chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Loss of personal independence in daily activities
Clinical narrative: This spontaneous report as received from a medical assistant refers to a 68-year-old female patient. Her pertinent medical history included osteopenia, migraines, diverticulitis, coronary artery disease, hyperlipidaemia, gastrooesophageal reflux disease, haemorrhoids, chronic back pain, and allergy to clindamycin and amoxicillin. Concomitant therapies included calcium (unspecified), vitamin d (unspecified), acetaminophen (TYLENOL), aspirin (manufacturer unknown), fish oil, hydrochlorothiazide, atenolol, omeprazole (PRILOSEC), valacyclovir hydrochloride, and lysine. On 08-NOV-2017, the patient was vaccinated with PNEUMOVAX 23 (dose and route of administration were not provided; lot # N011867, expiration date: 06-APR-2018) and FLUZONE (batch: UI840AC, expiration date: 06-APR-2018), in two separate injection sites in her left arm. On 08-NOV-2017 and 09-NOV-2017, the patient began to experience pain, redness and swelling at an unspecified injection site. Medical assistant reported, that it was unknown if the PNEUMOVAX 23 injection site or the FLUZONE injection site caused the patient to experience the events at the injection site. On 08-NOV-2017 and 09-NOV-2017, the patient applied ice to the unspecified injection site. On 10-NOV-2017, the patient experienced an increase in pain, redness and swelling from the unspecified injection site down to her left elbow and her left arm was hot to touch. She was unable to perform her normal daily activities on unspecified dates due to the events. On 10-NOV-2017, the patient was seen by her physician and was diagnosed with cellulitis. No laboratory studies were performed. The patient received sulfamethoxazole (+) trimethoprim (BACTRIM) for 10 days for the treatment of the adverse event. At the time of the report, the patient was recovering. The relatedness between the adverse event and PNEUMOVAX 23 and FLUZONE was not provided. Upon internal review, the adverse event of cellulitis was considered to be medically significant.
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Skin warm
Clinical narrative: This spontaneous report as received from a medical assistant refers to a 68-year-old female patient. Her pertinent medical history included osteopenia, migraines, diverticulitis, coronary artery disease, hyperlipidaemia, gastrooesophageal reflux disease, haemorrhoids, chronic back pain, and allergy to clindamycin and amoxicillin. Concomitant therapies included calcium (unspecified), vitamin d (unspecified), acetaminophen (TYLENOL), aspirin (manufacturer unknown), fish oil, hydrochlorothiazide, atenolol, omeprazole (PRILOSEC), valacyclovir hydrochloride, and lysine. On 08-NOV-2017, the patient was vaccinated with PNEUMOVAX 23 (dose and route of administration were not provided; lot # N011867, expiration date: 06-APR-2018) and FLUZONE (batch: UI840AC, expiration date: 06-APR-2018), in two separate injection sites in her left arm. On 08-NOV-2017 and 09-NOV-2017, the patient began to experience pain, redness and swelling at an unspecified injection site. Medical assistant reported, that it was unknown if the PNEUMOVAX 23 injection site or the FLUZONE injection site caused the patient to experience the events at the injection site. On 08-NOV-2017 and 09-NOV-2017, the patient applied ice to the unspecified injection site. On 10-NOV-2017, the patient experienced an increase in pain, redness and swelling from the unspecified injection site down to her left elbow and her left arm was hot to touch. She was unable to perform her normal daily activities on unspecified dates due to the events. On 10-NOV-2017, the patient was seen by her physician and was diagnosed with cellulitis. No laboratory studies were performed. The patient received sulfamethoxazole (+) trimethoprim (BACTRIM) for 10 days for the treatment of the adverse event. At the time of the report, the patient was recovering. The relatedness between the adverse event and PNEUMOVAX 23 and FLUZONE was not provided. Upon internal review, the adverse event of cellulitis was considered to be medically significant.
Sex: U
Vaccine: TTOX
Symptoms: Allergy to vaccine
Clinical narrative: Initial unsolicited report received from health care professional via other company (Pfizer) (Manufacturer Report Number: 2017360783) on 12-Oct-2017. This case involves a female patient (onset age not reported) who was vaccinated with a dose of TETANUS TOXOID (batch number, expiration date, dose, dose in series, route and site of administration were not reported) on an unspecified date. Patient's medical history and concomitant medications were not reported. On an unspecified date, following vaccination the patient experienced allergy to vaccine. Laboratory investigations and corrective treatment were not reported. The outcome of the event was not reported. List of documents held by sender: none.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Disorientation, Feeling hot, Immediate post-injection reaction, Injection site inflammation, Injection site pain
Clinical narrative: Initial unsolicited report received from a consumer on 12-Oct-2017. This case involves 68-year-female patients of unknown age was vaccinated with dose of FLUZONE HIGH-DOSE 0.5 ml via intramuscular route, (batch number, expiry date, dose in series and site of administration were not reported) on 05-Oct-2017. Patient's medical history and concomitant medications were not reported. On 05-Oct-2017, following the vaccination, patient immediately felt a hot sensation at the injection site, the area became inflamed to about a 3 inch circle and 1/4 inch swelling. After 1.5 days the warm feeling moved up her shoulder and into her neck. On an unknown date, the patient's memory became faulty and she was disoriented. Lab data and corrective treatment were unknown. The event outcome was recovered (after 4 days) at the time of reporting. List of documents held by sender: none.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Injection site warmth, Memory impairment
Clinical narrative: Initial unsolicited report received from a consumer on 12-Oct-2017. This case involves 68-year-female patients of unknown age was vaccinated with dose of FLUZONE HIGH-DOSE 0.5 ml via intramuscular route, (batch number, expiry date, dose in series and site of administration were not reported) on 05-Oct-2017. Patient's medical history and concomitant medications were not reported. On 05-Oct-2017, following the vaccination, patient immediately felt a hot sensation at the injection site, the area became inflamed to about a 3 inch circle and 1/4 inch swelling. After 1.5 days the warm feeling moved up her shoulder and into her neck. On an unknown date, the patient's memory became faulty and she was disoriented. Lab data and corrective treatment were unknown. The event outcome was recovered (after 4 days) at the time of reporting. List of documents held by sender: none.
Sex: U
Vaccine: FLU4
Symptoms: Rash generalised
Clinical narrative: Initial unsolicited report received from a health-care professional on 13-Oct-2017. This case involves a patient of unknown demographics who was vaccinated with dose of FLUZONE (batch number, expiry date, dose, dose in series, route and site of administration were not reported) on an unknown date. Patient's medical history and concomitant medications were not reported. On unknown date, following the vaccination, patient experienced full body rash, not hives. Lab data and Corrective treatment were unknown. The event outcome was unknown at the time of reporting. List of documents held by sender: none.
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Neck pain
Clinical narrative: Initial unsolicited report received from a physician on 13-Oct-2017. This case involves female patient of unknown age who was vaccinated with dose of FLUZONE ID batch number: UT5902AA (expiry date, dose, dose in series, route and site of administration were not reported) on an unknown date. Patient's medical history and concomitant medications were not reported. On an unknown date, following the vaccination, patient experienced pain at injection site radiating up arm and into neck, described as having crick in neck. Lab data and corrective treatment were not reported. Event outcome was not reported. List of documents held by sender: none.
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Initial unsolicited report received from a health-care professional on 13-Oct-2017. This case involves male patient (gender not reported) of unknown age who was vaccinated with dose of FLUZONE ID (batch number: UT5902AA, expiry date, dose, dose in series, route and site of administration were not reported) on an unknown date. Patient's medical history and concomitant medications were not reported. On unknown date, following the vaccination, patient experienced radiating pain up arm into neck and swollen red arm. Lab data and corrective treatment were unknown. The event outcome was unknown at the time of reporting. List of documents held by sender: none.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Initial unsolicited report received from a pharmacist on 14-Oct-2017. This case involves a 57-year-old female patient who was vaccinated with a 0.5 ml injection of FLUZONE QIV (batch number: UI866AE, expiry date was unknown), via intramuscular in the left deltoid on 26-Sep-2017. The patient had a medical history of migraines. Concomitant medications included paracetamol (TYLENOL) and ibuprofen (Ibuprophen). On 27-Sep-2017, one day following the vaccination the patient experienced some pain at injection site and later developed L arm stiffness and soreness. Laboratory data was not reported. The patient was recommended to use warm compresses as corrective treatment. The outcome of both the events was unknown. List of documents held by sender: none.
Sex: U
Vaccine: FLU3
Symptoms: Arthralgia, Chills, Insomnia, Musculoskeletal pain, Pain in extremity
Clinical narrative: Initial unsolicited report received from non-healthcare professional on 17-Oct-2017. This case involves a patient of unknown demographics who was vaccinated with a dose of FLUZONE HD (batch number, expiry date, dose, dose in series, route and site of administration were not reported) on 08-Sep-2017. Patient's medical history and concomitant medications were not reported. On an unknown date, four hours later following the vaccination, the patient experienced chills in muscles. On unknown date, following the vaccination pain in wrists, upper arms, shoulders, knees and hips and also reported difficult to sleep. It was reported that It's been 7 weeks now.  Lab data and corrective treatment were not reported. The patient's had not recovered from any of the events, at the time of reporting. List of documents held by sender: none.
Age: 73.0
Sex: F
Vaccine: FLUA3
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: Patient received FLUAD on 11/29 in L deltoid. Patient reports on 11/30 swelling of L deltoid area as well as tenderness to palpation and restriction of movement. No involvement of airway or any other s/sx of IgE mediated reaction. The symptoms are ongoing, it is day one post injection.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Pyrexia, Urticaria
Clinical narrative: Fever started at 830pm on 11/29/2017. Dad noticed patient had hive like rash. Rash appears to have worsened since then. Had another 101 fever this morning 11/30/2017. Rash does not seem to bother patient. Mom gave BENADRYL for hives. Rash occurred 9 hours after getting 4 month vaccines. Concern for possible mild allergic reaction to vaccine contents vs urticarial rash secondary to viral URI.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Patient experienced swelling of the arm (this slowly worsened over the first 24 hours). The swelling eventually included shoulder/upper arm down to the wrist/hand. Patient contacted her physician and he had her come into his office the next day. Patient did not experience any other symptoms besides significant pain and swelling of the right arm. Physician examined patient and believed her symptoms were due to a blood vessel being hit upon injection into the muscle. Physician told patient to take OTC pain reliever of her pain, and told her the swelling would slowly dissipate over time. Patient presented to pharmacy on 11/30/17 (three days post injection) and stated the swelling had significantly subsided. Her arm was still slightly swollen, but her pain and swelling had improved.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: Lemon size rash at injection site.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: No adverse reaction. This is a medication error. Patient is over age 7 so should have received Tdap not Dtap for dose #5.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Cold sweat, Dizziness, Malaise
Clinical narrative: As the patient was leaving the clinic, she complained of feeling unwell and dizzy. She was taken to the exam room. Her pulse was in the 60's but regular. Her BP was normal. She was a little clammy but did not have loss of consciousness.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Dry mouth, Fatigue, Headache, Hyperaesthesia
Clinical narrative: After getting flu shot (unknown), experienced severe body aches, chills, headache, dry mouth, extreme fatigue, skin sensitivity.
Age: 32.0
Sex: F
Vaccine: FLUX
Symptoms: Pain
Clinical narrative: After getting flu shot (unknown), experienced severe body aches, chills, headache, dry mouth, extreme fatigue, skin sensitivity.
Age: 8.0
Sex: F
Vaccine: FLU4, MNQ, PPV, VARCEL
Symptoms: Full blood count, Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: 3 hours after vaccine given, patient developed right arm pain, warmth, and swelling with fever.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Fatigue, Palpitations, Urticaria
Clinical narrative: Hives shortness of breath palpitations and fatigue.
Age: 0.67
Sex: M
Vaccine: DTAPHEPBIP, FLU4
Symptoms: Rash
Clinical narrative: FACIAL RASH 15 MIN AFTER VACCINE WERE GIVEN- FACIAL RASH DISAPPEARED IN LESS THAN 30 MIN.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Enema administration, Intussusception, Irritability, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Intermittent fussiness and large non-bilious emesis starting 3 days after rotavirus vaccination. Seen in ED following day and diagnosed with ileocolic intussusception. Succesfully reduced with retrograde contrast enema.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Body temperature increased, Dizziness, Vomiting
Clinical narrative: Experienced dizziness, temp of 101 and vomiting for two days post immunization. Recommendation of acetaminophen q4-6h or ibuprofen q6-8h, encouraged fluids, and monitor urine output. Instructed to observe for s/s of dehydration and report, can take lozenges, warm tea and honey, rest and plenty of fluids. If s/s worsening or not improving should be seen in the office, or ER for eval.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Pruritus generalised
Clinical narrative: Constant itching all over.
Age: 36.0
Sex: F
Vaccine: DTAP
Symptoms: Insomnia, Middle insomnia, Muscle spasms, Musculoskeletal pain, Pain in extremity
Clinical narrative: Left arm became painful because shot given up "too high." Trapezius muscle spasms, unable to sleep for 2 weeks. No numbness. Lot of pain in the shoulder, wakes patient up at night.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Hot flush, Pruritus, Urticaria
Clinical narrative: Patient began having hives, itching, and hot flashes at 830am. Checked into emergency dept., sent home by manager.
Age: 68.0
Sex: M
Vaccine: FLU3, PNC13, VARZOS
Symptoms: Diplopia, Laboratory test
Clinical narrative: Double vision began 20 minutes after Flu and Pneumo. Had to drive to 2nd location for Zoster vaccine approximately 20 minutes.
Age: 53.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Areflexia, Asthenia, CSF protein increased, Chronic inflammatory demyelinating polyradiculoneuropathy, Electromyogram
Clinical narrative: GBS/CIDP. Profound loss of sensation, motor strength, reflexes 4-5 weeks after flu shot. IVIG/prednisone results in mild improvement. Has permanent weakness.
Age: 53.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Guillain-Barre syndrome, Immunoglobulin therapy, Nuclear magnetic resonance imaging spinal, Sensory loss
Clinical narrative: GBS/CIDP. Profound loss of sensation, motor strength, reflexes 4-5 weeks after flu shot. IVIG/prednisone results in mild improvement. Has permanent weakness.
Age: 11.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Asthenia, Cold sweat, Crying, Dizziness, Headache
Clinical narrative: Within a minute of shot as he walked out of waiting area he became dizzy, weak and complained of severe HA. Did not faint but was clammy and pale. Vital signs stable. Laid down, HA so bad he was crying-MOTRIN given. Monitored for 75 minutes: felt better. Soon 24 hours later still having HA, dizziness, blurred vision (eye test normal).
Age: 11.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Ophthalmological examination normal, Pallor, Vision blurred
Clinical narrative: Within a minute of shot as he walked out of waiting area he became dizzy, weak and complained of severe HA. Did not faint but was clammy and pale. Vital signs stable. Laid down, HA so bad he was crying-MOTRIN given. Monitored for 75 minutes: felt better. Soon 24 hours later still having HA, dizziness, blurred vision (eye test normal).
Age: 85.0
Sex: F
Vaccine: FLUX
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Pain in arm. Unable to raise Lt. arm.
Age: 63.0
Sex: M
Vaccine: FLUX
Symptoms: Dysphagia, Erythema, Headache, Pain in extremity, Swelling face
Clinical narrative: Red face, swollen Rt side face, headache Rt side face, and head, trouble swallowing Lft arm hurt. Lasted 3-5 days. Took allergy tablets, repeatedly 3-4 pill at a time.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Influenza like illness, Injection site pain
Clinical narrative: Patient received immunization on 10/17/17 and had flu like symptoms for 3 days - went away. Now has an achy arm from shoulder to elbow of injection site. No pain. Pt. will get seen by PCP.
Age: 1.08
Sex: M
Vaccine: DTAPIPVHIB, FLU4, HEPA, MMRV, PNC13
Symptoms: Urticaria
Clinical narrative: Hives - severe - all over body. Treatment: hydroxizine BID and BENADRYL. Also set up w/allergist for testing.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus
Clinical narrative: PT first noted itching, erythema around 3:30 or 4pm went to church then took BENADRYL 25mg after church Sx's increased so pt returned to office today She will start fexofenadine 180mg QD and Prednisone 20mg BID for 3 days then one QD for 3 days She will return to the office if any increased Sx's or to the ER if any anaphylaxis Sx's.
Age: 81.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient reported a persistent pain in upper arm ever since FLUZONE Hi Dose was administered on 10/30/17. Patient says dose may have been administered "too high" on arm and is concerned about possible damage to arm/joint.
Age: 7.0
Sex: M
Vaccine: DTAP, FLU4, HEP, HEPA
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: Dtap  given at the age of 7yrs old.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Injected limb mobility decreased, Injection site pain, Pain in extremity, Sleep disorder
Clinical narrative: My left arm was initially sore. Over the course of weeks since the injection the soreness has continued and worsened in the deltoid muscle area, affecting mobility in that arm and interfering with sleeping on my left side.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Employee reported raised area of Left Deltoid, area became swollen and warm then she reported intensified itching without hive development. She took BENADRYL with mild relief, returned to report unrelieved symptoms. Employee was assessed in EOH, and sent to her PCP at clinic and seen given Rx for TAGAMET. Her PCP reported she c/o itching and throat feeling heavy.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Back pain, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Pain when raising arm above head, swelling of arm, pain in back, pain in legs.
Age: 57.0
Sex: F
Vaccine: FLU3
Symptoms: Ear infection bacterial, Influenza, Lower respiratory tract infection bacterial
Clinical narrative: After flu shot patient reported that she did have the flu and now have a bacterial infection in her lungs/ears (confirmed by her doctor). She was treated with antibiotics and cough meds.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Vaccination site swelling
Clinical narrative: Patient said she started experiencing itching at vaccine site on right arm at 7:30 am on 11/28/2017, then by 11/29/2017 she noticed the vaccine site had swollen. She stated that she applied ice and also took ibuprofen, but no improvement in symptoms. I advised patient to take BENADRYL. Advised patient to call her doctor's office to schedule a visit. Patient's primary care physician contacted by phone but unavailable, and no option to leave a voicemail. Will still follow up with patient.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Body temperature increased
Clinical narrative: Mother stated that his temp went up to 103.0, he was only 2 mo. of age when that happened.
Age: 0.25
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Lethargy, Rash
Clinical narrative: Lethargy and slight rash.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Erythema, Myalgia, Nausea, Pain
Clinical narrative: Extreme swelling at least an inch and tenderness and redness in muscle. Very painful to move arm. Shivers and sick to stomach.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Pain in extremity, Swelling
Clinical narrative: Extreme swelling at least an inch and tenderness and redness in muscle. Very painful to move arm. Shivers and sick to stomach.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: Patient said about 3 hours after the shot, her arm felt worse than normal. She waited until about 3:30 am then went to the hospital.
Age: 86.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Wrong drug administered
Clinical narrative: Patient was suppose to receive Zostavax but received Varivax instead. Patient is doing fine no adverse events reported. Patient contacted and informed of error and advised to return to clinic after 28 days to get the Zostavax vaccine as per recommendation of ACIP.
Age: 83.0
Sex: F
Vaccine: FLUA3
Symptoms: Drug administered at inappropriate site, Mobility decreased, Pain, Peripheral swelling, X-ray
Clinical narrative: The pain started to become unbearable that evening. My arm started swelling and also my hand and fingers. The following day I had to be taken to the emergency room.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Extended pain in left arm continuing several weeks after vaccine with limited range of motion. Employee saw orthopedic MD; initial treatment was ibuprofen; 2nd visit steroid injection received.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Pain
Clinical narrative: My upper left arm is very sore. The pain goes down to my elbow. It's a throbbing kind of pain and the injection site is still sore also. It is going on 2 weeks that I've had the injection.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Extended arm pain for over 3 weeks limiting range of motion.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site pruritus
Clinical narrative: REDNESS, ITCHINESS, INFLAMED AT INJECTION SITE AND SPREAD OUTWARDS ON ARM. MD ADVISED ON AND OFF COLD COMPRESSES.
Age: 8.0
Sex: M
Vaccine: MMR
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No symptoms or sign. Extra dose of MMR given to patient per provider order.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Immediate post-injection reaction, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Immediate local reaction around injection site and on cheek w/ urticarial rash, swelling, erythema.  Next day developed more swelling, erythema, induration, pain around injection site. No respiratory distress, facial swelling, or other indicators of anaphylaxis noted.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site reaction, Injection site swelling, Local reaction, Swelling, Urticaria
Clinical narrative: Immediate local reaction around injection site and on cheek w/ urticarial rash, swelling, erythema.  Next day developed more swelling, erythema, induration, pain around injection site. No respiratory distress, facial swelling, or other indicators of anaphylaxis noted.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain
Clinical narrative: Patient reported a persistent pain in upper arm ever since FLUZONE Hi Dose was administered on 10/30/17. Patient says dose may have been administered "too high" on arm and is concerned about possible damage to arm joint.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Apnoea, Electroencephalogram normal, Mechanical ventilation, Nuclear magnetic resonance imaging brain normal, Seizure
Clinical narrative: Patient had status epilepticus following the flu shot. No illness or trauma to explain the seizure. On Respirator due to apnea for 12 hours. Fully recovered.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Status epilepticus
Clinical narrative: Patient had status epilepticus following the flu shot. No illness or trauma to explain the seizure. On Respirator due to apnea for 12 hours. Fully recovered.
Age: 1.75
Sex: F
Vaccine: DTAP, FLU4, HEPA, HIBV, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Client was inadvertently given both varicella and MMRV. No issues within 30 minutes. Mom alerted to keep eye out for increased pain at site, fever, and rash per recommendation from state vaccine consultant.
Age: 17.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Erythema, Pain, Skin warm, Urticaria
Clinical narrative: Red welt, warm to the touch, painful night of injection.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Inflammatory marker increased, Polymyalgia rheumatica
Clinical narrative: Polymalgia rheumatic developed with mild symptoms beginning one week after vaccine and progressed for the next 1-3 weeks after that.
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site discomfort, Joint lock, Mobility decreased, Pain
Clinical narrative: Injection site was left shoulder high and to the back of shoulder. Patient reported discomfort immediately. The next day he complained of severe pain with inability to move/lift his are. He was given a steroid dose pack along with ibuprofen. He had already started Tylenol/Codeine for back pain. Pain diminished within a few days but then resumed once the steroid was discontinued. 11/28 he called to complain of more pain and the feeling of "locking up". He will be seen in the office on 12/1 for exam and to discuss next options.
Age: 78.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Urticaria
Clinical narrative: The patient had redness,itching, and a bump at the injection site with tenderness. After several days she started developing hives on her upper body and upper legs.
Age: 92.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site induration, Injection site mass, Mobility decreased, Pain in extremity
Clinical narrative: Patient states left arm is still sore 5 weeks after receiving her influenza vaccination. She states she has to prop her arm up at night; cannot lift her arm up during the day; and injection site was hard for 1 week after injection and reports that there is still a lump in the area. It was suggested that patient follow up with her Primary Care Prescriber ASAP. She made an appointment for today 11/30/17.
Age: 0.25
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Eye movement disorder, Movement disorder, Pyrexia
Clinical narrative: Shortly after receiving 2 month vaccines, mom reports baby developed left eye intermittent deviation and when not distracted or being held began grabbing mouth with right hand and covering mouth area. Mom also reports tactile fever within the first day of receiving vaccines
Age: 0.25
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Apnoea, Hypotonia, Lethargy, Vaccination complication
Clinical narrative: Infant went to sleep with apnea monitor device in place. Monitor vibrates after 15 seconds and then will alarm if no breaths detected after an additional 15 seconds, totally 30 seconds of no respirations. Monitor alarmed and I ran to get him out of his crib. He was lethargic and limp. Flipped him onto his stomach and vigorously rubbed his back, at which time he responded slowly. Monitor had never gone off prior to this event, and didn't alarm again until after his next round of shots (which will also be reported). The second set of shots caused multiple instances of apnea.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Malaise, Nausea
Clinical narrative: Pt.'s mother reports her daughter became ill "exactly 1 wk after receiving vaccinations." Pt. became ill with "waves of nausea." Periods of nausea occur with meals and with activities. Not noted at any certain specific time - can be morning, evening, etc. Pt. currently still having symptoms of nausea with meals and activities. Pt. taking Cyproheptadine 4mg in evening and ZOFRAN 8mg.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4
Symptoms: Skin infection
Clinical narrative: Local skin infection.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Adenovirus test positive, Affect lability, Autoimmune encephalopathy, Back pain, Chorea
Clinical narrative: Within 30-34 hours of the PNEUMOVAX 23, patient's appetite was virtually gone. He was very irritable and just kept saying "I'm just not hungry." Within the next couple of weeks, we noticed OCD behavior. Within the first month after, he was battling severe nausea almost daily and near syncope and thus he started missing many school days. Also within the next month or so, he had suspected seizure activity, confusion, back pain, leg and foot pain, insomnia, major fatigue, skin flushing (especially on the neck), red eyes, a couple of positive throat swabs for strep (first time in his life he had ever had a throat swab), emotional lability, vocal tics, choreiform movements, POTS symptoms and restrictive eating. His BMI dropped to the 1st percentile and he wasn't able to finish the school year (7th grade). After many months of countless doctor's appointments, two ER visits and a four-day hospital stay searching for answers as what was going on with our son, he was officially diagnosed in with autoimmune encephalopathy in June 2017, six months after the PNEUMOVAX. With treatment (long course antibiotics and many supplements), many of the symptoms have subsided or improved, but life still isn't the same. He is back at school for 8th grade but has missed about half of the school year due to the insomnia, nausea, pain, and frequent infections that remain. He has never missed anything close to this amount of school and was a Gifted and honors student prior to this adverse event. This year, he had to drop his Honors Math class due to frequent absences and he is carrying F's in several classes due to absences and not being able to complete the work.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Confusional state, Coxsackie virus test positive, Decreased appetite, Electroencephalogram abnormal, Fatigue
Clinical narrative: Within 30-34 hours of the PNEUMOVAX 23, patient's appetite was virtually gone. He was very irritable and just kept saying "I'm just not hungry." Within the next couple of weeks, we noticed OCD behavior. Within the first month after, he was battling severe nausea almost daily and near syncope and thus he started missing many school days. Also within the next month or so, he had suspected seizure activity, confusion, back pain, leg and foot pain, insomnia, major fatigue, skin flushing (especially on the neck), red eyes, a couple of positive throat swabs for strep (first time in his life he had ever had a throat swab), emotional lability, vocal tics, choreiform movements, POTS symptoms and restrictive eating. His BMI dropped to the 1st percentile and he wasn't able to finish the school year (7th grade). After many months of countless doctor's appointments, two ER visits and a four-day hospital stay searching for answers as what was going on with our son, he was officially diagnosed in with autoimmune encephalopathy in June 2017, six months after the PNEUMOVAX. With treatment (long course antibiotics and many supplements), many of the symptoms have subsided or improved, but life still isn't the same. He is back at school for 8th grade but has missed about half of the school year due to the insomnia, nausea, pain, and frequent infections that remain. He has never missed anything close to this amount of school and was a Gifted and honors student prior to this adverse event. This year, he had to drop his Honors Math class due to frequent absences and he is carrying F's in several classes due to absences and not being able to complete the work.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Flushing, Infection, Insomnia, Irritability, Loss of personal independence in daily activities
Clinical narrative: Within 30-34 hours of the PNEUMOVAX 23, patient's appetite was virtually gone. He was very irritable and just kept saying "I'm just not hungry." Within the next couple of weeks, we noticed OCD behavior. Within the first month after, he was battling severe nausea almost daily and near syncope and thus he started missing many school days. Also within the next month or so, he had suspected seizure activity, confusion, back pain, leg and foot pain, insomnia, major fatigue, skin flushing (especially on the neck), red eyes, a couple of positive throat swabs for strep (first time in his life he had ever had a throat swab), emotional lability, vocal tics, choreiform movements, POTS symptoms and restrictive eating. His BMI dropped to the 1st percentile and he wasn't able to finish the school year (7th grade). After many months of countless doctor's appointments, two ER visits and a four-day hospital stay searching for answers as what was going on with our son, he was officially diagnosed in with autoimmune encephalopathy in June 2017, six months after the PNEUMOVAX. With treatment (long course antibiotics and many supplements), many of the symptoms have subsided or improved, but life still isn't the same. He is back at school for 8th grade but has missed about half of the school year due to the insomnia, nausea, pain, and frequent infections that remain. He has never missed anything close to this amount of school and was a Gifted and honors student prior to this adverse event. This year, he had to drop his Honors Math class due to frequent absences and he is carrying F's in several classes due to absences and not being able to complete the work.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Obsessive-compulsive disorder, Ocular hyperaemia, Pain, Pain in extremity
Clinical narrative: Within 30-34 hours of the PNEUMOVAX 23, patient's appetite was virtually gone. He was very irritable and just kept saying "I'm just not hungry." Within the next couple of weeks, we noticed OCD behavior. Within the first month after, he was battling severe nausea almost daily and near syncope and thus he started missing many school days. Also within the next month or so, he had suspected seizure activity, confusion, back pain, leg and foot pain, insomnia, major fatigue, skin flushing (especially on the neck), red eyes, a couple of positive throat swabs for strep (first time in his life he had ever had a throat swab), emotional lability, vocal tics, choreiform movements, POTS symptoms and restrictive eating. His BMI dropped to the 1st percentile and he wasn't able to finish the school year (7th grade). After many months of countless doctor's appointments, two ER visits and a four-day hospital stay searching for answers as what was going on with our son, he was officially diagnosed in with autoimmune encephalopathy in June 2017, six months after the PNEUMOVAX. With treatment (long course antibiotics and many supplements), many of the symptoms have subsided or improved, but life still isn't the same. He is back at school for 8th grade but has missed about half of the school year due to the insomnia, nausea, pain, and frequent infections that remain. He has never missed anything close to this amount of school and was a Gifted and honors student prior to this adverse event. This year, he had to drop his Honors Math class due to frequent absences and he is carrying F's in several classes due to absences and not being able to complete the work.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Postural orthostatic tachycardia syndrome, Presyncope, Roseolovirus test positive, Seizure like phenomena, Selective eating disorder
Clinical narrative: Within 30-34 hours of the PNEUMOVAX 23, patient's appetite was virtually gone. He was very irritable and just kept saying "I'm just not hungry." Within the next couple of weeks, we noticed OCD behavior. Within the first month after, he was battling severe nausea almost daily and near syncope and thus he started missing many school days. Also within the next month or so, he had suspected seizure activity, confusion, back pain, leg and foot pain, insomnia, major fatigue, skin flushing (especially on the neck), red eyes, a couple of positive throat swabs for strep (first time in his life he had ever had a throat swab), emotional lability, vocal tics, choreiform movements, POTS symptoms and restrictive eating. His BMI dropped to the 1st percentile and he wasn't able to finish the school year (7th grade). After many months of countless doctor's appointments, two ER visits and a four-day hospital stay searching for answers as what was going on with our son, he was officially diagnosed in with autoimmune encephalopathy in June 2017, six months after the PNEUMOVAX. With treatment (long course antibiotics and many supplements), many of the symptoms have subsided or improved, but life still isn't the same. He is back at school for 8th grade but has missed about half of the school year due to the insomnia, nausea, pain, and frequent infections that remain. He has never missed anything close to this amount of school and was a Gifted and honors student prior to this adverse event. This year, he had to drop his Honors Math class due to frequent absences and he is carrying F's in several classes due to absences and not being able to complete the work.
Age: 12.0
Sex: M
Vaccine: PPV
Symptoms: Streptococcus test positive, Tic
Clinical narrative: Within 30-34 hours of the PNEUMOVAX 23, patient's appetite was virtually gone. He was very irritable and just kept saying "I'm just not hungry." Within the next couple of weeks, we noticed OCD behavior. Within the first month after, he was battling severe nausea almost daily and near syncope and thus he started missing many school days. Also within the next month or so, he had suspected seizure activity, confusion, back pain, leg and foot pain, insomnia, major fatigue, skin flushing (especially on the neck), red eyes, a couple of positive throat swabs for strep (first time in his life he had ever had a throat swab), emotional lability, vocal tics, choreiform movements, POTS symptoms and restrictive eating. His BMI dropped to the 1st percentile and he wasn't able to finish the school year (7th grade). After many months of countless doctor's appointments, two ER visits and a four-day hospital stay searching for answers as what was going on with our son, he was officially diagnosed in with autoimmune encephalopathy in June 2017, six months after the PNEUMOVAX. With treatment (long course antibiotics and many supplements), many of the symptoms have subsided or improved, but life still isn't the same. He is back at school for 8th grade but has missed about half of the school year due to the insomnia, nausea, pain, and frequent infections that remain. He has never missed anything close to this amount of school and was a Gifted and honors student prior to this adverse event. This year, he had to drop his Honors Math class due to frequent absences and he is carrying F's in several classes due to absences and not being able to complete the work.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Pyrexia
Clinical narrative: High fever within 24 hours of administration. Tmax 104 degrees.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient had site reaction of itching right after administration of vaccine and has continued to date. Area of site reaction is approximately 3 inches and is red and slightly swollen. Patient has not tried anything to alleviate itching.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Erythema, Pain in extremity, Skin warm, Urticaria
Clinical narrative: Patient's left arm had a large, warm, red welt with pain the next day after IZZ were given. Came in to clinic to see PA, cold compresses done and given Benadryl, Triamcinolone Acetonide Cream, and Ibuprofen.
Age: 17.0
Sex: F
Vaccine: FLU4
Symptoms: Syringe issue
Clinical narrative: When I depressed the syringe, it did not expel the liquid into her arm, therefore another syringe was taken from the fridge and administered and no further problems.
Age: 84.0
Sex: M
Vaccine: FLU3
Symptoms: Burning sensation, Immediate post-injection reaction, Injection site warmth, Pain in extremity
Clinical narrative: Patient reported immediately noticing a radiating pain down his arm and burning feeling (injection site feels hot). This pain has lasted since the date of the vaccination and has been particularly bothersome and painful at night time.
Age: 16.0
Sex: M
Vaccine: FLU3
Symptoms: Generalised tonic-clonic seizure, Skin discolouration
Clinical narrative: Patient was very nervous and his muscles were very tight as he was receiving the vaccination, about a minute after receiving the vaccine the patient had a grand mal (full body) seizure for about 10 seconds. Patient also had leopard like spots appear on his neck at this time. After the seizure ended the patient was completely fine and did not seem to have any prolonged reaction. A follow up 6 days later confirmed the patient is fine and has not experienced any further side effects.
Age: 71.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Pain
Clinical narrative: 11/24/2017 PATIENT RECEIVED 3 IMMUNIZATIONS BOOSTRIX-LEFT ARM, PNEUMOVAX, FLUZONE HD PF RIGHT ARM. 11/28/2017 PATIENT CALLS PHARMACY COMPLAINING OF PAIN AND REDNESS. INSTRUCTED TO MONITOR AND CALL BACK TOMORROW. 11/29/2017-PATIENT DOES NOT CALL BACK. PHARMACISTS TRIED CONTACTING 2 TIMES..NO ANSWER. 11/30/2018 PATIENT PRESENTS AT 5:15P WITH 3 RXS TO TREAT ADR FROM IMMUNIZATIONS. RXS FOR CEPHALEXIN, NAPROXEN AND TRAMADOL.
Age: 81.0
Sex: M
Vaccine: FLU4
Symptoms: Eyelid ptosis
Clinical narrative: Pt woke up the following morning with a drooping eyelid, like that associated with Bells Palsy. Because the patient has no current health conditions he does not currently see any physician. He felt the condition would improve and after almost 2 months he came back to the pharmacy for advice. I advised the patient that he needs to seek the advice of a medical doctor and I would report to see if there could be any correlation to the vaccine he received.
Age: 44.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: Patient developed itching and rash over several areas of her body. Took CLARITIN at the time of reaction and BENADRYL in the evening. Contacted her physician's office also but was not seen. Spoke with patient in am the next day and rash was resolved except for area around injection site. Patient has had flu vaccines before without any event.
Age: 16.0
Sex: M
Vaccine: HPV4
Symptoms: Headache, Pain
Clinical narrative: Severe body aches, "worst headache ever", pain 10 on scale 1-10. Began mild, increased in intensity over 6 hours with the most intense pain lasting more than 1 hour, administered 800mg ibuprofen generic, 30 minutes later intensity subsided but is not gone.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Muscle twitching
Clinical narrative: Arms and hands twitching for approximately 2 min, was diaphoretic.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Continuous pain on site of injection. Reduced range of motion. Patient's physician has recommended physical therapy.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Musculoskeletal stiffness
Clinical narrative: Pain and stiffness in shoulder joint developed day after injection and has not shown any improvement. No treatment.
Age: 84.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Rash
Clinical narrative: The patient had a rash on his left arm. He went to see the doctor regarding the rash and they gave him a script for KEFLEX to treat cellulitis.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Rash erythematous
Clinical narrative: Within 3 minutes of administering the vaccine into the Right upper arm, mother notified medical assistant that she noted a red rash developing on the patient. Nurse checked on the patient, no swelling, or difficulty breathing noted and patient did not try reaching or scratching at the site. Pediatric Doctor notified, per Doctor patient to be observed for 20 minutes to monitored for reaction. After 20 minute wait time, patient re-checked. No breathing difficulties, swelling or increased fussiness noted. Patient was eating well and significant decrease in rash noted. Mother informed to contact office if any worsening of symptoms and to take to Urgent Care of nearest ER if any swelling, difficulty breathing or change.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Condition aggravated, Eczema, Headache, Injection site mass, Injection site pain
Clinical narrative: Sore arm where vaccine given, swelling, a lump at site. Body aches, headaches. Pt has eczema flare-up, thinks its due to the vaccine. Nausea.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site swelling, Nausea, Pain
Clinical narrative: Sore arm where vaccine given, swelling, a lump at site. Body aches, headaches. Pt has eczema flare-up, thinks its due to the vaccine. Nausea.
Age: 58.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity, Vaccination site discolouration
Clinical narrative: Pt. said she had sore arm started on 11/29/17 and on 11/30/17 has site of vaccination became black and blue (2" x 1 1/2") site. She came to Pharmacy a 8:30PM on 11/2017.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Dizziness, Tuberculin test, Vomiting
Clinical narrative: Patient received an HPV 9, Tdap, MCV4, flu, TB test around 8:30 on 11/28/17. Per Dad, everything was fine until around midnight. Patient got very dizzy/lightheaded and vomiting.
Age: 55.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Erythema, Immediate post-injection reaction, Pruritus, Swelling
Clinical narrative: Employee reports had flu shot on 10/17/17 and immediately after had itch, swelling and redness. Reports this on 10/19/17 was better, but still itching.
Age: 55.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Employee reports had flu shot on 10/17/17 and immediately after had itch, swelling and redness. Reports this on 10/19/17 was better, but still itching.