chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: redness and swelling at site, benadryl was ordered
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site rash, Nausea, Pyrexia, Vomiting
Clinical narrative: Patient claims that she has experienced a fever, headache, nausea/vomiting, and rash down her right arm near the injection site. Counseled patient to take Tylenol for the fever, benadryl  orally for the rash, and Emetrol for the nausea. Also advised the patient to get in touch with her physician and inform them of her reaction.
Age: 49.0
Sex: M
Vaccine: FLU4
Symptoms: Extremity contracture, Injection site pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, body aches, and sharp pain radiating from the left shoulder to his forearm causing his 4 fingers to be contracted.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Pharyngeal swelling
Clinical narrative: Patient experiences swelling of throat and eyes 4 hours after the vaccination. Although there were no complaints of injection site. Patient was not experiencing difficulty breathing at this time. Directed to take Benadryl and to seek medical attention.
Age: 15.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Culture urine, Erythema, Headache, Influenza like illness, Injected limb mobility decreased
Clinical narrative: Per mom, patient received vaccines on Monday, 10/12/2020. He developed symptoms the following morning on 10/13/2020. Patient felt sore and experienced persistent fever-highest 103.9, stiff neck, severe headache, and left arm was hot to touch with localized swelling, and blotchy redness. Per mom, patient developed flu like symptoms that continued through Wednesday morning on 10/14/2020. Symptoms eventually subsided and patient felt as if he had never been sick. Wednesday afternoon around 2-3pm symptoms reappeared. Patient was seen in clinic today, 10/15/2020 ,for response to vaccines. Patient is still unwell and presents with swelling, redness and heat to left arm. Per patient, arm is sore and difficult to lift.
Age: 15.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Musculoskeletal stiffness, Pain, Pain in extremity, Pyrexia, Rash macular
Clinical narrative: Per mom, patient received vaccines on Monday, 10/12/2020. He developed symptoms the following morning on 10/13/2020. Patient felt sore and experienced persistent fever-highest 103.9, stiff neck, severe headache, and left arm was hot to touch with localized swelling, and blotchy redness. Per mom, patient developed flu like symptoms that continued through Wednesday morning on 10/14/2020. Symptoms eventually subsided and patient felt as if he had never been sick. Wednesday afternoon around 2-3pm symptoms reappeared. Patient was seen in clinic today, 10/15/2020 ,for response to vaccines. Patient is still unwell and presents with swelling, redness and heat to left arm. Per patient, arm is sore and difficult to lift.
Age: 15.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Skin warm, Streptococcus test negative, Swelling
Clinical narrative: Per mom, patient received vaccines on Monday, 10/12/2020. He developed symptoms the following morning on 10/13/2020. Patient felt sore and experienced persistent fever-highest 103.9, stiff neck, severe headache, and left arm was hot to touch with localized swelling, and blotchy redness. Per mom, patient developed flu like symptoms that continued through Wednesday morning on 10/14/2020. Symptoms eventually subsided and patient felt as if he had never been sick. Wednesday afternoon around 2-3pm symptoms reappeared. Patient was seen in clinic today, 10/15/2020 ,for response to vaccines. Patient is still unwell and presents with swelling, redness and heat to left arm. Per patient, arm is sore and difficult to lift.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Abdominal discomfort, Nausea
Clinical narrative: patient came back over to pharmacy and said she felt sick to her stomach and wanted to throw up but no other symptoms and pt  did not throw up
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Redness at injection site, turning into rash on arm, for several days. Dr gave a steroid shot and steroid cream and she is taking benadryl.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Burning sensation, Monoplegia, Nodule, Pain in extremity, Skin tightness
Clinical narrative: The patient's arm was paralyzed for a week starting a few hours after immunization.  It got better each day.  Now, 10 days later, she still has a knot in her left clavicular region.  The painful knot feels like burning and tightness on the left side.
Age: 50.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Pain, Tremor
Clinical narrative: Patient called pharmacy around 5 pm on 10/15/2020 reporting he was experiencing shakiness, achiness, and headache. Patient did not have a fever.
Age: 81.0
Sex: M
Vaccine: FLU4
Symptoms: Fatigue, Photophobia
Clinical narrative: Patient reported feeling tired and having photophobia (sun brighter than usual/hurt to look outside without sunglasses)
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: PATIENT CAME TO PHARMACY NEXT DAY TO PICK UP MEDICATION AND SHOWED US HER ARM: RED/PURPLE INJECTION SITE REACTION AROUND THE SIZE OF A DOLLAR COIN. PATIENT EXPRESSED NO PAIN/SYMPTOMS/OR PROBLEMS. WE ADVISED HER TO KEEP AN EYE ON THE INJECTION SITE REACTION. IF IT GROWS IN SIZE OR LOOKS WORSE TO BE SEEN BY A MD RIGHT AWAY. EITHER WAY ALSO ADIVSED PATIENT TO NOTIFY HER MD WITH A PICTURE OF THE CURRENT REACTION AS WELL OR TO CALL US FOR ANY FURTHER ADVISE.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient professed swelling of the arm and extreme redness.  Healthcare professional prescribed Clindamycin.
Age: 59.0
Sex: F
Vaccine: FLUR4
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Patient complained of severe arm pain-she went to the doctor and was given fluid medication to help with accumulation of fluid at the back of the arm
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Pain
Clinical narrative: Patient experienced pain at the injection site following the immunization, but the pain continued beyond a few days post vaccine.  Patient says she is still experiencing pain in her left upper arm/shoulder area as of 10/15/20 that started after receiving her 2nd dose of the Shingrix vaccine.  She describes it as sharp pain that does not happen all the time, but if she does something with her arm without thinking she gets a severe pain that doesn't go away immediately.  She also says that she has decreased range of motion in that shoulder.  The patient discussed this pain with her physician who advised her to report it to the pharmacy and take Advil to help with the pain.
Age: 50.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Injection site erythema, Pain in extremity
Clinical narrative: Extreme soreness in arm within an hour after shot. Red at site of shot 12 hours later and radiating red around injection site 36 hours later.
Age: 54.0
Sex: M
Vaccine: FLUR4, VARZOS
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: On 10/15/2020 around 5:25 pm, patient showed up to pick up his medications. He further complained that since he received the vaccines on 9/18/2020, he had pain and discomfort on his left arm that received the immunizations. He complained that the pain was like radiating down to his palm and fingers. He stated that the heating pad helped somewhat.  Since it has been almost a month after the patient received the immunization, I recommended the patient to seek medical care from doctors.
Age: 40.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Cellulitis, Chest discomfort, Extensive swelling of vaccinated limb, Headache, Induration
Clinical narrative: Patient received a pneumovax and a flu shot in the same arm on Oct 13. Stated she started having some normal post immunization symptoms about an hour after she left the store. Flu like symptoms. Yesterday, she started having more symptoms. Today she went to urgent care with the following symptoms: red, swollen, hard, right arm all the way from neck to hand, body aches, blurred vision, chest fullness, pain in neck, headache, tingling in right hand and can't raise arm. Nurse practioner dx as cellulitis. Patient was given a 10 day course of bactrim.
Age: 40.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Influenza like illness, Injected limb mobility decreased, Injection site erythema, Injection site induration, Neck pain
Clinical narrative: Patient received a pneumovax and a flu shot in the same arm on Oct 13. Stated she started having some normal post immunization symptoms about an hour after she left the store. Flu like symptoms. Yesterday, she started having more symptoms. Today she went to urgent care with the following symptoms: red, swollen, hard, right arm all the way from neck to hand, body aches, blurred vision, chest fullness, pain in neck, headache, tingling in right hand and can't raise arm. Nurse practioner dx as cellulitis. Patient was given a 10 day course of bactrim.
Age: 40.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Pain, Paraesthesia, Skin reaction, Vision blurred
Clinical narrative: Patient received a pneumovax and a flu shot in the same arm on Oct 13. Stated she started having some normal post immunization symptoms about an hour after she left the store. Flu like symptoms. Yesterday, she started having more symptoms. Today she went to urgent care with the following symptoms: red, swollen, hard, right arm all the way from neck to hand, body aches, blurred vision, chest fullness, pain in neck, headache, tingling in right hand and can't raise arm. Nurse practioner dx as cellulitis. Patient was given a 10 day course of bactrim.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased
Clinical narrative: patient cannot lift arm up, only up to about 45 degree angle high. no treatment taken by patient and not resolved yet. recommending patient to see primary care md.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Back pain, Dysgeusia, Herpes virus infection, Malaise, Night sweats
Clinical narrative: Within 10 minutes:  watering of the mouth with a metallic taste Within 1 day:  moderate herpes outbreak  2nd and 3rd days:  mid-back aches, general ill feeling Day 4-6:  night sweats
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Salivary hypersecretion
Clinical narrative: Within 10 minutes:  watering of the mouth with a metallic taste Within 1 day:  moderate herpes outbreak  2nd and 3rd days:  mid-back aches, general ill feeling Day 4-6:  night sweats
Age: 48.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Patient says that around where she got the vaccine she is itching, burning and a rash.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Dry skin, Induration, Pain, Peripheral swelling
Clinical narrative: The day after receiving his 2nd dose in the Shingrix series, the patient began experiencing dryness, hardening, swelling at the base of the middle finger on the LEFT hand (opposite hand from where vaccine was given.  Over the next 2 days, these symptoms extended to additional fingers on the left hand and palm and also to the fingers of the right hand.  Patient noticed swelling as ring fit more snugly and also experienced some pain when bending fingers.  Pt used some hand lotion (that he had used previously without reaction), but it gave no relief to dryness.  Pt has appointment to see PCP, Dr, on Monday the 19th.  Told patient to inform us regarding outcome or if symptoms change over the weekend.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Cellulitis
Clinical narrative: cellulitis
Age: 58.0
Sex: F
Vaccine: FLUR4
Symptoms: Diarrhoea, Dizziness, Feeling abnormal, Headache, Joint range of motion decreased
Clinical narrative: Pt called the clinic on 10/15/2020, stating she had a lot of soreness in her left arm with tenderness when raising her arm. Pt states her arm was so sore, that she had decreased ROM. Pt states the next day she developed a headache which improved with Advil. Pt states on 10/11, she had significant dizziness when she went from sitting to standing. Pt notes she then developed diarrhea and nausea. Pt states she did not feel like she was running a fever, but states her "brain felt cold."  According to the pt, her symptoms have now resolved. Pt denies seeking medical treatment when her symptoms were present, but states she wants to f/u with her PCP.
Age: 58.0
Sex: F
Vaccine: FLUR4
Symptoms: Nausea, Pain in extremity, Tenderness
Clinical narrative: Pt called the clinic on 10/15/2020, stating she had a lot of soreness in her left arm with tenderness when raising her arm. Pt states her arm was so sore, that she had decreased ROM. Pt states the next day she developed a headache which improved with Advil. Pt states on 10/11, she had significant dizziness when she went from sitting to standing. Pt notes she then developed diarrhea and nausea. Pt states she did not feel like she was running a fever, but states her "brain felt cold."  According to the pt, her symptoms have now resolved. Pt denies seeking medical treatment when her symptoms were present, but states she wants to f/u with her PCP.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Bone pain, Chills, Fatigue, Headache
Clinical narrative: Chills/fever/extreme muscle, bone, joint aches/headache/nausea/tiredness
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Chills/fever/extreme muscle, bone, joint aches/headache/nausea/tiredness
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Back pain
Clinical narrative: lower back pain
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Ear swelling, Swelling
Clinical narrative: pt stated they had swelling of the neck/ears and a cough. told them if any swelling of mouth or trouble breathing to go to doctor.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Development of a shingles-like rash on left arm and lower back. Noticed approximately one and a half days after the vaccine.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Nausea, Pain, Pyrexia
Clinical narrative: Confirmed patient's name and date of birth with patient at the beginning of the call  Patient reports the following: Chief Complaint: fever and body aches and pain at injection site after vaccinations Duration: received vaccinations yesterday 10/14/20 Severity: pain is rated at 3/10 and has improved since yesterday One hour after the injections his shot started to really hurt and he felt nauseated due to the pain Less pain today and no nausea No chest pain, SOB, swelling, rash or signs of allergic reaction He has a temperature of 98 degrees F, however he feels like he has a fever with body aches. He feels like he might be getting sick, however he has no other symptoms No signs of infection. No increased redness or swelling Denies any other symptoms at this time  Protocol Used: Immunization Reactions (Adult) Protocol-Based Disposition: Home Care: patient agrees to monitor symptoms at home, take tylenol OTC and follow instructions on the box, and seek care if his symptoms worsen or fail to improve  Positive Triage Question: * Mild immunization reaction * All higher-acuity triage questions were negative  Care Advice Discussed: * Reasons To Call Back     - Fever lasts more than 3 days     - Pain lasts more than 3 days     - Injection site starts to look infected     - You become worse  Patient verbalized understanding and agrees to the POC
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site vesicles
Clinical narrative: Patient received flu vaccine at onsite vaccination clinic at his spouses employment.  After the injection he become concerned about appearance of injection site, which had a localized blister appearing bubble.
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient called on 10/15/20 to inform us that shortly after receiving the vaccination, she developed a rash.  She is taking benadryl and is contacting physician.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Hypoacusis, Loss of consciousness, Pallor, Unresponsive to stimuli
Clinical narrative: Dizziness within 1 minute of administration of 2nd shot (Adacel 1st then Menactra 2nd).  Patient took off his mask --lips were white, then put head down and was unresponsive for about 15 seconds.  Came to and wanted to know what happened.   Gave patient poweraid drink, his color returned to his lips.  He stated he couldn't hear but was able to answer questions.  He sat for about 10 minutes and was feeling better.  Grandma and patient walked the store for about 15 minutes and came back to pharmacy where he stated he was feeling fine.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Fatigue, Nausea, Pain
Clinical narrative: still in the store started feeling dizzy and nausea. couple hours later everything got really bad. Nausea got worse, pain all over like the flu. Been so exhausted difficulty to move. Had a low grade fever but not today.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: still in the store started feeling dizzy and nausea. couple hours later everything got really bad. Nausea got worse, pain all over like the flu. Been so exhausted difficulty to move. Had a low grade fever but not today.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Myalgia, Skin warm
Clinical narrative: Warm to touch, muscle pain, could not raise arm over 3 day period
Age: 29.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Woke up in the morning and tongue was numb and tingling. Symptoms lasted until the following morning.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Axillary pain, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient was immunized for flu and pneumovax 23 on 10-13.  The arm in which she had the pneumovax 23 (by 10-15) when she woke up in the am had hot, raised, red, swollen patches around the area where it was given.  She also stated she has pain in her shoulder and underarm area.  Flu shot was given in right arm, but it did not have the same reaction.  Pt. did not mention getting or wanting any medical attention...
Age: 11.0
Sex: F
Vaccine: FLUC4
Symptoms: Loss of consciousness, Posture abnormal
Clinical narrative: I administered her flu shot, and almost immediately she slumped over.  Her mom held her up so she didn't fall off the chair.  She regained consciousness after about five seconds.  I gave her water and her mom gave her a snack.  She said she felt ok.  She sat for a few minutes, then left with her mom.
Age: 73.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: SEVERE REDNESS AND SOME PAIN AT SITE OF INJECTION
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of consciousness, Vomiting
Clinical narrative: Upon receiving the vaccine, the patient passed out for approximately five seconds. EMTs were immediately called. Patient vomited five minutes after passing out. EMTs took the patient's vitals and had her sit for 10 minutes. Patient guardian declined to have taken to emergency room.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site rash
Clinical narrative: PATIENT CALLED ON 10/15/2020 TO REPORT THAT SHE DEVELOPED A RASH AND  PAIN ON HER RIGHT ARM AT SITE OF INJECTION. SHE REPORTED FEELING BETTER TODAY, BUT IS NOT FULLY RECOVERED YET
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
Clinical narrative: PATIENT REPORTED SEVERE NAUSEA, VOMITTING, DIARRHEA, AND FEVER BEGINNING 2 DAYS AFTER RECEIVING VACCINE.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: Patient reports having a sore arm for more than 2 weeks. No swelling, redness, rash or any visible reaction on the skin. Explains that she is experiencing "soreness" of the arm especially at night when laying on the side or when lifting / carrying something.
Age: 10.0
Sex: F
Vaccine: FLUC4
Symptoms: Dizziness, Fall, Loss of consciousness, Skin laceration
Clinical narrative: Administered the flu shot. The patient stood up, said she felt like she was going to faint, then went to sit down but fell over. She hit her chin against a sign and was slightly bleeding. Gave her water and first aid. She regained consciousness almost immediately. Her parents helped her up and they left.
Age: 77.0
Sex: F
Vaccine: FLUA4
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient came for flu shot 10/8/2020 and reported injection site reaction with it being red and swollen the night that she got the injection. She then went over the weekend (date not specified) to a urgent care and was diagnosed with cellulitis and treated with antibiotics and steroids.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Body temperature increased, Poor quality sleep, Somnolence, Vomiting
Clinical narrative: 01Oct, 10pm--vomiting.  Restless night 02Oct, attended online school, no energy, slept most of the afternoon, ate only dry toast ~3pm.  7pm temp of 99.5.  10pm temp of 99.1, gave 2 tylenol. 03Oct, slept better, ate some breakfast, temp 97.2 @11.30am.   no further issues
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Injection site reaction. Arm swelled and became red.
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Discomfort, Rash
Clinical narrative: Pt recieved flucelvax vaccine. said had rash develope shortly after and spread to arms, legs, face, and other areas of body. Pt said saw dr and gave medication. Pt said rash still spreading. pt said had dr appointment next day. Pt advised to see Dr ASAP. Pt said had no other symptomes other than rash with mild discomfort.
Age: 41.0
Sex: F
Vaccine: FLUR4, VARCEL
Symptoms: Dizziness, Fall, Hypopnoea, Peripheral coldness
Clinical narrative: She fell on the ground minutes after the two vaccinations but did not sustain any fall injuries. She appeared cohorent and conscious throughout. I immediately elevated her lower legs. Her hands felt cold. Her BP was 123/101 and HR 101. She felt dizzy, fainty and experienced shallow breathing. Her husband and her both informed me that she had previous post-vaccination episodes in the past years but did not experience the same with the TDap she received last week. Medics arrived, cleared her and escorted her to her car in 15 minutes.
Age: 71.0
Sex: F
Vaccine: FLUR4, PPV, VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: patient had pain, swollen in arms at the injection sites, no fever, no breathing issues and no mobility issues. pt reported that she was felling better after couple of days
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphonia, Eye irritation, Eye pain, Eye swelling, Ocular hyperaemia
Clinical narrative: Approximately 4 hrs after I got the vaccine, I started having a sore throat. It got worse over the next 30 minutes and then my eyes starting hurting so bad. They were swelling and turning red. Refresh drops did not help. I researched and decided to take 50mg of BENADRYL. I called advice and talked to an MD and then per his advice took a Cetirizine 10mg. Was difficult to see and my voice became very hoarse. No SOB or coughing...slight running nose. No fever. Woke up this morning with severe hoarseness. Eyes felt better but still red and slightly irritated. Now more than 24 hrs, I am still hoarse and eyes ache slightly and vision is blurred. My 44 yr old son had similar symptoms when he got his flu shot the beginning of October. Both of us have Kaiser.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Rhinorrhoea, Vision blurred, Visual impairment
Clinical narrative: Approximately 4 hrs after I got the vaccine, I started having a sore throat. It got worse over the next 30 minutes and then my eyes starting hurting so bad. They were swelling and turning red. Refresh drops did not help. I researched and decided to take 50mg of BENADRYL. I called advice and talked to an MD and then per his advice took a Cetirizine 10mg. Was difficult to see and my voice became very hoarse. No SOB or coughing...slight running nose. No fever. Woke up this morning with severe hoarseness. Eyes felt better but still red and slightly irritated. Now more than 24 hrs, I am still hoarse and eyes ache slightly and vision is blurred. My 44 yr old son had similar symptoms when he got his flu shot the beginning of October. Both of us have Kaiser.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Injection site pain, Pain in extremity, Sleep disorder, Swelling
Clinical narrative: PT STATED THAT ARM BECAME SORE AND RED ABOUT 24 HOURS AFTER INJECTION.  HAD TROUBLE SLEEPING LAST NIGHT BECAUSE OF THE TENDERNESS AROUND INJECTION SITE.  PT STATED SHE HAS APPLIED COLD COMPRESSES AND TAKEN TYLENOL TO HELP WITH THE PAIN/SWELLING.  SHE STATED SHE IS UNABLE TO TAKE IBUPROFEN.  RECOMMENDED APPLYING HYDROCORTISONE OINTMENT AND LIDOCAINE CREAM TO THE INJECTION SITE AND TO TAKE BENADRYL ORALLY AS WELL TO HELP WITH INJECTION SITE REACTION.  PT CAME INTO THE STORE AND I OBSERVED THE INVOLVED AREA AS APPROXIMATELY 4"X6" AND I TRACED THE BORDER WITH A PEN.  MINOR SWELLING, DID NOT FEEL HOT, AND WAS TENDER TO THE TOUCH.  I INFORMED PT TO MONITOR AREA AND TO REPORT WORSENING OR EXPANDING AFFECTED AREA AND TO
Age: 61.0
Sex: M
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Product administered at inappropriate site
Clinical narrative: Pt received flu vax in (L) upper arm, higher than usual, admins. by a co-worker (CRNA) @ flu clinic for OR employees. 0 immed pain but dev. pain @ injection site within a few hours. minimal redness or swelling. He has had pain @ site since then, now (seen 10/12/20) almost 3 days later increased pain with movement of L upper arm. 0 weakness numbness or tingling 0 radiation Rt hand dominate 0 prior prob with any vaccine. (L) arm was fine prior to vaccine administration
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Increased pulse, palpitations, 0 SOB noted 1035A B/P - 179/116 P-128. Slow breathing techniques 1035A B/P - 146/97 P-110 1045A B/P - 138/98 P-105 1050A States feel normal v.s. consistent with her norm. Return to work.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Injection site pain, Injection site swelling, Pain
Clinical narrative: Pt was getting routine flu vaccine given by co-worker: CRNA During injection, administrator noted resistance @ first then vaccine went in quickly and painfully - more than typical flu vaccine. She usually has injections. Site pain for about 4-7 days. but her left upper arm pain has persisted. There was slight swelling @ time. but it did not last long no shock type pain, no radiation of pain to rash of arm. 0 numbness or tingling. Some perceived weakness. ROM intact / strength intact increased pain with movement of upper arm persists
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Pt states sore shoulder. Dr. said vaccine may have been given wrong
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient passed out on her way out of pharmacy after vaccine administration then gained consciousness complaining about feeling dizzy patient was still down and blood pressure checked.
Age: 44.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Arthralgia, Feeling abnormal, Influenza like illness, Pain, Pruritus
Clinical narrative: Patient presented to our office as a claimant for work comp. She describes: "Hives, body aches, puritis, joint pain, brain fog and flu like symptoms."  Received vaccines on 10-9-2020, reports that hours after vaccine, she began to itch, she took 25 mg of Benadryl. 24 hours after vaccine, she recalls a quarter sized hive on left arm. She reports joint pain, " brain fog" and flu like symptoms. 48 hours later, she reports hive was size of silver dollar. On 10-14-2020, physician documented a localized skin reaction to the varicella vaccine.
Age: 44.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Patient presented to our office as a claimant for work comp. She describes: "Hives, body aches, puritis, joint pain, brain fog and flu like symptoms."  Received vaccines on 10-9-2020, reports that hours after vaccine, she began to itch, she took 25 mg of Benadryl. 24 hours after vaccine, she recalls a quarter sized hive on left arm. She reports joint pain, " brain fog" and flu like symptoms. 48 hours later, she reports hive was size of silver dollar. On 10-14-2020, physician documented a localized skin reaction to the varicella vaccine.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: (+) swelling, Redness and pain of left forearm approximately 5 x 5 cm - given Rx for antihistamine and pain (Atarax ; Motrin ); ice pack elevate arm
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Injection site pain, Limb injury, Magnetic resonance imaging abnormal, Surgery
Clinical narrative: I was given A flu vaccine, & once the injection was ADMiniSTERED, I SHRiCKED AS it hurt. I LEFT & THERAFTER PAin Continued. My LEFT SHouldeR AREA HURT & I HAD TO LiMiT THAT ARM Activity. I went TO SEE My DOCTOR, & AFTER Examining ME, HE ORDERED AN MRI WHich confirmed the cause was THE VACCine that was AdMinistered. HE scheduled, AND I HAD surgery MARCH 3, 2020. THEREAFTER, I HAD A RE-EXAM AnD He prescribed physical therapy. I HAD 2 sessions of physical therapy but still hAD pain. I AM starting A THiRD session on 10/22/20 together with medication, MEDROL.
Age: 72.0
Sex: F
Vaccine: FLUX
Symptoms: Vaccination complication
Clinical narrative: I was given A flu vaccine, & once the injection was ADMiniSTERED, I SHRiCKED AS it hurt. I LEFT & THERAFTER PAin Continued. My LEFT SHouldeR AREA HURT & I HAD TO LiMiT THAT ARM Activity. I went TO SEE My DOCTOR, & AFTER Examining ME, HE ORDERED AN MRI WHich confirmed the cause was THE VACCine that was AdMinistered. HE scheduled, AND I HAD surgery MARCH 3, 2020. THEREAFTER, I HAD A RE-EXAM AnD He prescribed physical therapy. I HAD 2 sessions of physical therapy but still hAD pain. I AM starting A THiRD session on 10/22/20 together with medication, MEDROL.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site oedema, Injection site reaction, Injection site urticaria, Pallor
Clinical narrative: 4 hours post injection patient developed x 4-5 blanchable mildly erythematous and edematous irregular - shaped wheals surrounding injection site w/o over lying skin color changes, warmth, or ITP. Rash was pruritic. PO Antihistamine given and sxs resolved.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Rash pruritic
Clinical narrative: 4 hours post injection patient developed x 4-5 blanchable mildly erythematous and edematous irregular - shaped wheals surrounding injection site w/o over lying skin color changes, warmth, or ITP. Rash was pruritic. PO Antihistamine given and sxs resolved.
Age: 68.0
Sex: M
Vaccine: FLUA3, PPV
Symptoms: Chills, Dyskinesia, Pain in extremity
Clinical narrative: patient called and reported having chills and chills causing uncontrollable jerking. Patient also reported extreme arm soreness but pain was controlled by OTC pain reliever.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: HEADACHE HARD, WARM MASS AT INJECTIION SITE PATIENT REPORTS NO FEVER. PATIENT INSTRUCTED TO CONTACT PRIMARY CARE PHYSICIAN.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Asthenia, Dizziness, Eye movement disorder, Feeling abnormal, Heart rate increased
Clinical narrative: AFTER THE PT. GOT HER HPV & MCV IMMUNIZATION AND AS THEY WERE CHECKING OUT, PT' COMPLAINED OF WEAKNESS. SHE TURNED PALE & STARTED FALLING. MOM CAUGHT HER AND LAID HER ON THE FLOOR. HER EYES ROLLED UPWARD AND PASSED OUT. STERNAL RUB WAS DONE BY THE MA AND SHE IMMEDIATELY OPENED HER EYES. THIS LASTED A FEW SECONDS ONLY. WHEN THE DR. GOT THERE, PT. WAS AWAKE, LOOKED DAZED AND PALE BUT SHE WAS COHERENT. DR. ASKED HER IF SHE KNEW WHERE SHE WAS AND THE PT SAID ON THE DR.'S OFFICE. SHE KNEW THE DR. BY HER NAME. OXYGEN SAT WAS 98-99% WITH HR 110-1208. After the px got her HPV and MCV immunization and as they were checking out, px complained of weakness. She turned pale and started falling. Mom caught her and laid her on the floor. Her eyes rolled upward and passed. out. Sternal rub was done by the MA and she immediately opened her eyes. This lasted a few seconds only. When I got there, she was awake, looked dazed and pale but she was coherent. I asked her if she knew where she was and she said she was at the doctor's office. She knew me by my name. Oxygen Sat was 98-98% with HR 110-120s. Legs were elevated as well. After a few minutes we helped her get up and she walked with support going back to the exam room. Oxygen Sats continued to be 98-99% and HR started going down. She laid on the bed for several minutes and her color came back. She started getting better and said she wasn't dizzy or weak anymore. We slowly make her sit and then later stand and walk around. Sats continue to be 98-99% and highest HR when walking was 102. Continued to be coherent. She continued to do well and was acting normal by the time they checked out and left the office.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Loss of consciousness, Pallor
Clinical narrative: AFTER THE PT. GOT HER HPV & MCV IMMUNIZATION AND AS THEY WERE CHECKING OUT, PT' COMPLAINED OF WEAKNESS. SHE TURNED PALE & STARTED FALLING. MOM CAUGHT HER AND LAID HER ON THE FLOOR. HER EYES ROLLED UPWARD AND PASSED OUT. STERNAL RUB WAS DONE BY THE MA AND SHE IMMEDIATELY OPENED HER EYES. THIS LASTED A FEW SECONDS ONLY. WHEN THE DR. GOT THERE, PT. WAS AWAKE, LOOKED DAZED AND PALE BUT SHE WAS COHERENT. DR. ASKED HER IF SHE KNEW WHERE SHE WAS AND THE PT SAID ON THE DR.'S OFFICE. SHE KNEW THE DR. BY HER NAME. OXYGEN SAT WAS 98-99% WITH HR 110-1208. After the px got her HPV and MCV immunization and as they were checking out, px complained of weakness. She turned pale and started falling. Mom caught her and laid her on the floor. Her eyes rolled upward and passed. out. Sternal rub was done by the MA and she immediately opened her eyes. This lasted a few seconds only. When I got there, she was awake, looked dazed and pale but she was coherent. I asked her if she knew where she was and she said she was at the doctor's office. She knew me by my name. Oxygen Sat was 98-98% with HR 110-120s. Legs were elevated as well. After a few minutes we helped her get up and she walked with support going back to the exam room. Oxygen Sats continued to be 98-99% and HR started going down. She laid on the bed for several minutes and her color came back. She started getting better and said she wasn't dizzy or weak anymore. We slowly make her sit and then later stand and walk around. Sats continue to be 98-99% and highest HR when walking was 102. Continued to be coherent. She continued to do well and was acting normal by the time they checked out and left the office.
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Confusional state, Dysarthria, Immediate post-injection reaction, Tremor
Clinical narrative: pt experienced slurred speech, confusion, weakness, trembing directly after immunization; continuing for a hour after, before slowly subsiding
Age: 66.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pt came in to say that left arm still hurt/some limited mobility. Not severe but troubling her. Instructed to speak to PCP at next OV.
Age: 68.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient experienced local redness & itching at site of infection. Patient was seen by urgent care Dr. on 10.12.2020. Was prescribed Doxycycline for cellulitis.
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ
Symptoms: Cough, Dysphonia, Dyspnoea, Hypersensitivity, Sensation of foreign body
Clinical narrative: She started to have a scratchy throat, felt a lump in the throat, hives on the face, SOB, slight cough. Muffled voice, and difficulty talking following. Parents took her to nearby hospital, she was treated for an allergic reaction. Per mom she has never had a reaction to vaccines in the past.
Age: 16.0
Sex: F
Vaccine: FLU4, MENB, MNQ
Symptoms: Throat irritation, Urticaria
Clinical narrative: She started to have a scratchy throat, felt a lump in the throat, hives on the face, SOB, slight cough. Muffled voice, and difficulty talking following. Parents took her to nearby hospital, she was treated for an allergic reaction. Per mom she has never had a reaction to vaccines in the past.
Age: 65.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: L arm - FLu, pain from top of shoulder down to elbow  R arm - Prevnar, moderate pain from top of shoulder down & sharp pain
Age: 84.0
Sex: M
Vaccine: PNC13
Symptoms: Blister, Rash
Clinical narrative: Wife contacted pharmacy stating that her husband had a small rash develop above his left knee about 2 hours after receiving the Prevnar 13 vaccine. The next morning 1 fluid filled vesicle formed in the rash. Rash was not reported as painful for truly bothersome for patient. Wife wanted us to know of reaction and was recommended to contact their PCP if any worsening of rash and to let them know of reaction for documentation purposes and follow-up.
Age: 42.0
Sex: F
Vaccine: HPV9
Symptoms: Burning sensation, Gait inability, Lumbar puncture, Magnetic resonance imaging, Muscle spasms
Clinical narrative: transverse myelitis; Information has been received from Food and Drug Administration (VAERS # 837928) on 25-SEP-2020.  This spontaneous report was received from an adult female patient, who was referring to herself. Her prescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at the time of vaccination included levothyroxine sodium (reported as "Levotiroxine"). She had no allergies to medications, food, or other products. She had no other illnesses at the time of vaccination and up to one month prior. Her chronic or long-standing health conditions included hypothyroidism. She did not have an adverse event following any previous vaccine.  On 24-MAY-2019, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) in the left arm (dose, route of administration, lot # and expiration date were not reported) for prophylaxis.  On 31-MAY-2020, a week after receiving the vaccine, her feet began to cramp. She felt a sensation of tingling and cramping, accompanied by an unbearable burning. She was diagnosed with transverse myelitis caused by the hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9). The treatment was with unspecified steroids, gabapentin, tramadol hydrochloride, pantoprazole, duloxetine hydrochloride. She could not walk. She was using a wheelchair with therapies and on the way with the help of a walker. At the time of reporting, she was going for 5 months in this condition. On an unknown date, the patient was hospitalized for 19 days. Her medical tests and laboratory results related to the event included magnetic resonance imaging (MRI) and "lumbar punsion" on an unknown dates. The event was considered by the reporter as life threatening and was considered as disability or permanent damage. The outcome of myelitis transverse was reported as not recovered.  The reporter considered myelitis transverse to be related to HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9).  As of 13-OCT-2020, all telephone attempts trying to obtain additional information has been unsuccessful.
Age: 42.0
Sex: F
Vaccine: HPV9
Symptoms: Myelitis transverse, Paraesthesia, Walking aid user, Wheelchair user
Clinical narrative: transverse myelitis; Information has been received from Food and Drug Administration (VAERS # 837928) on 25-SEP-2020.  This spontaneous report was received from an adult female patient, who was referring to herself. Her prescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at the time of vaccination included levothyroxine sodium (reported as "Levotiroxine"). She had no allergies to medications, food, or other products. She had no other illnesses at the time of vaccination and up to one month prior. Her chronic or long-standing health conditions included hypothyroidism. She did not have an adverse event following any previous vaccine.  On 24-MAY-2019, the patient was vaccinated with the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) in the left arm (dose, route of administration, lot # and expiration date were not reported) for prophylaxis.  On 31-MAY-2020, a week after receiving the vaccine, her feet began to cramp. She felt a sensation of tingling and cramping, accompanied by an unbearable burning. She was diagnosed with transverse myelitis caused by the hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9). The treatment was with unspecified steroids, gabapentin, tramadol hydrochloride, pantoprazole, duloxetine hydrochloride. She could not walk. She was using a wheelchair with therapies and on the way with the help of a walker. At the time of reporting, she was going for 5 months in this condition. On an unknown date, the patient was hospitalized for 19 days. Her medical tests and laboratory results related to the event included magnetic resonance imaging (MRI) and "lumbar punsion" on an unknown dates. The event was considered by the reporter as life threatening and was considered as disability or permanent damage. The outcome of myelitis transverse was reported as not recovered.  The reporter considered myelitis transverse to be related to HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9).  As of 13-OCT-2020, all telephone attempts trying to obtain additional information has been unsuccessful.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC13, RV5, UNK, UNK, UNK, UNK
Symptoms: Blood test, Lumbar puncture, Meningitis pneumococcal, Pyrexia, Seizure
Clinical narrative: Patient got her vaccines on 9/24/19. She was fine the rest of that day. It was either Wed evening or Thursday she started running a very low fever. I believe it stayed under 100 and Tylenol knocked it out. The doctor told us she could run a low fever due to the shots and that was normal, so we didn't think much of it. Overall her behavior was normal. Over the weekend the low fever was still hanging around getting slightly over 100 on Sunday. I called the doctor Monday morning. They said bring her in at 3pm. By around noon, her fever was higher maybe 102 and she was acting pretty lethargic. We packed her up and took her in then. In the waiting room at the doctors office she had a seizure. They gave her some oxygen and called the ambulance. The ambulance took us to the hospital. Once they got the seizures to stop, she was air lifted to Hospital. She spent 16 days in ICU and then 10 more days in a regular room. Over the first few days she had several more seizures and they kept her sedated. She had an external drain put in her head on 10/3 to help with the pressure. She was never able to handle the pressure of brain fluids on her own after that and had a VP Shunt put in on the 19th. Once the seizures stopped, I think the last seizure was on the 4th, she was woken up. After a few days I noticed she wasn't responding to sound. Her complete loss of hear was confirmed with the ENT two weeks after being discharged. She went home on seizure meds that were weaned off this past May. And a blood thinner shot, due to the small blood clots in her brain caused by "at least 3 Stroke like activity", We gave her the shots twice a day for 3 months after leaving the hospital. She's had follow ups and has been cleared from infectious disease, hematology, and neurology. The infectious and hematology were cleared from about 3 month after leaving the hospital. As for the hearing, she got the cochlear implant on Dec 17. Left ear only as the VP Shut is in the place of where the right side would need to go. She will have follow-ups on the cochlear and VP shunt for life. All of this has caused significant development delays. We see a physical therapist twice a week and a speech therapist once a week. Her Pediatrics Developmental and Behavioral doctor scored her as an 10-11 month old when she was 18 months old. We were told that the extent of brain damage can't be determined until she is older.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC13, RV5, UNK, UNK, UNK, UNK
Symptoms: Brain injury, Cochlea implant, Deafness, Developmental delay, Intensive care
Clinical narrative: Patient got her vaccines on 9/24/19. She was fine the rest of that day. It was either Wed evening or Thursday she started running a very low fever. I believe it stayed under 100 and Tylenol knocked it out. The doctor told us she could run a low fever due to the shots and that was normal, so we didn't think much of it. Overall her behavior was normal. Over the weekend the low fever was still hanging around getting slightly over 100 on Sunday. I called the doctor Monday morning. They said bring her in at 3pm. By around noon, her fever was higher maybe 102 and she was acting pretty lethargic. We packed her up and took her in then. In the waiting room at the doctors office she had a seizure. They gave her some oxygen and called the ambulance. The ambulance took us to the hospital. Once they got the seizures to stop, she was air lifted to Hospital. She spent 16 days in ICU and then 10 more days in a regular room. Over the first few days she had several more seizures and they kept her sedated. She had an external drain put in her head on 10/3 to help with the pressure. She was never able to handle the pressure of brain fluids on her own after that and had a VP Shunt put in on the 19th. Once the seizures stopped, I think the last seizure was on the 4th, she was woken up. After a few days I noticed she wasn't responding to sound. Her complete loss of hear was confirmed with the ENT two weeks after being discharged. She went home on seizure meds that were weaned off this past May. And a blood thinner shot, due to the small blood clots in her brain caused by "at least 3 Stroke like activity", We gave her the shots twice a day for 3 months after leaving the hospital. She's had follow ups and has been cleared from infectious disease, hematology, and neurology. The infectious and hematology were cleared from about 3 month after leaving the hospital. As for the hearing, she got the cochlear implant on Dec 17. Left ear only as the VP Shut is in the place of where the right side would need to go. She will have follow-ups on the cochlear and VP shunt for life. All of this has caused significant development delays. We see a physical therapist twice a week and a speech therapist once a week. Her Pediatrics Developmental and Behavioral doctor scored her as an 10-11 month old when she was 18 months old. We were told that the extent of brain damage can't be determined until she is older.