remains multiple days. I will follow-up with a call on Wednesday 06/12/17.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site irritation, Injection site urticaria, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reported to pharmacy day after receiving vaccine. She said her arm was ok but starting to get a little red and sore the evening after receiving vaccine. The next morning, her arm was considerably red  (hive-like) and swollen. She reported to the pharmacy with a red, hive like reaction on her entire upper arm with a large skin irritation at injection site. She had not tried any treatments, but since it was getting worse was going to report to the ER. She was not having any difficulty breathing or swelling or hives any other locations. Tried to call this evening for follow up but was unable to reach patient.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Peripheral swelling, Rash macular
Clinical narrative: Left arm erythema/swelling at 24 hours after administration w/development of rash (macular: blanchable) on left arm, back, and knees. Improvement noted at 72 hours.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: REDNESS AND SWELLING ON LEFT ARM, 6-4 CM.
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Vertigo
Clinical narrative: Severe dizziness within five minutes of injection. I had to lie down at the clinic; the bed felt like it was spinning. Lasted approx. 5 min.
Age: 1.92
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Pyrexia
Clinical narrative: Loss of appetite within 24 hours of receiving the vaccine. Fever spike within 48 hours. Fever reaching 104+ during the night 3 nights in a row. No other symptoms showing she has contacted a virus and none of my other 3 kids have contacted any virus from her so I know it is from the vaccines.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Decreased appetite, Headache, Hyperhidrosis, Injection site erythema
Clinical narrative: 3 inch red hardened area at injection site, fever (up to 101.8) that persisted despite antipyretics, nausea and vomiting, chills, sweats, loss of appetite, severe soreness and pain at the site, intractable headache.
Age: 20.0
Sex: F
Vaccine: PPV
Symptoms: Injection site induration, Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: 3 inch red hardened area at injection site, fever (up to 101.8) that persisted despite antipyretics, nausea and vomiting, chills, sweats, loss of appetite, severe soreness and pain at the site, intractable headache.
Age: 54.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Arthralgia, Back pain, Gait disturbance, Herpes zoster, Pain in extremity
Clinical narrative: Had vacinnation for shjngles on 6/15/2017. On 6/16/2017 I was awaken out of my sleep by severe pains in my left foot. The pain start running up my calf to my thigh, hip and leftnside of my back. The pain was so severe at times It made me limp when walking. After a week I went to urgent care. I explain to them about the vaccinctions I had and the pain on the left side of my body. They did a scan on my leg and found nothing. I explain my pain was a 10. I was given a shot for pain in my hip. The pain was still ther. I was given morphin in an IV, the pain was still severe. I was given a pill for pain before I was sent home with a prescription for muscle relaxers and IBProfin. I dchedule an appointment with my Doctor. By this time I had developed a ras of bumps on my backmand red blotches on my left leg. Once the Doctor looked at the spots and listened to all events that had occured, she realized that the live shingles vaccinnation had attached to the nerves in the left side of jy body mainly in the left leg giving me the shingles.
Age: 54.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Rash, Rash macular, Scan normal, Sleep disorder
Clinical narrative: Had vacinnation for shjngles on 6/15/2017. On 6/16/2017 I was awaken out of my sleep by severe pains in my left foot. The pain start running up my calf to my thigh, hip and leftnside of my back. The pain was so severe at times It made me limp when walking. After a week I went to urgent care. I explain to them about the vaccinctions I had and the pain on the left side of my body. They did a scan on my leg and found nothing. I explain my pain was a 10. I was given a shot for pain in my hip. The pain was still ther. I was given morphin in an IV, the pain was still severe. I was given a pill for pain before I was sent home with a prescription for muscle relaxers and IBProfin. I dchedule an appointment with my Doctor. By this time I had developed a ras of bumps on my backmand red blotches on my left leg. Once the Doctor looked at the spots and listened to all events that had occured, she realized that the live shingles vaccinnation had attached to the nerves in the left side of jy body mainly in the left leg giving me the shingles.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL, YF
Symptoms: Blood test, Chest X-ray, Cough, Decreased appetite, Irritability
Clinical narrative: Low fevers for 5 days in a row. Occasional vomiting. Gave ibuprofen every 6 hours to treat fever and cool her temperature. She was fussy, had no appetite, and would only drink a little bit of water. On the 6th day, she begun to have high fevers of 102.7. We continued with the same treatment. We also visited her pediatrician 3 times in the course of 7 days. Her ears, nose, and chest all seemed fine. She began to have a slight cough (day 6) that increased in congestion the following day. She is currently on her 9th day of consistent fevers.
Age: 1.25
Sex: F
Vaccine: MMR, VARCEL, YF
Symptoms: Pyrexia, Respiratory tract congestion, Streptococcus test, Urine analysis, Vomiting
Clinical narrative: Low fevers for 5 days in a row. Occasional vomiting. Gave ibuprofen every 6 hours to treat fever and cool her temperature. She was fussy, had no appetite, and would only drink a little bit of water. On the 6th day, she begun to have high fevers of 102.7. We continued with the same treatment. We also visited her pediatrician 3 times in the course of 7 days. Her ears, nose, and chest all seemed fine. She began to have a slight cough (day 6) that increased in congestion the following day. She is currently on her 9th day of consistent fevers.
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Joint swelling, Pharyngeal oedema, Rash, Rash pruritic, Urticaria
Clinical narrative: Patient woke at 2am with swollen throat, and hives & a rash that was very itchy. At first it was just hives on both wrists & rash on elbow, knuckles & knees. As time went on the rash got worse, spreading to ankles & his joints were all swollen. I gave him a Benadryl & that calmed down the itchiness a good bit & the throat was good, but the rash & hives were still bothersome so we went to the clinic near us.  The Nurse gave patient 4 mg prednisone in a Medrol dose pack, more Benadryl for next dosage & a 0.025% cream called Triamcinolone Acetonide. With the Prednisone steroid & Benadryl plus cream - the rash & hives went away by that evening. We kept up the Prednisone & Benadryl for the duration of the Steroid. Cream was not needed again. He is totally fine now - really was fine by day 2 of treatment.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Swollen at injection site (size of softball), red and rash-like. recommended patient wrap area to keep clean and seek treatment if worsens.
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Rash on torso, groin, limbs and neck. Does not appear to be itchy. Mild fever. As of this reporting it has not subsided.
Age: 49.0
Sex: F
Vaccine: PPV
Symptoms: Eye swelling, Eyelid oedema, Ocular hyperaemia
Clinical narrative: 49 year old female presents with c/o puffy. Patient presents to clinic c/o swollen eyelids and under eyes, left eye with increased swelling. She reports waking up this morning and eyes were swollen closed and red. Denies itchy, watery eyes, denies fever/chills, no problems breathing. Patient reports she had a PNEUMOVAX 23 injection in left arm yesterday afternoon. Has been taking XYZAL, SINGULAIR, and FLONASE nasal spray. Denies: matting of eye. Discharge. Exposure to conjunctivitis. Visual impairment. Tearing. Eye pain. Photophobia. Dryness. Itching.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Blood pressure decreased, Pain, Pain in extremity, Peripheral swelling, Syncope
Clinical narrative: Very painful vaccination site and further down on arm, almost to elbow, some swelling, blood pressure dropped (fainted in shower and when blood pressure was taken (with a home BP unit) about an hour after the event, it was ~70/48. Received Gatorade and orange juice and though BP came up to normal, the patient was very achy and slept most of the day. The next day (7/8), patient basically back to normal, but arm still slightly swollen & painful.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Vaccination site pain
Clinical narrative: Very painful vaccination site and further down on arm, almost to elbow, some swelling, blood pressure dropped (fainted in shower and when blood pressure was taken (with a home BP unit) about an hour after the event, it was ~70/48. Received Gatorade and orange juice and though BP came up to normal, the patient was very achy and slept most of the day. The next day (7/8), patient basically back to normal, but arm still slightly swollen & painful.
Age: 18.0
Sex: F
Vaccine: MENB, MENB
Symptoms: Abdominal pain upper, Blood urine present, Dehydration, Dyspnoea, Headache
Clinical narrative: Vaccine administered on 7/6/17 in the morning around 9:52A. Patient's father reported that afternoon the patient developed the following symptoms: stomach pain, fever (100.5 F), vomiting and severe headache. The pt reached out to the pharmacist that administered the vaccine and was recommended to take TYLENOL and that these side effects were known reactions to the vaccine. The pt's father states that the pt took ADVIL, after speaking with the pharmacist. Later that day the pt notice blood in the urine. The following day (7/8) the symptoms persisted in the morning. As the day progressed the pt developed shortness of breath which resulted in a visit to the ER. The pt was informed that she was dehydrated and were unsure of why there was blood in the urine. She was hospitalized at Hospital in a general pediatrics room. Pt's father reported that the doctors are concerned for her kidney function. She is still in the hospital as of now. This was reported to the pharmacy 7/9/17.
Age: 18.0
Sex: F
Vaccine: MENB, MENB
Symptoms: Pyrexia, Vomiting
Clinical narrative: Vaccine administered on 7/6/17 in the morning around 9:52A. Patient's father reported that afternoon the patient developed the following symptoms: stomach pain, fever (100.5 F), vomiting and severe headache. The pt reached out to the pharmacist that administered the vaccine and was recommended to take TYLENOL and that these side effects were known reactions to the vaccine. The pt's father states that the pt took ADVIL, after speaking with the pharmacist. Later that day the pt notice blood in the urine. The following day (7/8) the symptoms persisted in the morning. As the day progressed the pt developed shortness of breath which resulted in a visit to the ER. The pt was informed that she was dehydrated and were unsure of why there was blood in the urine. She was hospitalized at Hospital in a general pediatrics room. Pt's father reported that the doctors are concerned for her kidney function. She is still in the hospital as of now. This was reported to the pharmacy 7/9/17.
Age: 18.0
Sex: F
Vaccine: MENB, MENB
Symptoms: Abdominal pain upper, Asthenia, Blood urine present, Decreased appetite, Dehydration
Clinical narrative: Vaccine administered on 7/6/17 in the morning around 9:52A. Patient's father reported that afternoon the patient developed the following symptoms: stomach pain, fever (100.5 F), vomiting and severe headache. The pt reached out to the pharmacist that administered the vaccine and was recommended to take TYLENOL and that these side effects were known reactions to the vaccine. The pt's father states that the pt took ADVIL, after speaking with the pharmacist. Later that day the pt notice blood in the urine. The following day (7/8) the symptoms persisted in the morning. As the day progressed the pt developed shortness of breath which resulted in a visit to the ER. The pt was informed that she was dehydrated and were unsure of why there was blood in the urine. She was hospitalized at Hospital in a general pediatrics room. Pt's father reported that the doctors are concerned for her kidney function. She is still in the hospital as of now. This was reported to the pharmacy 7/9/17.
Age: 18.0
Sex: F
Vaccine: MENB, MENB
Symptoms: Dyspnoea, Headache, Nausea, Protein urine present, Pyrexia
Clinical narrative: Vaccine administered on 7/6/17 in the morning around 9:52A. Patient's father reported that afternoon the patient developed the following symptoms: stomach pain, fever (100.5 F), vomiting and severe headache. The pt reached out to the pharmacist that administered the vaccine and was recommended to take TYLENOL and that these side effects were known reactions to the vaccine. The pt's father states that the pt took ADVIL, after speaking with the pharmacist. Later that day the pt notice blood in the urine. The following day (7/8) the symptoms persisted in the morning. As the day progressed the pt developed shortness of breath which resulted in a visit to the ER. The pt was informed that she was dehydrated and were unsure of why there was blood in the urine. She was hospitalized at Hospital in a general pediatrics room. Pt's father reported that the doctors are concerned for her kidney function. She is still in the hospital as of now. This was reported to the pharmacy 7/9/17.
Age: 18.0
Sex: F
Vaccine: MENB, MENB
Symptoms: Vomiting
Clinical narrative: Vaccine administered on 7/6/17 in the morning around 9:52A. Patient's father reported that afternoon the patient developed the following symptoms: stomach pain, fever (100.5 F), vomiting and severe headache. The pt reached out to the pharmacist that administered the vaccine and was recommended to take TYLENOL and that these side effects were known reactions to the vaccine. The pt's father states that the pt took ADVIL, after speaking with the pharmacist. Later that day the pt notice blood in the urine. The following day (7/8) the symptoms persisted in the morning. As the day progressed the pt developed shortness of breath which resulted in a visit to the ER. The pt was informed that she was dehydrated and were unsure of why there was blood in the urine. She was hospitalized at Hospital in a general pediatrics room. Pt's father reported that the doctors are concerned for her kidney function. She is still in the hospital as of now. This was reported to the pharmacy 7/9/17.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site warmth, Skin warm
Clinical narrative: 6/26/17 - vaccine (ZOSTAVAX given). 6/27/17 - injection site RXN approximately 3 inches by 3 inches. Pt. felt hot to touch and applied ice x 4 days. 6/30/17 - came into pharmacy. Redness at injection about 6" by 3" w/some heat.
Age: 69.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site rash, Injection site warmth
Clinical narrative: 6/26/17 - vaccine (ZOSTAVAX given). 6/27/17 - injection site RXN approximately 3 inches by 3 inches. Pt. felt hot to touch and applied ice x 4 days. 6/30/17 - came into pharmacy. Redness at injection about 6" by 3" w/some heat.
Age: 1.25
Sex: M
Vaccine: HIBV, TDAP, HIBV, TDAP
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 1.25
Sex: M
Vaccine: HIBV, TDAP, HIBV, TDAP
Symptoms: Unevaluable event
Clinical narrative: None stated.