chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: YF
Symptoms: Cough, Dyspnoea, Pleural rub, Pneumonia, Wheezing
Clinical narrative: Patient notified us today she was diagnosed with pneumonia 8/8/19.  Reports she was having increased respiratory difficulties requiring rescue inhaler daily beginning 8/1/19.  Sought medical help with the physician at her employee health 8/8/19.  States she was diagnosed with pneumonia based on physicians' auscultation, with a rub & wheezing audible - no CXR performed.  She was prescribed a prednisone dose pack x6 days & an antibiotic x5 days.  Reports to be much better now, but does still have a lingering non-productive cough.  She states she did not have an elevated temperature at any time.  Patient was also prescribed Typhoid oral at the time of her visit 6/29/19, which she states was taken 2 weeks later.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Blood glucose normal, Computerised tomogram head, Feeling cold, Headache, Musculoskeletal stiffness
Clinical narrative: Patient presented today for her 2nd dose of menveo and her first dose of bexsero. Patient received Bexsero in the right deltoid and tolerated well. Patient then received menveo in the left deltoid and after injecting the immunization patients eyes dialated and patients arms stiffened up, mother yelled at patient and both her and I laid the patient back on the bed, patient was non responsive to our voices for 45 seconds to 1 minute. I called for help and staff brought some water and Dr.  walked into the room and ordered to take the patients blood pressure and she felt her pulse, patients blood pressure was 122/66. Patient stated that she was okay but her head hurt. Dr.  stated to let the patient rest for 10 minutes and recheck her vitals, at this point her mom went to get the patient something to eat we checked patients blood sugar and it was 112. Patient continued to lay down and rest while mother went to get her food, while monitoring the patient she stated she felt that her head hurt pretty badly. We took the 2nd set of vitals for the patient and her BP was 106/64 her temp was 97.8 her O2 was 98% and her pulse was 57. Mother came back and wanted patient to eat some blueberries but after eating a few the patient stated that it made her nauseous. Dr. advised for the patient to lay there with her legs elevated for 15 more minutes. Patient soon after complained that she was cold so I put 2 sheets and a patient gown over her to warm her up, again the patient stated her head pain was getting worse on a pain scale it would be an 8, I told mother that I would speak with Dr. about her headache. Dr. stated that patients chilliness is a reaction to the injection. Dr. then went into the room to speak with the patients mother. I then went back into the room to take another set of vitals her BP was 110/64 temp was 97.9 O2 was 98% and her pulse was 58. Patient stated at this time her head would still be an 8 on the pain scale. Patient was given 20ml of mapap acetaminophen liquid. She laid there for 25 more min and Dr. went in one last time to check on the patient. Dr. released patient and advised her to come in for a nurse visit on Friday however patients mother asked if it could be moved to Thursday between 2-3 Dr. advised that was okay and also to order a CBC, CMP, and a CK for the patient to have done tomorrow before the nurse visit. Patient and mother both verbalized good understanding and stated they would be here tomorrow between 2 and 3.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Mydriasis, Nausea, Unresponsive to stimuli
Clinical narrative: Patient presented today for her 2nd dose of menveo and her first dose of bexsero. Patient received Bexsero in the right deltoid and tolerated well. Patient then received menveo in the left deltoid and after injecting the immunization patients eyes dialated and patients arms stiffened up, mother yelled at patient and both her and I laid the patient back on the bed, patient was non responsive to our voices for 45 seconds to 1 minute. I called for help and staff brought some water and Dr.  walked into the room and ordered to take the patients blood pressure and she felt her pulse, patients blood pressure was 122/66. Patient stated that she was okay but her head hurt. Dr.  stated to let the patient rest for 10 minutes and recheck her vitals, at this point her mom went to get the patient something to eat we checked patients blood sugar and it was 112. Patient continued to lay down and rest while mother went to get her food, while monitoring the patient she stated she felt that her head hurt pretty badly. We took the 2nd set of vitals for the patient and her BP was 106/64 her temp was 97.8 her O2 was 98% and her pulse was 57. Mother came back and wanted patient to eat some blueberries but after eating a few the patient stated that it made her nauseous. Dr. advised for the patient to lay there with her legs elevated for 15 more minutes. Patient soon after complained that she was cold so I put 2 sheets and a patient gown over her to warm her up, again the patient stated her head pain was getting worse on a pain scale it would be an 8, I told mother that I would speak with Dr. about her headache. Dr. stated that patients chilliness is a reaction to the injection. Dr. then went into the room to speak with the patients mother. I then went back into the room to take another set of vitals her BP was 110/64 temp was 97.9 O2 was 98% and her pulse was 58. Patient stated at this time her head would still be an 8 on the pain scale. Patient was given 20ml of mapap acetaminophen liquid. She laid there for 25 more min and Dr. went in one last time to check on the patient. Dr. released patient and advised her to come in for a nurse visit on Friday however patients mother asked if it could be moved to Thursday between 2-3 Dr. advised that was okay and also to order a CBC, CMP, and a CK for the patient to have done tomorrow before the nurse visit. Patient and mother both verbalized good understanding and stated they would be here tomorrow between 2 and 3.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Electromyogram, Muscular weakness, Musculoskeletal pain, Neuralgia, Nuclear magnetic resonance imaging
Clinical narrative: Extreme pain across  right shoulder, under shoulder blade and weakness- right arm and hand.  Symptoms increased until diagnosed and given Neurontin for nerve pain. Over 2. months, pain decreased and weakness resolved in 4 months.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Insomnia, Paraesthesia
Clinical narrative: Patient reported the feeling of needles in ankle and thigh. She has had shingles in the past and the sensation was similar. She also reports feeling very sleepless, only sleeping for about ~6 hours a night. Symptoms resolved after two days.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site swelling
Clinical narrative: Pt gotten a bump around injection site. Pt gotten injected Ceftriaxone 400mg  in office today around 2:37pm.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Headache, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities
Clinical narrative: Patient cut tip of finger the night before.   Felt sore at time of vaccination.  Next morning was extremely sore and could not move arm.  It got worse for 1 to 2 days and then it still as bad.   Unable to make certain movements with arm like close door or get dressed.  Patient had headache for about 2 weeks. Had 2 days of nausea, which stopped and chills for about 1 week.    Patient took Tylenol; it helped some but as soon as it wore off the pain was back. Also used cold/hot compresses but did not help much. Patient called doctor but they did not ask her to come in.  The other symptoms have cleared up but the shoulder pain/movement is as bad as the 2nd dayat 0% recovery.
Age: 63.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Pain
Clinical narrative: Patient cut tip of finger the night before.   Felt sore at time of vaccination.  Next morning was extremely sore and could not move arm.  It got worse for 1 to 2 days and then it still as bad.   Unable to make certain movements with arm like close door or get dressed.  Patient had headache for about 2 weeks. Had 2 days of nausea, which stopped and chills for about 1 week.    Patient took Tylenol; it helped some but as soon as it wore off the pain was back. Also used cold/hot compresses but did not help much. Patient called doctor but they did not ask her to come in.  The other symptoms have cleared up but the shoulder pain/movement is as bad as the 2nd dayat 0% recovery.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Injection site rash, Skin warm
Clinical narrative: 3 inch diameter rash around injection site, red, warm, afebrile
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Consciousness fluctuating, Dizziness, Fall, Head injury, Headache
Clinical narrative: pt has a syncopal episode within 30 seconds. patient was sitting, went limp and fell forward off exam table onto floor hitting back of head on tile. provider was able to wake her up immediately,  but  pt continued to feel dizzy and was passing in and out of consciousness, c/o head pain from fall. After 15-20 minutes patient tried to walk again, but almost fainted again. 911 called and patient brought to ER by ambulance for further evaluation.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Hypotonia, Presyncope, Syncope
Clinical narrative: pt has a syncopal episode within 30 seconds. patient was sitting, went limp and fell forward off exam table onto floor hitting back of head on tile. provider was able to wake her up immediately,  but  pt continued to feel dizzy and was passing in and out of consciousness, c/o head pain from fall. After 15-20 minutes patient tried to walk again, but almost fainted again. 911 called and patient brought to ER by ambulance for further evaluation.
Age: 86.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: 86 y/o F Presented to immunizations clinic for routine vaccination check-up.  Patient was inquiring about her immunization record being up to date. Pt showed due for PCV13. Administrator miss took vaccination name and accidently administered PPSV23. Pt stated that that same night she began to has sx of severe arm pain with increased swelling, redness and very warm to the touch. Pt describes swelling and redness around 6in long and wide. Pt had not taken any Rx to help with pain or swelling. Stated sx were worse the following day except for the pain. Pt has no additional sx, such as headaches, chest pain, difficulty breathing,  blurred vision or seizures. Patient was advised to treat w/ cold compress and take pain relief meds prn. Also informed pt to go to ER/seek medical attention if sx worsen or there is no relief by 16 Aug 2019. Pt acknowledged and had no further concerns.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Headache, Pain, Pain in extremity
Clinical narrative: Fever. Aches, chills, headache, very sore arm and redness
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever. Aches, chills, headache, very sore arm and redness
Age: 16.0
Sex: M
Vaccine: HPV9
Symptoms: Loss of consciousness
Clinical narrative: PATIENT PASSED OUT AFTER ADMINISTRATION OF HPV VACCINE
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Allergy to vaccine, Urticaria
Clinical narrative: Patient recieved Shingrix vaccine on 8/4/2019 and reported having hives 3 days after vaccine (8/7/2019). Patient had hives resolved after applying essential oils to them. As of 8/15/2019, patient has no distress or any issues from the vaccine. Vaccine was added to patients allergy list.
Age: 63.0
Sex: F
Vaccine: FLU3, HEPA
Symptoms: Pain, Pyrexia
Clinical narrative: body aches and 100.3 F FEVER  I ADVISED THE PATIENT TO TAKE TYLENOL ALTERNATING WITH ADVIL  ALSO THE PATIENT PRIMARY ADVISE THE PATIENT TO TAKE ADVIL AND TYLENOL ALTERNATIVELY
Age: 70.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site rash, Injection site warmth, Pruritus
Clinical narrative: rash and heat radiating from injection site starting 3 days after immunization (8/11/19). Very itchy
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Urticaria
Clinical narrative: urticarial lesions that started shortley after injection, improved with Benadryl, recurred/persisted for few days
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Decreased appetite, Enema administration, Intussusception, Irritability, Surgery
Clinical narrative: Patient received vaccines on the morning of 8/5/2019 around 9:38. Patient tolerated injections and oral vaccine well. Patients called on call nurse for clinic around 6:45 pm stating that baby had become very fussy, not eating, and vomiting. Mother was advised to take patient to ER. Upon arrival at Peds ER baby was diagnosed with intussusception.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Vomiting
Clinical narrative: Patient received vaccines on the morning of 8/5/2019 around 9:38. Patient tolerated injections and oral vaccine well. Patients called on call nurse for clinic around 6:45 pm stating that baby had become very fussy, not eating, and vomiting. Mother was advised to take patient to ER. Upon arrival at Peds ER baby was diagnosed with intussusception.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Rash generalised
Clinical narrative: pt had rash from head to lower extemities and a headache.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Myalgia
Clinical narrative: Myalgia, 101 degree temperature, severe chills.  Symptoms lasted 24 hours or less
Age: 11.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: pain, redness  and swelling to site.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Body temperature increased, Erythema, Induration, Injection site erythema, Injection site swelling
Clinical narrative: Pt rec'd vaccines on 8/12/19 2:45-3 pm.  Next evening reports feeling itching legs, and on 8/14 AM woke up with hives on legs and arms.  Had temp of 100.5.  Applied aloe vera.  Came to clinic on 8/15/19 pm.    Pediatric Exam          General: VS Reviewed, Well-developed, well-nourished, non-toxic, alert and appropriate.          Skin: Left arm: erythema on top of hand with big patch of hive mid forearm, Another patch on forewarm below elbow joint and into the joint and around lateral side. Delta area: erythema with firm bump inside redness, redness is 50 x 48 mm in size. Chest: areas that are scattered with papules on abd, little underneath breast area bilateral with scratch marks on upper torso, little erythemic papules scattered from shoulder to shoulder. Left leg: erythemic hive-looking papules on left thigh, in a irregular pattern central to lateral on thigh. Rt thigh: scattered erythemic papules. Rt deltoid: 98 x 98 mm in size, warm to touch, erythemic and swollen, scattered erythemic patches on upper forearm on inside of arm, down on rt wrist, abobve rt ulna side, radial side with patch 45 x 38 mm in size. Back: little area across shoulders. Face: little erythemic papuless on cheeks posterioir legs above knees on back.   Treatment:      Hives          Start Benadryl Allergy Tablet, 25 mg, 2 tablet, Orally, every 6 hrs X 5 days, 5 days, 40 Tablet, Refills 1          Notes: Medication education done: most common medication side effects, interactions, and possible adverse reactions discussed.Patient/caregiver exhibited understanding. Questions answered. Return to clinic tomorrow if rash does not improve.      Cellulitis of right upper extremity          Start Keflex Capsule, 500 mg, 1 capsule, Orally, every 12 hrs, 10 day(s), 20, Refills 0          Notes: Medication education done: most common medication side effects, interactions, and possible adverse reactions discussed.Patient/caregiver exhibited understanding. Questions answered. Since Keflex is a cousin of Amoxicillin, monitor for allergic reaction in patient. Marked outer limit of cellulitis, if you notice that it grows outside this border, retrun to clinic for possible injection of antibiotic.      Adverse effect of vaccine, initial encounter          Notes: Reported vaccine rxn to our vaccine coordinator at clinic. VAERS done. [8/15/2019 5:49PM]
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site warmth, Papule, Pruritus, Rash, Scratch
Clinical narrative: Pt rec'd vaccines on 8/12/19 2:45-3 pm.  Next evening reports feeling itching legs, and on 8/14 AM woke up with hives on legs and arms.  Had temp of 100.5.  Applied aloe vera.  Came to clinic on 8/15/19 pm.    Pediatric Exam          General: VS Reviewed, Well-developed, well-nourished, non-toxic, alert and appropriate.          Skin: Left arm: erythema on top of hand with big patch of hive mid forearm, Another patch on forewarm below elbow joint and into the joint and around lateral side. Delta area: erythema with firm bump inside redness, redness is 50 x 48 mm in size. Chest: areas that are scattered with papules on abd, little underneath breast area bilateral with scratch marks on upper torso, little erythemic papules scattered from shoulder to shoulder. Left leg: erythemic hive-looking papules on left thigh, in a irregular pattern central to lateral on thigh. Rt thigh: scattered erythemic papules. Rt deltoid: 98 x 98 mm in size, warm to touch, erythemic and swollen, scattered erythemic patches on upper forearm on inside of arm, down on rt wrist, abobve rt ulna side, radial side with patch 45 x 38 mm in size. Back: little area across shoulders. Face: little erythemic papuless on cheeks posterioir legs above knees on back.   Treatment:      Hives          Start Benadryl Allergy Tablet, 25 mg, 2 tablet, Orally, every 6 hrs X 5 days, 5 days, 40 Tablet, Refills 1          Notes: Medication education done: most common medication side effects, interactions, and possible adverse reactions discussed.Patient/caregiver exhibited understanding. Questions answered. Return to clinic tomorrow if rash does not improve.      Cellulitis of right upper extremity          Start Keflex Capsule, 500 mg, 1 capsule, Orally, every 12 hrs, 10 day(s), 20, Refills 0          Notes: Medication education done: most common medication side effects, interactions, and possible adverse reactions discussed.Patient/caregiver exhibited understanding. Questions answered. Since Keflex is a cousin of Amoxicillin, monitor for allergic reaction in patient. Marked outer limit of cellulitis, if you notice that it grows outside this border, retrun to clinic for possible injection of antibiotic.      Adverse effect of vaccine, initial encounter          Notes: Reported vaccine rxn to our vaccine coordinator at clinic. VAERS done. [8/15/2019 5:49PM]
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Swelling, Urticaria
Clinical narrative: Pt rec'd vaccines on 8/12/19 2:45-3 pm.  Next evening reports feeling itching legs, and on 8/14 AM woke up with hives on legs and arms.  Had temp of 100.5.  Applied aloe vera.  Came to clinic on 8/15/19 pm.    Pediatric Exam          General: VS Reviewed, Well-developed, well-nourished, non-toxic, alert and appropriate.          Skin: Left arm: erythema on top of hand with big patch of hive mid forearm, Another patch on forewarm below elbow joint and into the joint and around lateral side. Delta area: erythema with firm bump inside redness, redness is 50 x 48 mm in size. Chest: areas that are scattered with papules on abd, little underneath breast area bilateral with scratch marks on upper torso, little erythemic papules scattered from shoulder to shoulder. Left leg: erythemic hive-looking papules on left thigh, in a irregular pattern central to lateral on thigh. Rt thigh: scattered erythemic papules. Rt deltoid: 98 x 98 mm in size, warm to touch, erythemic and swollen, scattered erythemic patches on upper forearm on inside of arm, down on rt wrist, abobve rt ulna side, radial side with patch 45 x 38 mm in size. Back: little area across shoulders. Face: little erythemic papuless on cheeks posterioir legs above knees on back.   Treatment:      Hives          Start Benadryl Allergy Tablet, 25 mg, 2 tablet, Orally, every 6 hrs X 5 days, 5 days, 40 Tablet, Refills 1          Notes: Medication education done: most common medication side effects, interactions, and possible adverse reactions discussed.Patient/caregiver exhibited understanding. Questions answered. Return to clinic tomorrow if rash does not improve.      Cellulitis of right upper extremity          Start Keflex Capsule, 500 mg, 1 capsule, Orally, every 12 hrs, 10 day(s), 20, Refills 0          Notes: Medication education done: most common medication side effects, interactions, and possible adverse reactions discussed.Patient/caregiver exhibited understanding. Questions answered. Since Keflex is a cousin of Amoxicillin, monitor for allergic reaction in patient. Marked outer limit of cellulitis, if you notice that it grows outside this border, retrun to clinic for possible injection of antibiotic.      Adverse effect of vaccine, initial encounter          Notes: Reported vaccine rxn to our vaccine coordinator at clinic. VAERS done. [8/15/2019 5:49PM]
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Fatigue, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Two days after I received the vaccine I noticed swelling and the site was simultaneously sore and itchy. It is now 5 days post injection and it?s  red and appears to be bruising, is still raised, sore and itchy, and I feel like I?ve lost strength in that arm. It just feels tired and weak as if my arm itself is fighting a virus. I am currently pregnant, was 27weeks and 2 days pregnant at the time of the vaccine.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site swelling, Muscular weakness
Clinical narrative: Two days after I received the vaccine I noticed swelling and the site was simultaneously sore and itchy. It is now 5 days post injection and it?s  red and appears to be bruising, is still raised, sore and itchy, and I feel like I?ve lost strength in that arm. It just feels tired and weak as if my arm itself is fighting a virus. I am currently pregnant, was 27weeks and 2 days pregnant at the time of the vaccine.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Abortion spontaneous, Blood test abnormal, Chest pain, Cytogenetic analysis, Decreased activity
Clinical narrative: I told the NP on site that I was nervous to get the vaccine as I have had an allergic reaction before the the meningitis vaccine, and when I described my previous reaction she brushed it off as coincidental. When I was 18, prior to leaving for college, I received the meningitis vaccine, administered by my pediatrician and within 30 minutes had a full body rash, fever, swollen lymph nodes and extreme brain fog. After I had stepped on a screw in my garage in 2016, I saw NP and asked if I needed to receive this vaccine or if I should consult a doctor. She mocked me, said that I was being dramatic and stated, 'we give this to 7 year olds' and stuck me in my left arm. I can still feel the pain to this day and there is an indent in my arm. I was out of commission for about two years, suffering from weight gain of 60 pounds within the two weeks following my vaccine, my thyroid began to fail, I suffered from peripheral neuropathy, extreme fatigue, difficulty concentrating, depression, dizziness, chest pain, rash, feeling of ants under my skin and so, so many more. Since then I have suffered a miscarriage and still don't feel 100% - even after being gluten, soy, dairy, egg and alcohol free for over a year now. I felt in my gut I shouldn't have gotten that shot and NP robbed me of my options by injecting me without a real discussion and disbelief that I had a true reaction to a prior vaccine. My life will never be the same.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Depression, Detoxification, Disturbance in attention, Dizziness, Fatigue
Clinical narrative: I told the NP on site that I was nervous to get the vaccine as I have had an allergic reaction before the the meningitis vaccine, and when I described my previous reaction she brushed it off as coincidental. When I was 18, prior to leaving for college, I received the meningitis vaccine, administered by my pediatrician and within 30 minutes had a full body rash, fever, swollen lymph nodes and extreme brain fog. After I had stepped on a screw in my garage in 2016, I saw NP and asked if I needed to receive this vaccine or if I should consult a doctor. She mocked me, said that I was being dramatic and stated, 'we give this to 7 year olds' and stuck me in my left arm. I can still feel the pain to this day and there is an indent in my arm. I was out of commission for about two years, suffering from weight gain of 60 pounds within the two weeks following my vaccine, my thyroid began to fail, I suffered from peripheral neuropathy, extreme fatigue, difficulty concentrating, depression, dizziness, chest pain, rash, feeling of ants under my skin and so, so many more. Since then I have suffered a miscarriage and still don't feel 100% - even after being gluten, soy, dairy, egg and alcohol free for over a year now. I felt in my gut I shouldn't have gotten that shot and NP robbed me of my options by injecting me without a real discussion and disbelief that I had a true reaction to a prior vaccine. My life will never be the same.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Feeling abnormal, Food allergy, Formication, Injection site indentation, Liver function test abnormal
Clinical narrative: I told the NP on site that I was nervous to get the vaccine as I have had an allergic reaction before the the meningitis vaccine, and when I described my previous reaction she brushed it off as coincidental. When I was 18, prior to leaving for college, I received the meningitis vaccine, administered by my pediatrician and within 30 minutes had a full body rash, fever, swollen lymph nodes and extreme brain fog. After I had stepped on a screw in my garage in 2016, I saw NP and asked if I needed to receive this vaccine or if I should consult a doctor. She mocked me, said that I was being dramatic and stated, 'we give this to 7 year olds' and stuck me in my left arm. I can still feel the pain to this day and there is an indent in my arm. I was out of commission for about two years, suffering from weight gain of 60 pounds within the two weeks following my vaccine, my thyroid began to fail, I suffered from peripheral neuropathy, extreme fatigue, difficulty concentrating, depression, dizziness, chest pain, rash, feeling of ants under my skin and so, so many more. Since then I have suffered a miscarriage and still don't feel 100% - even after being gluten, soy, dairy, egg and alcohol free for over a year now. I felt in my gut I shouldn't have gotten that shot and NP robbed me of my options by injecting me without a real discussion and disbelief that I had a true reaction to a prior vaccine. My life will never be the same.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Maternal exposure before pregnancy, Nervousness, Neuropathy peripheral, Pain, Rash
Clinical narrative: I told the NP on site that I was nervous to get the vaccine as I have had an allergic reaction before the the meningitis vaccine, and when I described my previous reaction she brushed it off as coincidental. When I was 18, prior to leaving for college, I received the meningitis vaccine, administered by my pediatrician and within 30 minutes had a full body rash, fever, swollen lymph nodes and extreme brain fog. After I had stepped on a screw in my garage in 2016, I saw NP and asked if I needed to receive this vaccine or if I should consult a doctor. She mocked me, said that I was being dramatic and stated, 'we give this to 7 year olds' and stuck me in my left arm. I can still feel the pain to this day and there is an indent in my arm. I was out of commission for about two years, suffering from weight gain of 60 pounds within the two weeks following my vaccine, my thyroid began to fail, I suffered from peripheral neuropathy, extreme fatigue, difficulty concentrating, depression, dizziness, chest pain, rash, feeling of ants under my skin and so, so many more. Since then I have suffered a miscarriage and still don't feel 100% - even after being gluten, soy, dairy, egg and alcohol free for over a year now. I felt in my gut I shouldn't have gotten that shot and NP robbed me of my options by injecting me without a real discussion and disbelief that I had a true reaction to a prior vaccine. My life will never be the same.
Age: 32.0
Sex: F
Vaccine: TD
Symptoms: Thyroid disorder, Thyroid function test abnormal, Weight increased
Clinical narrative: I told the NP on site that I was nervous to get the vaccine as I have had an allergic reaction before the the meningitis vaccine, and when I described my previous reaction she brushed it off as coincidental. When I was 18, prior to leaving for college, I received the meningitis vaccine, administered by my pediatrician and within 30 minutes had a full body rash, fever, swollen lymph nodes and extreme brain fog. After I had stepped on a screw in my garage in 2016, I saw NP and asked if I needed to receive this vaccine or if I should consult a doctor. She mocked me, said that I was being dramatic and stated, 'we give this to 7 year olds' and stuck me in my left arm. I can still feel the pain to this day and there is an indent in my arm. I was out of commission for about two years, suffering from weight gain of 60 pounds within the two weeks following my vaccine, my thyroid began to fail, I suffered from peripheral neuropathy, extreme fatigue, difficulty concentrating, depression, dizziness, chest pain, rash, feeling of ants under my skin and so, so many more. Since then I have suffered a miscarriage and still don't feel 100% - even after being gluten, soy, dairy, egg and alcohol free for over a year now. I felt in my gut I shouldn't have gotten that shot and NP robbed me of my options by injecting me without a real discussion and disbelief that I had a true reaction to a prior vaccine. My life will never be the same.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Influenza like illness, Injection site pain
Clinical narrative: Intense flu-like symptoms for 3-4 days; arm tender at injection site, aching joints, tiredness
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Bone pain, Erythema, Fatigue, Hypersomnia
Clinical narrative: I had a general feeling of exhaustion that came on suddenly the afternoon of the immunization. (felt very much like a virus).  Swelling & redness about the size of an orange.  I had bone & joint pain that started around 10pm on day one.  Day two - 7am slight fever (100.6) exhaustion with increasing bone & joint pain.  Unable to perform daily activities.  Slept most of the day. Today is day 3- woke up @ 6am feeling better. No fever but still tired.  Arm is still very red & slightly swollen.  Of note- I had no reaction to my 1st dose.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Peripheral swelling, Pyrexia, Swelling
Clinical narrative: I had a general feeling of exhaustion that came on suddenly the afternoon of the immunization. (felt very much like a virus).  Swelling & redness about the size of an orange.  I had bone & joint pain that started around 10pm on day one.  Day two - 7am slight fever (100.6) exhaustion with increasing bone & joint pain.  Unable to perform daily activities.  Slept most of the day. Today is day 3- woke up @ 6am feeling better. No fever but still tired.  Arm is still very red & slightly swollen.  Of note- I had no reaction to my 1st dose.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Rash, Vaccination site rash
Clinical narrative: Developed rash (L) arm around vaccination site spread down arm to wrist. 2 days later involved (R) lower arm.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother called to tell us the injection site was red and swollen. She said there is a hard circle where the injection went in. I recommended to continue using Motrin. Use a cold wash cloth on injection site.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Crying, Headache
Clinical narrative: c/o severe headache; crying in tears; (2:15 pm) denied pain at injection sites teen alert orientated denied difficulty breathing or other anaphatic symptoms; To take Tylenol; and watch for other signs and symptoms teen has not had headaches in the past. 4:15pm Follow up call: headache improved relieved with Tylenol
Age: 5.0
Sex: M
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Rash pruritic
Clinical narrative: Itchy Rash after vaccines given.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Cellulitis, Injection site reaction, Local reaction, Rash erythematous
Clinical narrative: 4 x 4 cm red rash distal to (R) thigh no pain
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a currently 64-year-old female patient. No information was provided regarding medical history, concurrent conditions, or concomitant medications.   On or about 07-OCT-2015, the patient was vaccinated with a dose of zoster vaccine live (ZOSTAVAX) (lot #, expiration date, exact dose, injection site and route of administration were not specified) for the long-term prevention of shingles and zoster-related conditions. On an unknown date, the patient experienced herpes zoster. On an unspecified date, the patient was treated by a healthcare provider for herpes zoster. The outcome of the event was not reported. The reporter considered the event of herpes zoster to be related to zoster vaccine live (ZOSTAVAX).  Additional information has been requested.  It was established that the aware date should be captured as 17-JUL-2019 instead of 18-JUL-2019. Therefore, case # US-009507513-1907USA012453 is being deleted from our files and the source documents are being moved to case # US-009507513-1907USA016074.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Abdominal discomfort, Decreased appetite, Dehydration, Diarrhoea, Headache
Clinical narrative: Sore arm; Lack of appetite; Headache; Dehydration; Upset stomach; could barely move; Flu Like Symptoms; Physical collapse/Low energy; Fever; Diarrhea; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (For tolerance of 1st dose, refer case US2019AMR147419).   On 1st August 2019, the patient received the 2nd dose of Shingrix (intramuscular). In August 2019, less than a week after receiving Shingrix, the patient experienced influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent and upset stomach. On an unknown date, the patient experienced mobility decreased. The patient was treated with paracetamol (Tylenol). Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, dehydration, upset stomach and mobility decreased were recovered/resolved and the outcome of the headache, pain in arm and appetite absent were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent, upset stomach and mobility decreased to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm. The patient stated after receiving Shingrix vaccine he experienced flu like symptoms, physical collapse where he could barely move for about 36 hours, fever, upset stomach with diarrhea, headache, dehydration, soreness in left arm, lack of appetite, and low energy. All the effects lasted for about 3 days, but he was still experiencing reduced soreness in arm, lack of appetite, and low energy. The patient took Tylenol for headache but it did not help. He also stated that he experienced all the side effects after dose one except the headache, and they lasted for about 3 to 4 days. The reporter gave consent to follow up. No further details were provided.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Hypersomnia, Mobility decreased
Clinical narrative: Sore arm; Lack of appetite; Headache; Dehydration; Upset stomach; could barely move; Flu Like Symptoms; Physical collapse/Low energy; Fever; Diarrhea; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (For tolerance of 1st dose, refer case US2019AMR147419).   On 1st August 2019, the patient received the 2nd dose of Shingrix (intramuscular). In August 2019, less than a week after receiving Shingrix, the patient experienced influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent and upset stomach. On an unknown date, the patient experienced mobility decreased. The patient was treated with paracetamol (Tylenol). Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, dehydration, upset stomach and mobility decreased were recovered/resolved and the outcome of the headache, pain in arm and appetite absent were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent, upset stomach and mobility decreased to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm. The patient stated after receiving Shingrix vaccine he experienced flu like symptoms, physical collapse where he could barely move for about 36 hours, fever, upset stomach with diarrhea, headache, dehydration, soreness in left arm, lack of appetite, and low energy. All the effects lasted for about 3 days, but he was still experiencing reduced soreness in arm, lack of appetite, and low energy. The patient took Tylenol for headache but it did not help. He also stated that he experienced all the side effects after dose one except the headache, and they lasted for about 3 to 4 days. The reporter gave consent to follow up. No further details were provided.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Abdominal discomfort, Asthenia, Decreased appetite, Dehydration, Diarrhoea
Clinical narrative: Sore arm; Lack of appetite; Headache; Dehydration; Upset stomach; could barely move; Flu Like Symptoms; Physical collapse/Low energy; Fever; Diarrhea; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (For tolerance of 1st dose, refer case US2019AMR147419).   On 1st August 2019, the patient received the 2nd dose of Shingrix (intramuscular). In August 2019, less than a week after receiving Shingrix, the patient experienced influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent and upset stomach. On an unknown date, the patient experienced mobility decreased. The patient was treated with paracetamol (Tylenol). Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, dehydration, upset stomach and mobility decreased were recovered/resolved and the outcome of the headache, pain in arm and appetite absent were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent, upset stomach and mobility decreased to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm. The patient stated after receiving Shingrix vaccine he experienced flu like symptoms, physical collapse where he could barely move for about 36 hours, fever, upset stomach with diarrhea, headache, dehydration, soreness in left arm, lack of appetite, and low energy. All the effects lasted for about 3 days, but he was still experiencing reduced soreness in arm, lack of appetite, and low energy. The patient took Tylenol for headache but it did not help. He also stated that he experienced all the side effects after dose one except the headache, and they lasted for about 3 to 4 days. The reporter gave consent to follow up. No further details were provided.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Headache, Influenza like illness, Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: Sore arm; Lack of appetite; Headache; Dehydration; Upset stomach; could barely move; Flu Like Symptoms; Physical collapse/Low energy; Fever; Diarrhea; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (For tolerance of 1st dose, refer case US2019AMR147419).   On 1st August 2019, the patient received the 2nd dose of Shingrix (intramuscular). In August 2019, less than a week after receiving Shingrix, the patient experienced influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent and upset stomach. On an unknown date, the patient experienced mobility decreased. The patient was treated with paracetamol (Tylenol). Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, dehydration, upset stomach and mobility decreased were recovered/resolved and the outcome of the headache, pain in arm and appetite absent were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent, upset stomach and mobility decreased to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm. The patient stated after receiving Shingrix vaccine he experienced flu like symptoms, physical collapse where he could barely move for about 36 hours, fever, upset stomach with diarrhea, headache, dehydration, soreness in left arm, lack of appetite, and low energy. All the effects lasted for about 3 days, but he was still experiencing reduced soreness in arm, lack of appetite, and low energy. The patient took Tylenol for headache but it did not help. He also stated that he experienced all the side effects after dose one except the headache, and they lasted for about 3 to 4 days. The reporter gave consent to follow up. No further details were provided.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Vaccine positive rechallenge
Clinical narrative: Sore arm; Lack of appetite; Headache; Dehydration; Upset stomach; could barely move; Flu Like Symptoms; Physical collapse/Low energy; Fever; Diarrhea; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (For tolerance of 1st dose, refer case US2019AMR147419).   On 1st August 2019, the patient received the 2nd dose of Shingrix (intramuscular). In August 2019, less than a week after receiving Shingrix, the patient experienced influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent and upset stomach. On an unknown date, the patient experienced mobility decreased. The patient was treated with paracetamol (Tylenol). Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, dehydration, upset stomach and mobility decreased were recovered/resolved and the outcome of the headache, pain in arm and appetite absent were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent, upset stomach and mobility decreased to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm. The patient stated after receiving Shingrix vaccine he experienced flu like symptoms, physical collapse where he could barely move for about 36 hours, fever, upset stomach with diarrhea, headache, dehydration, soreness in left arm, lack of appetite, and low energy. All the effects lasted for about 3 days, but he was still experiencing reduced soreness in arm, lack of appetite, and low energy. The patient took Tylenol for headache but it did not help. He also stated that he experienced all the side effects after dose one except the headache, and they lasted for about 3 to 4 days. The reporter gave consent to follow up. No further details were provided.
Age: 66.0
Sex: M
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Influenza like illness, Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: Sore arm; Lack of appetite; Headache; Dehydration; Upset stomach; could barely move; Flu Like Symptoms; Physical collapse/Low energy; Fever; Diarrhea; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix with an associated reaction of pyrexia (For tolerance of 1st dose, refer case US2019AMR147419).   On 1st August 2019, the patient received the 2nd dose of Shingrix (intramuscular). In August 2019, less than a week after receiving Shingrix, the patient experienced influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent and upset stomach. On an unknown date, the patient experienced mobility decreased. The patient was treated with paracetamol (Tylenol). Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, dehydration, upset stomach and mobility decreased were recovered/resolved and the outcome of the headache, pain in arm and appetite absent were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling of total lack of energy, fever, diarrhea, headache, dehydration, pain in arm, appetite absent, upset stomach and mobility decreased to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm. The patient stated after receiving Shingrix vaccine he experienced flu like symptoms, physical collapse where he could barely move for about 36 hours, fever, upset stomach with diarrhea, headache, dehydration, soreness in left arm, lack of appetite, and low energy. All the effects lasted for about 3 days, but he was still experiencing reduced soreness in arm, lack of appetite, and low energy. The patient took Tylenol for headache but it did not help. He also stated that he experienced all the side effects after dose one except the headache, and they lasted for about 3 to 4 days. The reporter gave consent to follow up. No further details were provided.