chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLU3
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient of age range of 59 to 62 received Fluzone High-Dose, no AE; patient of age range of 59 to 62 received Fluzone High-Dose, no AE; Initial information was received on 03-Mar-2020 regarding an unsolicited valid non-serious case from a consumer.  This case is linked to cases 2020SA059559 and 2020SA059552 (same reporter).  This case involves a patient (age range of 59 to 62) (gender unknown) who received a dose of INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HIGH DOSE] (lot number and expiry date were not reported) via an unknown route at an unknown administration site for prophylactic vaccination in the last October to November.  Medical history, medical treatment, vaccination and family history were not provided.  It was a case of actual medication error due to inappropriate age at vaccine administration and overdose.   At the time of reporting, no adverse event was reported.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.  Information on the batch number was requested.
Age: 46.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt had Pneumo 23 on 3/3/2020 24' Later 3/4 exp pain-swelling, redness 2" area left upper inner arm-not injection site Pt took Advil 800mg & Benadryl 50mg Pt reported reaction on 3/6 - SXS resolved 90% - no apt needed
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness
Clinical narrative: Reports lightheaded this morning lasts about one hour. Denies Sob, hives, weakness, nausea or fever.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site pain, Joint lock, Musculoskeletal disorder, Pain
Clinical narrative: By the evening of the injection, shoulder was so painful the entire arm could not be used. It just hung. This continued for four days in addition to fever. As of almost a month later (3/6/20), there is notable pain at the injection site. In addition, if the shoulder is elevated for an extended period such as in my sleep, the shoulder joint becomes locked in position and can only be lowered with severe pain.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: By the evening of the injection, shoulder was so painful the entire arm could not be used. It just hung. This continued for four days in addition to fever. As of almost a month later (3/6/20), there is notable pain at the injection site. In addition, if the shoulder is elevated for an extended period such as in my sleep, the shoulder joint becomes locked in position and can only be lowered with severe pain.
Age: 4.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: MOP states that the patient started experiencing redness and swelling localized to the injection site. MOP state the patient followed up w/ her PCM and was advised to use OTC Benadryl PRN. MOP states the patient has not experienced difficulty breathing, hives, or any other signs of allergic reaction. MOP states the patient had redness local to the injection site with her first dose at 12 months but stated it was mild.
Age: 23.0
Sex: F
Vaccine: SMALL
Symptoms: Rash papular
Clinical narrative: Pt developed benign acral papulovesicular eruption on day 20 after vaccination.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema
Clinical narrative: Redness on face. Redness at injection site spreading down arm. Patient was to call Dr back to be seen.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Decreased appetite, Dermatitis diaper, Drooling, Erythema, Irritability
Clinical narrative: Rash ~ 5-7 days after receiving 1 year shots. Patient is a 12 month old male who presents today with his mom for a 5-7 day history of rash. According to mom the rash started with pink cheeks and then spread to his trunk. It is now spreading to his arms and legs. He has been very irritable and has been snoring, which he has not down in the past. She feels that maybe he is drooling little more than usual and appetite had been poor He does have some rhinorrhea as well. Diaper area is also affected with rash. He had his 12 month vaccines 12 days ago which included an MMR.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Rash, Rhinorrhoea, Snoring
Clinical narrative: Rash ~ 5-7 days after receiving 1 year shots. Patient is a 12 month old male who presents today with his mom for a 5-7 day history of rash. According to mom the rash started with pink cheeks and then spread to his trunk. It is now spreading to his arms and legs. He has been very irritable and has been snoring, which he has not down in the past. She feels that maybe he is drooling little more than usual and appetite had been poor He does have some rhinorrhea as well. Diaper area is also affected with rash. He had his 12 month vaccines 12 days ago which included an MMR.
Sex: F
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse symptoms reported; patient was administered the first dose in the series of GARDASIL 9 on an unspecified date in 2011 and the was administered the second dose in the series of GARDASIL 9 on an unspecified date in January 2020; This spontaneous report was received from a nurse practitioner (also reported as nurse prescriber), referring to a currently 23-year-old female patient. The patient's pertinent medical history, concurrent conditions, previous drug allergies or reactions and concomitant medications were not reported.       On an unspecified date in 2011, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) as prophylaxis (strength, dose, frequency, route of administration, anatomical location, lot number and expiration date were not reported).  On an unspecified day in January 2020, the patient received the second dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) as prophylaxis (strength, dose, frequency, route of administration, anatomical location, lot number and expiration date were not reported), and at the time of the report, the patient was at the office to be administered the third dose in the series of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (inappropriate schedule of product administration).  No adverse symptoms reported.
Sex: F
Vaccine: MENB
Symptoms: Nausea, Somnolence
Clinical narrative: Nausea and drowsiness; Nausea and drowsiness; This is a spontaneous report from a contactable consumer (medical assistant) via Pfizer sales representative.   A female patient of an unspecified age received the second dose of meningococcal group b rlp2086 (TRUMENBA), via an unspecified route of administration at 0.5 ml, single on an unspecified date for immunisation .  The patient medical history and concomitant medications were not reported. The patient previously took the first dose of meningococcal group b rlp2086  for immunisation. The patient experienced nausea and drowsiness on an unspecified date. The patient recovered after a week with no medical treatment. The dose was the second dose given in a series 6 months after the first dose.  Information on the lot/ batch number has been requested
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Mobility decreased, Pain in extremity, Swelling
Clinical narrative: persistent Right Arm pain, swelling, decreased motion of right upper extremity
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient received initial HPV vaccine 8 days ago.  Reported redness, warmth, swelling, pain at injection site 1 day ago. No other symptoms.    Today at visit there is some mild induration  but no erythema or swelling noted.  No warmth.   Some tenderness.   Patient has been treating pain with ibuprofen
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Acute cardiac event, Asthenia, Dehydration, Diarrhoea, Gastrointestinal disorder
Clinical narrative: Nausea, vomiting and diarrhea 48-72 hours after administration of the vaccine. Unknown whether this was the result of the vaccination or something else. The patient was frail, had underlying heart conditions and died of a cardiac event which likely was related to dehydration sustained from these symptoms.
Age: 88.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Sudden death, Vomiting
Clinical narrative: Nausea, vomiting and diarrhea 48-72 hours after administration of the vaccine. Unknown whether this was the result of the vaccination or something else. The patient was frail, had underlying heart conditions and died of a cardiac event which likely was related to dehydration sustained from these symptoms.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness
Clinical narrative: Patient received shingrix and was told to wait for 10 minutes before leaving. 5 minutes later,  pharmacist looked over at the waiting area, and patient seemed distress. Patient stated she was feeling lightheaded and stated this is similar when she receives IVs which usually passes with time. 20 minutes later, her daughter comes and picks her up. She was ambulatory but was still lightheaded.
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Swelling
Clinical narrative: Vaccine was administered 2/28/20, patient noticed redness and swelling developing 3/5/20 with no further spreading overnight through 3/6/20. Patient was advised to use ice and NSAIDs as well as try diphenhydramine to help control symptoms.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Pyrexia, Rash morbilliform, Rhinorrhoea
Clinical narrative: Fever that night with rhinorrhea, full body morbilliform rash the following day
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: sx include redness, warm to touch and swelling
Age: 0.33
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administration error
Clinical narrative: Patient given combo vaccine Kinrix on 3/2/20 which these vaccines Dtap and IPV should have been given separate or as a Dtap/Hib/IPV combo.  Was brought to attention by coding on 3/5/20.  PCP Dr. out of office, verified with Dr. on 3/6/20 dosing ok, which it was.  Spoke to, RN who manages vaccines and she spoke to the Health Department  and was concluded that this immunization does count for patient's doses and no additional injections needed.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site pain, Pain in extremity
Clinical narrative: I received the flu shot in my upper left arm and within 1 week - I developed pain and discomfort at the injection site.  Since then the pain has been persistent and the pain is now radiated down past my elbow and into my forearm
Age: 25.0
Sex: F
Vaccine: RAB
Symptoms: Tenderness, Urticaria
Clinical narrative: Left deltoid Large Urticarial plaque. Minimally tender. No discharge.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Fatigue, Myalgia, Pain, Pyrexia
Clinical narrative: Vaccine given in upper left arm - arm became sore as in a sore muscle - slight fever - aches - fatigue - arm became very red and hot - this spread across the front of upper arm Symptoms lasted for 2 to 3 days with the exception of the redness and heat in arm.  Heat in arm lasted several more days. Redness lasted for several weeks and in fact the skin in that area still looks like a slight sunburn.  (Vaccine given on 02/10/20 and today is 03/06/20).  This was the 2nd vaccine for shingles. The 1st given in November with no side effects.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Skin warm, Sunburn
Clinical narrative: Vaccine given in upper left arm - arm became sore as in a sore muscle - slight fever - aches - fatigue - arm became very red and hot - this spread across the front of upper arm Symptoms lasted for 2 to 3 days with the exception of the redness and heat in arm.  Heat in arm lasted several more days. Redness lasted for several weeks and in fact the skin in that area still looks like a slight sunburn.  (Vaccine given on 02/10/20 and today is 03/06/20).  This was the 2nd vaccine for shingles. The 1st given in November with no side effects.
Age: 4.0
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: PT WAS GIVEN MMR V AND VARICELLA ON THE SAME DAY IN EACH ARM.  SHE WAS MEANT TO GET MMR AND VARICELLA SEPARATELY BUT ACTUALLY RECEIVED TWO DOSES OF VARICELLA.   PT MOTHER WAS NOTIFIED OF ERROR.   I ASKED PT MOTHER IF PT WAS SHOWING IN SIDE EFFECTS AND SHE STATED PATIENT WAS ENERGETIC WITH NO EVIDENCE OF RASH, FEVER OR  MALAISE.  I ADVISED HER TO WATCH PATIENT FOR 7-14 DAYS PER CDC RECCOMENDATION.  IF SHE STARTS SHOWING SIGNS OF SEVERE REACTION LISTED IN VIS SHE WAS ADVISED TO CALL 911 OR GO TO ER IMMEDIATELY.   I ALSO TOLD PT MOTHER TO CALL OUR CLINIC WITH ANY QUESTIONS SHE MIGHT HAVE.  MOTHER STATED PATIENT WAS ENERGETI C AND EVEN WENT TO STORE AND PLAYED AND ATE LIKE NORMAL.  I ADVISED PT PER CDC TO ADMINISTER ANTIPYRETICS AS NEED PER INSTRUCTIONS FOR FEVER OR PAIN. MOTHER SEEMED TO UNDERSTAND INSTRUCTIONS THAT WERE GIVEN.
Age: 60.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Erythema, Malaise, Skin warm, Swelling
Clinical narrative: red, hot, swollen felt ill all weekend with lightheadness- seen in clinic cool moist compress, Tylenol Q 6hrs  f/u PCP in 3-5 days if persists or ER if worsens.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy
Clinical narrative: Pregnancy ~34 weeks gestation.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: injection site left shoulder pain - a lot redness moving down and around arm, swelling in and around injection site, very tender to the touch
Age: 29.0
Sex: F
Vaccine: HEPA
Symptoms: Pruritus
Clinical narrative: PATIENT COMPLAINED OF DIFFUSE ITCHING, WHICH SARTED 2 DAYS AFTER RECIVING THE VACCINE THAT LASTED FOR A COUPLE OF DAYS
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Hyperresponsive to stimuli, Hypotension
Clinical narrative: Pt received Quadracel (DTaP/IPV) and Proquad (MMR/Varivax) today. She appeared fine after the vaccines but in the waiting room at the checkout desk she had a brief episode of syncope and became poorly responsive; She was brought back to an exam room, assessed  and seemed better. She was given some candy to eat. Her responsiveness improved and she was quietly sitting in her mother?s lap; Dr came in to examine her and once again her responsiveness diminished and she appeared to have a brief episode of syncope; Dr placed her on the exam table with her feet elevated; She continued for several more minutes to be hyporesponsive; She never had seizure activity and did not lose consciousness; Her O2 saturation was continuously monitored by finger and did not decrease below the mid-90?s. HR remained in the 80?s to 90?s. On my exam her heart rhythm was steady. No irregularity. Pulses were normal in upper and lower extremities; She remained in a prone position and became increasingly more responsive. We offered her water which she drank and monitored her in the office for at least 45 more minutes; She had completely returned to her normal behavior and responsiveness at the time we let her go home. She was upright, walking around and interacting normally; Discussed with mother that the sequence of events was most consistent with a hypotensive hyporesponsive episode (HHE) associated with the pertussis vaccine she received today. There is no long-term sequelae.
Age: 26.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site induration, Ultrasound scan
Clinical narrative: Erythema and induration at injection site. Concerning for infection vs local immune reaction. Treating with doxycycline and anti-inflammatories.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at right deltoid
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Fall, Head injury, Loss of consciousness
Clinical narrative: Two minutes after administration, patient passed out. She lost consciousness and fell from a chair straight forward onto the floor, hitting her head as I (the pharmacist) caught her from the righthand side. When she came to we administered Tylenol with water. Patient does have a history of fainting with vaccines, but reported it had not happened in years.
Age: 26.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: extreme swelling at injection site, redness
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: initial swelling, gone after second day
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pyrexia, Tremor
Clinical narrative: Shaking and Chill with low grade temp
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Peripheral swelling, Skin warm
Clinical narrative: Patient had her upper arm swell with warmth to the touch and she had soreness for almost a month.  She said it went away on its own but did not report it until her second dose.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Laboratory test normal, Metabolic function test normal, Syncope
Clinical narrative: pt came in for flu shot and blood draw in afternoon. several hours later, at dinner, felt lightheaded (had eaten some, drank 1 glass alcohol), got up to go to the bathroom and syncopal event. came to in a chair, witnessed and witnesses had helped her into chair
Age: 89.0
Sex: F
Vaccine: VARZOS, PPV, VARZOS
Symptoms: Aphasia, Fear, Mobility decreased
Clinical narrative: Patient states that the day after her Shingrix vaccination she could not get out of bed, was unable to move, and was unable to talk. She states that this lasted the entire day and she was frightened the entire day as she laid in bed and couldn't move.
Age: 89.0
Sex: F
Vaccine: VARZOS, PPV, VARZOS
Symptoms: Bereavement, Culture urine positive, Cystitis, Dysuria, Movement disorder
Clinical narrative: Patient states that the day after her Shingrix vaccination she could not get out of bed, was unable to move, and was unable to talk. She states that this lasted the entire day and she was frightened the entire day as she laid in bed and couldn't move.
Age: 89.0
Sex: F
Vaccine: VARZOS, PPV, VARZOS
Symptoms: Speech disorder, Urine analysis abnormal, Vaccination complication, White coat hypertension
Clinical narrative: Patient states that the day after her Shingrix vaccination she could not get out of bed, was unable to move, and was unable to talk. She states that this lasted the entire day and she was frightened the entire day as she laid in bed and couldn't move.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Flushing, Headache, Injection site pain
Clinical narrative: A 100 degree F fever started early evening after the injection around same time of day as I had the vaccine 24 hours ago, yesterday ; head aches; flushed red face; tiredness; swollen, sore muscle at the injection site.  This has been on-going throughout the evening and night since it began at around 4 p.m. today.  I am reporting this for your information to collect and will update this if it continues beyond the weekend, (Beyond the 2-3 day period described as possible length of time side affects may occur?).  Also note that the first round of the Shingrax injection did not have these fever, headaches, tiredness, or red, flushed complexion side affects.  I only had  the very sore muscle with some swelling at the injection site.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: A 100 degree F fever started early evening after the injection around same time of day as I had the vaccine 24 hours ago, yesterday ; head aches; flushed red face; tiredness; swollen, sore muscle at the injection site.  This has been on-going throughout the evening and night since it began at around 4 p.m. today.  I am reporting this for your information to collect and will update this if it continues beyond the weekend, (Beyond the 2-3 day period described as possible length of time side affects may occur?).  Also note that the first round of the Shingrax injection did not have these fever, headaches, tiredness, or red, flushed complexion side affects.  I only had  the very sore muscle with some swelling at the injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness, and pain from top of right shoulder down to elbow
Age: 27.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Feeling cold, Hyperhidrosis, Pallor, Syncope, Vomiting
Clinical narrative: Fainted, vomited, paleness, sweating and cold. Got better after 15-20 mins.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Rash erythematous, Skin tightness
Clinical narrative: Patient complains of small red bumps, rash and tightness of skin mostly on the left side (non-vaccinated) arm and some bumps on the right side. Started to see symptoms a couple of days after the vaccination, tends to worsen with sweating or heat.  Not worsening but taking benadryl and will continue to monitor.
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Chills, Hypotension, Pyrexia, Vaccination complication
Clinical narrative: Patient reported chills/fever on next day, called her primary physician. Blood pressure was also low, so she landed up in the hospital. They initially thought was cellulitis but infectious disease doctor ruled out this and said it was reaction to the pneumovax
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Pyrexia, Vomiting
Clinical narrative: 3/5/20 yesterday developed fever 100.4 Hurting at inj site then developed redness around inj site. That has been increasing in size, fever persist & vomiting started with no pain. Area monitored. Cephalexin for 10 days, wash with soap & water. Call if persists.
Age: 59.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site bruising, Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Injection site reaction, Left deltoid, redness and swelling. Doxycycline 100mg capsule BID x 7 days given. redness, warmth, with swollen lymph node in elbow bruising, swollen lymph node
Age: 59.0
Sex: F
Vaccine: PNC13
Symptoms: Lymphadenopathy
Clinical narrative: Injection site reaction, Left deltoid, redness and swelling. Doxycycline 100mg capsule BID x 7 days given. redness, warmth, with swollen lymph node in elbow bruising, swollen lymph node
Age: 73.0
Sex: M
Vaccine: PPV
Symptoms: Arthralgia
Clinical narrative: & joint pain
Age: 70.0
Sex: M
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Welts
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Borrelia test negative, Brain natriuretic peptide increased, C-reactive protein increased, Chills, Dizziness
Clinical narrative: Headache continued for 1 month until patient was started on prednisone. Dizziness, Headache & chills, body aches ACETAMINOPHEN 1000 MG QID, PREDNISONE 60 MG EVERY DAY
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, Headache, International normalised ratio normal
Clinical narrative: Headache continued for 1 month until patient was started on prednisone. Dizziness, Headache & chills, body aches ACETAMINOPHEN 1000 MG QID, PREDNISONE 60 MG EVERY DAY
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Laboratory test normal, Pain, Platelet count normal, Prothrombin time normal, Red blood cell sedimentation rate increased
Clinical narrative: Headache continued for 1 month until patient was started on prednisone. Dizziness, Headache & chills, body aches ACETAMINOPHEN 1000 MG QID, PREDNISONE 60 MG EVERY DAY
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Vitamin D
Clinical narrative: Headache continued for 1 month until patient was started on prednisone. Dizziness, Headache & chills, body aches ACETAMINOPHEN 1000 MG QID, PREDNISONE 60 MG EVERY DAY
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Rash
Clinical narrative: SkinRash
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Vertigo
Clinical narrative: Client reports the day after her first Shingrix vaccination, she experienced local arm soreness and vertigo sx that began on 12/6/19 and lasted 3 days. Symptoms resolved after 3 days. Per CDC, vertigo is not a contraindication to getting future doses of Shingrix. Informed client it would be recommended for her to complex the Shingrix series. Client agreed to follow-up with dose #2. No further follow-up needed.
Age: 57.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Rash pruritic
Clinical narrative: Itchy Rash left upper chest one week after Shingrix vaccine.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin discolouration
Clinical narrative: & skin discoloration
Age: 4.0
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Pyrexia
Clinical narrative: Fever for one night, Tylenol given, did well afterwards.
Age: 31.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Syncope
Clinical narrative: Patient fainted in chair after receiving both vaccines (Approx 1-2  minutes After), for Approx 30 sec. She then laid on floor for A few minutes until feeling better. BP was checked (Normotensive). She Sat in pharmacy for 15-20 min before leaving
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Chills, Cough, Culture throat
Clinical narrative: Non pruritic Rash, dry cough, chills, low grade fever
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Polymerase chain reaction, Pyrexia, Rash, Urine analysis
Clinical narrative: Non pruritic Rash, dry cough, chills, low grade fever
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Hypotonia, Unresponsive to stimuli
Clinical narrative: Event occurred 30 minutes after visit. Patient was no responsive, limp breathing okay and no color change. 30 mins after was "normal and responsive". No medical advice or care sought.
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Fatigue, Influenza virus test negative, Injection site erythema, Injection site pain
Clinical narrative: Next morning fever and chills.  Took tylenol and went to see the doctor.  Tested negative for the flu.  Fever went away that day.  Arm became very sore and feeling very tired.  Today is day 5 and site of injection is still red,  swollen,  and very sore.  Still very tired.
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Injection site swelling, Pain in extremity, Pyrexia
Clinical narrative: Next morning fever and chills.  Took tylenol and went to see the doctor.  Tested negative for the flu.  Fever went away that day.  Arm became very sore and feeling very tired.  Today is day 5 and site of injection is still red,  swollen,  and very sore.  Still very tired.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Discomfort, Fatigue, Pain, Pain in extremity
Clinical narrative: Day after for 2 days:  intense arm pain, body aches, fatigue, exhaustion   3 days after, possibly connected:  stocks have discomfort, loose stools
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling abnormal, Myalgia, Pyrexia
Clinical narrative: occur that night, fever, chills, muscle ache.....ONGOING, THIS IS THE 4TH DAY....TERRIBLE....I CAN DO NOTHING, I FEEL LIKE CRAP!!! CALLED DOCTOR THIS MORNING, NOTHING THEY CAN DO....5 TO 7 DAYS...PAPER SAID 2 TO 3.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Muscle pains and headache  (3 days), Fever (1 day - two days after vaccine administered), Chills or Shivering (1 day - followed fever), Tiredness and Upset Stomach (3 days - followed chills).  Had similar symptoms after the 1st Shingrix shot but not to the severity of this second shot.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Muscle pains and headache  (3 days), Fever (1 day - two days after vaccine administered), Chills or Shivering (1 day - followed fever), Tiredness and Upset Stomach (3 days - followed chills).  Had similar symptoms after the 1st Shingrix shot but not to the severity of this second shot.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Eye pruritus, Peripheral swelling
Clinical narrative: Patient reported swollen, itchy arm. She had at least 1 prior dose of FLUAD with no issues.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Injection site pain, Musculoskeletal stiffness, Skin warm
Clinical narrative: Patient described pain in the area of injection followed by redness and stiffness of the skin, patient also reported a warm feeling of the skin and several color changes.  Patient was advised to visit an urgency clinic or her primary doctor to rule out cellulitis and any other infection of the skin.
Age: 2.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash pruritic
Clinical narrative: Patient was seen on 03/05/2020 to be evaluated for rash and nonspecific skin eruption.  This has been a problem for the past 2 weeks.  The rash has not occurred previously.  It is located primarily over the abdominal region and on the left are and right arm/  He describes rash as flesh-colored and bumpy.  The rash is itch.  Associated symptoms include itch.  Possible contributing factors include vaccination on 02/19/2020.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Pruritus
Clinical narrative: Redness, extreme inflammation around injection site, and itching that has continued until 3/7
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: PATIENT SAID HER ARM GOT SWOLLEN FROM ELBOW TO SHOULDER AND VERY SORE THAT SHE COULD BEARLY MOVE FOR ABOUT A WEEK AFTER 1ST DOSE OF SHINGRIX
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test normal, Dyskinesia, Electrocardiogram normal, Gait disturbance
Clinical narrative: On October 3rd 2019 I had the first Shingles shot.  I had no immediate reaction, not even flu-like symptoms and was otherwise in good health, mentally and physically.  However, on October 6, 2019 I had an extreme sudden onset of full body tremors.  My arms and legs were flailing uncontrollably, I had contractions in my torso, my head was bobbing up and down, and I had difficulty walking and talking.  The extreme symptoms eased within 3 days however the full body tremors and difficulty walking and talking continued into mid-November.  The episodes varied in length and intensity.   I had a whole series of tests, blood, heart, lungs, neurological, and a brain MRI.  No condition which would explain the symptoms or the sudden onset was found.   The symptoms continued to ease and become less frequent in December 2019 and I began to be able to resume normal activities.  In January 2020 I was seen by a Neurological specialist in their Movement Disorder Clinic.   I was diagnosed with a Functional Movement Disorder and was set up to receive Neuro-Physical Therapy.  However, there is an extreme backlog and I can't be seen until the last week of April 2020.  As before, the symptoms continued to become less frequent and shorter in duration through January 2020 and into February 2020.  I had the second Shingles shot on February 20, 2020 and the severe, long lasting full body tremors returned on February 22, 2020.  The episodes are lasting 3 to 4 days again and I am unable to leave the house.  It is now March 7, 2020 and the tremors continue as they did after the first Shingles shot.   I believe something in the Shingles vaccine has caused this condition and while it is not life threatening it certainly is debilitating.  Hopefully this post will help to define the issue and expand the warnings for a severe reaction such as mine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Head titubation, Loss of personal independence in daily activities, Magnetic resonance imaging brain normal, Movement disorder, Muscle contractions involuntary
Clinical narrative: On October 3rd 2019 I had the first Shingles shot.  I had no immediate reaction, not even flu-like symptoms and was otherwise in good health, mentally and physically.  However, on October 6, 2019 I had an extreme sudden onset of full body tremors.  My arms and legs were flailing uncontrollably, I had contractions in my torso, my head was bobbing up and down, and I had difficulty walking and talking.  The extreme symptoms eased within 3 days however the full body tremors and difficulty walking and talking continued into mid-November.  The episodes varied in length and intensity.   I had a whole series of tests, blood, heart, lungs, neurological, and a brain MRI.  No condition which would explain the symptoms or the sudden onset was found.   The symptoms continued to ease and become less frequent in December 2019 and I began to be able to resume normal activities.  In January 2020 I was seen by a Neurological specialist in their Movement Disorder Clinic.   I was diagnosed with a Functional Movement Disorder and was set up to receive Neuro-Physical Therapy.  However, there is an extreme backlog and I can't be seen until the last week of April 2020.  As before, the symptoms continued to become less frequent and shorter in duration through January 2020 and into February 2020.  I had the second Shingles shot on February 20, 2020 and the severe, long lasting full body tremors returned on February 22, 2020.  The episodes are lasting 3 to 4 days again and I am unable to leave the house.  It is now March 7, 2020 and the tremors continue as they did after the first Shingles shot.   I believe something in the Shingles vaccine has caused this condition and while it is not life threatening it certainly is debilitating.  Hopefully this post will help to define the issue and expand the warnings for a severe reaction such as mine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Neurological examination normal, Pulmonary function test, Pulmonary function test normal, Speech disorder, Tremor
Clinical narrative: On October 3rd 2019 I had the first Shingles shot.  I had no immediate reaction, not even flu-like symptoms and was otherwise in good health, mentally and physically.  However, on October 6, 2019 I had an extreme sudden onset of full body tremors.  My arms and legs were flailing uncontrollably, I had contractions in my torso, my head was bobbing up and down, and I had difficulty walking and talking.  The extreme symptoms eased within 3 days however the full body tremors and difficulty walking and talking continued into mid-November.  The episodes varied in length and intensity.   I had a whole series of tests, blood, heart, lungs, neurological, and a brain MRI.  No condition which would explain the symptoms or the sudden onset was found.   The symptoms continued to ease and become less frequent in December 2019 and I began to be able to resume normal activities.  In January 2020 I was seen by a Neurological specialist in their Movement Disorder Clinic.   I was diagnosed with a Functional Movement Disorder and was set up to receive Neuro-Physical Therapy.  However, there is an extreme backlog and I can't be seen until the last week of April 2020.  As before, the symptoms continued to become less frequent and shorter in duration through January 2020 and into February 2020.  I had the second Shingles shot on February 20, 2020 and the severe, long lasting full body tremors returned on February 22, 2020.  The episodes are lasting 3 to 4 days again and I am unable to leave the house.  It is now March 7, 2020 and the tremors continue as they did after the first Shingles shot.   I believe something in the Shingles vaccine has caused this condition and while it is not life threatening it certainly is debilitating.  Hopefully this post will help to define the issue and expand the warnings for a severe reaction such as mine.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Dysarthria, Injection site erythema, Injection site warmth
Clinical narrative: Redness, warmth at site; slurred speech
Age: 88.0
Sex: F
Vaccine: PNC13
Symptoms: Contusion, Pain, Swelling
Clinical narrative: Patient had swelling and a bruise 1 week after injection, along with soreness. Injection site was IM Deltoid.
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: ONE DAY AFTER INJECTION SITE TURNED BRIGHT RED WITH A LUMP AT SITE. SITE IS WARM TO  TOUCH.
Age: 39.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Discomfort, Injection site pain, Pain, Pain in extremity, Rotator cuff syndrome
Clinical narrative: I received a flu shot in my upper right arm on 12/7/2019 (approximately mid-day). I recall thinking that it seemed odd that the pharmacist stood next to me while injecting the shot as opposed to sitting down. I noticed initial discomfort within a few hours, but I assumed it was the normal discomfort that can accompany a flu shot, and so I dismissed the feeling. Sometime within a few days or week of the flu shot, I started expressing to my husband, who is a physician assistant (PA), that my upper right arm was sore. By approximately mid-December, in repeating that my arm was sore, I told my husband that the only thing I could think of that I'd done to my right arm was get a flu shot. By that point, he said he was aware of no reason why a flu shot would cause pain that long after injection. I continued to have pain when rotating my shoulder in certain angles. Between late December and 1/10/2020, two doctors (a former colleague of my husband's and a friend of mine) also said in informal conversations that they were unaware of any conditions related to a flu shot that could cause lasting pain. Over the weekend of 2/8/2020-2/9/2020, I insisted to my husband that something was wrong with my shoulder, and so he researched his medical sources and discovered SIRVA. I then made an initial appointment with Dr. on 2/14/2020 (she is now my PCP). I provided medical documentation of SIRVA to her, as she, too, was unaware of the potential for injection-related injuries. We agreed to try a six-day course of steriods. I completed the course from 2/15/2020 to 2/20/2020 and rested my arm. Afterwards, it was not worse, and may have felt slightly better, but I wasn't sure if that was from not using my shoulder that week. Dr. also provided me with a physical therapy referral for a few items, and I had my first PT appointment on 3/5/2020.  After performing multiple evaluations, PT mentioned that the pain I had with certain tests was consistent with a rotator cuff injury. Following that PT appointment, my shoulder is more sore than it has been since December. I have additional PT visits now scheduled for several weeks into March 2020.
Age: 39.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Injected limb mobility decreased, Injection site pain, Myalgia, Pain
Clinical narrative: I received a flu shot in my upper right arm on 12/7/2019 (approximately mid-day). I recall thinking that it seemed odd that the pharmacist stood next to me while injecting the shot as opposed to sitting down. I noticed initial discomfort within a few hours, but I assumed it was the normal discomfort that can accompany a flu shot, and so I dismissed the feeling. Sometime within a few days or week of the flu shot, I started expressing to my husband, who is a physician assistant (PA), that my upper right arm was sore. By approximately mid-December, in repeating that my arm was sore, I told my husband that the only thing I could think of that I'd done to my right arm was get a flu shot. By that point, he said he was aware of no reason why a flu shot would cause pain that long after injection. I continued to have pain when rotating my shoulder in certain angles. Between late December and 1/10/2020, two doctors (a former colleague of my husband's and a friend of mine) also said in informal conversations that they were unaware of any conditions related to a flu shot that could cause lasting pain. Over the weekend of 2/8/2020-2/9/2020, I insisted to my husband that something was wrong with my shoulder, and so he researched his medical sources and discovered SIRVA. I then made an initial appointment with Dr. on 2/14/2020 (she is now my PCP). I provided medical documentation of SIRVA to her, as she, too, was unaware of the potential for injection-related injuries. We agreed to try a six-day course of steriods. I completed the course from 2/15/2020 to 2/20/2020 and rested my arm. Afterwards, it was not worse, and may have felt slightly better, but I wasn't sure if that was from not using my shoulder that week. Dr. also provided me with a physical therapy referral for a few items, and I had my first PT appointment on 3/5/2020.  After performing multiple evaluations, PT mentioned that the pain I had with certain tests was consistent with a rotator cuff injury. Following that PT appointment, my shoulder is more sore than it has been since December. I have additional PT visits now scheduled for several weeks into March 2020.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Skin tightness, Skin warm, Swelling
Clinical narrative: Patient experienced severe heat and swelling in shoulder and upper arm extending down to elbow the night of immunization. Swelling has gone down some today, but skin from area is tight and warm from swelling. Instructed patient to follow up with dr if the swelling got worse or did not go down after a few days.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, pain, redness, tenderness, at injection site and spreading to elbow/upper shoulder/neck. patient did not want to take benadryl or otc pain meds due to her high blood pressure
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Immediate excessive pain at site, entire upper arm muscular ache and pain caused inability to lift my own arm. Unable to lift anything else. Redness area approximately 3 inches in diameter, fever hot to the touch in the red area. Pain continued into 4th day but much reduced. Still painful to lift days 2 and 3. 4th day redness reduced and fever-type heat at site reduced. Muscle soreness evening of 4th day, but can lift things, carefully. I normally do not react to anything.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes, Pyrexia
Clinical narrative: PATIENT HAD FEVER AND FEVER BLISTERS ON LIPS THAT STARTED THE NEXT DAY, LASTED FOR A COUPLE OF DAYS.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Injection site erythema, Pain, Pain in extremity
Clinical narrative: On 3/7/2020 the patient visited the pharmacy to pick up her prescriptions at that time the pat stated that she had received both shots of Shingrix.  She stated that she experienced no problems after receiving her first dose, but after receiving her second dose ( on 2/22/2020) she felt some discomfort.  During a routine medical appt. after receiving her second shot she dioscussed with her MD, after assessment the MD acknowledge the reaction and advised that she inform the pharmacy.  When asked if any medications were prescribed by her MD the pt informed that they had not.  The pt then stated that since visitng her MD she noticed red marks on her skin, close to the injections site and also pain in the foream when rotating her wrist.  This writer advised that she should inform her MD of her new sympotoms and if they worsen seek medical care immediately.  Pt mentioned no other symptoms.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Atrial fibrillation, Back pain, Pain, Pancreatitis
Clinical narrative: I was given the vaccine approx 20 minutes later started feeling pain in stomach that radiated to back.  This continued to worsen then I started vomiting. I think about 12:00 I went to Urgent Care and then was recommended to go to Medical Center. I was fine until I was given the shot.  I had to go to Medical Center and was dx with pancreatitis and then went into afib  I had no previous history of Afib or pancreatitis.   The doctors said they have not found any cases where that Shingirx could cause such a reaction unless I could be the first to have one to this degree.  There always has to be a first.  I have found a paper that Varicella has caused pancreatitis in a 44 year old women due to the close relationship of the two vaccine that it seems feasible that  Shingirx could also produce same reaction.  I just want something on record in case this ever happens again to someone else.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: I was given the vaccine approx 20 minutes later started feeling pain in stomach that radiated to back.  This continued to worsen then I started vomiting. I think about 12:00 I went to Urgent Care and then was recommended to go to Medical Center. I was fine until I was given the shot.  I had to go to Medical Center and was dx with pancreatitis and then went into afib  I had no previous history of Afib or pancreatitis.   The doctors said they have not found any cases where that Shingirx could cause such a reaction unless I could be the first to have one to this degree.  There always has to be a first.  I have found a paper that Varicella has caused pancreatitis in a 44 year old women due to the close relationship of the two vaccine that it seems feasible that  Shingirx could also produce same reaction.  I just want something on record in case this ever happens again to someone else.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Gait disturbance, Neuralgia, Orthosis user, Pain in extremity
Clinical narrative: March 5 - Difficulty walking, pain in leg, used a cane. March 6-Right leg and knee pain worse so I wore ACL brace from 1998 all day at home.After taking off the brace I noticed rash on my knee and above my knee on left side.  More splotches appeared March 7 and began to itch. March 8 at 8AM went to urgent care and prescribed Acyclovir for 10 days:1 tablet 800 mg to help with nerve pain in right leg.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash, Rash macular, Walking aid user
Clinical narrative: March 5 - Difficulty walking, pain in leg, used a cane. March 6-Right leg and knee pain worse so I wore ACL brace from 1998 all day at home.After taking off the brace I noticed rash on my knee and above my knee on left side.  More splotches appeared March 7 and began to itch. March 8 at 8AM went to urgent care and prescribed Acyclovir for 10 days:1 tablet 800 mg to help with nerve pain in right leg.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Bone pain, Chills, Fatigue, Feeling cold
Clinical narrative: Very bad headache lasting about 36 hours, muscle pain all over my  body, arm pain so severe I could not sleep without taking pain killer (advil), took shoot on Friday and the next day on Saturday my left collar bone was painful to touch, swollen, itchy. Very, very tired for a couple of days as well as cold (shivering), upset stomach at times. It is now Sunday and the headache is almost gone but the pain in the arm and collarbone pain/itchiness is still there. The arm feels better but the collarbone pain/itchiness is a little worse than the day before when I first noticed it.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Insomnia, Myalgia, Pain in extremity, Pruritus
Clinical narrative: Very bad headache lasting about 36 hours, muscle pain all over my  body, arm pain so severe I could not sleep without taking pain killer (advil), took shoot on Friday and the next day on Saturday my left collar bone was painful to touch, swollen, itchy. Very, very tired for a couple of days as well as cold (shivering), upset stomach at times. It is now Sunday and the headache is almost gone but the pain in the arm and collarbone pain/itchiness is still there. The arm feels better but the collarbone pain/itchiness is a little worse than the day before when I first noticed it.