chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Nausea
Clinical narrative: Pt vitals stable prior to vaccination. Per father consent form was signed and confirmation was established that patient had never had an allergic reaction or side effect to vaccinations in the past.  Pt was administered vaccines at approximately 11:15, after 10 minutes at about 11:25 patient experienced some nausea, dizziness and lightheadedness. Patient experienced possible vasovagal syncope, Patient was placed in a supine position as she was able to take deep breaths of alcohol pads, patient did not lose consciousness and remained oriented to self, place and time. Patient responded to instructions and Vital signs at time of episode was BP: 100/62 Pulse 69 O2 98%. Pt denies Shortness of breath, chest pain, chest pressure, throat closure, or chest wheezing. Patient progressively improved as she stated dizziness and lightheadedness resolved at approximately 11:40 with 98% 02 and 100 pulse rate. At 1130 the blood pressure was improved at 110/72. Pt improved and was able to drink water and denied any further issues. patient was monitored for over an hour for additional side effects and/or symptoms.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Moderate headache.  Moderate overall fatigue.  Minor pain at injection site.  Mild shivers but no fever.  Headache responds to ibuprofen.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Condition aggravated, Contusion, Gait disturbance, Monoplegia
Clinical narrative: paralysis of my right hip/leg- could not move it and had to spend hours laying on floor working it to try to get up.  Even after hours I could barley walk.  By the next day I could walk but now the pain is in my left hip area  and stiffness there so not sure if it is from the vaccine but it is  different than my normal stiffness there as I broke that hip a while ago but it still feels different.  It is much more sore and in a different location that it is normally stiff.   I also have a huge bruise that has not gone away. Shot was given in the left arm.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Musculoskeletal stiffness
Clinical narrative: paralysis of my right hip/leg- could not move it and had to spend hours laying on floor working it to try to get up.  Even after hours I could barley walk.  By the next day I could walk but now the pain is in my left hip area  and stiffness there so not sure if it is from the vaccine but it is  different than my normal stiffness there as I broke that hip a while ago but it still feels different.  It is much more sore and in a different location that it is normally stiff.   I also have a huge bruise that has not gone away. Shot was given in the left arm.
Sex: U
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: herpes zoster; Information has been received from a lawyer concerning a case in litigation and refers to a patient of an unknown age and gender. No information regarding the patient's medical history, concurrent conditions and concomitant medications was provided. On or about 03-OCT-2017, the patient was inoculated with zoster vaccine live (ZOSTAVAX) vaccine (dose, route of administration, vaccination site, lot # and expiry date were not specified) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). On an unknown date, after receiving zoster vaccine live (ZOSTAVAX) vaccine, the patient suffered from herpes zoster. As a result of these symptoms, the patient was seen and treated by medical providers. As a direct and proximate result of the Company's defective zoster vaccine live (ZOSTAVAX) vaccine, the patient's symptoms have resulted in physical limitations not present prior to using the Company's product. The patient also experienced mental and emotional distress due to resulting physical limitations and seriousness of his condition. As a result of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), the patient sustained severe and permanent personal injuries. Further, as a tragic consequence of the Company's wrongful conduct, the patient suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of the Company's conduct, the patient has suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the event was not recovered. The causality was related.   The event of shingles was considered to be disabling.    This spontaneous report as received from a lawyer refers to a patient of unknown age with routine health maintenance.    On 03-OCT-2017 the patient was vaccinated with zoster vaccine live(ZOSTAVAX), unknown for routine health maintenance and prophylaxis.       On an unknown date the patient experienced herpes zoster (disability).    The outcome of herpes zoster was reported as not recovered/not resolved.   The reporter considered herpes zoster to be related to Zoster Vaccine Live(ZOSTAVAX).     {Additional information has been requested. / Additional information is not expected.}
Sex: M
Vaccine: MNQ
Symptoms: Extensive swelling of vaccinated limb, Injection site induration
Clinical narrative: swollen induration in site of injection; swollen induration in site of injection; This case was reported by a pharmacist via sales rep and described the occurrence of extensive swelling of vaccinated limb in a 14-year-old male patient who received Men ACWY-CRM NVS (Menveo) for prophylaxis.   On 23rd September 2020, the patient received the 1st dose of Menveo. In September 2020, less than a week after receiving Menveo, the patient experienced extensive swelling of vaccinated limb and injection site induration. On an unknown date, the outcome of the extensive swelling of vaccinated limb and injection site induration were unknown.   It was unknown if the reporter considered the extensive swelling of vaccinated limb and injection site induration to be related to Menveo.  Additional details were reported as follows: The age at vaccination was not reported. The patient presented a 10 x 9 inch swollen induration in site of injection after the first dose. Batch number or expiration date and patient's initials was not known.  The reporter consented to follow up.
Age: 0.83
Sex: F
Vaccine: FLU4
Symptoms: Crying, Injection site erythema
Clinical narrative: crying and redness at site
Age: 8.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublok given to patient under the age of 18
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Erythema, Infection, Pain, Purulent discharge
Clinical narrative: 1. Cellulitis of left lower extremity - cephALEXin (KEFLEX) 250 mg/5 mL suspension; Take 7.5 mL (375 mg total) by mouth two (2) times a day for 7 days.  Dispense: 105 mL; Refill: 0 - mupirocin (BACTROBAN) 2 % ointment; Apply topically Three (3) times a day for 7 days.  Dispense: 22 g; Refill: 0 - Warm or cold compresses for comfort as tolerated - Tylenol/Motrin for pain - Monitor for worsening signs of infection including increased redness, swelling, purulent drainage, warmth to touch or increased pain. - Provided educational handout on cellulitis   2. Adverse effect of vaccine, initial encounter - Localized reaction measuring 6 inches x 3 inches, VIR completed - Believed to be a cellulitis and not an allergic reaction, at this time there is no indication that the patient would not tolerate a future influenza vaccine.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Skin warm, Swelling
Clinical narrative: 1. Cellulitis of left lower extremity - cephALEXin (KEFLEX) 250 mg/5 mL suspension; Take 7.5 mL (375 mg total) by mouth two (2) times a day for 7 days.  Dispense: 105 mL; Refill: 0 - mupirocin (BACTROBAN) 2 % ointment; Apply topically Three (3) times a day for 7 days.  Dispense: 22 g; Refill: 0 - Warm or cold compresses for comfort as tolerated - Tylenol/Motrin for pain - Monitor for worsening signs of infection including increased redness, swelling, purulent drainage, warmth to touch or increased pain. - Provided educational handout on cellulitis   2. Adverse effect of vaccine, initial encounter - Localized reaction measuring 6 inches x 3 inches, VIR completed - Believed to be a cellulitis and not an allergic reaction, at this time there is no indication that the patient would not tolerate a future influenza vaccine.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Mother had called on 10/5/20 to report a local reaction at the injection site following administration of Flulaval to her son on 10/3/20; it was first noticed10/4/20.   Reaction described as quarter sized, swollen/ firm area that was tender to the touch.  No redness at the site; no other complaints reported.  Mother continued to monitor the site and noted that the reaction  began to resolve the day she called to report (10/5/20).  Mother was encouraged to notify child's pediatrician.  GSK was notified as well as Health Dept. medical director.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Injection site rash, Injection site swelling, Rash erythematous, Skin warm
Clinical narrative: Patient had significant swelling and red rash on left thigh where Proquad and IPV injections were given.  Warm to touch but non-tender.  No other symptoms reported
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Balanoposthitis, Pyrexia, Synovitis, Urticaria
Clinical narrative: within 24 hours Hives, and transient Synovitis followed by high fever 103+ , 7 days later Balanitis and new set of hives
Age: 97.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: Had to go to patient in car in parking lot to give the vaccination...not long after injecting patient, the area was swollen and bruised looking.
Age: 12.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: gave flublok to patient under the age of 18
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Shoulder/arm pain that required her to seek medical attention. Doctor is giving patient steroids and anti-inflammatory medications and physical therapy for one month and then recess. They have done their research and believe the pharmacist administer the flu shot too high.
Age: 54.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site mass
Clinical narrative: His upper deltoid region immediately created a lump local to the area of in injection site
Age: 14.0
Sex: F
Vaccine: FLU4, HEPA, HPV9
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: PT WAS FEELING DIZZY AND PASSED OUT (SYNCOPE)  FOR ABOUT 20 SECONDS
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Patient stated that she had discomfort in her arm immediately following injection. She was reassessed by management  approximately 20 minutes later and was still having discomfort.  Upon waking 10/5/2020 she stated that she was still having discomfort and noticed redness and swelling at the injection site. Around 10 pm she noticed that the redness was also in her upper shoulder and the pain had spread to that area. She stated that her temperature was 99, she took 1 extra strength Tylenol for pain and the temperature.   On 10/06/2020 , there was no fever in the am.  She was assessed by staff. Staff noted that there is swelling, redness, and heat coming from the injection site. There is redness in the upper shoulder. She stated she is a level 7 pain when palpated and stated that there is itching and burning at the site.  CMD contacted.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Scar
Clinical narrative: Itchy breakout of the skin surrounding my neck and upper chest, which continued up into hairline.  I reported to my internist listed here and used cortisone stick to treat the itching.  It was a month before this began to subside, and I have a scar in one spot on my chest.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Blood pressure orthostatic decreased, Dizziness, Hyperhidrosis, Presyncope
Clinical narrative: few minutes after receiving the vaccine patient felt dizzy, started sweating and was about to faint. the husband asked us to call 911 ,when they came her blood pressure was low when standing , she was transported to hospital.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Anaemia, Asthenia, Dizziness, Electrocardiogram, Full blood count abnormal
Clinical narrative: few minutes after receiving the vaccine patient felt dizzy, started sweating and was about to faint. the husband asked us to call 911 ,when they came her blood pressure was low when standing , she was transported to hospital.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Hyperhidrosis, Hypocalcaemia, Immediate post-injection reaction, Injection site pain, Laboratory test abnormal
Clinical narrative: few minutes after receiving the vaccine patient felt dizzy, started sweating and was about to faint. the husband asked us to call 911 ,when they came her blood pressure was low when standing , she was transported to hospital.
Age: 55.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Oxygen therapy
Clinical narrative: few minutes after receiving the vaccine patient felt dizzy, started sweating and was about to faint. the husband asked us to call 911 ,when they came her blood pressure was low when standing , she was transported to hospital.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site pain, Injection site swelling, Lip swelling
Clinical narrative: Soreness and bump to injection site, swollen lips
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Allergy to vaccine, Asthma, Incomplete course of vaccination, Rash, Wheezing
Clinical narrative: CLIENT CALLED AND LEFT A MESSAGE ON 10/5/2020 TO CANCEL SECOND DOSE SHINGRIX DUE TO A REACTION FROM THE FIRST DOSE.  CALLED AND TALKED TO CLIENT ON 10/6/2020.  CLIENT WAS GIVEN SHINGRIX ON 8/5/2020.  CLIENT STATED THAT ON 8/72020 SHE HAD A RASH ON HER CHEST THAT WENT UP ONTO HER NECK.  SHE ALSO STATED THAT SHE STARTED TO WHEEZE SO TOOK ALLERGY MEDICATION WHICH HELPED.  SHE THEN STATED THAT THAT NIGHT SHE HAD AN ASTHMA ATTACK AND HAD TO USE HER EMERGENCY INHALER THAT SHE HAS FOR HER ASTHMA.  HER CONDITION IMPROVED AND NO FURTHER TREATMENT WAS NEEDED.  SHE SPOKE WITH HER PRIMARY PROVIDER AND HER PROVIDER STATED THAT SHE SHOULDN'T GET THE SECOND DOSE DUE TO A REACTION AND STATED THAT SHE IS A ALLERGIC TO THE VACCINE AND SHOULDN'T GET ANYMORE.  THE CLIENT HAS DECIDED NOT TO GET THE SECOND DOSE OF SHINGRIX.
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Decreased appetite, Screaming
Clinical narrative: Screaming off and on x 12h after inj given and low appetite
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Injection site pain, Joint range of motion decreased, Product administered at inappropriate site, X-ray limb abnormal
Clinical narrative: within an hour of vaccination, felt pain and decreased range of motion. Over the next 24 hours, range of motion remained very limited and shoulder painful. Saw physician on 9/30/20 who did Xray, gave prescription for Mobic and concluded probably bursitis from being injected in the bursa. 10/6/20, still no relief. Followed up with physician, started dexamethasone and referred to orthopedic.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Hyperaesthesia, Injection site erythema, Injection site swelling, Musculoskeletal stiffness, Pain
Clinical narrative: Stiffness, pain upon touch on first evening; then  add redness & swelling on the next day below injection site; then add itching  from Day 3 thru today, day 7.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: Stiffness, pain upon touch on first evening; then  add redness & swelling on the next day below injection site; then add itching  from Day 3 thru today, day 7.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Insomnia, Pain, Pyrexia
Clinical narrative: Difficulty sleepy, felt feverish, headache. Next morning  had severe body aches, headache and fatigue.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Musculoskeletal stiffness, Pain
Clinical narrative: Fever, vomiting, chills and sweats, pounding headache, sore/stiff.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever, vomiting, chills and sweats, pounding headache, sore/stiff.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Extensive swelling of vaccinated limb, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient was seen by me on October 23, 2020. Her left arm had significant swelling from deltoid muscle down past elbow, along with mild erythema. Patient was experiencing itching and pain.  The swelling and erythema had been noticed by mom the day prior but had worsened by the time she came to see me.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dizziness, Dysphonia, Ear discomfort, Ear pain
Clinical narrative: feels like ears and head are plugged Achy all over Feels chilled Flu shot last year did not bother her   Also hoarse with sinus drainage: took allegra yesterday [post nasal] Was a little lightheaded Chest feels congested (history of "bronchitis")   Nasal passage is clear: not stuffy or runny   Was at a funeral Saturday: masked in doors, not outdoors Careful hand hygiene   She states taht when her temp is ~ 99 it is like it is 103 for her.   +prior ENT care for rhinitis and post nasal drainage   Review of Systems  Constitutional: Positive for chills. Negative for fever.  HENT: Positive for ear pain and tinnitus. Negative for sore throat ("scratchy").   Respiratory: Negative for cough.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling cold, Lower respiratory tract congestion, Pain, Throat irritation, Tinnitus
Clinical narrative: feels like ears and head are plugged Achy all over Feels chilled Flu shot last year did not bother her   Also hoarse with sinus drainage: took allegra yesterday [post nasal] Was a little lightheaded Chest feels congested (history of "bronchitis")   Nasal passage is clear: not stuffy or runny   Was at a funeral Saturday: masked in doors, not outdoors Careful hand hygiene   She states taht when her temp is ~ 99 it is like it is 103 for her.   +prior ENT care for rhinitis and post nasal drainage   Review of Systems  Constitutional: Positive for chills. Negative for fever.  HENT: Positive for ear pain and tinnitus. Negative for sore throat ("scratchy").   Respiratory: Negative for cough.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Upper-airway cough syndrome
Clinical narrative: feels like ears and head are plugged Achy all over Feels chilled Flu shot last year did not bother her   Also hoarse with sinus drainage: took allegra yesterday [post nasal] Was a little lightheaded Chest feels congested (history of "bronchitis")   Nasal passage is clear: not stuffy or runny   Was at a funeral Saturday: masked in doors, not outdoors Careful hand hygiene   She states taht when her temp is ~ 99 it is like it is 103 for her.   +prior ENT care for rhinitis and post nasal drainage   Review of Systems  Constitutional: Positive for chills. Negative for fever.  HENT: Positive for ear pain and tinnitus. Negative for sore throat ("scratchy").   Respiratory: Negative for cough.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Peripheral swelling, Skin warm, Vision blurred
Clinical narrative: After a couple of hours, patient had swelling, redness and warm to touch near injection site. Also complaining of blurred vision.
Age: 22.0
Sex: F
Vaccine: FLUX
Symptoms: Dizziness, Impaired driving ability, Migraine, Nausea, Vomiting
Clinical narrative: I WAS INJECTED WITH THE FLU VACCINE IN 2016, SUNDAY AFTERNOON I WAS DRIVING HOME FROM WORK AND FELT EXTREMELY NAUSOUS, TO THE POINT WHERE I PULLED OVER THE SIDE OF THE FREEWAY. I GET HOME AND I IMMEDIATLY FEEL LIGHT HEADED AND HAVE A MIGRAINE. I THEN LAY DOWN AND ASK MY SISTER FOR A PLASTIC BAG, SHE BRINGS IT TO ME, AND I PROJECTILE VOMIT INSIDE IT. I CONTINUED TO THROW UP FOR THE REST OF THE NIGHT.
Age: 22.0
Sex: F
Vaccine: FLUX
Symptoms: Vomiting projectile
Clinical narrative: I WAS INJECTED WITH THE FLU VACCINE IN 2016, SUNDAY AFTERNOON I WAS DRIVING HOME FROM WORK AND FELT EXTREMELY NAUSOUS, TO THE POINT WHERE I PULLED OVER THE SIDE OF THE FREEWAY. I GET HOME AND I IMMEDIATLY FEEL LIGHT HEADED AND HAVE A MIGRAINE. I THEN LAY DOWN AND ASK MY SISTER FOR A PLASTIC BAG, SHE BRINGS IT TO ME, AND I PROJECTILE VOMIT INSIDE IT. I CONTINUED TO THROW UP FOR THE REST OF THE NIGHT.
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: Urticaria
Clinical narrative: After administration of Influenza, uticaria , hives noted to body after five minutes of administration . Follow up call by provider 2 hrs after, uticaria resolved after administration of Benadryl at home.
Age: 28.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Chills, Fatigue, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient reported that he began feeling ill a couple hours after receiving vaccines.  Patient reports fever as high as 104, chills, extreme fatigue/malaise, nausea, and a roughly 5" x 5" red/warm/raised/hard area on his left upper arm where he received shots.  Paitent called on 10/2 for advice.  At that point he reported feeling better but his temp was still 99.5 taking medications.  Appointment was scheduled for 10/3 at 9:15 AM.  Patient did not show for appointment; outreach was attempted and patient's phone was off.
Age: 28.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Injection site warmth, Malaise, Nausea, Pyrexia
Clinical narrative: Patient reported that he began feeling ill a couple hours after receiving vaccines.  Patient reports fever as high as 104, chills, extreme fatigue/malaise, nausea, and a roughly 5" x 5" red/warm/raised/hard area on his left upper arm where he received shots.  Paitent called on 10/2 for advice.  At that point he reported feeling better but his temp was still 99.5 taking medications.  Appointment was scheduled for 10/3 at 9:15 AM.  Patient did not show for appointment; outreach was attempted and patient's phone was off.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient received influenza vaccine at different pharmacy locaton Sept 9. Came to Pharmacy for shingles Oct 6th. Technician gave informed consent form to a pharmacist to enter, but did not tell pharmacist it was for a shingles shot. Pharmacist assumed influenza and insurance paid. Pharmacist administering vaccine asked if patient had tolerated flu shots in the past. Patient indicated 'yes,' but did not indicate she was there for a shingles shot. Patient asked about follow up vaccine and pharmacist said not necessary with influenza, which is the point at which the error was noted. Counseled patient regarding duplication and gave correct vaccine (Shingrix) in left arm as well, per patient request. Patient had few symptoms from shot in Sept, unlikely flu this month will give greater symptoms, but counseled that shingles may, as it tends to have stronger local reaction than some other vaccines.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Nausea, Pain, Sleep disorder
Clinical narrative: First dose, from 1 hour after vaccine to 24 hours later experienced nausea, headache, body aches, and chills.  No fever.  Body aches were severe enough to prevent sleep all night.  Taking ibuprofen has little effect.  Lifted following afternoon.  Second dose was 10/2/2020 at 1PM.  Reaction started about 10 hours later (11 PM) and lasted about the same amount of time, but was less severe and taking ibuprofen allowed sleep.  Lifted around bedtime the following day (about 24 hours after started.
Age: 51.0
Sex: M
Vaccine: FLUC4
Symptoms: Arthralgia
Clinical narrative: Patient has sharp pain in  his shoulder after he received the immunization. Patient  stated the pain initially wasn't there but started 2-3 days after and is ongoing.  He has tried taking  Motrin, and icing  the shoulder. Patient was advised to follow up with MD for further treatment.
Age: 68.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site discolouration, Injection site pain
Clinical narrative: The patient had a lot of pain in the muscle and she developed 2 white rings around the injection site. The 1 white circle was around the injection site and 1 was below that forming the number "8". The patient came to the pharmacy to show me her arm on 10/06/2020. I was only able to observe 1 white circle around the injection site of about 20 cm in diameter. Not a lot of pain any more.
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Patient complains of redness at the injection site that is both warm and inflammed.
Age: 4.0
Sex: M
Vaccine: FLUC4
Symptoms: Blood glucose increased, Blood pressure normal, Disorientation, Heart rate increased, Hypersensitivity
Clinical narrative: Patient at presentation for shot was fine, no breathing issues noted at this time.  Administration in right arm as patient sat in the buggy.  Pharmacist then administer sisters and grandmother's vaccines.  Within five minutes of administration mother cried out he's having an allergic reaction and pulled child the buggy.  Pharmacist instructed them to lay child on ground and grabbed the emergency kit instructing the tech to call 911 and prepared to draw up Benadryl to orally administer to child before other measures were taken.  Child appeared disoriented, no hives no swelling of the tongue noted.  Chest rise was normal and child began speaking.  No Benadryl was administered and child was monitored until EMS arrived.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Patient had her Flu-shot on 09/29/20 FLUAD HD lot #279804 she woke up with extreme head ache, nausea and vomiting. She was taken to  Hospital Emergency
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Heart rate increased
Clinical narrative: After receiving the flu vaccine on 10/4/20 at 3PM, at 8PM that night for approximately 1 hr I had a rapid heart beat of approximately 110 beats per minute. My normal heartbeat is between 70-85.
Age: 62.0
Sex: F
Vaccine: FLUR4
Symptoms: Lip swelling, Palatal swelling
Clinical narrative: Patient stated she had swelling of her lips and roof of mouth for four days. Benadryl helped and she is feeling better on day 5.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Pain of skin, Pruritus, Pyrexia
Clinical narrative: The morning after the vaccination, patient reports a thick piece of skin rolled off her abdomen above her belly button. It is painful like a skin graft and she has been putting topical lidocaine on it which is barely relieving it. Today she says the center is dark green with "flaming red" edges. She is seeing her doctor tomorrow (10/7) for diagnosis, but she suspects MRSA. She also experience a fever of 100F, chills, and itchy red welts on her face starting the day after the vaccine and improving today.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin discolouration, Skin disorder, Urticaria
Clinical narrative: The morning after the vaccination, patient reports a thick piece of skin rolled off her abdomen above her belly button. It is painful like a skin graft and she has been putting topical lidocaine on it which is barely relieving it. Today she says the center is dark green with "flaming red" edges. She is seeing her doctor tomorrow (10/7) for diagnosis, but she suspects MRSA. She also experience a fever of 100F, chills, and itchy red welts on her face starting the day after the vaccine and improving today.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Herpes zoster, Pain, Rash vesicular
Clinical narrative: Patient after shingrix vaccine, reported vesicle-like rash unilaterally on right side of body following dermatome followed by pain and burning sensation.
Age: 83.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Rash
Clinical narrative: pt developed a rash on both lower arms about 4-5 days after vaccination.  She was unsure if they were related to the immunizations or not
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: I developed Shingles, which really sucks.  I was diagnosed by Dr.  I have a rash and a lot of pain.  I am on a course of anti-viral meds.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling hot, Loss of consciousness
Clinical narrative: A few minutes after receiving the immunization, she felt hot, sat down, then passed out for a couple minutes before waking up.  She said she hadn't eaten yet, and we gave her water and juice.  She said she was feeling a lot better and just needed to rest for a minute before getting up.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Nausea, Pyrexia
Clinical narrative: Sudden fatigue, fever, chills and nausea. Lasted about 7 hours.
Age: 67.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Malaise, Nausea, Pain, Vomiting, White blood cell count increased
Clinical narrative: Patient received 3 immunizations on 10/1 (FLUZONE HD + PNEUMOVAX on left arm, SHINGRIX on left arm). Reports feeling symptoms of soreness, nausea, vomiting, overall malaise the following day (10/2/2020), and reports going to ER where she received treatment for potential cellulitis. During admission, reported having elevated white blood cell counts which improved following a blood test on Sunday (10/4).
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Dysphagia, Dyspnoea, Hypersensitivity, Ocular hyperaemia
Clinical narrative: Last year I seemed to have a reaction but it was flushing. This year approximately one hour after getting the injection, I experienced a dry, continuous hacking cough. My mouth felt like pins and needles. The back of my throat was hard to swallow so I kept eating ice chips. My eyes became blood shot and I started getting short of breath.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia oral
Clinical narrative: Last year I seemed to have a reaction but it was flushing. This year approximately one hour after getting the injection, I experienced a dry, continuous hacking cough. My mouth felt like pins and needles. The back of my throat was hard to swallow so I kept eating ice chips. My eyes became blood shot and I started getting short of breath.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Headache
Clinical narrative: Severe headache, chills, nausea, lack of energy, no appetite, light headed
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea
Clinical narrative: Severe headache, chills, nausea, lack of energy, no appetite, light headed
Age: 66.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Swelling of the arm down towards the elbow accompanied with fever in the arm. Started say after i njection and still present 3 days after. Patient to start Benadry and TYLENOL to help with symptoms. Will monitor symptoms and seek treatment if needed. Will advise pharmacy of any changes.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Induration, Injection site erythema, Injection site pain, Injection site swelling, Rash papular
Clinical narrative: I started feeling pain at the injection site around 8pm the same day I got the injection.  I went to bed and woke up around 2am with extreme pain.  My right arm was swollen and red where the injection was placed.  The rash was raised and hard to the touch.  I've had the flu vaccine for many years and have never had a reaction like this.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: patient is complaining that her arm is still sore. because of this she went to an orthopedist to check for possible damage. she still has full range of motion of her arm and shoulder. This was her first flu vaccine.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient notified pharmacy on 10/6/2020 that the Fluzone HD vaccine she received on 8/31/2020 still hurt her arm (right arm). There's no discoloration or swelling or protrusion. It's just painful to move. She has been using warm compress and taking over the counter painkillers ever since. The pain hasn't gotten worse but it hasn't been getting better either. She hasn't seen a physician yet. She will continue monitoring and see her doctor if she notices it getting worse.
Age: 52.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: I believe it was the Shingles vaccine that caused bodyaches that last 48-60 hours and fever of 100.0 degrees which lasted approximately 24 hours.  3 weeks later I am experiencing the same bodyaches again but with no fever.
Age: 48.0
Sex: M
Vaccine: FLUR4, PPV, TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Pain in extremity
Clinical narrative: Three vaccines given in the right arm. 24 hours later, patient had pain. Then a egg-sized rash appeared and spread over time. Rash is now from shoulder to elbow and is pink, swollen and sore. Patient saw provider on 10-6-20. Provider ordered ultrasound to rule out possible clot, antibiotics for potential cellulitis, and Benadryl for rash. Patient has had flu vaccine and tetanus vaccine previously with no adverse events.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Rash erythematous
Clinical narrative: Patient presented with a non-itching, non-hurting red rash and swollen lower left bicep
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, FLU4, HEPA, MMRV
Symptoms: Injection site erythema, Injection site induration, Pyrexia
Clinical narrative: Large area of erythema and mild induration over L thigh, onset 1 day after vaccination and progressing over 3 days.  Fever x 3 days.
Age: 13.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given to child under 18 year old
Age: 1.5
Sex: M
Vaccine: DTAP, FLU4, HIBV
Symptoms: Febrile convulsion, Lethargy, Respiratory arrest, Seizure, Tremor
Clinical narrative: Child was lethargic the morning after receiving immunizations. Temperature was approximately 100° using infrared thermometer and was given 5mL of tylenol. 5-7 minutes after given the Tylenol, he began shaking and stopped breathing for approximately 20-30seconds. Seizure occurred at 12:30pm. EMT was called and seemed it a febrile seizure.
Age: 49.0
Sex: F
Vaccine: FLUX
Symptoms: Chills, Dizziness, Pain, Pyrexia
Clinical narrative: fever, chills, body aches, dizziness
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Myalgia
Clinical narrative: Patient complains of muscle aches, fatigue
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Hyperhidrosis, Pyrexia
Clinical narrative: Chills beginning after bedtime (about 10:30 PM), followed by sweats to about 3:00 AM. Fever of 100.5 deg F.  Symptoms treated at home with 650 mg aspirin. Fever and all other symptoms resolved themselves by 7:00 AM and did not recur.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Patient's family, reports vomiting and inability to keep fluids down.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chest discomfort, Chills, Hallucination
Clinical narrative: Chills, hallucination, and chest pressure times 2 hours.
Age: 2.0
Sex: M
Vaccine: FLUN4
Symptoms: Influenza, Influenza virus test positive, Lethargy, Pyrexia, Seizure like phenomena
Clinical narrative: as reported by mother, patient had low grade fever (100.8) and became lethargic, then started having seizure like activity.  Parents proceeded to ER, where he was diagnosed with influenza, most likely secondary to the vaccine.
Age: 40.0
Sex: F
Vaccine: FLUR4
Symptoms: Dizziness, Ear pruritus, Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Itchy throat, itchy ears, itching from head to toe starting at 1800 (three hours after the vaccination), dizziness, blurred vision 6 hours after the injection.  Redness and swelling with a large ring around injection site.
Age: 40.0
Sex: F
Vaccine: FLUR4
Symptoms: Throat irritation, Vision blurred
Clinical narrative: Itchy throat, itchy ears, itching from head to toe starting at 1800 (three hours after the vaccination), dizziness, blurred vision 6 hours after the injection.  Redness and swelling with a large ring around injection site.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Lip pruritus, Lip swelling, Pharyngeal swelling, SARS-CoV-2 test positive
Clinical narrative: Approx 20 min after my flu shot, I developed chest tightness, itching of my throat, tongue and lips and selling. If my to gue
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Swollen tongue, Throat irritation, Tongue pruritus
Clinical narrative: Approx 20 min after my flu shot, I developed chest tightness, itching of my throat, tongue and lips and selling. If my to gue
Age: 52.0
Sex: F
Vaccine: FLUR4
Symptoms: Wrong product administered
Clinical narrative: Patient wanted Shingles vaccine and received Flublock instead. Currently not having any symptoms. Has had flu vaccine in the past
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Impaired work ability, Loss of personal independence in daily activities, Muscular weakness, Pain
Clinical narrative: Subjective fever and chills with uncontrollable shivering and  body aches starting the evening of the day he had the injection, left arm localized pain worse with movement and weak arm at or above shoulder level.  No swelling or rash seen.  Patient states he had symptoms that prevented him from going out of his home/to work for the following day.  Symptoms slowly improved over a few days and by 1 week following the injection he reported symptoms resolved.
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: Subjective fever and chills with uncontrollable shivering and  body aches starting the evening of the day he had the injection, left arm localized pain worse with movement and weak arm at or above shoulder level.  No swelling or rash seen.  Patient states he had symptoms that prevented him from going out of his home/to work for the following day.  Symptoms slowly improved over a few days and by 1 week following the injection he reported symptoms resolved.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling where I got the shot. Then the next day, I felt tired, had muscle pain, a headache, fever, stomach discomfort
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: Redness and swelling where I got the shot. Then the next day, I felt tired, had muscle pain, a headache, fever, stomach discomfort
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Breast pain
Clinical narrative: Patient describes that after been vaccinated WITH PNEUMOVAX 23 she developed an acute pain in her right breast.
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: Grip strength decreased, Movement disorder, Peripheral swelling, Skin sensitisation
Clinical narrative: 3 days after i receivd TDAP vaccine, i noticed a sudden change of sensitivity in my left hand, and soon it got very swelled and feeling that it did not respond to my orders but the three left fingers lost all feelings, and falled below the other fingers. This situation has receded to a 50% swellnes but still has this funny feeling that my fingers dont obey to my orders. i lost my grip to hold things, and now it is impozible to type my pc using my left hand.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Pruritus, Rash
Clinical narrative: Rash that started on the arm at injection site and then moved up to neck and head. Patient says the itching it still there after almost a week.
Age: 68.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient complained of swollen arm and pink in color. she also started the left arm was warm.
Age: 66.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Hypotension, Pyrexia
Clinical narrative: Patient had a fever and low blood pressure a few days after the shots. He had to be hospitalized. The doctor from the hospital said it was because of getting both shots a once.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Balance disorder, Dizziness, Fall, Lip injury, Loss of consciousness
Clinical narrative: Patient experienced vasovagal syncope about 5 minutes after receiving the vaccination.  She was very nervous about the needle before getting the immunization but was acting normal and coherent directly following the shot.  Her friend then received his shot, whom was also very nervous. They were both encouraged to stay in our waiting area and as they were collecting their belonings she lost her balance and fell.  I left the pharmacy to help her up.  She said she was fine and got up and started to walk and then fell again, losing conciousness for a few seconds cutting her lip on her teeth.  Myself and her friend helped her to a chair and I gave her a gauze pad for her lip.  She refused an ambulence and said she felt okay, just a little light headed.  They stayed for about 30 minutes and decided to go to an urgent care to get checked out just in case.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient experienced vasovagal syncope about 5 minutes after receiving the vaccination.  She was very nervous about the needle before getting the immunization but was acting normal and coherent directly following the shot.  Her friend then received his shot, whom was also very nervous. They were both encouraged to stay in our waiting area and as they were collecting their belonings she lost her balance and fell.  I left the pharmacy to help her up.  She said she was fine and got up and started to walk and then fell again, losing conciousness for a few seconds cutting her lip on her teeth.  Myself and her friend helped her to a chair and I gave her a gauze pad for her lip.  She refused an ambulence and said she felt okay, just a little light headed.  They stayed for about 30 minutes and decided to go to an urgent care to get checked out just in case.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation issue
Clinical narrative: Patient received just the diluent of vaccine and not the Shringrix vaccine component. 2 diluents of same lot mixed together and patient received 0.5 ml IM
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Consciousness fluctuating, Dizziness, Syncope
Clinical narrative: After giving the flu shot. The lady went up to the register and started feeling dizzy and then started to faint. She seemed to be going in and out of consciousness.  A person standing next to her grabbed a chair to set her down. After sitting down she continued to go into and out of consciousness when I went in the pharmacy and grabbed an epi pen then went back out to administer it to her. It seemed to work almost immediatley as the started to regain consciousness. We called 911 during the entire process.  After the paramedics came they took they took over the situation. She later was in hospital for further evaluation where she remained in stable condition.
Age: 21.0
Sex: F
Vaccine: FLUR4
Symptoms: Lip swelling, Swelling face, Throat irritation
Clinical narrative: PATIENT HAD SWOLLEN LIPS , FACE AND IRRITATED THROAT.
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: fainted
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site reaction, Urticaria
Clinical narrative: Patient states a large welt occurred around the injection site. She states the welt was itchy. The welt lasted for 1 week after the vaccine and resolved on its own.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection site is red, swollen, painful, and warm to the touch. Im experience some muscle weakness in my left arm and feeling slightly dizzy.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness
Clinical narrative: Injection site is red, swollen, painful, and warm to the touch. Im experience some muscle weakness in my left arm and feeling slightly dizzy.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: 4:16pm vaccine administered.  After walking away from getting flu shot at 4:20pm patient started to feel faint and passed out.  His mother caught him, he sat down for 20 minutes and felt fine, walking out of the store on his own.  Pharmacy did not get involved and was unaware of patient incident until later that evening.
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Nausea
Clinical narrative: Patient this morning noticed area was tender but not concerned.  Around 4:30pm when patient was changing for the gym, she noticed the swelling and redness was spreading and tender to the touch but minimal pain.  She also experienced mild nausea throughout the day.  She will continue to monitor arm to see if irritation continues to spread.  Will also use OTC tylenol and topical benadryl to treat current symptoms.  No trouble with range of movement with arm.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Blood potassium abnormal, Crying, Echocardiogram normal, Electrocardiogram abnormal, Full blood count normal
Clinical narrative: Patient had lethargy and slightly elevated heart rate the evening of the second day after vaccination. The following morning the patient was still lethargic and had a heart rate over 200. Patient was taken to an urgent care, then to a local hospital. The local hospital noted SVT with a heart rate of 280. Three doses of adenosine were administered followed by an esmolol drip up to 40mcg/kg/min. Blood pressure was normal and the heart rate only came down to 250. Patient's potassium was slightly off, likely due to hemo lysis. Patient vomited once. Patient was then flown to a regional hospital. In-flight, two additional doses of adenosine were given with the final dose resulting in sustained conversion. Esmolol was continued at 30mcg/kg/min until the patient was transitioned to oral atenolol 1mg/kg twice daily. Approximately one month later patient was admitted again with SVT with heart rate of 160. Patient converted when the IV was being put in and was crying. Digoxin was added to his daily medication regimen.
Age: 1.5
Sex: M
Vaccine: DTAP, HEPA, HIBV, VARCEL
Symptoms: Haemolysis, Heart rate increased, Lethargy, Supraventricular tachycardia, Vomiting
Clinical narrative: Patient had lethargy and slightly elevated heart rate the evening of the second day after vaccination. The following morning the patient was still lethargic and had a heart rate over 200. Patient was taken to an urgent care, then to a local hospital. The local hospital noted SVT with a heart rate of 280. Three doses of adenosine were administered followed by an esmolol drip up to 40mcg/kg/min. Blood pressure was normal and the heart rate only came down to 250. Patient's potassium was slightly off, likely due to hemo lysis. Patient vomited once. Patient was then flown to a regional hospital. In-flight, two additional doses of adenosine were given with the final dose resulting in sustained conversion. Esmolol was continued at 30mcg/kg/min until the patient was transitioned to oral atenolol 1mg/kg twice daily. Approximately one month later patient was admitted again with SVT with heart rate of 160. Patient converted when the IV was being put in and was crying. Digoxin was added to his daily medication regimen.
Age: 69.0
Sex: F
Vaccine: FLUA3
Symptoms: Mass, Tenderness
Clinical narrative: Tender red lump on the lower arm, not around the injection site. Onset a little after injection was given. Came back the next day with tender lump.
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Abdominal discomfort, Asthenia, Dizziness
Clinical narrative: After receiving immunization, she was asked to wait 15 min for any adverse reactions. After 13 min of receiving flu shot, customer felt  stomach upsetting, dizziness and weakness. Pharmacist in charge called 911 and remained by customer side until ambulance arrived the store at 11:46am. Paramedics assessed her and left after she was stabilized. Customer was not taken in the ambulance.