chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Platelet count increased, Protein total normal, Rectal haemorrhage, Red blood cell count increased
Clinical narrative: 30 minutes after the vaccine patient developed body aches and chills. He had his blood drawn at that time as part of a routine office visit which showed at elevation in his white blood cells (see below). His condition continued to worsen (feeling more ill) at home and he was sent back to Urgent Care for a recheck. At this point his kidney and liver function tests had deteriorated (see below) and his leukocytosis had increased to 41.27 (see below). Hematology was consulted by Dr. the Urgent Care physician for Clinic and they advised him this was most likely an adverse reaction to the vaccine. Currently patient is having a new symptom of rectal bleeding and we cannot reach him by phone to check on his status. We may send police to his home if no answer to our emails and calls by closing today. If condition worsens he may be directed to the Emergency Department.
Age: 66.0
Sex: M
Vaccine: PPV
Symptoms: Red cell distribution width increased, Renal impairment, Vaccination complication, White blood cell count increased
Clinical narrative: 30 minutes after the vaccine patient developed body aches and chills. He had his blood drawn at that time as part of a routine office visit which showed at elevation in his white blood cells (see below). His condition continued to worsen (feeling more ill) at home and he was sent back to Urgent Care for a recheck. At this point his kidney and liver function tests had deteriorated (see below) and his leukocytosis had increased to 41.27 (see below). Hematology was consulted by Dr. the Urgent Care physician for Clinic and they advised him this was most likely an adverse reaction to the vaccine. Currently patient is having a new symptom of rectal bleeding and we cannot reach him by phone to check on his status. We may send police to his home if no answer to our emails and calls by closing today. If condition worsens he may be directed to the Emergency Department.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Dizziness, Lip swelling, Vomiting
Clinical narrative: Dizziness, vomiting x2, lip swelling approx. 12 hours later
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Tendonitis
Clinical narrative: Tendonitis
Age: 54.0
Sex: F
Vaccine: FLUR4, FLUR4
Symptoms: Erythema, Mobility decreased, Pain, Swelling
Clinical narrative: Patient states had pain, redness, swelling next day after vaccine.  Four weeks later, patient still has pain and redness in the arm and cannot raise arm over her head. Patient recently consulted with doctor who recommended possible physical therapy.
Age: 54.0
Sex: F
Vaccine: FLUR4, FLUR4
Symptoms: Pain in extremity, Soft tissue necrosis
Clinical narrative: Patient states had pain, redness, swelling next day after vaccine.  Four weeks later, patient still has pain and redness in the arm and cannot raise arm over her head. Patient recently consulted with doctor who recommended possible physical therapy.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Inflammation, Pain, Rash, Skin warm
Clinical narrative: Rash from vaccine, patient had pneumococcal vaccine 2 days ago (11/20/19).  Returned to clinic with erythema, inflammation, pain, and warmth.  Patient treated with antibiotics by physician Dr., Doxycycline.  Patient returned to clinic for follow up appointment appears to have decreased erythema inside border marks from prior day, slightly warm. Physician seeing patient for follow up, Dr..  Noting on follow up visit that rash appears more consistent with adverse reaction to PCV23 rather than cellulitis.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Vaccination complication
Clinical narrative: Rash from vaccine, patient had pneumococcal vaccine 2 days ago (11/20/19).  Returned to clinic with erythema, inflammation, pain, and warmth.  Patient treated with antibiotics by physician Dr., Doxycycline.  Patient returned to clinic for follow up appointment appears to have decreased erythema inside border marks from prior day, slightly warm. Physician seeing patient for follow up, Dr..  Noting on follow up visit that rash appears more consistent with adverse reaction to PCV23 rather than cellulitis.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Limb mass, Nausea, Pyrexia, Syncope
Clinical narrative: Pt described a half baseball size lump in the arm, also began running fever and chills, nausea, fainted, vomited.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Vomiting
Clinical narrative: Pt described a half baseball size lump in the arm, also began running fever and chills, nausea, fainted, vomited.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Patient complained she had fever , chills and muscle aches. took two tylenol tablets and the symptoms  lasted for 18 hours. Felt better after 2 hours .
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Conjunctival hyperaemia, Dyspnoea, Erythema, Eye swelling, Hypoaesthesia oral
Clinical narrative: Patient received HPV and flu vaccine at nurse clinic visit.  10 seconds later, felt face swell and become red, with subjective feeling of numbness and swelling of roof of mouth and throat.  No respiratory distress at the time.  Seen by physician, who noted mild periorbital edema and stable vitals but otherwise normal exam, and administered Benadryl.  Symptoms resolved.  Patient discharged home.  About 3.5 hours after vaccination, patient developed tightness in throat, shortness of breath and redness and swelling to with his eyes.  Went to ER, where physician noted mild bilateral conjunctival injection with some mild swelling around both eyes, and tachypnea.  Otherwise stable vitals.  Administered epi-pen 0.3 mg, Benadryl, Solumedrol, famotidine, NS bolus, observed for several hours.  Had complete resolution of symptoms.   Discharged with Orapred for 5 days, Benadryl as needed.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Ocular hyperaemia, Palatal swelling, Periorbital oedema, Pharyngeal hypoaesthesia, Pharyngeal swelling
Clinical narrative: Patient received HPV and flu vaccine at nurse clinic visit.  10 seconds later, felt face swell and become red, with subjective feeling of numbness and swelling of roof of mouth and throat.  No respiratory distress at the time.  Seen by physician, who noted mild periorbital edema and stable vitals but otherwise normal exam, and administered Benadryl.  Symptoms resolved.  Patient discharged home.  About 3.5 hours after vaccination, patient developed tightness in throat, shortness of breath and redness and swelling to with his eyes.  Went to ER, where physician noted mild bilateral conjunctival injection with some mild swelling around both eyes, and tachypnea.  Otherwise stable vitals.  Administered epi-pen 0.3 mg, Benadryl, Solumedrol, famotidine, NS bolus, observed for several hours.  Had complete resolution of symptoms.   Discharged with Orapred for 5 days, Benadryl as needed.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Swelling face, Swelling of eyelid, Tachypnoea, Throat tightness
Clinical narrative: Patient received HPV and flu vaccine at nurse clinic visit.  10 seconds later, felt face swell and become red, with subjective feeling of numbness and swelling of roof of mouth and throat.  No respiratory distress at the time.  Seen by physician, who noted mild periorbital edema and stable vitals but otherwise normal exam, and administered Benadryl.  Symptoms resolved.  Patient discharged home.  About 3.5 hours after vaccination, patient developed tightness in throat, shortness of breath and redness and swelling to with his eyes.  Went to ER, where physician noted mild bilateral conjunctival injection with some mild swelling around both eyes, and tachypnea.  Otherwise stable vitals.  Administered epi-pen 0.3 mg, Benadryl, Solumedrol, famotidine, NS bolus, observed for several hours.  Had complete resolution of symptoms.   Discharged with Orapred for 5 days, Benadryl as needed.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Erythema, Feeling hot, Pain
Clinical narrative: Patient called complaining of redness, heat, and pain.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Pain, Pain in jaw, Toothache
Clinical narrative: After my second Shingrix shot, approximately 3 hours after the injection, I begin having jaw/teeth pain, chills and body aches. Also mild pain at the site of the injection.  These symptoms lasted approximately 30 hours, the worst was the first 8 hours. No body temperature, nothing that concerned me enough to contact my health care provider.    Contrary, after my first Shingrix shot, I only had mild pain at the site of the injection....none of the other symptoms.  This is really the first time I have had any concerning side effects after any vaccination during my entire life.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Erythema, Injection site pruritus, Pain in extremity, Pyrexia
Clinical narrative: Slight fever the next day and two only.  My arm was hurting with redness.  Probably the second day, 11/18  is when the site started to itch.  As the days went by, it got itchier.  These are all indicated as side effects but information states for 2-3 days.  I'm reporting this since it's been 5 days and the discomfort increased each day.  As of today, 11/22, the arm is still red, patchy, and it's still itching.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Feeling abnormal, Nausea, Skin warm, Vomiting
Clinical narrative: A few minutes after receiving the Havrix immunization, the patient stated she was warm and her head did not feel right and that she was nauseated.  She  had put her head down and the started to vomit.  After about 4 minutes  she stated she felt better.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash vesicular
Clinical narrative: PATIENT HAD RASHES, THAT LOOKS LIKE A  SHINGLES UNDER HER BREAST AND THE MID-SECTION OF HER TORSO
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspnoea, Headache, Hyperhidrosis, Injection site pain, Injection site rash
Clinical narrative: Patient woke up at 3 am sweating, with severe headache like someone hit him in the back of the head. He has pain and rash around the shot area. He also has sinus congestion and could not breath via nose. Symptoms last for 3 days.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Middle insomnia, Sinus congestion
Clinical narrative: Patient woke up at 3 am sweating, with severe headache like someone hit him in the back of the head. He has pain and rash around the shot area. He also has sinus congestion and could not breath via nose. Symptoms last for 3 days.
Age: 3.0
Sex: M
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Fever occurred same day as flu shot. 10 hours later
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site vesicles, Injection site warmth
Clinical narrative: Left thigh erythema 19x21cm (max size) started in a few hours of injection warmth, tenderness, mild Blister about 2cm wide distal and medial to the site of injection, in the same thigh
Age: 4.0
Sex: F
Vaccine: FLUX
Symptoms: Abdominal pain, CSF cell count normal, CSF protein increased, Constipation, Facial paralysis
Clinical narrative: Guillain-Barre with Miller-Fisher variant: abdominal pain and constipation x1wk prior to 11/17/19, L facial droop, abnormal gait on 11/16/19
Age: 4.0
Sex: F
Vaccine: FLUX
Symptoms: Gait disturbance, Guillain-Barre syndrome, Miller Fisher syndrome
Clinical narrative: Guillain-Barre with Miller-Fisher variant: abdominal pain and constipation x1wk prior to 11/17/19, L facial droop, abnormal gait on 11/16/19
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Delirium, Fatigue, Feeling abnormal, Headache
Clinical narrative: I awoke at 3:00 a.m. with a fever and significant muscle aches, primarily in my legs and back.  I had a strong headache that felt like I had a band around my head.  I also felt delirious, i.e. that I could connect my thoughts.  The next morning I felt awful, with lots of body ache, as though I had a bad case of influenza.  I went to work and actually felt as though I probably shouldn't have been driving.  I was unable to stay and returned home at noon.  I went to bed and felt chills.  I took Nyquil and was able to sleep.  I took another dose at @ 8:00 at night and slept until @ 2:30 a.m.   I took another dose of Nyquil and slept thru the night.  By the next morning, most of the symptoms had dissipated (other than feeling tired).
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Loss of personal independence in daily activities, Myalgia, Pain, Pyrexia
Clinical narrative: I awoke at 3:00 a.m. with a fever and significant muscle aches, primarily in my legs and back.  I had a strong headache that felt like I had a band around my head.  I also felt delirious, i.e. that I could connect my thoughts.  The next morning I felt awful, with lots of body ache, as though I had a bad case of influenza.  I went to work and actually felt as though I probably shouldn't have been driving.  I was unable to stay and returned home at noon.  I went to bed and felt chills.  I took Nyquil and was able to sleep.  I took another dose at @ 8:00 at night and slept until @ 2:30 a.m.   I took another dose of Nyquil and slept thru the night.  By the next morning, most of the symptoms had dissipated (other than feeling tired).
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Urticaria
Clinical narrative: Received the flu shot in the Left Deltoid - ~ 1 hr later, she experienced itching all over & hives "everywhere." She took 2 benadryl tabs around 6pm. She went to sleep for the rest of the night. She awoke on 11/20/19 & was still itching & she took 2 more benadryl tabs & continued to have hives on the Left arm. Today, she only reports itching on the Left arm. She has not taken benadryl today.
Age: 1.33
Sex: F
Vaccine: DTAP
Symptoms: Erythema, Induration, Swelling
Clinical narrative: red, swollen, induration
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Burning sensation, Pruritus
Clinical narrative: Patient went to pharmacy to have her shingles shot done, 2 days later patient developed blisters all  up her left leg. blisters were burning and itchy. Shingles vaccine given 10/15/2019
Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: On 10/1/19 patient was diagnosed with shingles across face, mouth and nose.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Patient had severe arm pain for weeks after.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Alopecia, Arthralgia, Muscle spasms, Pruritus, Pyrexia
Clinical narrative: Pt states hair fell out after taking vaccine, next day sustained fever over 100 degrees last for 2 days. She had severe upper + lower leg cramps, joint pain, itching with no rash lasting 1 week. Had taken flu shot in past with no problems.
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Joint range of motion decreased, X-ray normal
Clinical narrative: On 10/30/19 pt. came for her flu shot. Pt felt like may have been given too high on her RDM. has had pain in Rt shoulder area with decreased ROM since injection
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Impaired work ability, Nausea
Clinical narrative: Patient became extremely lightheaded and nauseous. Loss of energy and light-headedness severe enough for her to have to leave job. These symptoms lasted approximately 24-36 hours.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site induration, Injection site inflammation, Injection site pain
Clinical narrative: Patient's Left upper arm became inflamed. Hard to touch & sore. First 48 hours patient had a hard time moving upper Left arm. Symptom's gradually subsided after 48 hours.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Injury, Vaccination complication
Clinical narrative: Patient is mentioning that she has experienced vaccine related injury; unknown what kind of treatment patient  pt  had and what the outcomes are
Age: 0.33
Sex: F
Vaccine: RV1
Symptoms: Intussusception, Ultrasound abdomen
Clinical narrative: Intestinal intussusception at 3 weeks out from vaccine administration date
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Pain, redness, and swelling in right arm from about 6 inches above elbow to 6 inches below elbow
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Swelling
Clinical narrative: Pain, redness, and swelling in right arm from about 6 inches above elbow to 6 inches below elbow
Age: 72.0
Sex: M
Vaccine: FLUA3
Symptoms: Back pain, Fatigue, Hypoaesthesia, Impaired driving ability, Loss of personal independence in daily activities
Clinical narrative: Neuralgic Amyotrophy Three weeks of Severe pain in back and arms with muscle twitching and numbness in hands.  Could not put on my own socks or drive during that period. Was prescribed and took 12 day course of prednisone. Had a cervical MRI but neuro surgen said that symptons did not match changes in disks. Referred to (neurology) who saw me on Nov 19. I had been improving with only slight pain and numbness. Still have some pain and numbness and am very tired.
Age: 72.0
Sex: M
Vaccine: FLUA3
Symptoms: Magnetic resonance imaging spinal normal, Muscle twitching, Neuralgic amyotrophy, Pain in extremity
Clinical narrative: Neuralgic Amyotrophy Three weeks of Severe pain in back and arms with muscle twitching and numbness in hands.  Could not put on my own socks or drive during that period. Was prescribed and took 12 day course of prednisone. Had a cervical MRI but neuro surgen said that symptons did not match changes in disks. Referred to (neurology) who saw me on Nov 19. I had been improving with only slight pain and numbness. Still have some pain and numbness and am very tired.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Lip swelling, Myalgia, Nausea, Swelling face
Clinical narrative: Swollen Face, Lips, Muscle pain, Nausea, and Shivering
Age: 70.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Chills, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain upon injection of Shingrix Uncontrollable shivering for 45 minutes about 10 hours after injection *Left upper arm muscle soreness, which still is painful 1 month after injection.  Pharmacist suggested taking ibuprofen.  That has not helped.  Restrictions in  raising arm  due to pain.  Limited mobility.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Chills, Headache, Injection site pain, Skin reaction
Clinical narrative: Employee states "Fuzzy skin", chills, weakness, headache, injection sight soreness. Treatment is resting in bed with fan to cool off.
Age: 63.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, Joint stiffness
Clinical narrative: Joints have been stiff.Pain in joints since the shots were given on 09132019.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site erythema, Injection site induration, Injection site pain
Clinical narrative: Intense itching at the site of the injection within 2 hours. Large raised, red, swollen, and hard area about 6 inches 3 inches within 4 hours with increasing pain. Extreme fatigue, overall body aches, and headache within 12 hours of injection.  Pain and swelling in the upper left arm increased.  Unable to sleep because of the  pain in arm and other symptoms.  Self treated with 2 tabs Tylenol 650 mg Q 6-8 hours. Fatigue, body aches, and headache subsided after 48 hours.  Pain was improving.  I do not think this injection was administered correctly.  It was not administered into the deltoid muscle, but into the soft tissue on the inside of my mid upper left arm (at the level of my shirt sleeve).  It was documented in my record as an IM injection.  Went to doctor's office 72 hours after the injection to have documented the actual site of the injection and reaction. Saw a "nurse" (? medical assistant) in the office. I still have an area of redness about 4 inches by 8 inches, that is warm and sore to touch and still itches.  Gradually improving.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Insomnia, Pain
Clinical narrative: Intense itching at the site of the injection within 2 hours. Large raised, red, swollen, and hard area about 6 inches 3 inches within 4 hours with increasing pain. Extreme fatigue, overall body aches, and headache within 12 hours of injection.  Pain and swelling in the upper left arm increased.  Unable to sleep because of the  pain in arm and other symptoms.  Self treated with 2 tabs Tylenol 650 mg Q 6-8 hours. Fatigue, body aches, and headache subsided after 48 hours.  Pain was improving.  I do not think this injection was administered correctly.  It was not administered into the deltoid muscle, but into the soft tissue on the inside of my mid upper left arm (at the level of my shirt sleeve).  It was documented in my record as an IM injection.  Went to doctor's office 72 hours after the injection to have documented the actual site of the injection and reaction. Saw a "nurse" (? medical assistant) in the office. I still have an area of redness about 4 inches by 8 inches, that is warm and sore to touch and still itches.  Gradually improving.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Product administered at inappropriate site
Clinical narrative: Intense itching at the site of the injection within 2 hours. Large raised, red, swollen, and hard area about 6 inches 3 inches within 4 hours with increasing pain. Extreme fatigue, overall body aches, and headache within 12 hours of injection.  Pain and swelling in the upper left arm increased.  Unable to sleep because of the  pain in arm and other symptoms.  Self treated with 2 tabs Tylenol 650 mg Q 6-8 hours. Fatigue, body aches, and headache subsided after 48 hours.  Pain was improving.  I do not think this injection was administered correctly.  It was not administered into the deltoid muscle, but into the soft tissue on the inside of my mid upper left arm (at the level of my shirt sleeve).  It was documented in my record as an IM injection.  Went to doctor's office 72 hours after the injection to have documented the actual site of the injection and reaction. Saw a "nurse" (? medical assistant) in the office. I still have an area of redness about 4 inches by 8 inches, that is warm and sore to touch and still itches.  Gradually improving.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site hypoaesthesia, Injection site pain
Clinical narrative: within an hour,patient said arm was sore to touch,from injection site on left arm tricep to elbow.the pain/numbness continued to 9am the next day. i gave her an ice pack,she will take benadryl caps for reaction when she gets home,along with alternating tylenol and ibuprofen.she will let me know if it gets worse,and i will follow up with her via phone later and tomorrow
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Influenza like illness, Injection site pain, Injection site swelling
Clinical narrative: I received my  second Shingrix vaccine.  One day after receiving it, I had flu like symptoms, a fever of 100.5 aches, chills  fatigue and my arm was tender and swollen at the injection site.  The fever went away the next day (2 days after vaccine) and I felt  OK - not great 3 days after the vaccine.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: I received my  second Shingrix vaccine.  One day after receiving it, I had flu like symptoms, a fever of 100.5 aches, chills  fatigue and my arm was tender and swollen at the injection site.  The fever went away the next day (2 days after vaccine) and I felt  OK - not great 3 days after the vaccine.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain, redness and swelling at the injection site. Mild headache and fatigue.  No treatment needed other than otc Ibu 400
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Hyperaesthesia, Malaise, Musculoskeletal pain, Myalgia
Clinical narrative: At approximately 2:30pm on 22 Nov 2019 (roughly 3 hours after injection), I started to feel overall mild malaise and very mild chills. By evening time on 22 Nov, around 8:00pm, I experienced moderate muscle aches particularly in both arms and worse in the shoulder area, bilaterally. Malaise feelings had become moderate and I became sensitive to light. I was overall achy and sensitive to touch. I  felt like the slightest touch was a jolt of electricity. By about 1:00am on 23 Nov those symptoms had improved and by 8:00am on 23 Nov  I woke up still achy,  now with nasal congestion, slightly sore throat and mild shoulder pain (bilateral). Excedrin and Allegra have helped alleviate symptoms. I don't recall having a similar reaction after a flu shot in previous years.
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Nasal congestion, Oropharyngeal pain, Photophobia
Clinical narrative: At approximately 2:30pm on 22 Nov 2019 (roughly 3 hours after injection), I started to feel overall mild malaise and very mild chills. By evening time on 22 Nov, around 8:00pm, I experienced moderate muscle aches particularly in both arms and worse in the shoulder area, bilaterally. Malaise feelings had become moderate and I became sensitive to light. I was overall achy and sensitive to touch. I  felt like the slightest touch was a jolt of electricity. By about 1:00am on 23 Nov those symptoms had improved and by 8:00am on 23 Nov  I woke up still achy,  now with nasal congestion, slightly sore throat and mild shoulder pain (bilateral). Excedrin and Allegra have helped alleviate symptoms. I don't recall having a similar reaction after a flu shot in previous years.
Age: 73.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Arthralgia, Injection site pain, Joint stiffness, Myalgia
Clinical narrative: Extreme pain at shingles shot site (right upper arm) like hot ice pick jabbed into upper arm. Muscle and joint pain followed for next five weeks--stiffness on joints upon sitting for longer than 10 minutes, noticeable lack of flexibility in ankles and feet when walking; pain and stiffness began abruptly and after five weeks, is beginning to taper off; still stiff joints and sore muscles at present date (11/23/2019), but gradually lessening each day.
Age: 40.0
Sex: M
Vaccine: TDAP
Symptoms: Rash erythematous, Rash macular
Clinical narrative: Macular erythematous rash to injection site 5 x 6 cm in size, circular shape, well circumscribed.   In addition the patient developed several small 1 x 1 cm erythematous macules with irregular shape and poorly defined borders distally throughout the right arm and forearm.
Age: 17.0
Sex: F
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Opened vial for ipol-is to be stored at 2 Celsius-8 Celsius.  Temperature Excursion for this opened vial at 46.9F converted to Celsius is 8.28 Celsius for 30 minutes while door was opened to store vaccines in the fridge unit.  After the temperature excursion the ipol was administered to the patient.
Age: 66.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Injected limb mobility decreased, Joint range of motion decreased, Limb mass, Pain in extremity, Swelling
Clinical narrative: PATIENT was vaccinated in right on Monday 11/4/19 5pm with fluad in her left arm and prevnar13 in her right arm.  Wed 11/6/19 her left arm(Fluad) became sore. Become a tennis ball size mass Thursday morning.  Dr. Gave prednisone and bactrim DS and symptoms resolved by Monday 11/11/19.  Wed 11/13/19 began to be sore again. Thurs 11/15/19 became swollen with severe pain and loss of mobility in arm.  This pain has persisted until today, the swelling is now mild, but the pain and range of motion are still limited.  The Physician listed who prescribed the steroids and bactrim referred her to her primary doctor and she is awaiting her appointment Monday 11/25/19.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia
Clinical narrative: not given here, pt reports right pinky and ring finger numbness
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Back pain, Chills, Myalgia, Nausea
Clinical narrative: About 7 hours after vaccine, started having back pain, also muscle pain in arms and legs. By 7:00 pm had severe chills, nausea, weakness. These symptoms lasted until 4:00 am on 11/23/2019.By 6:00 am , symptoms relieved, except for weakness.
Age: 37.0
Sex: F
Vaccine: VARCEL
Symptoms: Ocular discomfort, Vision blurred
Clinical narrative: During 15 minute observation period following vaccination. Patient came to report slightly blurred vision in left eye and asked if that is a common side effect. Pharmacist looked up in computer and saw eye discomfort listed under adverse effects. Offered to call the manufacturer to obtain more detailed info but patient stated it was improving and did not want to wait around. RPh told her that if things worsened to contact MD right away.
Age: 6.0
Sex: M
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Opened vial for ipol is to be stored at 2 Celsius to 8 Celsius.  Temperature excursion for this opened vial at 46.9 F converted to Celsius is 8.28 Celsius for 30 minutes while door was opened to store vaccines in fridge unit.  After the excursion the ipol was administered to the patient.
Age: 77.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Adverse reaction
Clinical narrative: Pt came into pharmacy @ 11 am on 11/23/2019. They went to the customer service desk stating they were having  a reaction to shots she got on tues 11/19/2019. The patient did not allow the Pharmacist on duty talk to her because she left and went to urgent care. No other information is known because they did did not actually report to urgent care
Age: 2.0
Sex: M
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Opened vial for ipol is to be stored at 2 Celsius to 8 Celsius.  Temperature excursion for this opened vial at 46.9F converted to Celsius is 8.28 Celsius for 30 minutes while the door was opened to store vaccine shipment in fridge unit.  After the temperature excursion the ipol was administered to the patient.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Rash erythematous, Skin warm, Swelling
Clinical narrative: Red rash, swollen, warm to touch, painful.
Age: 8.0
Sex: F
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Opened vial for ipol is to be stored 2 Celsius to 8 Celsius.  Temperature excursion for this opened vial at 46.9F converted to Celsius is 8.28 Celsius for 30 minutes while the door was opened to store vaccine shipment in fridge unit.  After the temperature excursion the ipol was administered to the patient.  I was advised it was ok to use the vial from the region coordinator, then 1 week later I was advised from the DOH not to use it and we had already used it. I was advised 8.28 Celsius was not an out of range temp.
Age: 8.0
Sex: M
Vaccine: IPV
Symptoms: Product storage error
Clinical narrative: Opened vial for ipol is to be stored at 2 Celsius to 8 Celsius.  Temperature excursion for this opened vial at 46.9F converted to Celsius is 8.28 Celsius for 30 minutes while the door was opened to store vaccine shipment in fridge unit.  After the temperature excursion the ipol was administered to the patient.  I was first advised this was not considered out of range temp when converted to Celsius, and that it was ok to use the vaccine, so we used the vial to administer vaccines, then 1 week later we were advised not to use it and to return the vial per DOH.
Age: 55.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash pruritic
Clinical narrative: rash left upper arm, right forearm, right side of neck and itchy
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: Flu like symptoms, fever, body aches. For 24 hours
Age: 67.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site pain, Pain
Clinical narrative: Patient reports pain in right arm injection sight area that is persisting  from 11/5/2019 till present and may be getting  worse. Patient indicated that pain is upon moving arm and not when left immobile.
Age: 82.0
Sex: F
Vaccine: PNC13
Symptoms: Diarrhoea, Hyperhidrosis, Musculoskeletal pain, Pyrexia, Rash
Clinical narrative: Patient reports having felt feverish and sweating, followed by pain in the shoulder area which has since abated. She then developed diarrhea which lasted for approximately 3-4 days, and a rash near the injection site. Rash is still present currently, 5 days after the injection. Patient states will visit her doctor to follow up on Monday, 11/25/19.
Age: 55.0
Sex: F
Vaccine: FLUC4
Symptoms: Pain, Pain in extremity, Tendonitis
Clinical narrative: Patient reported her arm being in pain when she tries to lift her arm. Patient went to see PCP and they said the vaccine was given in correct location but she had developed a tendonitis. Patient is taking ibuprofen as needed which helps and is going to physical therapy. The patient states now she is  getting better with physical therapy.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Ataxia, Hypophagia, Pyrexia
Clinical narrative: Ataxia, Fever, decreased PO intake
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Pain, Pain in extremity, Tendonitis
Clinical narrative: immediate soreness in arm which has persisted and now leading to decrease range of motion and pain with motion suggests a tendonitis
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Myalgia, Nausea, Pyrexia
Clinical narrative: Flu like symptoms - muscle ache, nausea, severe fatigue, fever
Age: 71.0
Sex: F
Vaccine: PNC13
Symptoms: Rash erythematous
Clinical narrative: Red circular rash.  Rash is already dissipating and no treatment was needed
Age: 68.0
Sex: F
Vaccine: FLUA3
Symptoms: Asthenia, Diarrhoea, Dizziness, Gait disturbance, Hyperhidrosis
Clinical narrative: I have flu shots every year without any adverse reaction.  This is the first time I had the senior FLUAD  vaccine.  The second evening after the shot I could not sleep and I felt dizzy.  The next morning I started severely vomiting along with nonstop diarrhea.  I live alone and I was so dizzy and weak I could hardly make it  from the couch to the bathroom.  I was vomiting so hard, I though I might need to go to the emergency room.  I was also sweating profusely and extremely weak.  I was not running a fever.  It felt like a severe bout of food poisoning.  I had not eaten anything suspicious whatsoever.  The reason I am reporting this is that if I had been in more fragile condition, I think this event could have been extremely dangerous.  In 2013 I was treated for triple negative breast cancer and given Cytoxan and Taxotere.  If I had this reaction during that treatment, I think I would have been in the hospital.  The symptoms abruptly stopped in about 8 hours.  I was very weak for a day or two but there were no more symptoms.
Age: 68.0
Sex: F
Vaccine: FLUA3
Symptoms: Insomnia, Vomiting
Clinical narrative: I have flu shots every year without any adverse reaction.  This is the first time I had the senior FLUAD  vaccine.  The second evening after the shot I could not sleep and I felt dizzy.  The next morning I started severely vomiting along with nonstop diarrhea.  I live alone and I was so dizzy and weak I could hardly make it  from the couch to the bathroom.  I was vomiting so hard, I though I might need to go to the emergency room.  I was also sweating profusely and extremely weak.  I was not running a fever.  It felt like a severe bout of food poisoning.  I had not eaten anything suspicious whatsoever.  The reason I am reporting this is that if I had been in more fragile condition, I think this event could have been extremely dangerous.  In 2013 I was treated for triple negative breast cancer and given Cytoxan and Taxotere.  If I had this reaction during that treatment, I think I would have been in the hospital.  The symptoms abruptly stopped in about 8 hours.  I was very weak for a day or two but there were no more symptoms.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Feeling cold, Influenza, Loss of personal independence in daily activities, Pain
Clinical narrative: Flu symptoms coming on evening of shot and lasting through next day. Ache, chills, fatigue. Unable to perform usual activities, rested in bed day after shot.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Induration, Injection site erythema, Injection site induration, Injection site swelling, Skin discolouration
Clinical narrative: Patient developed redness and swelling at the injection site which began 3 hours after administration. This occurred approximately 3 inches from the injection site. Patient also had a white induration which has since disappeared.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Nausea, Pain in extremity, Swelling
Clinical narrative: Arm Pain, Redness, Swelling, Nausea
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient states localized redness and swelling around injection site.  Started approximately one day after injection and was still present on 11/22/2019.
Age: 72.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pain, Pain
Clinical narrative: Patient came back to pharmacy two weeks later on 11/20/19, complaining of shoulder pain on her left arm, saying that it is painful when she tries to use her arm or raise her arm. I inspected her physical left arm but no signs of swelling or redness to my visible eye in the injection site area.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Blood pressure abnormal, Dysphagia, Fatigue, Headache
Clinical narrative: 6 hours later nauseated - had feeling up to a week later.  12 hours later - woke up from sleep - fever 101- sweating- could have been higher.  Pain all over - body stiff - like frozen muscles all over.   Swelling of mouth, throat - hard to swallow water.  Very tired - weakness, shakiness.  Blood Pressure at worst point was 89/37.   The above severe symptoms lasted up to 10 hours.  Later could walk with help for a day or more.  Aches and pains, headaches lasted a week or more.  After 3 weeks feeling better. I have received Flu Shots beginning in 1964 - every year until now.  This was #56 in your 2019.   Swine Flu Shot - 1976.   H1N1 shot -2009.     Senior Flu Shot 2018 & 2019.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Mouth swelling, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: 6 hours later nauseated - had feeling up to a week later.  12 hours later - woke up from sleep - fever 101- sweating- could have been higher.  Pain all over - body stiff - like frozen muscles all over.   Swelling of mouth, throat - hard to swallow water.  Very tired - weakness, shakiness.  Blood Pressure at worst point was 89/37.   The above severe symptoms lasted up to 10 hours.  Later could walk with help for a day or more.  Aches and pains, headaches lasted a week or more.  After 3 weeks feeling better. I have received Flu Shots beginning in 1964 - every year until now.  This was #56 in your 2019.   Swine Flu Shot - 1976.   H1N1 shot -2009.     Senior Flu Shot 2018 & 2019.
Age: 90.0
Sex: F
Vaccine: FLU3
Symptoms: Pharyngeal swelling, Pyrexia, Tremor, Walking aid user
Clinical narrative: 6 hours later nauseated - had feeling up to a week later.  12 hours later - woke up from sleep - fever 101- sweating- could have been higher.  Pain all over - body stiff - like frozen muscles all over.   Swelling of mouth, throat - hard to swallow water.  Very tired - weakness, shakiness.  Blood Pressure at worst point was 89/37.   The above severe symptoms lasted up to 10 hours.  Later could walk with help for a day or more.  Aches and pains, headaches lasted a week or more.  After 3 weeks feeling better. I have received Flu Shots beginning in 1964 - every year until now.  This was #56 in your 2019.   Swine Flu Shot - 1976.   H1N1 shot -2009.     Senior Flu Shot 2018 & 2019.
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache, Injection site pain, Malaise, Pain
Clinical narrative: Severe pain at injection site.  High fever not responding to acetaminophen and ibuprofen.  Body aches/pains.  Excessive sleepiness.  Headache.  General malaise.  Dizzy/
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Somnolence
Clinical narrative: Severe pain at injection site.  High fever not responding to acetaminophen and ibuprofen.  Body aches/pains.  Excessive sleepiness.  Headache.  General malaise.  Dizzy/
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Cerebrovascular accident, Hemiparesis, Laboratory test normal, Speech disorder
Clinical narrative: Pt experience stroke-like symptoms within 1 hours of receiving vaccine and went to the ER. They ran tests and everything came back WNL. Pt was unable to speak and had weakness on the side of the vaccine. Pt is doing fine now. ER doctors said it was related to vaccine.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Decreased appetite, Diarrhoea, Disturbance in attention
Clinical narrative: Flu-like symptoms - feeling off - like coming down with a cold; fever up to 102.4 F; diarrhea; joint aches; extreme fatigue; loss of appetite; sleeping longer than normal hours; chills; difficulty focusing & concentrating;   lasting more than 3 days
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Feeling abnormal, Hypersomnia, Influenza like illness, Pyrexia
Clinical narrative: Flu-like symptoms - feeling off - like coming down with a cold; fever up to 102.4 F; diarrhea; joint aches; extreme fatigue; loss of appetite; sleeping longer than normal hours; chills; difficulty focusing & concentrating;   lasting more than 3 days
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: Patient reports feeling pain upon administration of pneumonia shot and feeling like it did not go into the muscle.  The next day, patient called the pharmacy and stated that her arm was painful, red and swollen. Asked pt if shot was given too high on the shoulder and she responded no. The area where the shot was given was not painful, but lower on her arm, including on the inside of her arm was very red and slightly swollen. States it is painful to the touch. I told her to use Tylenol and ibuprofen to help decrease pain and ice to help with the swelling, but to call back or see the doctor if it got worse. She called me again today (2 days after shot was given) explaining that her arm was not getting any better. As the painful area was not near the injection site and had not improved from the day before, I advise her to be seen by a doctor. She was seen in urgent care later that day and given a prescription for Bactrim DS 1 bid x 10 days for cellulitis. Doctor was not sure if the shot could have aggravated something or it was unrelated. Pt wanted me to report the reaction
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Paraesthesia, Somnolence
Clinical narrative: The patient received her flu shot in her right arm on 11/15/19.  She called to report that when she awoke on 11/17/19 her right hand/fingers were tingling and felt like they were asleep, and they have felt like that since then.  She also reports feeling sleepy, which is not usual for her.  I paged the doctor on call, who phoned the patient, and he advised her that he thinks she will be fine, but to follow up with her primary doctor Monday morning.  He also advised her to seek medical treatment before that if she develops sudden muscle weakness or worsening symptoms.  She says that other than the tingling in that one hand she feels fine elsewhere.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Anaphylactic reaction, Dyspnoea, Lip swelling, Swollen tongue
Clinical narrative: Patient claims they had a mild anaphylactic response to vaccine.  Patient reported swelling of tongue/lips, and mild difficulty breathing.  Patient contacted physician and was directed to take Benadryl which stopped anaphylactic reaction.  Patient reports being fine after dose of Benadryl.
Age: 74.0
Sex: F
Vaccine: MMR
Symptoms: Pruritus, Rash
Clinical narrative: patient  had  a  rash with  itching all  over  body
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Eye discharge, Feeling hot, Nausea, Pallor
Clinical narrative: At 1:15 PM, on Tuesday, November 19, 2019, I got the flu shot for this year, ("AFLURIA QIV PFS 2019-2020 INJ  0.5 ML", Quantity: 0.5).  I felt totally fine when I got the shot.  At about 7:15 PM, I started feeling nauseated (never actually vomited); I got chills, and I was shaking.  Also, my eyes were excreting a lot of gunk.  I felt like I had a fever, but we checked, and I did not.  Also, all the color in my face was drained - I was a pasty white.  I laid down on the couch with extra covers and the shaking subsided, and I sipped water.  We considered going into Urgent Care, but by 9:15 PM, I was feeling quite a bit better, and the color started returning to my face.  By the next morning, I was feeling fine.  I am a 64-year-old woman in good health, and I exercise regularly.  I have not had a negative reaction to any previous flu shots.  The reason I'm submitting this is that my reaction to this year's flu shot doesn't seem to be described in the pamphlet covering the possible reactions to the flu shot; and therefore, I thought I should let you know.  Thank you for your concern.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: At 1:15 PM, on Tuesday, November 19, 2019, I got the flu shot for this year, ("AFLURIA QIV PFS 2019-2020 INJ  0.5 ML", Quantity: 0.5).  I felt totally fine when I got the shot.  At about 7:15 PM, I started feeling nauseated (never actually vomited); I got chills, and I was shaking.  Also, my eyes were excreting a lot of gunk.  I felt like I had a fever, but we checked, and I did not.  Also, all the color in my face was drained - I was a pasty white.  I laid down on the couch with extra covers and the shaking subsided, and I sipped water.  We considered going into Urgent Care, but by 9:15 PM, I was feeling quite a bit better, and the color started returning to my face.  By the next morning, I was feeling fine.  I am a 64-year-old woman in good health, and I exercise regularly.  I have not had a negative reaction to any previous flu shots.  The reason I'm submitting this is that my reaction to this year's flu shot doesn't seem to be described in the pamphlet covering the possible reactions to the flu shot; and therefore, I thought I should let you know.  Thank you for your concern.
Age: 90.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Vomiting
Clinical narrative: patient had n and v
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Nausea
Clinical narrative: Twenty to thirTy miNutes After AdMINIstrATion, patient Reported dizziness, lightheadedness, ANd Nausea, blood pressure was measured by pharmacist As 185/90, 193/91, PARAMedics Arrived and it was 194/95. PATIeNt declined transport to ER. Will f/u with MD.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Nausea, Pyrexia
Clinical narrative: FEVER, CHILLS, JOINT ACHES, NAUSEAU
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: Extremely itchy hives all over body, starting in back of scalp and spreading all over body.  I am going into the eighth week with this.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: Body temperature increased, Chills, Loss of consciousness, Nausea, Tremor
Clinical narrative: Continued to feel worse and worse.  Temperature up to 105.  Violent shaking.  Complained of chills.  Took him to Urgent Care.  There he experienced nausea, pulse varies from 40 - 90.  Started to lose consciousness.  Given Zofran, oxygen, and NS IV started as paramedics were called.  Started to improve in route to the Emergency Department.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis contact, Herpes zoster
Clinical narrative: rash  in dermatome T 7 , difficult to distinguish between contact dermatitis and Shingle at the time of presentation
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle spasms, Pain
Clinical narrative: At 10:15 p.m. on Nov 16, 2019, I woke up with severe muscle spasams, especially around my abdomen, everytime that I moved, lasted almost 24 hours, relieved by ipufrphen, but still painful.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, chills, arm pain, and muscle aches on left side shoulder, arm,  and neck x 2 days Patient gad similar reaction to both Dose #1 and Dose #2 of Shingrix vaccine administered 2 months apart