chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain in extremity, Presyncope
Clinical narrative: Around 8pm, my left arm began to hurt a lot and I almost passed out. I felt dizzy, nauseous, and started blacking out. The pain in my arm continued to increase throughout the evening - extreme pain shooting up my neck, through my shoulder and down my arm. I was also incredibly cold. This continued through the entire night. The next day I could not move my arm at all. I visited the urgent care center and contacted my doctor who said it sounded like I had a vigorous immune response to the pneumonia vaccine. It took several days to regain the use of my my arm.  However, today it continues to be uncomfortably sore and achy (especially at night) and there are certain movements that cause me pain. My doctor has suggested waiting 4-6 weeks for things to heal. NOTE: I don't know which brand/type of Influenza vaccine I recieved that day - the notes I have say Influenza Preservative Free Quadravalent - which wasn't an option listed above.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Skin warm, Tenderness
Clinical narrative: Large rash grew in size, hot to the touch and tender.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Atrophy, Autopsy, Cardiac disorder, Death, Left ventricular hypertrophy
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Aortic arteriosclerosis, Arteriosclerosis, Arteriosclerosis coronary artery, Autopsy, Blood glucose increased
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Cardiac hypertrophy, Cerebral arteriosclerosis, Chills, Contusion, Death
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Diabetes mellitus, Diverticulum intestinal, Fatigue, Feeling cold, Hypertension
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Left ventricular hypertrophy, Nephrosclerosis, Obesity, Pulse absent, Pyrexia
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Respiratory arrest, Resuscitation, Rib fracture, Snoring, Sternal fracture
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 67.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Uterine leiomyoma
Clinical narrative: Patient died in sleep 8 hours after injection.
Age: 66.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Peripheral swelling, Pruritus, Pyrexia, Swelling
Clinical narrative: Patient reports her right arm is red, itching and swollen. She said the swelling, itching and swelling extended from the middle of her back, around the right side of her body, and up to her right breast. She also reports that she had a fever on 11/22/2018 that has since resolved. Patient reports it is very painful. She spoke with her PCP who directed her to go to the emergency room but she did not go because it was a holiday and she was not having trouble breathing. She spoke with a pharmacist at store who instructed her to take BENADRYL which she did. Patient reports that it is better today than it was before.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient complaining of pain in upper arm.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Patient reported redness, swelling, and pain that lasted approximately 5 days. It resolved without additional medical care.
Sex: U
Vaccine: HEPA, HPV9, MMR, PPV, RV5
Symptoms: Adverse event
Clinical narrative: This spontaneous report as received from a other refers to a patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL 9 for prophylaxis. Other suspect therapies included VAQTA, PNEUMOVAX 23, ROTATEQ and M-M-R II. On an unknown date the patient experienced adverse event. It was also reported that no patients affected by the issue. The outcome of adverse event was unknown. Causality assessment was not provided.
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report was received from an office manager, referring to a patient of unknown age and gender. The patient's medical history and concurrent conditions were not reported. Concomitant therapies included sterile diluent. On an unknown date, the patient was vaccinated with an improperly stored dose of VARIVAX (lot # R013565, expiration date: 13-MAY-2020) for prophylaxis (dose, frequency and route of administration were not reported). The vaccine was stored at a temperature of 31.6° C during a time frame of 6 hours and 16 minutes. A data logger was used. No previous temperature excursion had occurred and no adverse effects were reported.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster, Vaccination failure
Clinical narrative: Information has been received regarding a case in litigation, from a lawyer concerning a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant medications were not reported. On an unspecified date in 2012, the patient was vaccinated with a dose of ZOSTAVAX as permanent prevention and protection against shingles and zoster-related injuries (prophylaxis). (Strength, dose, route of administration, anatomical location, lot # and expiration date were not reported) due to a health care professional recommendation. On an unknown date, the patient experienced shingles (herpes zoster) and other zoster-related injuries despite being inoculated with the ZOSTAVAX vaccine (vaccination failure). On an unspecified date in 2016, the patient was treated by it's health care provider for shingles. It was also reported that the patient suffered serious physical, emotional and economic damages as a result. In addition, the patient would continue to suffer ongoing injuries, included but not limited to: mental and physical pain and suffering (Emotional distress and pain), extensive medical care and treatment for these injuries, significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs including care for hospitalization, physician care, monitoring, treatment, medications and supplies; diminished capacity for the enjoyment of life; diminished quality of life; increased risk of premature death, aggravation of pre-existing conditions and activations of latent conditions, lost wages, loss of earning capacity and other losses and damages. At the time of report, the patient was not recovered from emotional distress and pain, and the outcome of the patient regarding the vaccination failure, herpes zoster, quality of life decreased and  the pre-existing unspecified conditions aggravated was unknown. The reporter considered all aforementioned adverse events to be related to ZOSTAVAX. The reporter considered the events to be disabling, life-threatening and medically significant.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster, Vaccination failure
Clinical narrative: Information has been received regarding a case in litigation regarding a patient of unknown age and gender. There was no information about patient's concomitant medications, concurrent conditions or pertinent medical history. In October 2016, the patient was vaccinated with a dose of ZOSTAVAX, (dose, route, anatomical location, lot number and expiration date were not reported) to obtain permanent prevention and protection against shingles and zoster-related injuries as recommended by the healthcare professional. On unknown date, the patient experienced shingles and in approximately January 2017, the patient was treated for shingles. The patient was diagnosed with shingles and/or other zoster-related injuries after and despite being inoculated with the ZOSTAVAX and suffered serious physical, emotional, and economic damages, as a result of patient's injuries. The patient had and would continue suffer ongoing injuries, including but not limited to: mental and physical pain and suffered (pain); extensive medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs included care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; a diminished quality of life; increased risk of premature death, aggravation of preexisting conditions and activation of latent conditions; lost wages; loss of earnings capacity; and other losses and damages. At the time of the report, the outcome of herpes zoster, pain, condition aggravated emotional distress and vaccination failure was unknown. The reporter considered herpes zoster, pain, condition aggravated emotional distress and vaccination failure to be related to ZOSTAVAX. The reporter considered the events to be disabling, life-threatening and medically significant.
Age: 1.83
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Condition aggravated, External hydrocephalus, Hypersensitivity, Injection site inflammation, Lethargy
Clinical narrative: High fever, inflamed injection site, lethargic, rash that would come and go like allergic reaction, not eating. Bulging soft spot on babies head (twins), sudden rapid head growth resulting in external hydrocephalus.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Nuclear magnetic resonance imaging brain, Pyrexia, Rash, Ultrasound skull
Clinical narrative: High fever, inflamed injection site, lethargic, rash that would come and go like allergic reaction, not eating. Bulging soft spot on babies head (twins), sudden rapid head growth resulting in external hydrocephalus.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site exfoliation, Injection site pain, Injection site swelling
Clinical narrative: Patient reports a half-dollar sized swelling on right arm where she believed the PREVNAR-13 vaccine injection site was located. This swelling developed 2-3 days after the immunization occurred. She said it was swollen and sore for a day or so, then subsided and peeled. She reported no other issues.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Dizziness, Erythema, Headache, Pyrexia, Swelling
Clinical narrative: Pt says she had a severe headache, lots of swelling, mild fever, and some dizziness. Her arm was still a little red 4 days later. She said it was very bad the first few days.
Age: 9.0
Sex: M
Vaccine: FLUC4
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm, Vaccine positive rechallenge
Clinical narrative: My son received the FLUCELVAX vaccine and the next day had a severe reaction. The entire arm from his shoulder to his elbow was swollen, bright red, and hot to the touch. He was also in a lot of pain on that arm. No other rash or inflammation anywhere else on his body was noted. I treated him with 1 dose of BENADRYL and the inflammation went down by the next morning. Note - this was the second year in a row he got a reaction to the FLUCELVAX vaccine, although this year the reaction was significantly more severe. He does not get similar reactions from other vaccines, including other brands of flu vaccines.
Age: 69.0
Sex: M
Vaccine: FLUA3
Symptoms: Mastication disorder, Paralysis
Clinical narrative: Unable to chew on right side of jaw/hinge. Right jaw paralyzed. Patient took ADVIL and was feeling okay in few hours.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Condition aggravated, Gastrooesophageal reflux disease, Gout
Clinical narrative: 10/28/18 9:00 PM flare-up of acid reflux. Have taken omeprazole for years and no flare-ups for at least a year before vaccination. Took two days to get it under control with omeprazole, TUMS, and ranitidine. 11/4/18  4:00 AM flare-up of gout in left foot. Had not had flare-up for five years previous. Took prednisolone MEDROL pack to control the gout.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Tingling feeling in head and mouth, lasted about 2-3 hours, felt better the next day.
Age: 67.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Gastrointestinal haemorrhage
Clinical narrative: Patient stated having a GI problem (Gl Bleed) 2 weeks after the immunization, went to see emergency room doctor and was prescribed pantoprazole, Emergency room doctor do not think   GI bleed is caused by immunization.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Ear pain, Lymphadenopathy, Odynophagia, Oropharyngeal pain
Clinical narrative: 10/18/2018 11am sore left arm, weakness.Took two ADVIL 2pm. Relief noted. A day or two later woke with left side sore throat, large node on left side of neck. When swallowing, pain radiated to left ear. These symptoms lasted 1-1/2 days. Resolved itself spontaneously.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: 10/18/2018 11am sore left arm, weakness.Took two ADVIL 2pm. Relief noted. A day or two later woke with left side sore throat, large node on left side of neck. When swallowing, pain radiated to left ear. These symptoms lasted 1-1/2 days. Resolved itself spontaneously.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Hyperhidrosis, Injection site bruising, Mobility decreased
Clinical narrative: A few hours after patient received the shot on 11/20/18 at the pharmacy by a pharmacy intern, she felt pain and chills and profuse sweating, that occured and subsided every few hours. She felt weak and could barely get out of bed for almost 3 days. When she returned to the pharmacy on 11/23/18 to report her symptoms she had a huge bruise at the injection site about 2-3 inches in diameter. She will go to her PCP to get checked out today (11/23/18). She appeared to be in good spirits today and is able to perform her grocery shopping with no physical difficulties.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: A few hours after patient received the shot on 11/20/18 at the pharmacy by a pharmacy intern, she felt pain and chills and profuse sweating, that occured and subsided every few hours. She felt weak and could barely get out of bed for almost 3 days. When she returned to the pharmacy on 11/23/18 to report her symptoms she had a huge bruise at the injection site about 2-3 inches in diameter. She will go to her PCP to get checked out today (11/23/18). She appeared to be in good spirits today and is able to perform her grocery shopping with no physical difficulties.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: INJECTION SITE REACTION - SWELLING, REDNESS SPREADING DOWN ARM BELOW ELBOW, HEAT AMD PAIN, (ALL X 3 WEEKS) PAIN, HEADACHE AND SICK FEELING FOR 3 DAYS POST VACCINATION.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Malaise, Pain
Clinical narrative: INJECTION SITE REACTION - SWELLING, REDNESS SPREADING DOWN ARM BELOW ELBOW, HEAT AMD PAIN, (ALL X 3 WEEKS) PAIN, HEADACHE AND SICK FEELING FOR 3 DAYS POST VACCINATION.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Eye swelling, Gait disturbance, Hypersensitivity, Muscle spasms
Clinical narrative: ALLERGIC REACTION:  Hives, welts, fever 100.5, difficulty breathing, face/eye swelling for 5 days, muscle pain, cramping, difficulty walking. Predisone 50 mg daily for 5 days prescribed by Dr. for extreme allergic reactions.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia, Swelling face, Urticaria
Clinical narrative: ALLERGIC REACTION:  Hives, welts, fever 100.5, difficulty breathing, face/eye swelling for 5 days, muscle pain, cramping, difficulty walking. Predisone 50 mg daily for 5 days prescribed by Dr. for extreme allergic reactions.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: Pt complained this vaccine made his arm more sore than any flu shot he's ever had before.
Age: 34.0
Sex: F
Vaccine: FLU4, PPV, VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Patient was given vaccinations in clinic on 11/21/2018. On 11/22/2018 patient found red region under her BAND-AID on the back of her left arm. Over the course of yesterday (11/22/2018) and today (11/23/2018) the rash grew in size. Region is a little pruritic. Reaction size 5 cm x 3 cm. No fever. Patient reports that she does not feel sick in any way. Patient reports that she has had 5 prior Varicella Vaccinations without any reactions in the past. Our clinic only has record of 2 of those vaccinations given. She has had same problem with MMR. Patient will continue to monitor and call if symptoms worsen.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Eye swelling, Poor quality sleep, Pyrexia, Rash, Rash generalised
Clinical narrative: Not sleeping well through the night like usual, Rash for 3 days from head to toe, swollen crusty eye, low grade fever 99 to 100.4.
Age: 1.25
Sex: F
Vaccine: VARCEL
Symptoms: Vaccination complication
Clinical narrative: Not sleeping well through the night like usual, Rash for 3 days from head to toe, swollen crusty eye, low grade fever 99 to 100.4.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Chills, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Body ache, fatigue,  sore throat, mild fever, chills, headache.
Age: 37.0
Sex: M
Vaccine: FLUX
Symptoms: Pyrexia
Clinical narrative: Body ache, fatigue,  sore throat, mild fever, chills, headache.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: 8-9 cm round, red, firm knot at injection site.
Age: 59.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt was administered a flu vaccine and PNEUMOVAX 23 in the same arm on 11/6/18. He had redness and swelling in his arm the evening he received the vaccines. Pt received PNEUMOVAX 23 on 11/14/2017 from us, as well, so the vaccine was not needed.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Urticaria pruritus. Loratadine, Triamcinolone.
Age: 0.17
Sex: F
Vaccine: DTAP, UNK
Symptoms: Crying, Injection site erythema, Injection site swelling
Clinical narrative: Thigh swelling at injection site and whole thigh, pink/redness, incessant crying - 8pm injection at 4pm.
Age: 32.0
Sex: F
Vaccine: RAB
Symptoms: Rash generalised
Clinical narrative: MD office called and described a total body rash. Specific type of rash not mentioned.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness
Clinical narrative: Severe pain in right arm at site, unable to fully flex arm. Stiffness.
Age: 70.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Febrile neutropenia, Peripheral swelling, Pyrexia
Clinical narrative: Neutropenic fever from chemo. Red swollen arm. 10/4: Fever of 101 degrees in the afternoon. Ibu and TYL for fever. 10/5: Fever of 103 degrees. 10/7: Fever broke, but still red.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Pt said that her arm was sore, red area and raised and that she felt achy. No treatment - just  called us. Told her to come in so that we could look at it - at time of her call it has been 2 days. I looked at the area, when she came in - no redness or raised area were visible to me and not warm to touch.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, FLU4, HPV9
Symptoms: Abnormal behaviour, Blood thyroid stimulating hormone normal, CSF test normal, Diarrhoea, Feeling abnormal
Clinical narrative: 10/16-10/20 Patient complaint on headache, fatigue and not able to focus in school 10/20-10/24 not sleeping well or eating started throwing up 10/27 not communicating very delayed in response or speech 10/30-11/2 sleep aids not working.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, FLU4, HPV9
Symptoms: Full blood count normal, Helicobacter test negative, Infectious mononucleosis, Mental status changes, Metabolic function test normal
Clinical narrative: 10/16-10/20 Patient complaint on headache, fatigue and not able to focus in school 10/20-10/24 not sleeping well or eating started throwing up 10/27 not communicating very delayed in response or speech 10/30-11/2 sleep aids not working.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, FLU4, HPV9
Symptoms: Mononucleosis heterophile test positive, Nuclear magnetic resonance imaging normal, Oropharyngeal pain, Pharyngitis streptococcal, Sleep disorder
Clinical narrative: 10/16-10/20 Patient complaint on headache, fatigue and not able to focus in school 10/20-10/24 not sleeping well or eating started throwing up 10/27 not communicating very delayed in response or speech 10/30-11/2 sleep aids not working.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, FLU4, HPV9
Symptoms: Streptococcus test positive, Ultrasound abdomen normal, Urine analysis normal, Vomiting
Clinical narrative: 10/16-10/20 Patient complaint on headache, fatigue and not able to focus in school 10/20-10/24 not sleeping well or eating started throwing up 10/27 not communicating very delayed in response or speech 10/30-11/2 sleep aids not working.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, FLU4, HPV9
Symptoms: Communication disorder, Decreased appetite, Disturbance in attention, Fatigue, Headache
Clinical narrative: 10/16-10/20 Patient complaint on headache, fatigue and not able to focus in school 10/20-10/24 not sleeping well or eating started throwing up 10/27 not communicating very delayed in response or speech 10/30-11/2 sleep aids not working.
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9, FLU4, HPV9
Symptoms: Nuclear magnetic resonance imaging brain, Poor quality sleep, Slow response to stimuli, Slow speech, Vomiting
Clinical narrative: 10/16-10/20 Patient complaint on headache, fatigue and not able to focus in school 10/20-10/24 not sleeping well or eating started throwing up 10/27 not communicating very delayed in response or speech 10/30-11/2 sleep aids not working.
Age: 33.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Injection site nodule, Pain in extremity, Skin warm, Urticaria
Clinical narrative: Patient woke up on the morning of 11/17/18 to find a golf ball sized red welt on her left arm and a hard nodule under the skin the size of a marble where the injection was given. The red welt was warm and her arm was sore (#2 out of 10 on a 1-10 scale). The welt grew in size in the next 24 hours, then started to decrease after that. Patient called in to the pharmcy on 11/19/18 to let us know of the reaction. Pharmacist told patient to watch it and if the redness grew in size or if she developed a fever she should go be seen by a doctor. The patient was also recommended to call her doctor to inform them of the reaction. The pharmacy checked back in with the patient on 11/20 and she said that the redness had reduced but it was still a little sore. Overall she was feeling better.
Age: 15.0
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Breath sounds abnormal, Electroencephalogram normal, Fall, Feeling abnormal, Laboratory test normal
Clinical narrative: My daughter was at school and entered her class and that is all she remembers. She fell flat on her face and had snoring respirations and then had a seizure that lasted 2 minutes. She was taken by EMS to the hospital. Lab work was done and they did not want to do a CAT scan due to the radiation. She was referred to a neurologist and I made an appointment for Monday. She was not herself over the weekend. Was seen by Neurologist on Monday morning. They did a stat EEG. MRI was done on 11/14/18. She saw the Dr. again on the 15th. All tests were negative. She is still not herself and does not want to go out for fear she will have another seizure.
Age: 15.0
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Nuclear magnetic resonance imaging normal, Seizure
Clinical narrative: My daughter was at school and entered her class and that is all she remembers. She fell flat on her face and had snoring respirations and then had a seizure that lasted 2 minutes. She was taken by EMS to the hospital. Lab work was done and they did not want to do a CAT scan due to the radiation. She was referred to a neurologist and I made an appointment for Monday. She was not herself over the weekend. Was seen by Neurologist on Monday morning. They did a stat EEG. MRI was done on 11/14/18. She saw the Dr. again on the 15th. All tests were negative. She is still not herself and does not want to go out for fear she will have another seizure.
Age: 15.0
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Blood test normal, Electroencephalogram normal, Feeling abnormal, Loss of personal independence in daily activities, Nuclear magnetic resonance imaging normal
Clinical narrative: My daughter was at school and entered her class and that is all she remembers. She fell flat on her face and had snoring respirations and then had a seizure that lasted 2 minutes. She was taken by EMS to the hospital. Lab work was done and they did not want to do a CAT scan due to the radiation. She was referred to a neurologist and I made an appointment for Monday. She was not herself over the weekend. Was seen by Neurologist on Monday morning. They did a stat EEG. MRI was done on 11/14/18. She saw the Dr. again on the 15th. All tests were negative. She is still not herself and does not want to go out for fear she will have another seizure.
Age: 15.0
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Seizure, Snoring
Clinical narrative: My daughter was at school and entered her class and that is all she remembers. She fell flat on her face and had snoring respirations and then had a seizure that lasted 2 minutes. She was taken by EMS to the hospital. Lab work was done and they did not want to do a CAT scan due to the radiation. She was referred to a neurologist and I made an appointment for Monday. She was not herself over the weekend. Was seen by Neurologist on Monday morning. They did a stat EEG. MRI was done on 11/14/18. She saw the Dr. again on the 15th. All tests were negative. She is still not herself and does not want to go out for fear she will have another seizure.
Age: 15.0
Sex: F
Vaccine: FLU4, FLU4, FLU4
Symptoms: Seizure
Clinical narrative: My daughter was at school and entered her class and that is all she remembers. She fell flat on her face and had snoring respirations and then had a seizure that lasted 2 minutes. She was taken by EMS to the hospital. Lab work was done and they did not want to do a CAT scan due to the radiation. She was referred to a neurologist and I made an appointment for Monday. She was not herself over the weekend. Was seen by Neurologist on Monday morning. They did a stat EEG. MRI was done on 11/14/18. She saw the Dr. again on the 15th. All tests were negative. She is still not herself and does not want to go out for fear she will have another seizure.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Myalgia
Clinical narrative: Headache, muscle aches, flulike symptoms.
Age: 60.0
Sex: F
Vaccine: PNC13
Symptoms: Asthenia, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: First day 11/20/18 at 4:30pm an hour after injection I developed mild pain on area left deltoid injection site. The following day with generalized body weakness and pain- took Tylenol twice that day. Then have some pain on site on third day. On fourth day, had some swelling, tenderness and with rashes on left upper and mid arm areas. With mild itching felt. Discussed with pharmacist the reaction today 11/24/18.
Age: 60.0
Sex: F
Vaccine: PNC13
Symptoms: Pain
Clinical narrative: First day 11/20/18 at 4:30pm an hour after injection I developed mild pain on area left deltoid injection site. The following day with generalized body weakness and pain- took Tylenol twice that day. Then have some pain on site on third day. On fourth day, had some swelling, tenderness and with rashes on left upper and mid arm areas. With mild itching felt. Discussed with pharmacist the reaction today 11/24/18.
Age: 4.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 7.5CM WIDE CIRCUMFERENTIAL ERYTHEMA AND SWELLING EXTENDING 3/4 AROUND UPPER ARM WITH INJECTION SITE CENTRALLY LOCATED WITHIN REACTION SITE.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: Patient came into Pharmacy with complaint of Rash on left wrist, at injection site, and on left shoulder. Complained of itching.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Pruritus, X-ray
Clinical narrative: One week later the patient started to feel itchy on both arms and the injected arm started to feel really itchy and painful. She went to the doctor and she got a prescription for XRays (she has not gotten the xrays) and got a prescription for cortisone for the itching. She is getting antoibiotics IV for the rash to prevent because she is diabetic. She is not sure of she is getting IV steroids too for the rash and topical allergy.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 67.0
Sex: F
Vaccine: FLUA3
Symptoms: Complication of device insertion, Pain in extremity
Clinical narrative: Initially the patient was injected; however the plunger would nor depress, so absolutely no vaccine exited the vial. The needle was retracted from the patient's arm and there was no evidence of vaccine exiting the syringe. A new dose was prepared and the patient's arm was swabbed again with an alcohol wipe and the vaccine was administered with no problems. About 2 weeks later the pt. came in complaining of arm pain and eventually saw her doctor and he stated the shot should not have been given in the muscle (according to the pt., which is completely untrue). As a side note the pt. was very frail and didn't weigh very much. I spoke to her on 11/23/2018 and told her we would contact the manufacturer to inquire if any other adverse reactions were attributed to the, aforementioned, lot number. We have to call them on 11/26/18 when they open.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Dry skin, Rash, Rash pustular, Skin exfoliation
Clinical narrative: My entire back from the shoulder blades down broke out with pustules and a rash. My skin began cracking and flaking off later. It started to dissipate after a month or so then I had the second injection and it flared back up again. The second injection was in July 2018. I still have some of this on my back.  I reported it to the pharmacy where I had the vaccination and was told it could not possibly be from the vaccination. My dr looked at it and was not sure but "thought" it might it pityrias. My symptoms are lasting much longer than that disease calls for.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Oropharyngeal pain
Clinical narrative: Less than 10 minutes after the shot, patient reported a "Sore throat" but did not have any difficulty breathing and did not have any swelling of the mouth or tongue. Patient took two diphenhydramine 25 mg capsules about 10 minutes after the injection, and rested. She left the store around 10:25 AM about 30 minutes after the shot, and did not have any changes but continued to complain of a sore throat.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash vesicular, Tenderness
Clinical narrative: Shingles like rash on back, very painful even when shirt touches back, at time of reporting not known case of shingles.
Age: 1.0
Sex: M
Vaccine: MMR, PPV, VARCEL
Symptoms: Febrile convulsion
Clinical narrative: Simple febrile seizure, lasting about 1 minute. Patient otherwise well and returned to baseline.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Fatigue, Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth
Clinical narrative: On 11/13/18, skin reactions occurred 1.5 inches below injection site, arm felt warm to touch, itchy, bright red rash. Lasted 5 days. Patient also felt sick, tired, achy, no reported fever, coughing. Did not seek medical attention.
Age: 70.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Malaise, Pain
Clinical narrative: On 11/13/18, skin reactions occurred 1.5 inches below injection site, arm felt warm to touch, itchy, bright red rash. Lasted 5 days. Patient also felt sick, tired, achy, no reported fever, coughing. Did not seek medical attention.
Age: 27.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Headache
Clinical narrative: Patient has had a headache every day since receiving the vaccines.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Bursitis, Discomfort, Hypoaesthesia, Injected limb mobility decreased
Clinical narrative: Within three days of receiving this vaccine I could not move my right arm above my waist. I was in excruciating pain and its causes me the following issues since the initial flu shot injection. Ultrasound - showed bursitis due to injection. Steroid shot on right arm near initial flu shot - help reduce the inflation I was having. Two ER visits due to pain and loss of arm/shoulder function as well as finer numbness on right side of arm. MRI - showed severe edema and puncture surrounding bone. Pain medication and PT. It has been a month and I still have limited ROM and need help with certain activities. My normal workout routine has become almost nothing because of my pain and discomfort and limited movement/loss of strength.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Musculoskeletal disorder, Nuclear magnetic resonance imaging abnormal, Oedema, Pain
Clinical narrative: Within three days of receiving this vaccine I could not move my right arm above my waist. I was in excruciating pain and its causes me the following issues since the initial flu shot injection. Ultrasound - showed bursitis due to injection. Steroid shot on right arm near initial flu shot - help reduce the inflation I was having. Two ER visits due to pain and loss of arm/shoulder function as well as finer numbness on right side of arm. MRI - showed severe edema and puncture surrounding bone. Pain medication and PT. It has been a month and I still have limited ROM and need help with certain activities. My normal workout routine has become almost nothing because of my pain and discomfort and limited movement/loss of strength.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Ultrasound scan abnormal, X-ray
Clinical narrative: Within three days of receiving this vaccine I could not move my right arm above my waist. I was in excruciating pain and its causes me the following issues since the initial flu shot injection. Ultrasound - showed bursitis due to injection. Steroid shot on right arm near initial flu shot - help reduce the inflation I was having. Two ER visits due to pain and loss of arm/shoulder function as well as finer numbness on right side of arm. MRI - showed severe edema and puncture surrounding bone. Pain medication and PT. It has been a month and I still have limited ROM and need help with certain activities. My normal workout routine has become almost nothing because of my pain and discomfort and limited movement/loss of strength.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Patient came back to pharmacy in November to receive the SHINGRIX vaccination and mentioned that about a week or so after the injection for flu, her arm started tingling pain down to hand, she was going to follow up with her primary physician, and I let her know I would report as well.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose decreased, Diarrhoea, Dizziness, Headache, Hypoglycaemia
Clinical narrative: Self-reported ADEs started day after SHINGRIX vaccine, lasted 3-4 days per patient. Erythema and swelling at injection site, headache, dizziness, nausea/vomiting/diarrhea, tinnitus, drowsiness, hypoglycemia (<50 mg/dL).
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Nausea, Somnolence, Tinnitus
Clinical narrative: Self-reported ADEs started day after SHINGRIX vaccine, lasted 3-4 days per patient. Erythema and swelling at injection site, headache, dizziness, nausea/vomiting/diarrhea, tinnitus, drowsiness, hypoglycemia (<50 mg/dL).
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Self-reported ADEs started day after SHINGRIX vaccine, lasted 3-4 days per patient. Erythema and swelling at injection site, headache, dizziness, nausea/vomiting/diarrhea, tinnitus, drowsiness, hypoglycemia (<50 mg/dL).
Age: 65.0
Sex: M
Vaccine: FLUA3
Symptoms: Discomfort, Insomnia, Mobility decreased
Clinical narrative: Injection was high on the left arm, patient did not experience discomfort until a couple of hours later. Patient had a hard time going to sleep due to discomfort. Patient cannot lift up arm after 4 days. Patient will contact orthopedic doctor on Monday to schedule a possible office visit.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Malaise
Clinical narrative: Patient got sick 12 hours later and ended up in the hospital.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Injected limb mobility decreased, Musculoskeletal stiffness, Product administered at inappropriate site, Sleep disorder
Clinical narrative: The pediatric nurse who administered the injection had been complaining (in conversation) of carpal tunnel and was wearing a wrist strap. When she gave the shot she did it overhand with no pinching of the deltoid muscle with the free left hand. She did the shot as if she were throwing a dart but with a sudden jabbing motion. The patient felt stiffness in her left arm on the same day that the injection had been administered. The following day she had limited mobility in the arm and could not raise it above her waist level; sleeping was extremely uncomfortable. We contacted the Dr and ADVIL was recommended. Three days after the injection had been given a prescription for prednisone was given. We did not give the prednisone to our child and continued with ADVIL and TYLENOL. Limited mobility continued for 2 weeks. We consulted a shoulder surgeon/specialist who said the injection had gone into the bursa sac instead of the deltoid and that our child had bursitis. Activity, stretching and cardio exercise was recommended to decrease the inflammation as well as 3 x 200 mg ADVIL plus 2 x 200 mg TYLENOL three times daily for 10 days. One month later, our daughter has more mobility in the arm but still has stiffness. This was an unfortunate occurrence because she is a high school athlete who is in the middle of being recruited by colleges.
Age: 16.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong technique in product usage process
Clinical narrative: The pediatric nurse who administered the injection had been complaining (in conversation) of carpal tunnel and was wearing a wrist strap. When she gave the shot she did it overhand with no pinching of the deltoid muscle with the free left hand. She did the shot as if she were throwing a dart but with a sudden jabbing motion. The patient felt stiffness in her left arm on the same day that the injection had been administered. The following day she had limited mobility in the arm and could not raise it above her waist level; sleeping was extremely uncomfortable. We contacted the Dr and ADVIL was recommended. Three days after the injection had been given a prescription for prednisone was given. We did not give the prednisone to our child and continued with ADVIL and TYLENOL. Limited mobility continued for 2 weeks. We consulted a shoulder surgeon/specialist who said the injection had gone into the bursa sac instead of the deltoid and that our child had bursitis. Activity, stretching and cardio exercise was recommended to decrease the inflammation as well as 3 x 200 mg ADVIL plus 2 x 200 mg TYLENOL three times daily for 10 days. One month later, our daughter has more mobility in the arm but still has stiffness. This was an unfortunate occurrence because she is a high school athlete who is in the middle of being recruited by colleges.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Rash vesicular
Clinical narrative: Burning/itching/redness on the right arm about 3 inches down from the spot of injection. From photo of patient on the phone, the spot was about the size of the bicep. Patient stated it felt/looked similar to shingles his doctor had found on his back before. Has cleared away per patient.
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: Lip swelling
Clinical narrative: Swollen lips.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Malaise, Nasopharyngitis, Oropharyngeal pain, Pain in extremity
Clinical narrative: Sore throat, cold, lethargic, pain in arm. Felt sick. Felt like she had fever.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Sore throat, cold, lethargic, pain in arm. Felt sick. Felt like she had fever.
Age: 72.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Feeling abnormal, Lethargy, Pain, Pyrexia
Clinical narrative: Pt states not feeling good, has fever, aches and feeling lethargic on Friday 11/16/2018 and by Monday 11/09/2018 was feeling much better.
Age: 81.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Skin warm, Swelling
Clinical narrative: Patient received PNEUMOVAX around 4pm on 11/23, on 11/24 morning patient called stated red and swollen, not painful was instructed to put ice and if tolerated take Ibuprofen or TYLENOL. Red, swollen when patient presented to pharmacist later in afternoon 11/24, advised patient to see MD, at walk in clinic MD Physical examination: Erythema, swelling, hot to palpation. Was prescribed antibiotic and assessed as cellulitis.
Age: 64.0
Sex: F
Vaccine: HEPAB
Symptoms: Injection site bruising, Myalgia
Clinical narrative: Patient complains of persistent, sharp muscle pains. No issues with ability to move. No shoulder pain. Pain is local to muscle only. Has been painful for over one month. Still a small bruise at injection site. No treatment or outcomes.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Injury, Pain in extremity, X-ray abnormal
Clinical narrative: The patient said her arm hurt for about a month after the vaccine. She went to physical therapy for a while. She said the doctor did an x-ray and showed something was torn. The doctor told her a needle wouldn't have caused it to be torn. I asked what was torn, but she was unsure. The doctor has given her cortisone injections, and she said it calmed it down. She said if it doesn't improve, then it may require surgery.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Anaphylactic reaction, Asthenia, Dyspnoea, Pain in extremity
Clinical narrative: Patient went to car and started having shortness of breath. She has had an anaphylactic reaction before and mentioned that it did not feel like her throat was swelling like in the past. she took 1 puff of her albuterol inhaler and the symptoms began to resolve. Her legs began to have a sharp intense pain. it then radiated into her buttock and back. She was very weak and needed help to get from her car and back into the pharmacy. While in the pharmacy we went over her symptoms and she mentioned they were getting better and beginning to resolve on their own. After about 15 minutes or so she appeared to be doing well and she said there was little to no lingering pain but her was still very weak. Her sister was called to pick her up. I advised she go get checked out by a doctor but she said if it got worse or did not go away she would get looked at. She did not end up going tot he doctor.
Age: 62.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Pruritus, Rash
Clinical narrative: Patient presented to the pharmacy consultation window with a rash across her lower back. She wanted to know what to do for treatment options to help with the itchiness. I asked if she was having a hard time breathing and she said she was not really having a issue with her breathing just the rash. I told her to take some BENADRYL and that she could put hydro-cortisone on it. She asked if she needed to get the next one in the series and I said the benefits probably outweigh the risks for the future immunizations and that she would only be getting 1 shot on each of the next series in different months since she had gotten both the Hep A and B vaccines on this last visit. I told her to look out for difficulty breathing and if this were to occur to seek medical treatment from the ER. She thanked me and got the OTC items.
Age: 58.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site discomfort, Injection site urticaria
Clinical narrative: Pt awoke this morning 11/24/18, the day after receiving vaccination with a softball size welt on the right arm where the PNEUMOVAX was given. It was quite uncomfortable. I, the pharmacist, told her to use a cold compress, BENADRYL, and some TYLENOL for the discomfort. I also said that if it worsened to contact her physician or seek medical care. I reviewed what symptoms for which to watch.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Adverse reaction, Pruritus, Rash, Rash vesicular, Scab
Clinical narrative: This is patient. I had the ZOSTAVAX injection on 4-28-15, the SHINGRIX 1st dose on 4-25-18. the 2nd SHINGRIX dose on 10-24-18. I had an adverse reaction the next day. I vomited and broke out in a rash throughout my waistline and it traveled to my lower back and buttocks. I itched and itched for 3 weeks until it finally scabbed. During those 3 weeks I was not in any pain, but I treated it with calamine lotion which helped a lot. I took a photo of my bumps and also showed the rash to the nurse practiononer at the Drs office and we both thought that it looked like a mild case of the chicken pox.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: This is patient. I had the ZOSTAVAX injection on 4-28-15, the SHINGRIX 1st dose on 4-25-18. the 2nd SHINGRIX dose on 10-24-18. I had an adverse reaction the next day. I vomited and broke out in a rash throughout my waistline and it traveled to my lower back and buttocks. I itched and itched for 3 weeks until it finally scabbed. During those 3 weeks I was not in any pain, but I treated it with calamine lotion which helped a lot. I took a photo of my bumps and also showed the rash to the nurse practiononer at the Drs office and we both thought that it looked like a mild case of the chicken pox.
Age: 54.0
Sex: M
Vaccine: PPV, TDAP, VARZOS
Symptoms: Hypertension, Pain, Pyrexia, Tremor, Vaccination complication
Clinical narrative: Patient started having fever, and shakes the night after receiving the vaccine. Went to a clinic and was treated with ADVIL, but temperature still went up and ended in ER and then hospitalized due to high fever, extreme high blood pressure and pain. He received three vaccines total on 5/11/2018 (PNEUMOVAX 23, ADACEL and SHINGRIX) but the infectious disease doctor from the hospital thinks it was most likely due to SHINGRIX adverse reaction. He was hospitalized for a few days, and treated by flashing treatment and strong pain medication (morphine).
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Blood pressure increased, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient came into the pharmacy to report that he had severe pains, swelling, redness and soreness around injection site (Left upper arm -Deltoid area) about one week after receiving immunization. This pain lasted for almost a week and caused his blood pressure and heart rate to go up. He said the pain resolved after 1 week but he is worried about possible long term issues with reaction.
Age: 62.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Facial paralysis, Fatigue, Injection site pain, Malaise
Clinical narrative: Experiencing facial droop and partial paralysis Bell's Palsey like symptoms. Grade 3 pain at injection site as well as malaise and fatigue for first 3 days post vaccination. Received flu vaccine at the same appointment.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Erythema, Pain in extremity, Sluggishness
Clinical narrative: Sore arm, Chills, redness, sluggishness.