chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Influenza like illness, Muscle spasms
Clinical narrative: Patient's wife called pharmacy, her husband is a truck driver, got the first SHINGRIX shot and was getting the second with an annual flu shot. Per her report pt started feeling flu like symptoms about 4 hours after the shot. These symptoms grew to be quite severe cramping, nausea, headache, chills, sweats, to the point where he thought to maybe go to ER. He continued to wait in his hotel room and the following morning was not 100% better but was feeling better than the night before and would not seek treatment from ER.
Age: 65.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Nausea
Clinical narrative: Patient's wife called pharmacy, her husband is a truck driver, got the first SHINGRIX shot and was getting the second with an annual flu shot. Per her report pt started feeling flu like symptoms about 4 hours after the shot. These symptoms grew to be quite severe cramping, nausea, headache, chills, sweats, to the point where he thought to maybe go to ER. He continued to wait in his hotel room and the following morning was not 100% better but was feeling better than the night before and would not seek treatment from ER.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Staphylococcal infection, Tenderness
Clinical narrative: Patient have very tender, painful, swelling and redness to the area. It was spreading down her arm. It started small, was the size of a donut after 24 hours. After 48 hours it had spread down to her elbow. Provider diagnosed it as a staph infection. She was give a 7 day course of Augmentin 875 mg + cetirizine + diphenhydramine. The area of redness and pain seems to be going down with the antibiotic.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red, itchy, swollen and warm area near the injection site on the left deltoid.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blood pressure increased, Chest discomfort, Electrocardiogram normal, Feeling abnormal, Hallucination, visual
Clinical narrative: Administered PNEUMOVAX 23 first, then gave FLUZONE HIGH DOSE. Immediately after giving FLUZONE patient said "Wow I'm seeing bugs flying. Those are some weird silver bugs I see" I asked her if she was ok, she said "I feel really funny, and seeing bugs" I asked her if her throat felt like it was closing she said "No my chest feels funny, like real tight" I asked again if finding it hard to breathe she said again my chest is getting tighter. I then directed my technician to call 911 and I informed he that I was going to inject her with an EPI-PEN which I did so. She quickly said that she was feeling much better and chest not tightening further, no longer seeing silver bugs. 911 arrived checked blood pressure 142/80 Hr 90 (which 112/70 is about normal for pt) Lungs clear, did EKG it was normal. Patient refused to go to hospital, even after EMS and I informed that she may relapse. We discussed with her about further medicating prophylactically with BENADRYL, and I gave her 50mg (20ml) in the pharmacy. She was alone and her spouse had no way of coming to get her. A member of management took her home, because we would not allow her to drive. Her husband later returned and informed me that she was fine and thanked me for taking care of her.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Immediate post-injection reaction
Clinical narrative: Administered PNEUMOVAX 23 first, then gave FLUZONE HIGH DOSE. Immediately after giving FLUZONE patient said "Wow I'm seeing bugs flying. Those are some weird silver bugs I see" I asked her if she was ok, she said "I feel really funny, and seeing bugs" I asked her if her throat felt like it was closing she said "No my chest feels funny, like real tight" I asked again if finding it hard to breathe she said again my chest is getting tighter. I then directed my technician to call 911 and I informed he that I was going to inject her with an EPI-PEN which I did so. She quickly said that she was feeling much better and chest not tightening further, no longer seeing silver bugs. 911 arrived checked blood pressure 142/80 Hr 90 (which 112/70 is about normal for pt) Lungs clear, did EKG it was normal. Patient refused to go to hospital, even after EMS and I informed that she may relapse. We discussed with her about further medicating prophylactically with BENADRYL, and I gave her 50mg (20ml) in the pharmacy. She was alone and her spouse had no way of coming to get her. A member of management took her home, because we would not allow her to drive. Her husband later returned and informed me that she was fine and thanked me for taking care of her.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site vesicles, Pruritus
Clinical narrative: 3 blisters at injection site, itching, started 10 days after injection.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Pain
Clinical narrative: SEVERE PAIN AND SWELLING AT INJECTION SITE AND SHOULDER. ARM MOVEMENT PAINFUL.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Pyrexia
Clinical narrative: The patient reported the symptom of a fever 24 hours after her vaccination. That was the only symptom she reported.
Age: 0.33
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Decreased appetite, Injection site erythema, Injection site induration, Injection site pain, Irritability
Clinical narrative: Low grade fever, fussiness, very sleepy, reduced appetite. Lasted about 48 hours. Soreness and hard red spot at injection site for a few additional days.
Age: 0.33
Sex: F
Vaccine: HIBV, PNC13
Symptoms: Pyrexia, Somnolence
Clinical narrative: Low grade fever, fussiness, very sleepy, reduced appetite. Lasted about 48 hours. Soreness and hard red spot at injection site for a few additional days.
Age: 52.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pyrexia
Clinical narrative: The patient reported that he had a fever 24 hours after receiving the vaccination.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Adverse drug reaction, Angiogram, Anxiety, Arthralgia, Asthenia
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Blood test, Bone graft, Brain operation, Cerebrovascular accident, Chemotherapy
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Computerised tomogram abnormal, Depression, Dysarthria, Dyskinesia, Echocardiogram
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Electroencephalogram, Feeling of despair, Gait disturbance, Headache, Hypertension
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Hypoaesthesia, Intraocular pressure increased, Mental disorder, Moyamoya disease, Nephrolithiasis
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Nuclear magnetic resonance imaging, Osteonecrosis, Paraesthesia, Surgery, Thyroid hormones increased
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Vasculitis cerebral, Walking aid user, X-ray
Clinical narrative: In Summer of 2014, patient had tingling and numbness of left arm and hand. A CT scan was done and reported as "normal." Two years later, it was discovered that that test was not normal. In June of 2016, patient had unsteady gait, involuntary muscular movements, and slurred speech due to multifocal strokes caused by cerebral central nervous system vasculitis. She was in the hospital for a week, received daily steroid infusions, and after beginning treatment to hopefully protect her reproductive eggs, she began monthly infusions of chemotherapy in the hospital along with daily steroids. After 7 chemo infusions, she began oral chemo. The chemo lasted for about a year and a half and she was on steroids for a year. The steroids caused high blood pressure while taking 3 BP pills at a time, elevated thyroid levels, and elevated pressure in her eyes. Her doctor prescribed calcium to protect her bones from the steroids. Because of all of the calcium intake, she suffered from kidney stones twice. The first one only required an emergency room visit. The second one required surgery and a hospital stay. Even though she was taking the calcium, the steroids caused avascular necrosis of the femoral head (hip bone) and she had to have a surgery called core decompression and bone grafting. She was on crutches for a month. The orthopedic doctor said she'll probably have to have a hip replacement in the future and she has constant hip pain. Last summer, it was discovered that the vasculitis caused moyamoya of her brain. She had 2 surgeries (one of each side of her brain) called pail synangosis (a grafting of blood vessels). She was weaned from the chemo in June, went for a follow up visit with the neurologist last week, and the neurologist said he thinks the vasculitis is back, based on her symptoms of headaches, involuntary muscular movements, and weakness again. She has had 2 steroid infusions in 2 weeks. The doctor recommended chemotherapy again, but my daughter doesn't want to start that all over again. She said she would rather die. She's having mental issues now, such as anxiety, depression, and hopelessness. She has seen a neuropsychologist for these feelings and is trying different meds to hopefully combat these feelings. Her lifelong dream was to become a nurse, but because of her limitations, that is not possible for her now.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Disturbance in attention, Fatigue, Hyperhidrosis, Influenza
Clinical narrative: Soreness, swelling, and inflammation at injection site by end of injection day. Extreme fatigue and generalized muscle aches by next morning. 2nd night best described as moderate flu symptoms; alternating sweats and chills, significant cramping and muscle pain, fever (100.2 vs 97.9 normal), inability to sleep or focus. Still recovering, with muscle aches and cramping, plus continuing inability to focus, though it looks like I'll make it through this.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling, Insomnia, Muscle spasms
Clinical narrative: Soreness, swelling, and inflammation at injection site by end of injection day. Extreme fatigue and generalized muscle aches by next morning. 2nd night best described as moderate flu symptoms; alternating sweats and chills, significant cramping and muscle pain, fever (100.2 vs 97.9 normal), inability to sleep or focus. Still recovering, with muscle aches and cramping, plus continuing inability to focus, though it looks like I'll make it through this.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: Soreness, swelling, and inflammation at injection site by end of injection day. Extreme fatigue and generalized muscle aches by next morning. 2nd night best described as moderate flu symptoms; alternating sweats and chills, significant cramping and muscle pain, fever (100.2 vs 97.9 normal), inability to sleep or focus. Still recovering, with muscle aches and cramping, plus continuing inability to focus, though it looks like I'll make it through this.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site inflammation, Injection site pain, Injection site warmth, Pain, Swelling
Clinical narrative: Patient received the patient early evening on 8/29/18. On 8/30/18 (mid-day), she experienced inflammation and soreness around the injection site. She attempted to ice the site but it did not get better. On 8/31, around 6:45pm, patient called the pharmacy to complain of swelling and soreness that has not gotten better -- in fact it has spread. She was advised to take some ibuprofen with food. I called her back a couple of hours later and she said the ibuprofen did not help much. The site is still warm to the touch but swelling has not gotten worse but not better either. Will follow up with patient tomorrow.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Endotracheal intubation, Eyelid ptosis, Gastrostomy, Ileus, Mechanical ventilation
Clinical narrative: Muscle weakness, ptosis. Muscle weakness, progressive, requiring intubation, mechanical ventilation. Tracheostomy placed 8/20 and PEG tube, ileus followed. Pt requires ongoing supportive care. Ongoing hospitalization, transferred 8/8/18 to select specialty hospital.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscular weakness, Tracheostomy, Urinary tract infection
Clinical narrative: Muscle weakness, ptosis. Muscle weakness, progressive, requiring intubation, mechanical ventilation. Tracheostomy placed 8/20 and PEG tube, ileus followed. Pt requires ongoing supportive care. Ongoing hospitalization, transferred 8/8/18 to select specialty hospital.
Age: 68.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient found area of the skin red and warm. She put ice, took PANADOL and apply VICKS. Area still swollen. PREVNAR 13 adverse reaction after the third day of administration.
Age: 17.0
Sex: M
Vaccine: HEPA, HPV4, HEPA, HPV9, HEPA, HPV4, MNQ
Symptoms: Eye movement disorder, Loss of consciousness, Musculoskeletal stiffness, Seizure, Tinnitus
Clinical narrative: Shaking, he was very stiff, eyes rolled back, ringing in ears, urination. Laid him back, removed needles from bed, yelled for APRN, blood pressure, APRN evaluate him. Sent him to ER. Went to give pt. his MENACTRA and Hep A. Pt. was nervous at first and had his mom on his (L) side. I first injected HPV and the HepA in the R IM deltoid. As soon as I removed Hep A pt. started to seize on me. Mom had son in her arm and we laid him down. After we laid him down, I grabbed the needles so he would not get stuck again from seizing. Ran out the door and hollered for APRN. When APRN entered the room patient was still seizing but only for a few seconds when he stopped. When he came conscious patient knew where he was but had ringing in his ears and could not hear. He also urinated on himself. Pt. was sent to ER per APRN.
Age: 17.0
Sex: M
Vaccine: HEPA, HPV4, HEPA, HPV9, HEPA, HPV4, MNQ
Symptoms: Tremor, Urinary incontinence
Clinical narrative: Shaking, he was very stiff, eyes rolled back, ringing in ears, urination. Laid him back, removed needles from bed, yelled for APRN, blood pressure, APRN evaluate him. Sent him to ER. Went to give pt. his MENACTRA and Hep A. Pt. was nervous at first and had his mom on his (L) side. I first injected HPV and the HepA in the R IM deltoid. As soon as I removed Hep A pt. started to seize on me. Mom had son in her arm and we laid him down. After we laid him down, I grabbed the needles so he would not get stuck again from seizing. Ran out the door and hollered for APRN. When APRN entered the room patient was still seizing but only for a few seconds when he stopped. When he came conscious patient knew where he was but had ringing in his ears and could not hear. He also urinated on himself. Pt. was sent to ER per APRN.
Age: 17.0
Sex: M
Vaccine: HEPA, HPV4, HEPA, HPV9, HEPA, HPV4, MNQ
Symptoms: Eye movement disorder, Hypoacusis, Immediate post-injection reaction, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Shaking, he was very stiff, eyes rolled back, ringing in ears, urination. Laid him back, removed needles from bed, yelled for APRN, blood pressure, APRN evaluate him. Sent him to ER. Went to give pt. his MENACTRA and Hep A. Pt. was nervous at first and had his mom on his (L) side. I first injected HPV and the HepA in the R IM deltoid. As soon as I removed Hep A pt. started to seize on me. Mom had son in her arm and we laid him down. After we laid him down, I grabbed the needles so he would not get stuck again from seizing. Ran out the door and hollered for APRN. When APRN entered the room patient was still seizing but only for a few seconds when he stopped. When he came conscious patient knew where he was but had ringing in his ears and could not hear. He also urinated on himself. Pt. was sent to ER per APRN.
Age: 17.0
Sex: M
Vaccine: HEPA, HPV4, HEPA, HPV9, HEPA, HPV4, MNQ
Symptoms: Seizure, Tinnitus, Tremor, Urinary incontinence
Clinical narrative: Shaking, he was very stiff, eyes rolled back, ringing in ears, urination. Laid him back, removed needles from bed, yelled for APRN, blood pressure, APRN evaluate him. Sent him to ER. Went to give pt. his MENACTRA and Hep A. Pt. was nervous at first and had his mom on his (L) side. I first injected HPV and the HepA in the R IM deltoid. As soon as I removed Hep A pt. started to seize on me. Mom had son in her arm and we laid him down. After we laid him down, I grabbed the needles so he would not get stuck again from seizing. Ran out the door and hollered for APRN. When APRN entered the room patient was still seizing but only for a few seconds when he stopped. When he came conscious patient knew where he was but had ringing in his ears and could not hear. He also urinated on himself. Pt. was sent to ER per APRN.
Age: 17.0
Sex: M
Vaccine: HEPA, HPV4, HEPA, HPV9, HEPA, HPV4, MNQ
Symptoms: Hypoacusis, Loss of consciousness, Nervousness, Product storage error, Seizure
Clinical narrative: Shaking, he was very stiff, eyes rolled back, ringing in ears, urination. Laid him back, removed needles from bed, yelled for APRN, blood pressure, APRN evaluate him. Sent him to ER. Went to give pt. his MENACTRA and Hep A. Pt. was nervous at first and had his mom on his (L) side. I first injected HPV and the HepA in the R IM deltoid. As soon as I removed Hep A pt. started to seize on me. Mom had son in her arm and we laid him down. After we laid him down, I grabbed the needles so he would not get stuck again from seizing. Ran out the door and hollered for APRN. When APRN entered the room patient was still seizing but only for a few seconds when he stopped. When he came conscious patient knew where he was but had ringing in his ears and could not hear. He also urinated on himself. Pt. was sent to ER per APRN.
Age: 17.0
Sex: M
Vaccine: HEPA, HPV4, HEPA, HPV9, HEPA, HPV4, MNQ
Symptoms: Tinnitus, Urinary incontinence
Clinical narrative: Shaking, he was very stiff, eyes rolled back, ringing in ears, urination. Laid him back, removed needles from bed, yelled for APRN, blood pressure, APRN evaluate him. Sent him to ER. Went to give pt. his MENACTRA and Hep A. Pt. was nervous at first and had his mom on his (L) side. I first injected HPV and the HepA in the R IM deltoid. As soon as I removed Hep A pt. started to seize on me. Mom had son in her arm and we laid him down. After we laid him down, I grabbed the needles so he would not get stuck again from seizing. Ran out the door and hollered for APRN. When APRN entered the room patient was still seizing but only for a few seconds when he stopped. When he came conscious patient knew where he was but had ringing in his ears and could not hear. He also urinated on himself. Pt. was sent to ER per APRN.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test normal, Computerised tomogram, Computerised tomogram normal, Lumbar puncture normal, Nuclear magnetic resonance imaging normal
Clinical narrative: 06-03-2018-Hospital-CAT scan. 06-04-2018 - 06-07-2018 and 06-09-2018-2nd hosp. 06-11th - 06-15th-2018-third hosp. 06-16th to 06-21st-2018-4th hosp. 06-21st to 07-11th-2018-care center for rehab. 07-11-2018-home health.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Malaise, Pyrexia
Clinical narrative: Patient stated that the night after being vaccinated she awoke with mild fever, malaise, chills and diarrhea. This reaction significantly stronger than previous experience with vaccines, including ZOSTAVAX. Patient contacted the pharmacy at around 10am on 08/31. She reported a lingering malaise at this time, but other symptoms had subsided. She did not feel the need to have a clinic visit or be seen in an urgent setting. She did agree to contact us or go in for medical evaluation if symptoms worse or if symptoms do not resolve.
Age: 46.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Erythema, Injection site pain, Oedema peripheral, Skin warm, Vaccination complication
Clinical narrative: TDaP was vaccinated on 8/17/18. On Monday, 8/20/18, employee claimed that (L) deltoid had become very sore on 8/18/18. Today (8/20/18), arm is reddened, mild edema noted. On 8/21/18, Dr evaluated arm as redness, warmth and edema was noted. He recommended OTC ibuprofen and cool packs. On 8/21/18 - she was referred to MD. If no better have MD evaluate on 8/22/18.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: (L) arm red, warm, swollen.
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/29/18 AM - R upper arm became red, swollen, warm to touch and painful. Mother applied ice and gave TYLENOL. 8/30/18 PM - mother brought child to office to be seen. Child examined right upper arm with mild redness, moderate edema and warmth mid-way (R) upper arm to elbow. BENADRYL ordered - elevate, ice, TYLENOL or NSAIDs.
Age: 53.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Neck pain, Pain in extremity, Rash
Clinical narrative: Onset of neck pain, wrist and hand, knee, left foot pain and rash upper chest 24 hours after Hepatitis B immunization.
Age: 32.0
Sex: F
Vaccine: HEP, MMR
Symptoms: Urticaria
Clinical narrative: 8-24-18 hives both forearms and thighs. More hives on left side of body. First noticed symptoms 10 AM 8/24-18 and went to ER 8/24/18 at 1030 AM. Given BENADRYL and methylprednisolone 4 mg tapering dose.
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Pyrexia
Clinical narrative: Mom states that infant had a 104 temp after shots in the middle of the night, treated with acet and fever was reduced. Infant was seen in our clinic and had a temp of 98.8 this am at visit.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Hypersensitivity, Peripheral swelling, Pruritus
Clinical narrative: Pt. reported itching in arm shot was administered, starting evening of administration. RXN progressed to redness and swelling that proceeded down to the elbow. Pt. went to her doctor, was prescribed KEFLEX and BENADRYL, diagnosed with allergic reaction.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm redness and swelling at injection site.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Body temperature increased, Chills, Decreased appetite, Erythema, Fatigue
Clinical narrative: Systemic symptoms 2 hours after immunization, headache, chills, fatigue, decreased appetite, nausea, low grade temperature. Arm swelling, pain, 5 hours after immunization, Today (8/30/18) arm: red, hot, swollen, painful took ibuprofen and TYLENOL, took BENADRYL. No sign of infection, but erythema, hot, tender 3-4 cm below injection site.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site warmth, Nausea
Clinical narrative: Systemic symptoms 2 hours after immunization, headache, chills, fatigue, decreased appetite, nausea, low grade temperature. Arm swelling, pain, 5 hours after immunization, Today (8/30/18) arm: red, hot, swollen, painful took ibuprofen and TYLENOL, took BENADRYL. No sign of infection, but erythema, hot, tender 3-4 cm below injection site.
Age: 58.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Systemic symptoms 2 hours after immunization, headache, chills, fatigue, decreased appetite, nausea, low grade temperature. Arm swelling, pain, 5 hours after immunization, Today (8/30/18) arm: red, hot, swollen, painful took ibuprofen and TYLENOL, took BENADRYL. No sign of infection, but erythema, hot, tender 3-4 cm below injection site.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Irritability, Pyrexia
Clinical narrative: Fever greater that 10 x 12hrs (at time of visit) fussiness x greater than 24 hrs -Parent reassurance, observation, recheck if not improving over next 24-48 hrs.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Dizziness, Hypoaesthesia, Injection site pain
Clinical narrative: Patient received the TRUMENBA vaccine in LT arm - painful site after without red or swelling - he applied ice at home and his arm went numb - mom call the clinic after hours and Dr. who told him to use heat. It was better. C/O dizzy - light headed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Pain, Pyrexia
Clinical narrative: Chills, Fever, Aches, Joint Pain, Headache.
Age: 26.0
Sex: F
Vaccine: HEP
Symptoms: Nausea, Vomiting
Clinical narrative: Employee had nausea and vomiting 20-30 minutes following vaccine.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Arthralgia, Asthenia, Body temperature increased, Dizziness, Feeling abnormal
Clinical narrative: Right arm became very swollen and sore. Felt very dizzy and weak and temp suddenly shot up to 102. Stayed between 101 and 102 until the following evening. Every joint became achy and sore. Leg cramps all night. Overall, pretty miserable. This morning feeling weak but no fever. Arm is still very swollen and sore.
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Muscle spasms, Pain in extremity, Peripheral swelling
Clinical narrative: Right arm became very swollen and sore. Felt very dizzy and weak and temp suddenly shot up to 102. Stayed between 101 and 102 until the following evening. Every joint became achy and sore. Leg cramps all night. Overall, pretty miserable. This morning feeling weak but no fever. Arm is still very swollen and sore.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Patient called on 8/31/2018 to report adverse event. She said about 1 hour after receiving vaccine, she began to feel aches, headache, chills, low grade fever (100.8). She called her primary provider and he advised her to go to emergency room. She did not provide treatment details from ER. Said she still ached on 8/31/2018, but her fever resolved.
Age: 80.0
Sex: F
Vaccine: VARCEL
Symptoms: Herpes zoster, Irritability, Pruritus, Scar
Clinical narrative: Developed shingles; treated on July 28 with FAMCICLOVIR, 500mg. Ineffective: shingles appeared in their areas of the body. This medication, 1 tab 3x/day for seven days, seemed ineffective. Therefore: On August 10, doctor prescribed VALACYCLOVIR, 1000mg. This medication, 1 tab 3x/day. For 14 days, proved more effective as the irritability/itching subsided, although the shingles scars remain.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Swelling and pain from shoulder to elbow, low grade fever. Severe pain when trying to move arm or use it. Symptoms still present but less severe 24 hrs later.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Asthenia, Chills, Decreased appetite, Diarrhoea
Clinical narrative: Within four hours, noticeable pain in left arm that traveled to the left side of neck. Later a headache which continued for 24 hours. Extreme body aches and tiredness. I could not sleep due to muscle aches, so took TYLENOL (500 mg). The next morning, TYLENOL. Continued muscle aches, shivering, headache, stomach upset, diarrhea, no appetite. I stayed in bed. The second day, a slight headache, body aches continued and very tired. Arm and neck still painful. Appetite was better, but not regular. Third day (today) arm and neck muscle pain, no energy, better appetite. During this period I was taking CLARITIN 5 mg and Meloxicam 7 mg. I informed doctor and was told these were considered "normal" viral type reactions.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Insomnia, Myalgia, Neck pain
Clinical narrative: Within four hours, noticeable pain in left arm that traveled to the left side of neck. Later a headache which continued for 24 hours. Extreme body aches and tiredness. I could not sleep due to muscle aches, so took TYLENOL (500 mg). The next morning, TYLENOL. Continued muscle aches, shivering, headache, stomach upset, diarrhea, no appetite. I stayed in bed. The second day, a slight headache, body aches continued and very tired. Arm and neck still painful. Appetite was better, but not regular. Third day (today) arm and neck muscle pain, no energy, better appetite. During this period I was taking CLARITIN 5 mg and Meloxicam 7 mg. I informed doctor and was told these were considered "normal" viral type reactions.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity
Clinical narrative: Within four hours, noticeable pain in left arm that traveled to the left side of neck. Later a headache which continued for 24 hours. Extreme body aches and tiredness. I could not sleep due to muscle aches, so took TYLENOL (500 mg). The next morning, TYLENOL. Continued muscle aches, shivering, headache, stomach upset, diarrhea, no appetite. I stayed in bed. The second day, a slight headache, body aches continued and very tired. Arm and neck still painful. Appetite was better, but not regular. Third day (today) arm and neck muscle pain, no energy, better appetite. During this period I was taking CLARITIN 5 mg and Meloxicam 7 mg. I informed doctor and was told these were considered "normal" viral type reactions.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Ageusia, Chills, Decreased appetite, Diarrhoea, Dysgeusia
Clinical narrative: Rash on chest, low grade fever, severe headache, diarrhea, shivering, metallic taste, loss of taste, loss of appetite. Still being affected after three days.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Pyrexia, Rash
Clinical narrative: Rash on chest, low grade fever, severe headache, diarrhea, shivering, metallic taste, loss of taste, loss of appetite. Still being affected after three days.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: Patient came in 9/1 with a spotty red rash on her left upper arm. Rash was not itchy or painful. It had happened on 8/31. Had stayed the same over a 24 hour period. I suggested taking a picture to monitor size and I am going to call on 9/2. If it starts to spread, streak, or become painful let me or primary care physician know.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Malaise
Clinical narrative: Pt reported increased fatigue, body aches, generalized not feeling well for 24hrs after vaccine. Reports soreness redness at injection site which redness after 72hrs is worsening, pruritus is developing today 9/1/18, increased warmth and mild swelling are worsening in the area today 9/1/2018. Pt was prescribed triamcinolone cream for site pruritus, CLARITIN 10mg daily in am, and to take BENADRYL 25mg at bedtime and as needed. She applied topical NEOSPORIN to area the past 1-2 days.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Pt reported increased fatigue, body aches, generalized not feeling well for 24hrs after vaccine. Reports soreness redness at injection site which redness after 72hrs is worsening, pruritus is developing today 9/1/18, increased warmth and mild swelling are worsening in the area today 9/1/2018. Pt was prescribed triamcinolone cream for site pruritus, CLARITIN 10mg daily in am, and to take BENADRYL 25mg at bedtime and as needed. She applied topical NEOSPORIN to area the past 1-2 days.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Diarrhoea, Headache, Injection site erythema, Lethargy, Loss of personal independence in daily activities
Clinical narrative: My son is 11 and received the Tdap shot on 8/29/18. He was fine day of shot. Next day (8/30)his arm sore and a red circle became obvious near injection site. By mid afternoon he had 101.9 fever, very lethargic and his arm was swollen very bad. Fever next morning (8/31)of 100.9. Pain continues next day. Still swollen and red area very obvious. Took to doctor to check - he said yes, it's a reaction to the vaccine. It was not infected and he should be better by Tuesday (which is 6 days from the shot!). Last night (8/31) he had diarrhea and today (9/1) he has a terrible headache and can't sit up or stand without throbbing pain. He has now missed 2 days of school because of this vaccine.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Vaccination complication
Clinical narrative: My son is 11 and received the Tdap shot on 8/29/18. He was fine day of shot. Next day (8/30)his arm sore and a red circle became obvious near injection site. By mid afternoon he had 101.9 fever, very lethargic and his arm was swollen very bad. Fever next morning (8/31)of 100.9. Pain continues next day. Still swollen and red area very obvious. Took to doctor to check - he said yes, it's a reaction to the vaccine. It was not infected and he should be better by Tuesday (which is 6 days from the shot!). Last night (8/31) he had diarrhea and today (9/1) he has a terrible headache and can't sit up or stand without throbbing pain. He has now missed 2 days of school because of this vaccine.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Facial paralysis
Clinical narrative: In patient's own words: "woke up 8/31/18 with muscle paralysis on right side of face. Went to ER at 6:00pm to rule out stroke and was diagnosed with Bell's Palsy. Received rx for eye drops, valacyclovir and prednisone".
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Pyrexia, Tremor
Clinical narrative: Tiredness, fever, shaking chills, headache.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Decreased appetite, Headache, Injected limb mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: High fever 103 degrees, headaches, soreness and swelling of left arm with limited movement as of 09/01/2018. Appetite loss, weight loss.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia, Weight decreased
Clinical narrative: High fever 103 degrees, headaches, soreness and swelling of left arm with limited movement as of 09/01/2018. Appetite loss, weight loss.
Age: 83.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Pruritus
Clinical narrative: ITCHING/REDNESS ON UPPER ARM.
Age: 60.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Blood test, Discomfort, Hypoaesthesia, Nerve conduction studies, Neurological examination
Clinical narrative: PER PATIENT NEUROLOGICAL ADVERSE SYMPTOMS STARTED DAY AFTER SHOT. LEG NUMB/SORE, GENERAL TIGHTNESS/DISCOMFORT SINCE THE  SECOND SHOT.