chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Nuclear magnetic resonance imaging thoracic normal, Oxygen saturation, PCO2, PO2, Pain
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Paraesthesia, Platelet count, Platelet count normal, Protein total normal, Protein urine absent
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pyrexia, Red blood cell sedimentation rate abnormal, Red blood cells urine positive, Rheumatoid factor, Scan with contrast normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Spinal cord oedema, Tremor, Treponema test, Urine analysis, Urine ketone body present
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Urine leukocyte esterase, Vaccination complication, Vitamin B12 normal, Walking aid user, White blood cell count normal
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 61.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: White blood cells urine negative
Clinical narrative: Office visit progress note 09/08/2018: "61 yo F Pt states 1 week ago (8/29/18) she had the SHINGRIX vaccine and that evening developed a fever and nausea. The nausea decreased but the fever never ceased. Last night her temperature was at its highest at 103.2 temporal. Nausea has since returned coupled with sharp abdominal pains. Her abdomen has also been tender to the touch. Every day she feels warm, 99 or 100. Never really felt sick, just more tired. Feels weak and tingly in her legs. Now today stomach is tender and she endorses a lot of weakness. The stomach pain is not localized to one location at this time, although earlier in the week it seemed to be only to upper stomach that was sharp. Different than her burning with acid reflux. Otherwise now it is in a generalized lower area and is more tender in quality. Appetite is decreased. Denies n/v/d. Also endorses intermittent pain in L armpit, sharp stabbing pain that happened 3-4 times for only brief episodes. Endorses generalized body aches and weakness. Feeling tingling sensations in both legs. No difficulty walking. Later while in the office today she endorses feeling like her skin is crawling. Feels like her Bell's palsy tightness has been gone, today it feels tight again. Wonders if something viral is going on. Does have VALTREX on hand, needs this less than once a year. Pt has been taking TYLENOL and tums with moderate relief. Pain associated with headache and body aches. Ibuprofen this morning, around 10:00." Patient's symptoms worsened the next day 09/09/2018 per telephone encounter with PCP: "Patient states the tingling and pain in her legs have gotten worse. Patient states last night she was laying on the couch and got up to walk and fell down. States she is having a hard time keeping her balance. States her hands are shaky. Patient also c/o blurry/double vision this morning. Patient states he stomach is still tender. Fever has been up and down, last time she took temp. it was back to normal. Last took Ibuprofen 4-5 hours ago. States she doesn't have a appetite. Patient states she has been looking on the internet, states there is a post vaccination reaction called Guillain-Barre syndrome. Patient states she is having some of these symptoms." Patient was advised to go to the ED by her PCP.
Age: 18.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Swelling face, Throat tightness
Clinical narrative: Five days after vaccinations, patient reported sensation of throat tightening and cheek swelling. BENADRYL was given, no adverse symptoms during follow up exam that day (8/8/18). Doctor that examined pt said unlikely it was due to vaccine reaction.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Axillary pain, Breast pain, Chills, Decreased appetite, Differential white blood cell count
Clinical narrative: PT HAD VACCINE DONE ON FRIDAY, FRIDAY NIGHT STARTED C/O DECREASED APPETITE, REDNESS/WARMTH/TENDERNESS/SWELLING AT SITE, AND CHILLS, SYMPTOMS WORSENED ON SATURDAY AND SUNDAY WITH SWELLING AND PAIN NOTED UNDER LEFT ARM AND DOWN INTO LEFT BREAST, STATES THAT THE PAIN AT THE INJECTION SITE HAS IMPROVED BUT THE UNDER ARM AND BREAST PAIN HAS NOT IMPROVED EVEN WITH TYLENOL Q6 HOURS.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Full blood count, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: PT HAD VACCINE DONE ON FRIDAY, FRIDAY NIGHT STARTED C/O DECREASED APPETITE, REDNESS/WARMTH/TENDERNESS/SWELLING AT SITE, AND CHILLS, SYMPTOMS WORSENED ON SATURDAY AND SUNDAY WITH SWELLING AND PAIN NOTED UNDER LEFT ARM AND DOWN INTO LEFT BREAST, STATES THAT THE PAIN AT THE INJECTION SITE HAS IMPROVED BUT THE UNDER ARM AND BREAST PAIN HAS NOT IMPROVED EVEN WITH TYLENOL Q6 HOURS.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Oedema peripheral
Clinical narrative: PT HAD VACCINE DONE ON FRIDAY, FRIDAY NIGHT STARTED C/O DECREASED APPETITE, REDNESS/WARMTH/TENDERNESS/SWELLING AT SITE, AND CHILLS, SYMPTOMS WORSENED ON SATURDAY AND SUNDAY WITH SWELLING AND PAIN NOTED UNDER LEFT ARM AND DOWN INTO LEFT BREAST, STATES THAT THE PAIN AT THE INJECTION SITE HAS IMPROVED BUT THE UNDER ARM AND BREAST PAIN HAS NOT IMPROVED EVEN WITH TYLENOL Q6 HOURS.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Axillary mass, Cellulitis, Chills, Erythema, Fatigue
Clinical narrative: PT HAD VACCINE DONE ON FRIDAY, FRIDAY NIGHT STARTED C/O DECREASED APPETITE, REDNESS/WARMTH/TENDERNESS/SWELLING AT SITE, AND CHILLS, SYMPTOMS WORSENED ON SATURDAY AND SUNDAY WITH SWELLING AND PAIN NOTED UNDER LEFT ARM AND DOWN INTO LEFT BREAST, STATES THAT THE PAIN AT THE INJECTION SITE HAS IMPROVED BUT THE UNDER ARM AND BREAST PAIN HAS NOT IMPROVED EVEN WITH TYLENOL Q6 HOURS.
Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Pain, Pyrexia, Skin warm, Swelling
Clinical narrative: PT HAD VACCINE DONE ON FRIDAY, FRIDAY NIGHT STARTED C/O DECREASED APPETITE, REDNESS/WARMTH/TENDERNESS/SWELLING AT SITE, AND CHILLS, SYMPTOMS WORSENED ON SATURDAY AND SUNDAY WITH SWELLING AND PAIN NOTED UNDER LEFT ARM AND DOWN INTO LEFT BREAST, STATES THAT THE PAIN AT THE INJECTION SITE HAS IMPROVED BUT THE UNDER ARM AND BREAST PAIN HAS NOT IMPROVED EVEN WITH TYLENOL Q6 HOURS.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Lethargy, Pyrexia, Tremor
Clinical narrative: I do not remember exact details, but we were always told "it is normal". Fevers, lethargy, etc. Patient's older brother has hand tremors as a vaccine injury and she is starting to show the same symptoms.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Headache, Pain in extremity, Paraesthesia, Pyrexia
Clinical narrative: Mother called today to report that patient was fine friday night after receiving vaccines. On Saturday morning, she developed a fever, throbbing headache and pain and tingling to left arm and leg. She got better on her own by Sunday, the 9th and was able to go to school on the 10th with no complains of.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Abdominal pain, Chills, Diarrhoea, Erythema
Clinical narrative: Approximately one day after I felt a severe itch on my back, I thought it was a mosquito bite. Approximately 48 hours after injection, break out in sweat, chills, stomach unhappy, diarrhea set in. Back itch spread and developed red scaly patches, could not see well and I live alone. Some pain experiences with the "rash" as well. Approximately 60 hours still sweat/chills/mild belly pain.  This subsided by hour 72. Back did not clear until 9/7/18.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Pruritus, Rash, Skin exfoliation, Visual impairment
Clinical narrative: Approximately one day after I felt a severe itch on my back, I thought it was a mosquito bite. Approximately 48 hours after injection, break out in sweat, chills, stomach unhappy, diarrhea set in. Back itch spread and developed red scaly patches, could not see well and I live alone. Some pain experiences with the "rash" as well. Approximately 60 hours still sweat/chills/mild belly pain.  This subsided by hour 72. Back did not clear until 9/7/18.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Musculoskeletal discomfort
Clinical narrative: Patient feels a bubbly effervescence feeling at shoulder and up to side of neck periodically.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Dyspnoea, Heart rate increased, Pain, Pyrexia
Clinical narrative: Shortness of breath, rapid heart beat, fever, pain.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Malaise, Nausea, Pain, Pain in extremity
Clinical narrative: Pain left arm started one hour after injection; chills, nausea and malaise and ache all over starting 4 hours after injection; vomiting starting 9 hours after injection and lasted 6 hours.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: Pain left arm started one hour after injection; chills, nausea and malaise and ache all over starting 4 hours after injection; vomiting starting 9 hours after injection and lasted 6 hours.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Fever of over 100. Chills, nausea. Over a 12 hour period.
Age: 74.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient had redness trailing from vaccination site on left arm. Patient was instructed to see her doctor if redness became worse or if redness continued to spread. She was also informed that as pharmacists, we are not trained in diagnosis and that if she feels uncomfortable about the redness, that she should see her physician.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: Immediately after administration, her left deltoid had a little blood spot, after wiping off the injection site, it became swollen and red. The Left deltoid was noticeably swollen, tender, and red.
Age: 93.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Loss of consciousness, Tremor
Clinical narrative: Patient noted being "shaky and weak" the morning after receiving the vaccine. She claims she "passed out" at the health center the morning after receiving the vaccine. Patient attributes this incident to the vaccine.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Constipation, Fatigue, Myalgia
Clinical narrative: Patient's wife came in to report severe constipation, muscle aches and fatigue.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Feeling hot, Rash, Rash erythematous, Rash macular
Clinical narrative: Patient called stating she started having reaction upon minutes of receiving vaccine at pharmacy, stating when she got in her car, her throat started "itching" and that her face felt hot. When she got home, she states she had red rash on face and neck and felt rash on chest and back and felt she had some shortness of breath. Patient states she used her "rescue inhaler" (albuterol) and called primary care provider's office. This RN triaged patient, asking her to dial 911. Patient chose to seek care at Urgent Care. Patient was treated at Urgent Care with SOLU-MEDROL and kept for observation. Macular rash observed on patient on face, neck and back, per treating provider.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Throat irritation
Clinical narrative: Patient called stating she started having reaction upon minutes of receiving vaccine at pharmacy, stating when she got in her car, her throat started "itching" and that her face felt hot. When she got home, she states she had red rash on face and neck and felt rash on chest and back and felt she had some shortness of breath. Patient states she used her "rescue inhaler" (albuterol) and called primary care provider's office. This RN triaged patient, asking her to dial 911. Patient chose to seek care at Urgent Care. Patient was treated at Urgent Care with SOLU-MEDROL and kept for observation. Macular rash observed on patient on face, neck and back, per treating provider.
Age: 58.0
Sex: M
Vaccine: PPV
Symptoms: Eye pain, Eye swelling, Ocular hyperaemia
Clinical narrative: Ruddy, swollen right eyeball with considerable discomfort.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Condition aggravated, Pruritus generalised
Clinical narrative: The patient reports itching all over her body, which was actually present the day before she got the shot but she states worsened after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Hypoaesthesia, Neonatal disorder, Pain in extremity, Seizure
Clinical narrative: I did not consent to this due to earlier adverse reactions. Numbness in arm and pain to the extent of not being able to lift anything. This lasted for a long time, at least a year. Also developed sensory seizures. Baby was born weighing 8 lbs 9 oz and has bowel issues. I will list those as a birth defect.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Weight bearing difficulty
Clinical narrative: I did not consent to this due to earlier adverse reactions. Numbness in arm and pain to the extent of not being able to lift anything. This lasted for a long time, at least a year. Also developed sensory seizures. Baby was born weighing 8 lbs 9 oz and has bowel issues. I will list those as a birth defect.
Age: 71.0
Sex: M
Vaccine: FLU3, PPV, TDAP, VARZOS
Symptoms: Injection site swelling, Peripheral swelling
Clinical narrative: He had swelling on his right arm that spread below the elbow. It was getting better by the time he came to report this to me. I told him some cold compresses or BENADRYL. He said it was feeling better but wanted to know which vaccines caused the reaction.
Age: 18.0
Sex: M
Vaccine: HEP, MMRV, TDAP
Symptoms: Feeling abnormal, Immediate post-injection reaction, Syncope
Clinical narrative: Vasovagal Syncope  occurred mmediately after leaving exam room once I reached the nurses station on the other side of hallway. First injection was MMR and I started feeling strange immediately afterwards as the second and third were being given. I did not recognize the signs of fainting, though, and tried to "shake it off" as I left the exam room and reached the nurses station to await paperwork.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse events other than the patient received these two same vaccines on 8/10/18 AND 8/29/18 at the same clinic.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU4, VARCEL
Symptoms: Eye swelling, Swelling, Swelling face, Urticaria
Clinical narrative: Swelling left eye. Hives all over face and body swelling in face and body we went to the emergency room where he was given BENADRYL, epinephrine was discussed but due to heart conditions was put on hold as a last resort, he responded well to BENADRYL
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Pruritus, Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: Skin rash: Generalized Erythematous macular papular lesions on his face, trunk and extremities. Slightly itching. Given BENADRYL and Prednisolone, too early to determine the course.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Pneumonia
Clinical narrative: Pneumonia. Nebulizer. And antibiotics.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse event other than this pt got two doses of Tdap 19 days apart.
Sex: F
Vaccine: FLUX
Symptoms: Influenza
Clinical narrative: This case was reported by a consumer via interactive digital media and described the occurrence of influenza in a female patient who received Flu vaccine for prophylaxis. On an unknown date, the patient received Flu vaccine at an unknown dose. On an unknown date, unknown after receiving Flu vaccine, the patient experienced influenza. On an unknown date, the outcome of the influenza was unknown. It was unknown if the reporter considered the influenza to be related to Flu vaccine. Additional information was received as follows: The age at vaccination was not reported. The patient agreed that the past years, before the reporting date she had got the flu shot and at least 4 to 5 times a year she experienced the flu so bad. She felt like, she was dying. The patient received shingle shot. She said that they were coming out with a new vaccine, the first one was not good enough. She got in a huge family fight over this whooping cough vaccine and would not be permitted to watch a new baby coming into her family unless she received vaccine. The patient guess she would be looking for another babysitter.
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Injection site pain, Myalgia
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of generalized muscle aches in a adult female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 1st dose of SHINGRIX (intramuscular) ml. On an unknown date, less than a year after receiving SHINGRIX, the patient experienced generalized muscle aches, influenza-like symptoms, fatigue, injection site pain and shivering. On an unknown date, the outcome of the generalized muscle aches, influenza-like symptoms, fatigue, injection site pain and shivering were recovered/resolved. It was unknown if the reporter considered the generalized muscle aches, influenza-like symptoms, fatigue, injection site pain and shivering to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination could be 53 or 54 years. The patient experienced muscle ache all over the body. The events resolved within 2 days. The patient gave permission to contact her health care provider. No further details were provided. The patient experienced similar reaction after 2nd dose, see case US2018156086.
Age: 53.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Epistaxis, Gingival disorder, Hypoaesthesia, Inflammation, Pruritus
Clinical narrative: Erythematous lesions in face, neck, epistaxis, gingival, hemorrhage via vaginal. Rash over the face with itching and anterior upper thorax. Bilateral inflammatory to both knee. Numbness sensation to bilateral hands. Above mentioned symptoms for 3 or 4 days. Currently is taking ZYRTEC by mouth once a day.
Age: 53.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Rash, Rash erythematous, Vaginal haemorrhage
Clinical narrative: Erythematous lesions in face, neck, epistaxis, gingival, hemorrhage via vaginal. Rash over the face with itching and anterior upper thorax. Bilateral inflammatory to both knee. Numbness sensation to bilateral hands. Above mentioned symptoms for 3 or 4 days. Currently is taking ZYRTEC by mouth once a day.
Age: 75.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Chills, Death, Pain
Clinical narrative: The patient received both vaccines on Tuesday afternoon. On Wednesday evening, she felt 'achy' and 'had chills'. She passed away in her sleep on Thursday evening/Friday morning after 2:00am. The family said that she had a 'weak heart' and that they don't think her death was caused by the vaccines, but they also wanted us to report her death 'just in case' because of the close proximity of her death to the vaccines.
Age: 77.0
Sex: F
Vaccine: PNC13
Symptoms: Oedema peripheral, Rash papular, Skin warm
Clinical narrative: Reddish small flat papules, warm 1 cm node in axilla swelling large and inclusive of medial side of arm.
Age: 8.0
Sex: M
Vaccine: HEP, HEPA
Symptoms: Cold sweat, Pallor
Clinical narrative: Adverse reactions included pallor in face and lips, clammy and pulse of 64. Patient was laid down on exam table and elevated HOB up. Ice pack was placed on back of neck. Fruit snacks and water were given to patient. After 30 minutes, patient walked to family vehicle under their own power, escorted by nurse, pallor gone, pulse was 76. Patient declared "feeling better."
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Eye irritation, Eye swelling, Ocular hyperaemia, Oropharyngeal pain
Clinical narrative: Eyes red, burning and swollen, sore throat.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Left arm very swollen, red, itchy, swelling large hot erythema small flat papules measuring 20cm in length and 5cm wide. No lymph node swelling. Painful to patient.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Left arm very swollen, red, itchy, swelling large hot erythema small flat papules measuring 20cm in length and 5cm wide. No lymph node swelling. Painful to patient.
Age: 77.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Pain in extremity, Rash
Clinical narrative: Patient reports arm was sore Friday night after receiving both injections, some redness around injection site which over the course of 2 days spread down towards elbow on right side. He says that it is only mildly painful, no feeling of heat or numbness but does appear bright red skin.  Patient called doctor's office who advised him to report to pharmacy. Pharmacist recommended using ice and anti-inflammatory acetaminophen to help with rash.
Age: 37.0
Sex: F
Vaccine: HEPAB
Symptoms: Cold sweat, Dizziness, Nausea, Visual impairment
Clinical narrative: PATIENT WAS SITTING IN CHAIR WATCHING HER SON. SHE THEN FELT DIZZY, LIGHTHEADED, SEEING BIGHT LIGHTS, AND NAUSEA. I APPLIED AN ICE PACK TO THE BACK OF HER HEAD AND NOTICED SHE WAS CLAMMY. I TURNED ON THE FAN FOR AIR CIRCULATION. I ALSO GAVE HER SOME FRUIT SNACKS AND COLD WATER TO DRINK. WITHIN I0 MINUTES SHE FELT BETTER, WAS MORE ALERT AND HAD NO COMPLAINTS OF BRIGHT LIGHTS, DIZZINESS, NAUSEA OR SPOTTY VISION. SHE ALSO STATED FEELING WELL ENOUGH TO LEAVE. I ESCORTED BOTH HER AND HER SON TO THE FAMILY VEHICLE. THE FATHER WAS WAITING THERE AND TOOK OVER TO DRIVE THEM HOME.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: HIVES ON HANDS FEET ARMS AND LEGS.
Age: 62.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Asthenia, Chills, Headache, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: 4 hours after injection, severe pain started from the site. 2 hours later started with chills and fever. At 7 am the next morning, fever, weakness, and crippling headache with severe nausea. Stayed that way for 24 hours. Fever stopped first. Weakness, headache and nausea slowly got better over the next 48 hours. Had to call in sick for work. Of note, I was also given the flu vaccine at the same time as the SHINGRIX.
Age: 62.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Nausea, Pyrexia
Clinical narrative: 4 hours after injection, severe pain started from the site. 2 hours later started with chills and fever. At 7 am the next morning, fever, weakness, and crippling headache with severe nausea. Stayed that way for 24 hours. Fever stopped first. Weakness, headache and nausea slowly got better over the next 48 hours. Had to call in sick for work. Of note, I was also given the flu vaccine at the same time as the SHINGRIX.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: Swollen, red injection site and in arm vaccine was administered in. Patient referred to her doctor's office for follow up.
Age: 55.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Blood pressure increased, Headache, Miosis, Pyrexia
Clinical narrative: While driving home after receiving the vaccines, her BP was raising for about 30 minutes. That night she had a severe headache and BP was high still. Severe headache was happening during the day and in the evening. Pupil of eyes become very small but today (09/10/2018) was better. She describes the headaches as like whenever she takes nitroglycerin. She mentions that she had a low grade fever yesterday and today.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Dizziness, Injection site rash, Joint range of motion decreased, Nausea, Pain
Clinical narrative: Approximately 24 hours after the vaccines were given the patient started to experience low grade fever, dizziness, nausea, painful/sore arm, and rash. The pain was severe enough that the patient states they could not move their arm for 2-3 days. The rash has spread from just around the injection site to covering her arm from shoulder to elbow. She said it is about 27 x 27cm. The fever, dizziness, and nausea only lasted for about 24 hours. The rash is still present today 9/10/18 and has grown to the size indicated previously. Her arm is still achy but she has mobility and can use it. She went to an urgent care clinic because of the rash size and growth. She was given BACTRIM DS for prophylaxis treatment of possible infection. MD was not sure but gave her the antibiotic just in case. The patient will follow up with her GP tomorrow 9/11/18 and followup with us about the progress.
Age: 68.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Pain in extremity, Pyrexia, Rash
Clinical narrative: Approximately 24 hours after the vaccines were given the patient started to experience low grade fever, dizziness, nausea, painful/sore arm, and rash. The pain was severe enough that the patient states they could not move their arm for 2-3 days. The rash has spread from just around the injection site to covering her arm from shoulder to elbow. She said it is about 27 x 27cm. The fever, dizziness, and nausea only lasted for about 24 hours. The rash is still present today 9/10/18 and has grown to the size indicated previously. Her arm is still achy but she has mobility and can use it. She went to an urgent care clinic because of the rash size and growth. She was given BACTRIM DS for prophylaxis treatment of possible infection. MD was not sure but gave her the antibiotic just in case. The patient will follow up with her GP tomorrow 9/11/18 and followup with us about the progress.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Corneal oedema, Keratic precipitates, Ophthalmic herpes zoster, Pain, Pyrexia
Clinical narrative: Fever to 102 the 1-2 day following vaccine which self resolved. 3 weeks later, patient developed recurrence of zoster-associated stromal keratitis. He had diffuse stromal edema, anterior stromal granular infiltrate, and keratic precipitates. The inflammation resolved with topical steroid eyedrops. As a result of this recurrence, he had pain and decreased vision from 20/40 to counting fingers which eventually improved back to baseline with treatment. He is left with evidence of inactive scarring at last exam 9/10/18.
Age: 88.0
Sex: M
Vaccine: VARZOS
Symptoms: Scar, Visual impairment
Clinical narrative: Fever to 102 the 1-2 day following vaccine which self resolved. 3 weeks later, patient developed recurrence of zoster-associated stromal keratitis. He had diffuse stromal edema, anterior stromal granular infiltrate, and keratic precipitates. The inflammation resolved with topical steroid eyedrops. As a result of this recurrence, he had pain and decreased vision from 20/40 to counting fingers which eventually improved back to baseline with treatment. He is left with evidence of inactive scarring at last exam 9/10/18.
Age: 72.0
Sex: F
Vaccine: FLUA3
Symptoms: Injected limb mobility decreased, Injection site joint pain
Clinical narrative: Patient is reporting joint pain and lack of mobility of their left arm. Joint pain is in the shoulder. It set in the day after the shot, and today and four days later and it has still not resolved.
Age: 12.0
Sex: F
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Pruritus, Rash generalised, Skin abrasion, Urticaria
Clinical narrative: Mother brought the patient (her daughter) back to our clinic on Monday, 9/10 stating that on Friday, 9/7 her daughter complained of a rash all over her body. Upon inspection, the mother noticed "welts or hives" all over her daughter's body. These welts itched. The school nurse advised the mother to put hydrocortisone cream to the welts. Upon inspection at our clinic, there were hive-like lesion over the entire body, more so on the trunk. Each hive was discreet, erythematous and raised. The child did complain of pruritus. There was evidence on some of the hives of scratching, such as light abrasions. I advised the mother to apply the hydrocortisone cream or give oral BENADRYL for itching and to see medical attention if it does not get better in a few days or gets worse.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Syncope
Clinical narrative: Patient had a syncopal episode approximately 10 minutes after receiving vaccinations today. He quickly came back around and was examined by staff. He was kept in the office for approximately 30 minutes after the episode and had no further adverse effects after the initial incident.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Sore arm, extremely red and hot to the touch, swollen.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Sore arm, extremely red and hot to the touch.
Age: 67.0
Sex: M
Vaccine: FLUA3, PNC13
Symptoms: Malaise, Pyrexia
Clinical narrative: Patient claimed that the next day woke up with fever of 105. Was sick for 3 days.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Body temperature increased, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Arm swelled past the elbow and was hot and itchy. Patient had a temp of 102 degrees and was in bed all day. The reaction started within an hour of the vaccination.
Age: 63.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Blood test abnormal, Infection, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Swollen, red lower 2/3 of upper left arm. Per patient, she experienced pain beginning the day after the vaccines. She saw her MD 3 days later at which point some blood work was done which the patient said confirmed that it was a infection. She did not recall what blood work was done. MD started her on AUGMENTIN to treat the infection.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Balance disorder, Dizziness, Fall, Visual impairment
Clinical narrative: About 5 to 10 minutes after receiving the vaccination, the patient came back to the pharmacy. He had been walking around the store. He said he had visual disturbances combined with dizziness that resulted in him losing his balance and falling to the ground. We had him sit down in the pharmacy for 15 minutes to see if he had any other side effects. After 15 minutes, he said he was feeling much better. He said the dizziness had gone away and that he never had any issues with breathing or swelling. He left the pharmacy to go home.
Age: 65.0
Sex: F
Vaccine: PNC13, FLUA3, PNC13
Symptoms: Asthenia, Fatigue, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: The evening of receiving the immunization patient started experiencing fever, weakness, fatigue that lasted for 2 days; patient also experienced local reaction at the site of administration (swelling, redness, hot). Patient went to see her primary care physician on Monday 9/10/18 and was given antibiotics. Local reaction site was marked for monitoring.
Age: 65.0
Sex: F
Vaccine: PNC13, FLUA3, PNC13
Symptoms: Local reaction, Pyrexia
Clinical narrative: The evening of receiving the immunization patient started experiencing fever, weakness, fatigue that lasted for 2 days; patient also experienced local reaction at the site of administration (swelling, redness, hot). Patient went to see her primary care physician on Monday 9/10/18 and was given antibiotics. Local reaction site was marked for monitoring.
Age: 65.0
Sex: F
Vaccine: PNC13, FLUA3, PNC13
Symptoms: Local reaction, Pyrexia, Vaccination complication
Clinical narrative: The evening of receiving the immunization patient started experiencing fever, weakness, fatigue that lasted for 2 days; patient also experienced local reaction at the site of administration (swelling, redness, hot). Patient went to see her primary care physician on Monday 9/10/18 and was given antibiotics. Local reaction site was marked for monitoring.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Hyperhidrosis, Pain, Pyrexia
Clinical narrative: Fatigue, fever chills, sweating, body aches. These symptoms started in the evening on the day I received the vaccine. I woke up in the middle of the night with the fever, body aches, chills, sweating. I slept most of the day on Tuesday. I got up and showered late afternoon Tuesday and went back to bed. This lasted until Wednesday, when I finally got dressed by 1:00 in the afternoon. I went out to run an errand for an hour and came home and went back to bed. On Thursday I could tell her was improving, but couldn't have gone to work yet. Friday I finally felt almost well again.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Hypoaesthesia oral, Rash, Swelling face
Clinical narrative: Facial swelling and facial rash and numbness around her mouth.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Inflammation, Injection site inflammation, Injection site pain
Clinical narrative: Patient experienced pain at injection site that evening, with resultant large inflammation on surrounding area for 4 days, fatigue for several days, chills on day 3, then localized inflammation migrated down her arm from days 4-8. Pt feels ok today and was ok after day 8 but was concerned about the response while it was occurring because her husband did not have as significant of a response.
Age: 81.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Pain in extremity, Skin irritation
Clinical narrative: Patient stated that her left arm remained sore and painful since getting the 2 shots. She stated that the skin was very irritated. She saw a physician on 9-10-18 and he diagnosed her with cellulitis. She received 2 antibiotics.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Patient has an extremely swollen upper arm, ache/heat in the arm, fever and increased heart rate.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Influenza like illness, Rash
Clinical narrative: Onset of generalized flu-like symptoms withing 6-12 hours following vaccination. A non-painful area of redness, approximately 2 inches in diameter with some bumps was discovered approximately 24-48 hours after vaccination. Flu-like symptoms resolved within 1 day. Redness is still present 48 hours following vaccination. Denies any fever, denies injection site to be warm to the touch. Did not seek medical attention.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Pruritus, Urticaria
Clinical narrative: Itching and hives within 30 minutes.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Condition aggravated, Gait disturbance, Immediate post-injection reaction, Juvenile idiopathic arthritis, Pyrexia
Clinical narrative: Had a low fever at the time of vaccination. Immediately after, fever spiked to 104 for a few days. During that time, began limping. Limped for around 3 months before being diagnosed with juvenile arthritis.
Age: 61.0
Sex: F
Vaccine: FLUA3
Symptoms: Discomfort, Nuclear magnetic resonance imaging, X-ray
Clinical narrative: After 3 weeks of discomfort went to employee health - she sent me to orthopedic doctor, did x-rays, cortisone shot, did not help. Referred to physical therapy weekly; February 2018 MRI  approved.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Diarrhoea, Erythema, Pain in extremity, Skin warm
Clinical narrative: Redness in arm/hot to touch 4 to 5 inches below injection site starting on Saturday 09/08/18 and No balance, shakes, and diarrhea (Sat. Only). As of today Monday 09/10/18 - patient stated arm is a little red, hot to touch and sore, but not as bad as it was. Balance is still not normal, but better than it was. Tremors decrease in frequency but still come and go. Spoke to patients physician and they set up an appointment with patient on 09/11/18 at 4:30pm.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: Redness in arm/hot to touch 4 to 5 inches below injection site starting on Saturday 09/08/18 and No balance, shakes, and diarrhea (Sat. Only). As of today Monday 09/10/18 - patient stated arm is a little red, hot to touch and sore, but not as bad as it was. Balance is still not normal, but better than it was. Tremors decrease in frequency but still come and go. Spoke to patients physician and they set up an appointment with patient on 09/11/18 at 4:30pm.
Age: 74.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Herpes zoster, Injection site rash, Injection site reaction
Clinical narrative: Pt developed shingles rash 2 inches under injection site, in a place where she had it before. She was put on antiviral 3 days after vaccine.
Age: 61.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: Warmth, redness, pruritis to (R) upper arm, on 9/718 - 9/10/18 OV (office visit). Tx: 1% hydrocortisone cream, ice pack.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Redness, swelling, and feverish at the site of injection. Cellulitis.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis
Clinical narrative: MD stated it was cellulitis, txt w/Amox.