chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site swelling, Myalgia, Pain in extremity
Clinical narrative: Pt called the pharmacy on 10/13/17 describing a "severe reaction" to one of the vaccines she received the preceding day (10/12/17). She was experiencing intense muscle pain and soreness, inability to raise her arm more than a few inches, and swelling in the deltoid (all in her right arm). I told her the reaction was due to the PNEUMOVAX 23. She had previously received a PNEUMOVAX 23 injection on 1/17/17, and should not have gotten the vaccine again on 10/12/17.
Age: 58.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Limb discomfort, Pain
Clinical narrative: Pain when movement and pressure on arm. Much more intense upon wakening. The pain level has not subsided since onset.
Age: 58.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pain when movement and pressure on arm. Much more intense upon wakening. The pain level has not subsided since onset.
Age: 58.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Limb discomfort, Pain
Clinical narrative: Patient reports a sore arm day after injection and it is 10/14/17 and still experiencing severe pain at injection site. Injection was given on 9/28/17.
Age: 58.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Patient reports a sore arm day after injection and it is 10/14/17 and still experiencing severe pain at injection site. Injection was given on 9/28/17.
Age: 68.0
Sex: F
Vaccine: FLUR3
Symptoms: Injection site vesicles
Clinical narrative: BLISTER CLUSTERS AROUND INJECTION SITE.
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient felt lightheaded and Diaphoretic. I had him sit down. Called 911. They checked his vitals. Pt given water. Patient declined to go to ER. States he always feels that way after any kind of shot given. Released after 10-15 mins.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Extreme arm pain radiating toward elbow.
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site mass, Injection site swelling
Clinical narrative: Patient c/o red lump on arm that goes from elbow up to site of injection. She also had difficulty raising arm on thursday, but it is better now. She said the swelling has gone down but it's still a little red and she can now move her arms.
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Injection site pain, Limb discomfort, Malaise, Myalgia
Clinical narrative: On the afternoon of Wednesday, October 11, 2017, after taking my temperature twice at home, I requested a flu vaccine at my local Pharmacy. I'm in there a great deal and have an excellent rapport with the techs and pharmacists, especially the young lady who administered the vaccines. Let me say right away that I do not fault the pharmacist at all. Certainly not. The injections didn't hurt anymore than in past years and she was excellent in every way possible. I do not believe that my experience is in any way due to her. Because my insurance would cover them, I was given the flu vaccine, a pneumococcal vaccine and Tdap. The pharmacist suggested having two vaccines on one arm and the third in my right arm since I am right dominant. By 10:00 pm that evening I had a massive headache.  I am very prone to MSG headaches and that's exactly what it felt like only I had not consumed anything with MSG in it. When I woke up on Thursday I still had the headache and felt utterly and completely miserable. My body ached badly. I had taken my temperature twice prior to having the vaccines so I knew that I was not actually sick. Throughout the day I felt worse and worse. I felt so bad driving home that I almost had to stop. I ride a motorcycle and the bumps on the road were jostling my joints and it was absolutely excruciating. I have been through kidney stones four times and chemo and radiation and I'm not a complainer. As I type this my arm hurts terribly. It's not only horribly sore in my arm--to the point I cannot lift it--but it extends all the way down my left side and well into my pectoral muscle. I am only marginally improved in the way I feel; however, my arm actually is getting sorer.
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Pain
Clinical narrative: On the afternoon of Wednesday, October 11, 2017, after taking my temperature twice at home, I requested a flu vaccine at my local Pharmacy. I'm in there a great deal and have an excellent rapport with the techs and pharmacists, especially the young lady who administered the vaccines. Let me say right away that I do not fault the pharmacist at all. Certainly not. The injections didn't hurt anymore than in past years and she was excellent in every way possible. I do not believe that my experience is in any way due to her. Because my insurance would cover them, I was given the flu vaccine, a pneumococcal vaccine and Tdap. The pharmacist suggested having two vaccines on one arm and the third in my right arm since I am right dominant. By 10:00 pm that evening I had a massive headache.  I am very prone to MSG headaches and that's exactly what it felt like only I had not consumed anything with MSG in it. When I woke up on Thursday I still had the headache and felt utterly and completely miserable. My body ached badly. I had taken my temperature twice prior to having the vaccines so I knew that I was not actually sick. Throughout the day I felt worse and worse. I felt so bad driving home that I almost had to stop. I ride a motorcycle and the bumps on the road were jostling my joints and it was absolutely excruciating. I have been through kidney stones four times and chemo and radiation and I'm not a complainer. As I type this my arm hurts terribly. It's not only horribly sore in my arm--to the point I cannot lift it--but it extends all the way down my left side and well into my pectoral muscle. I am only marginally improved in the way I feel; however, my arm actually is getting sorer.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Patient reported swelling, itching & redness from the deltoid, down his whole arm that lasted for one week.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Feeling cold, Headache, Influenza
Clinical narrative: High fever 102,5, extreme body ache, extreme headache, painful burning sore throat, extreme fatigue.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Loss of personal independence in daily activities, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: High fever 102,5, extreme body ache, extreme headache, painful burning sore throat, extreme fatigue.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Rash with extreme itching at injection site and the area around.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Erythema, Insomnia, Musculoskeletal pain, Periarthritis
Clinical narrative: Frozen shoulder, severe shoulder pain, redness, chills, insomnia, arm swelling. Pt was in severe pain that they would not wish on anybody for at least 24 hours after the reaction started which was about 6 hours after the shot was given.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Frozen shoulder, severe shoulder pain, redness, chills, insomnia, arm swelling. Pt was in severe pain that they would not wish on anybody for at least 24 hours after the reaction started which was about 6 hours after the shot was given.
Age: 54.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, and pain at injection site. Arm is hard to move.
Age: 11.0
Sex: M
Vaccine: FLU4
Symptoms: Fall, Loss of consciousness, Pallor
Clinical narrative: Patient passed out a few aisles away from the pharmacy and fell to floor. Came back to full alertness quickly, lips lost coloring but regained coloring quickly.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient complained of sore left shoulder beginning on 10/05/2017. I recommended that the patient seek care from his primary care provider on 10/14/17.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Eyelid oedema, Pruritus generalised, Rash erythematous, Rash generalised, Urticaria
Clinical narrative: Red rashes (hives) from scalp to toes and very itchy and was spreading throughout the body. Swelling of the eyelids. Treatment: 25 mg tablet Diphenhydramine, MEDROL (Pak) 4 mg tablets, SINGULAIR 10 mg tablet, shot to stop the itch.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Peripheral swelling, Pruritus
Clinical narrative: Patient reporting swelling, redness, pain, and itching in the arm injection was given. Patient self medicated with Benadryl and Ibuprofen.
Age: 57.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
Clinical narrative: Pt had golf ball size lump at injection site. States it was red and hot.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient presented today at the pharmacy around 11 am with swollen arm and redness at the injection site that was spread below the injection site as well. Patient stated that the arm was feeling warm. I did call her MD office, but her primary care doctor was not in today, but they paged another MD that was covering for her primary care MD. The MD that I spoke suggested for patient to see her or to go to an urgent care. Patient wanted to go to ER. Later on patient come with an antibiotic rx that we filled at the pharmacy.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PT COMPLAINT WITH SORENESS, REDNESS, PAIN, SWELLING AT THE INJECTION SITE; NO FEVER AND CHILLS.
Age: 78.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Injection site swelling, Swelling
Clinical narrative: Patient described his right arm as bright red and swollen from the site of entry all the way down to his chest. I proceeded to tell pt that it was an allergic reaction. Told him to take BENADRYL and contact his Dr for followup.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Limb discomfort, Pain, Pain in extremity, Tenderness
Clinical narrative: Immediately after vaccination it triggered a sharp shooting pain (nerve like pain) that went down her left arm. I contacted patient 1 hr after vaccination now it's tender but still feels heaviness in her arm.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Pt received a PNEUMOVAX 23 vaccine on 10-11-17. On 10-13-17 she came to pharmacy to report that her left shoulder to below elbow was swollen and tender. It felt like it is "bruised". Shoulder more tender than arm.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal discomfort, Diarrhoea
Clinical narrative: Terrible diarrhea started the next day. Lasted about 24 hours. Upset stomach continues although diarrhea has stopped.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Fall, Hypotension, Injury, Loss of consciousness
Clinical narrative: Hypotension/Unconsciousness approx 4min after injection, possibly due to anxiety or fear of needles. Slumped out of chair in waiting area resulting in minor trauma to face/mouth.
Age: 1.33
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Pyrexia, Rash erythematous, Rash generalised, Vaccination complication
Clinical narrative: After two weeks from vaccine, she woke up with 102 fever and a blood red rash all over her body. Gave her BENADRYL for itching and MOTRIN for fever. After two hours of fever not going down, I rushed her to the Dr. They told me she was having a bad reaction to the measles shot. Told me to just "keep her comfortable" and give her MOTRIN. After getting home and eating very little for lunch she laid down for a nap. She slept from 3:00 pm till 8:00 am this morning. I did wake her up to change her diaper and to make her drink some juice. No fever this morning.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Muscle pain in arm of injection not relieved by MOTRIN.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Muscle pain in the arm of injection, limited mobility due pain.
Age: 32.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: Redness, fever, swollen rash encompassing most of the upper left arm.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pain
Clinical narrative: Constant severe pain, stiffness, immobility. Prescribed Diclofenac.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Muscle tightness, Paraesthesia
Clinical narrative: Patient reported tingling in both legs and buttocks, along with some tightness in left calf.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pt received PNEUMOVAX 23 on 10/13/17. Came in today (10/15) to inquire about extreme sore arm and redness radiating around circumference of injection site. Pt took two ibuprofens just prior to coming to pharmacy today.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Dysstasia, Gait disturbance, Mobility decreased, Muscle spasms
Clinical narrative: Severe cramps in left thigh; unable to walk or stand normally; pain restricts bending of leg and interferes with walking and climbing stairs. Problem continues on current date.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Drug administered at inappropriate site, Injected limb mobility decreased, Injection site pain
Clinical narrative: Flu shot was administered too high in my shoulder. I am experiencing chronic shoulder pain & limited range of motion. I am attempting to reduce the discomfort with anti-inflammatory meds (Ibuprofen) and creams (Diclofenac Sodium Topical gel).
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling face
Clinical narrative: Patient had swelling in Jaw area. Pharmacist advised taking BENADRYL and Ibuprofen and patient called back the next day saying it was better but not completely gone.
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Headache, Injection site induration, Injection site pain, Injection site reaction, Malaise
Clinical narrative: 3" long 2" wide red mark where injected, it has turned the area under the red mark rock hard, it burns and is very sore. I've had a slight fever and sore throat. I felt sick and vomited, also have a head ache.
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Oropharyngeal pain, Pyrexia, Vomiting
Clinical narrative: 3" long 2" wide red mark where injected, it has turned the area under the red mark rock hard, it burns and is very sore. I've had a slight fever and sore throat. I felt sick and vomited, also have a head ache.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Immediate post-injection reaction, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Right arm is swollen, bruised, and very painful to move. Hurt immediately but worsened after 2 hours.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: The patient complained of an extremely swollen and red arm that made her call out of work and seek medical attention. She did go to urgent care.
Age: 62.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient had swollen and extremely sore arm. She did seek medical attention.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Injection site erythema, Rash erythematous
Clinical narrative: Patient noticed a raised red rash on the right arm approximately 36 hours after receiving immunizations. She reported that the area was not uncomfortable nor was she having any other allergic-type reactions. She said she put a cold pack on it that night. The FLUZONE injection was given above the PNEUMOVAX injection and the raised, red area is stemming from the site of the PNEUMOVAX. It radiates down and to the inside of the arm. She felt like it was a larger area this morning compared to last night. I instructed her to continue to apply a cold pack and take some a fever reducer. I provided my name and number and instructed her to call me back if it continues to get larger or uncomfortable.
Age: 30.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Pain at injection site and limited mobility.
Age: 60.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Very swollen and sore arm.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Decreased appetite, Headache, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: She was given all of her 3 year old shots except for the flu vaccine. Previously answered: Massive mass at injection site on left thigh. High fever. Eating habits declined rapidly. Mass got massively huge rapidly within that day. Screamed whenever I tried to barely touch it or apply any heat or something cold to it. Her scream was so pitchy sounding as if someone was murdering her. She would not smile for a very long time.
Age: 3.0
Sex: F
Vaccine: MMR
Symptoms: Oropharyngeal pain, Pyrexia, Screaming
Clinical narrative: She was given all of her 3 year old shots except for the flu vaccine. Previously answered: Massive mass at injection site on left thigh. High fever. Eating habits declined rapidly. Mass got massively huge rapidly within that day. Screamed whenever I tried to barely touch it or apply any heat or something cold to it. Her scream was so pitchy sounding as if someone was murdering her. She would not smile for a very long time.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: Rash, swelling to injection site without adenopathy.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Dyspnoea, Pyrexia, Rash
Clinical narrative: Fever, rash, chills, SOB.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dyspnoea, Headache, Pain, Palpitations
Clinical narrative: Severe chills, vomiting, aches, headache, breathing difficulty, heart pounding.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Severe chills, vomiting, aches, headache, breathing difficulty, heart pounding.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Discomfort, Peripheral swelling, Pruritus
Clinical narrative: Patient's right arm, the arm in which they received the FLUZONE HIGH DOSE, experienced swelling and itching. The swelling started at approximately the elbow and extended up to the shoulder joint. Discomfort started a couple hours after injection and continued to worse until late at night the same day. The next day the swelling had started to slightly improve and the itching has decreased. Since the swelling appears to be improving, no further attention appears to be needed.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis, Drug administered at inappropriate site, Immediate post-injection reaction, Loss of personal independence in daily activities, Musculoskeletal pain
Clinical narrative: Acute shoulder and arm pain immediately following shot received on September 19th that never subsided and only worsened with time. Pain hindering mobility, painful to sleep on, hampered ability to complete daily tasks due to the pain that basic normal motions caused since receiving the shot. On 10/11/17 went to urgent care due to the acute pain. Assessment was that the vaccine was injected too high on my shoulder into the bursa creating inflammation of my shoulder bursa. I followed up the next day 10-12-17 with my GP, Dr. and he prescribed physical therapy. I have scheduled an upcoming appointment with an orthopedic specialist on 10/17/17  to fully asses the damage from the flu shot I received.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Acute shoulder and arm pain immediately following shot received on September 19th that never subsided and only worsened with time. Pain hindering mobility, painful to sleep on, hampered ability to complete daily tasks due to the pain that basic normal motions caused since receiving the shot. On 10/11/17 went to urgent care due to the acute pain. Assessment was that the vaccine was injected too high on my shoulder into the bursa creating inflammation of my shoulder bursa. I followed up the next day 10-12-17 with my GP, Dr. and he prescribed physical therapy. I have scheduled an upcoming appointment with an orthopedic specialist on 10/17/17  to fully asses the damage from the flu shot I received.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Local reaction
Clinical narrative: Patient had local injection site reaction. Redness, swelling, and rash about 1 inch lower and interior to injection site. Patient has had similar reaction the last 3 years she has gotten flu shot. Patient had little to no complaints of soreness or pain.
Age: 64.0
Sex: F
Vaccine: DTAP
Symptoms: Asthenia, Body temperature increased, Joint swelling, Malaise, Mobility decreased
Clinical narrative: 9 Oct: afternoon, pain in upper arm, malaise. Took aspirin and nap, 1900--no relief. Took ibuprofen. (NOT hot, swollen, and red that usually follows when I get tetanus shot). Temp 99.1. 10 Oct: upper arm pain pretty debilitating even with ibuprofen. Constant upper arm pain and more pain if I move it. Left work in afternoon because sick with arm pain, malaise, and fever (101.8). Took TYLENOL. 11 Oct: too sick to go to work. Upper arm pain. Shoulder joint swollen. Can't move arm above waist without pain. Today 15 Oct (website said it is going to time out)... still arm shoulder pain, still fever but low grade... still can't move arm above waist.
Age: 64.0
Sex: F
Vaccine: DTAP
Symptoms: Musculoskeletal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: 9 Oct: afternoon, pain in upper arm, malaise. Took aspirin and nap, 1900--no relief. Took ibuprofen. (NOT hot, swollen, and red that usually follows when I get tetanus shot). Temp 99.1. 10 Oct: upper arm pain pretty debilitating even with ibuprofen. Constant upper arm pain and more pain if I move it. Left work in afternoon because sick with arm pain, malaise, and fever (101.8). Took TYLENOL. 11 Oct: too sick to go to work. Upper arm pain. Shoulder joint swollen. Can't move arm above waist without pain. Today 15 Oct (website said it is going to time out)... still arm shoulder pain, still fever but low grade... still can't move arm above waist.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Incorrect route of drug administration, Joint range of motion decreased, Muscular weakness, Pyrexia
Clinical narrative: When Patient originally got the shot on 10/06/17 he had a fever which lasted 2 days and numbness and weakness in his arm, to the point where he could not lift his arm. Some range of motion has returned, but he is not 100% better yet. Patient stated he felt the immunizer went too high on the shoulder. The patient is going to Dr. tomorrow on 10/16/17 to seek medical treatment.
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Vaccination site movement impairment
Clinical narrative: When Patient originally got the shot on 10/06/17 he had a fever which lasted 2 days and numbness and weakness in his arm, to the point where he could not lift his arm. Some range of motion has returned, but he is not 100% better yet. Patient stated he felt the immunizer went too high on the shoulder. The patient is going to Dr. tomorrow on 10/16/17 to seek medical treatment.
Age: 59.0
Sex: F
Vaccine: FLUC4
Symptoms: Dermatitis, Erythema, Pruritus, Rash
Clinical narrative: After receiving vaccine on 09/27/2017, patient noticed severe rash 10 days after on her left arm and on her left leg. She experienced red and itchy skin, with slight inflammation.
Age: 69.0
Sex: F
Vaccine: FLUA3
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Flushing, Injection site inflammation
Clinical narrative: Pt called the pharmacy the next afternoon reporting chills, facial flushing, upset stomach, and diarrhea. The injection site was also inflamed and warm to the touch. She reported that these symptoms started the day after her vaccination. The pharmacist followed up with the patient the next morning (2 days after vaccination) and pt reported that some symptoms had resolved, but she was still experiencing stomach upset and diarrhea. Pt reported receiving flu shots in the past and never having any issues or adverse effects.
Age: 69.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site warmth
Clinical narrative: Pt called the pharmacy the next afternoon reporting chills, facial flushing, upset stomach, and diarrhea. The injection site was also inflamed and warm to the touch. She reported that these symptoms started the day after her vaccination. The pharmacist followed up with the patient the next morning (2 days after vaccination) and pt reported that some symptoms had resolved, but she was still experiencing stomach upset and diarrhea. Pt reported receiving flu shots in the past and never having any issues or adverse effects.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Erythema, Feeling hot
Clinical narrative: Bruising, feeling of heat, redness overlapping bruised area and present in non-bruised area, no systemic sx.
Age: 68.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Patient report that arm was hot and swollen from elbow to shoulder. Reaction started about 3 hours after injection. Patient applied ice and took oral antihistamines. Swelling lasted into next day but was improving by morning. Arm returned to normal by second day.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Back pain, Erythema, Hypokinesia, Peripheral swelling, Skin warm
Clinical narrative: Severe soreness that limited movement for 4 days, swelling and redness extending down to forearm, hot to the touch.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Limb discomfort, Sleep disorder
Clinical narrative: 10-13-17 patient reported redness, slight swelling, warmth on area about the size of a hand on her left arm by injection sight. Counseled patient to use cold compresses, 800mg ibuprofen, topical hydrocortisone cream, oral Benadryl and if area worsened or did not improve to contact us or physician. 10-15-17 patient reported affected area on arm had increased in size to about 1/3 of arm and was experiencing discomfort significant enough to disrupt sleep the previous night. Counseled patient to contact physician and/or urgent care clinic.
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Malaise, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Patient reports day after, soreness in arm, neck pain  fever (although when went to see md-md confirmed no fever), sick. Patient also did come into the pharmacy to pick up an antiviral on 10-15-17 to treat something seen in the walk in-  so what ever they may be treating may be the cause.
Age: 50.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site rash, Injection site vesicles, Pruritus
Clinical narrative: Visiting Care services come to my workplace to administer flu shots on-site. I received a flu shot at my workplace on Thursday, October 5. It itched way more than usual. By about Saturday or Sunday, I noticed raised bumps at the injection site. By the following Tuesday, the bumps were raised, red and blistered. Today, Sunday October 15, the bumps are still red, but not as raised, and there is no blistering.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site vesicles
Clinical narrative: The patient reported developing clear "bubbles" at the injection site the day after vaccination. I saw what looked like a popped blister and some redness when the patient returned to the pharmacy one week after injection.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Patient came in Saturday, 10/14/17 and reported that she had redness, swelling, and tenderness in right arm that may be associated with injection. Indicated that all signs/symptoms had been improving since she received the vaccination.
Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: The next day the patient experienced arm pain. It has persisted until the date reported to the pharmacy (10/15/17).
Age: 56.0
Sex: M
Vaccine: FLUC4
Symptoms: Vaccination site bruising, Vaccination site discolouration, Vaccination site pain, Vaccination site swelling
Clinical narrative: PATIENT STATED THAT THE DAY AFTER THE VACCINATION WAS ADMINISTERED THAT IT WAS EXTREMELY SWOLLEN AND TENDER TO THE TOUCH FOR OVER A WEEK. HE SAID THE SWELLING STARTED GOING DOWN BY THE SECOND DAY AND SEEMED ALL GONE BY THE END OF THE WEEK, BUT IT WAS STILL A LITTLE SORE. THEN ABOUT 3 WEEKS AFTER THE VACCINATION, BRUISING STARTED IN THE AREA THAT WAS DARK PURPLE, YELLOW, AND GREENINSH IN COLORING AND SEEMED TO SPREAD OVER THE ENTIRE DELTOID AREA WHERE VACCINE WAS ADMINISTERED BUT THAT IT DID NOT HURT UNLESS OF COURSE YOU POKED ON THE BRUISE.
Age: 51.0
Sex: F
Vaccine: FLUC4, VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient got shot on 10/5/17. She woke up 10/8/17 with a red area around the injection site. She was told to mark the area and ice. The area decreased until today 10/15/17. It has spread larger beyond the marked area. It is about 4 1/2 inch long and 2 1/2 inch wide red area.(just red no rash). I told her to ice again and get ahold of her doctor.
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Contusion, Rash, Skin warm
Clinical narrative: Patient reports experiencing rash that is described to be hot and sore. Symptoms improved after a few days and now the rash looks like a bruise. Patient reports no difficulty breathing.
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Insomnia, Nodule, Skin warm, Tenderness
Clinical narrative: PATIENT STATED THAT HE DEVELOPED A HUGE KNOT WITH WARMTH AND REDNESS BY BEDTIME THE DAY OF THE VACCINATION. HE SAID THE REDNESS EXTENDED DOWN THE ARM AND INTO HIS BICEP AND WAS VERY SORE TO THE TOUCH, SO MUCH SO THAT HE HAD DIFFICULTY SLEEPING FOR ALMOST A WEEK.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Anal incontinence, Hypotonia
Clinical narrative: Patient has loss of muscle control in limbs and loss of bowels temporarily.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Insomnia, Nodule, Pain, Skin warm
Clinical narrative: PATIENT STATED THAT BY BEDTIME ON THE DAY OF THE VACCINATION A HUGE KNOT FORMED WITH WARMTH AND REDNESS EXTENDING DOWN INTO HER BICEP AND WRAPPING AROUND HER ARM TO HER TRICEP. SHE SAID IT WAS EXTREMELY SORE TO THE TOUCH AND KEPT HER FROM BEING ABLE TO SLEEP FOR ALMOST A WEEK FROM THE PAIN.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness
Clinical narrative: PATIENT STATED THAT BY BEDTIME ON THE DAY OF THE VACCINATION A HUGE KNOT FORMED WITH WARMTH AND REDNESS EXTENDING DOWN INTO HER BICEP AND WRAPPING AROUND HER ARM TO HER TRICEP. SHE SAID IT WAS EXTREMELY SORE TO THE TOUCH AND KEPT HER FROM BEING ABLE TO SLEEP FOR ALMOST A WEEK FROM THE PAIN.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Patient had extreme redness and some swelling on the bottom half of arm between injection site and elbow. Her fever declined after 2 days but the redness and swelling occurred all over bottom of arm above the elbow. She said it wasn't itchy but a little painful. She did receive the PNEUMOVAX vaccine at the same time in the same arm.
Age: 74.0
Sex: F
Vaccine: FLUA3
Symptoms: Arthralgia
Clinical narrative: Patient feels achy in "every joint".
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Pain, Pain in extremity, Weight bearing difficulty
Clinical narrative: Patient described chills and achiness, as well as, right legs soreness and pain. Enough pain that the patient had to stay off the leg. The leg pain had been occurring since the vaccine was given the other symptoms subsided. The patient did indicate there was a previous injury to this leg years ago.
Age: 5.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Syncope
Clinical narrative: PATIENT EXPERIENCE LIGHTHEADEDNESS, AND FAINTED.
Age: 77.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site bruising, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT STATED THAT THE AREA OF THE INJECTION WAS VERY SWOLLEN AND HOT TO THE TOUCH THE DAY AFTER THE VACCINATION. THE AREA REMAINED SWOLLEN FOR ABOUT THREE DAYS AND AFTER THE SWELLING WENT DOWN, A HUGE BLACK AND BLUE BRUISE FORMED ON HER ARM ABOUT THE SIZE OF A BASEBALL.
Age: 54.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: She made us aware of the adverse effect on 10/14/17. The shot was given on 10/4/17. She said she woke up the day after (10/5/17) with her arm hurting and it was turning red. She had pictures on her cell phone of it. The whole back of her upper arm was very red, swollen. She said it hurt so bad she couldn't even touch it. She said she did not go to the ER, but did go to her regular doctor 2 days later. She did receive both PNEUMOVAX 23 and flu shot at the same time in the same arm. It was the first pneumo shot she said she ever had. She gets the flu shot every year and has for a long time and said she never has had a reaction to it...which means it was most likely the PNEUMOVAX that made her arm hurt and swell. She showed me arm on 10/14/17 and it looked to be much better. There was a very slight redness in one area but it did not look swollen. She said it felt a lot better but could still feel a little soreness.
Age: 39.0
Sex: F
Vaccine: FLU4, PPV, TDAP
Symptoms: Hot flush, Injection site erythema, Injection site warmth, Pain
Clinical narrative: REDNESS AND HEAT AROUND INJECTION SITES, BODY ACHES, HOT FLASHES.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site rash, Pain in extremity, Rash erythematous
Clinical narrative: Patient complained of red rash wrapping around administration area on the arm and down the arm to the forearm and up the arm past the shoulder. Patient states after 4 days the pain and redness is beginning to dissipate.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Erythema, Inflammation, Pyrexia, Vaccination complication
Clinical narrative: Patient experienced chills and fever. Rednees on the same arm but not near the injection site . inflammation almost the size of a baseball.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Neuralgia
Clinical narrative: Patient stated that he had nerve pain from neck thru arms down to fingers. Patient has called pharmacy 10/13/2017 and stated that he had called pharmacy 3-4 days after the vaccination stated of nerve pain in arm and was advised to place ice on it.
Age: 60.0
Sex: M
Vaccine: FLU3, HEPA
Symptoms: Eye movement disorder, Mydriasis, Posture abnormal, Syncope, Tremor
Clinical narrative: Patient appeared to be fainting, eyes rolled partially upwards, both hands were trembling for less than 10 seconds, and slumped in the chair. Wife noted dilated pupils and suggested it was a seizure(?); patient has had episodes of "syncope" before in the 1980s. Patient was guided to lie down on the ground and lift his legs up on the chair. He appeared fully conscious and aware of himself and surroundings-- no difficulty breathing or swallowing.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: The patient had swelling, redness, and a warming sensation in her left arm later that night after receiving the vaccinations. The symptoms were localized around the bicep area of her left arm and not around the deltoid where the vaccines were administered. She had a severely reduced range of motion in her left arm the first 24 hours. She described the pain as if her arm had been run over by a car. When she came in on 10/15/17 to the pharmacy the symptoms were slowly going away, but there was some redness and swelling on her left bicep still. Her range of motion had started coming back as well.
Age: 65.0
Sex: M
Vaccine: FLUA3
Symptoms: Burning sensation, Hypertension, Hypoaesthesia, Musculoskeletal pain, Paraesthesia
Clinical narrative: Symptoms started 1-2 days after vaccination in the evening. Pain in right shoulder and rash, sores that healed only two weeks ago. Shoulder is still sore with pins and needles sensation, also says burning sensation. Numbness on the right side of neck and face. Patient tried neck exercises and ibuprofen starting 2 days after vaccination. Went to see Dr. and was given shot of toradol and cyclobenzaprine.  Went back a second time due to lack of response to cyclobenzaprine and was given another muscle relaxant (unknown). Has had high blood pressure for 1 month. Received a referral for physical therapy.
Age: 65.0
Sex: M
Vaccine: FLUA3
Symptoms: Rash, Skin lesion
Clinical narrative: Symptoms started 1-2 days after vaccination in the evening. Pain in right shoulder and rash, sores that healed only two weeks ago. Shoulder is still sore with pins and needles sensation, also says burning sensation. Numbness on the right side of neck and face. Patient tried neck exercises and ibuprofen starting 2 days after vaccination. Went to see Dr. and was given shot of toradol and cyclobenzaprine.  Went back a second time due to lack of response to cyclobenzaprine and was given another muscle relaxant (unknown). Has had high blood pressure for 1 month. Received a referral for physical therapy.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Headache, Influenza like illness, Malaise, Pain in extremity
Clinical narrative: Extreme arm pain; bad headache; general malaise weak feeling similar to how feel early stage flu.
Age: 41.0
Sex: M
Vaccine: HEPAB
Symptoms: Blood glucose normal, Cold sweat, Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: Moments after receiving vaccination in the pharmacy, patient collapsed in the pharmacy waiting area and was unconscious for about 2-3 minutes. EMS was called for and arrived about 5 minutes after patient fell. He was very diaphoretic and clammy. According to EMS glucose, blood pressure, and heart rate were all normal. He declined to go to hospital for evaluation and remained in the pharmacy for about 20 minutes after EMS left to regain his strength. His wife was with him at the time.
Age: 41.0
Sex: M
Vaccine: HEPAB
Symptoms: Syncope
Clinical narrative: Moments after receiving vaccination in the pharmacy, patient collapsed in the pharmacy waiting area and was unconscious for about 2-3 minutes. EMS was called for and arrived about 5 minutes after patient fell. He was very diaphoretic and clammy. According to EMS glucose, blood pressure, and heart rate were all normal. He declined to go to hospital for evaluation and remained in the pharmacy for about 20 minutes after EMS left to regain his strength. His wife was with him at the time.
Age: 61.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient came into the pharmacy on 10/14/17 to report soreness, redness, itching & slight swelling at the site of injections. She was instructed to apply cold compress to the site for ~15minutes and may take (otc) acetaminophen or ibuprofen for pain and (otc) benadryl for itching. She was to contact the pharmacy if s/s worsen or seek medical care immediately. She informed me that the icing, benadryl, & ibuprofen did help and that soreness, itching & swelling are gone except for slight redness remained.
Age: 66.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Cyst, Cyst removal, Pain in extremity, Scar
Clinical narrative: On 9/30/17 patient received two vaccines: FLUZONE HD in her right arm and PREVNAR 13 in her left arm. Patient is a regular of ours and hasn't complained of arm pain. When RPh went to give her flu shot on 10/10/17 patient stated that she was having pain in her right arm (where she received the FLUZONE HD last year). She stated that she has been having pain in that arm since last year when she got the flu shot. Pharmacist noticed that she had a stitches scar in the area she was stating she had pain and she said within the last year she had surgery to have a cyst removed from there. So perhaps the pain was caused from the cyst and the surgery. Pharmacist recommended her to follow up with her PCP about the pain. I tried to call the patient to get the information from her but there was no answer on both 10/11/17 or 10/12/17 on either house or cell phone. As far as I know from pharmacist, she has not gone to the doctor in regards to this.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Severe pain in my right arm if I moved it at all. The pain started 6 hours after I received the injection. I put an ice pack on my arm that evening and during the night to get some relief. The next morning I had a red spot the size of an orange. I had a fever and my arm was hot to touch. I was still in pain but not as severe as the night before. I called the doctor's office. When I first called my doctor's office, the nurse told me everything I told her was normal. She said she would talk to the doctor. When the nurse finally got back to me, I was told to rub the area because the medicine hadn't been absorbed and then put heat on it. I did this. The red then started covering my entire arm and extended down to my elbow. I was still in pain. I had a physical therapy appointment on Thursday afternoon for the rotator cuff tear in my left shoulder. I couldn't do very many exercises because I couldn't move my left arm. When the therapist saw how red and hot my right arm was and that my doctor's office wasn't concerned, she was upset. She told me I really needed to call. I called the office as soon as I left. My doctor isn't in on Thursday afternoon and his nurses were gone. The office said there was no one else who could see me. I called the nurse help line offered through my insurance. She was very concerned and thought I might have cellulitis. She told me to go to a prompt care immediately. The nurse practitioner at the prompt care said it was not cellulitis. She did not think I reacted to the serum but something in the shot. She told me to continue heat. I did this but by Friday night my arm was very red and sore. I started to apply ice again and the red started to go away. The pain and soreness finally left in a week. I still have a discoloring the size of an orange where the original red spot was. My dermatologist thinks it may be a reaction from adhesive from the ice pack.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Nasal congestion, Nasal mucosal discolouration, Pallor, Speech disorder
Clinical narrative: I do NOT KNOW what type of FLU vaccine was given to my daughter please contact the dr's office for this information. My daughter woke up early in the morning relaying her throat was bothering her and she could not speak well. She was able to breath well however her throat was a little red. The next day she vomited at least three times and said she felt hot she was pale and complained her throat was bothering her. She blew her nose and a tinge of blood came out a few times and mucus color ranged from clear to slight yellowish/ light brown. The 3rd day she spit up liquids twice, complained of still having discomfort in her throat and stuffy nose throat bothering her so I brought her to the walk in urgent care center the dr. told us it was viral and most likely an adverse reaction to the flu vaccine.
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Throat irritation, Vaccination complication, Viral infection, Vomiting
Clinical narrative: I do NOT KNOW what type of FLU vaccine was given to my daughter please contact the dr's office for this information. My daughter woke up early in the morning relaying her throat was bothering her and she could not speak well. She was able to breath well however her throat was a little red. The next day she vomited at least three times and said she felt hot she was pale and complained her throat was bothering her. She blew her nose and a tinge of blood came out a few times and mucus color ranged from clear to slight yellowish/ light brown. The 3rd day she spit up liquids twice, complained of still having discomfort in her throat and stuffy nose throat bothering her so I brought her to the walk in urgent care center the dr. told us it was viral and most likely an adverse reaction to the flu vaccine.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Rash papular, Tenderness
Clinical narrative: Patient developed a rash distal to the injection site - with erythematous small raised patches and papules that were burning and very tender this rash then spread to other parts of his body over a month's time.
Age: 23.0
Sex: F
Vaccine: FLUC4
Symptoms: Grip strength decreased, Injection site pain, Paraesthesia
Clinical narrative: Pt states tingling in hand, difficulty holding object and soreness at injection site and site of injection.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Swollen arm, red, painful. Started evening of shot.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site inflammation
Clinical narrative: Arm from injection site down was inflamed and extremely red. Never checked fever, but had chills. This lasted almost 3.5 days -A knot the size of half of lemon present.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Cough, Diarrhoea, Pain
Clinical narrative: Cough, body pain, chill, diarrhea up to ten times/day.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Swelling at site. Painful at site and site is hot.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Injection site was red and the size of a quarter. The redness continues to enlarge from the size of a quarter to the size of a plum, the size of an apple and now the size of a grapefruit. Site is puffy and warm.
Age: 19.0
Sex: F
Vaccine: HEPA
Symptoms: Feeling abnormal, Syncope
Clinical narrative: Patient was given hepatitis A vaccine and after a couple of minutes whilst in conversation she collapsed in her seat to the floor. Call to 911 was made. Patient in this time gained consciousness and was a little dazed as to what happened. It seems she had a vasovagal syncope reaction. She later stated she has experienced such event in the past when stressed.
Age: 20.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Injection site reaction, Serum sickness
Clinical narrative: Patient received vaccine 8/11/17. 8/14/17 first report of skin reaction per MD note, cellulitis vs skin rxn. MD started BACTRIM DS 8/15/17. 8/16/17 report that patient's skin reaction responding well to BACTRIM. 8/21/17 BACTRIM dc'd skin reaction resolved.
Age: 20.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Cellulitis, Skin reaction
Clinical narrative: Patient received vaccine 8/11/17. 8/14/17 first report of skin reaction per MD note, cellulitis vs skin rxn. MD started BACTRIM DS 8/15/17. 8/16/17 report that patient's skin reaction responding well to BACTRIM. 8/21/17 BACTRIM dc'd skin reaction resolved.