chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Nausea, Pain, Pain in extremity
Clinical narrative: Very sore arm - 4:30 pm - took Advil Woke up 1:00 am (9-24-2020)with chills, fever , nausea, aches - flu like symptoms - took more Advil
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Very sore arm - 4:30 pm - took Advil Woke up 1:00 am (9-24-2020)with chills, fever , nausea, aches - flu like symptoms - took more Advil
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Angiogram, Computerised tomogram, Electrocardiogram, External ear pain, Facial paralysis
Clinical narrative: Bells Palsey, 2 wks later, Experincing dull pain behind left ear, 4 days after vaccine, also slight headache.
Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Magnetic resonance imaging
Clinical narrative: Bells Palsey, 2 wks later, Experincing dull pain behind left ear, 4 days after vaccine, also slight headache.
Age: 89.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pruritus, Rash
Clinical narrative: I started having a rash on R arm & neck. No blisters, but pain & itching in my muscles. Sometimes it would subside & then flash out - lasting 1 month Shingles shot
Age: 87.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal discomfort, Blood test, Diarrhoea, Malaise, Stool analysis
Clinical narrative: UPSET STOMACH, SICK FEELING, DIARREA
Age: 75.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Flank pain, Pain in extremity
Clinical narrative: Pain in right arm, then, in a few days, sharp pain on my right side any time I took a deep breath: front, side, and back of chest area on right side!
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Body temperature increased, Chills, Headache, Hyperhidrosis
Clinical narrative: Body aches - severe, tyleno eased Temp: 101 degrees - Tylenol sweats - uncovered, chills - covered - body as needed headache - Tylenol weak on standing - lasted about 24 hrs.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Body aches - severe, tyleno eased Temp: 101 degrees - Tylenol sweats - uncovered, chills - covered - body as needed headache - Tylenol weak on standing - lasted about 24 hrs.
Age: 65.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Left arm - rash developed away from injection area - between mid arm and elbow, inside; pt present - red rash/contained/itching/area warm/slight swell
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity
Clinical narrative: pain on the arm that she got the PNEUMOVAX vaccine in; This spontaneous report has been received from a pharmacist referring to a female patient of unknown age. Information about medical history, concurrent conditions and drug allergies was not provided. Concomitant therapies included influenza virus vaccine (reported as flu vaccine).      On an unknown date in October 2019 (reported as last year), the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (lot #, expiration date and dose details were unknown) intramuscularly for prophylaxis (reported as prevention of pneumococcal disease).      On an unknown date in October 2019 (reported as one year ago), the patient experienced pain on the arm that she got the pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) vaccine in. It was unknown that if any treatment was given.      The outcome of the event was unknown. The causality assessment between the event and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was not provided.
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE details; Improperly stored PROQUAD administered after storage outside of PI.; This spontaneous report was received from a registered nurse and refers to a patient of unknown demographics. There was no information about the patient's concurrent conditions, concomitant medications and medical history provided.  On 12-OCT-2020, the patient was vaccinated with an improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) lot # T018275, expiration date 23-NOV-2021, albumin status rHA (exact dose, route of administration and anatomical location were not reported) for prophylaxis, outside of prescribing information (PI) storage and handling.  The vaccine underwent a temperature excursion of negative 14 degrees Celsius to negative 10 degrees Celsius for 1 hour and 11 minutes. Digital Data Logger was not involved in recording of the excursion. No previous temperature excursion was reported. No adverse effects were reported.
Sex: F
Vaccine: MMR
Symptoms: Product storage error
Clinical narrative: Administered improperly stored MMR II.; This spontaneous report was received from a registered nurse, referring to a 41 year old female patient. The patient's pertinent medical history, current conditions, previous drug reactions or allergies and concomitant medications were not reported.   On 13-OCT-2020, the patient was vaccinated with an improperly stored dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II), administered at a dose of 0.5 milliliters (ml), intramuscularly in left arm, as prophylaxis,  lot number S029454, which has been verified to be valid, expiration date 19-SEP-2021). The vaccine administered experienced a temperature excursion of -50 degrees Celsius to +8C (14.58 degrees Celsius), for a time frame of 11 hours and 30 minutes, as recorded by a data logger. There was no previous temperature excursion reported.  This is one of several reports received from the same reporter.; Sender's Comments:  US-009507513-2010USA004818: US-009507513-2010USA004754:
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Labelled drug-drug interaction medication error, Pyrexia, Rash
Clinical narrative: Mild fever and a rash, the symptoms right at the day after and it last for 3-4 days; Mild fever and a rash, the symptoms right at the day after and it last for 3-4 days; Unusual symptom that she was like a little bit out of it and she was sleep talking; Unusual symptom that she was like a little bit out of it and she was sleep talking; She gave it (Trumenba) with Menactra and a Flu shot; Trumenba indicated that you can't co-administer with the other 2 shot; This is a spontaneous report from a non-contactable nurse received via  Sales Representative. This nurse reported for a 16-year-old female patient (reporter's daughter) that she received meningococcal group b rlp2086 (TRUMENBA), meningococcal vaccine a/c/y/w conj (dip tox) (MENACTRA) and an unspecified product (flu shot), all via an unspecified route of administration on an unspecified date at single dose for immunization. Concomitant medications and past drug/medical history were not reported. The reporter's daughter had a side effect for meningococcal group b rlp2086. Symptoms were mild fever and a rash, the symptoms right at the day after and it last for 3-4 days. Reporter was mentioning an unusual symptom that patient was like a little bit out of it and she was sleep talking and that's another sign now and reporter also did co-administer, she was a nurse, so she gave it to her daughter at the doctor's office. She gave it with MCV-4 (clarified as Menactra) and a flu shot. She just co-administered the 3 vaccine together and meningococcal group b rlp2086 was indicated that it couldn't be co-administered with the other 2 shot. The patient's outcome of fever and rash was recovered, and the rest of events was unknown.  No follow-up attempts are needed, information about lot/batch number cannot be obtained.
Age: 27.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: Pain in arm at sight of injection causing pain and patient is barely able to lift or move arm; thinks it was injected too high on arm
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Autoimmune disorder, Extra dose administered
Clinical narrative: Patient was  put on the schedule for a flu vaccine when she was really supposed to be getting a Tdap. She had already received her flu vaccine about 2 weeks ago.  Patient has an autoimmune disorder which she was concerned about and questioned if it was ok to get 2 flu vaccines and still get her Tdap. Dr. spoke with patient and patient decided to go ahead with the Tdap vaccine during the same office visit. Assistant Nursing Supervisor has been in contact with the patient since the vaccines were given and patient states she is doing fine and has been in touch with her physician with everything being ok.
Age: 95.0
Sex: M
Vaccine: VARZOS
Symptoms: Cheilitis, Eye pain, Facial pain, Herpes zoster, Scab
Clinical narrative: Pt. called our pharmacy today.  She states she started feeling pain behind her eye and had a sore on the inside of her upper lip and one below her nose on 10/21/20.  On 10/23/20 she was feeling so bad she went to the local ER.  They diagnosed her with shingles and started her on acyclovir 800mg three times a day for 5 days.  Today, patient states the sores are scabbing over but she still has some pain behind her eye and on her face.
Age: 10.0
Sex: M
Vaccine: FLU4, PNC13
Symptoms: Rash
Clinical narrative: Patient's mom took him to ER for rash on his bilateral arms and forehead. Mom described rash to be inflamed and bumps all over. Patient was given Keflex and Benadryl for reaction. Mom says that the rash hasn't worsened since his visit at the ER on 10/24/2020
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Patient is reporting some arm soreness still. Can move arm but reporting  pain in arm at injection site.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Pain
Clinical narrative: Employee noted erythema at the injection site for 7 days. She also has noted an intermittent Lt upper arm aching, especially when lifting heavy objects. It is getting better over time.  She is taking Aleve, which helps.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 4 inch area of redness and swelling at injection site with some soreness (mom did not report which arm). Area less swollen and red by next morning.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Eye pain, Headache, Myalgia, Nausea
Clinical narrative: Patient developed a fever that night which rose as high as 103.5 at 12:30pm on 10/24/20.   The fever ranged between 100-103.5.  She also experienced muscle pain, nausea, and headache.  By Sunday (10/25/20), the temperature had decreased to 99.5 and she felt better, but was still experiencing bodyaches. Today Monday (10/26/20), she is still experiencing a headache, eye pain, and nausea.  She stated that she has also been experiencing a little bit of dizziness.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pyrexia
Clinical narrative: Patient developed a fever that night which rose as high as 103.5 at 12:30pm on 10/24/20.   The fever ranged between 100-103.5.  She also experienced muscle pain, nausea, and headache.  By Sunday (10/25/20), the temperature had decreased to 99.5 and she felt better, but was still experiencing bodyaches. Today Monday (10/26/20), she is still experiencing a headache, eye pain, and nausea.  She stated that she has also been experiencing a little bit of dizziness.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Dyspnoea, Injection site erythema, Sinusitis, Swelling of eyelid
Clinical narrative: Patient c/o chest tightness, SOB, swelling of both eyelids., swelling of sinuses; redness at the injection site.  Took prednisone Tues and Wed, has used the Xopenex but hasn't needed the EPI pen. Also states she took a dose of Benadryl 2 hours BEFORE the flu shot.   Patient is doing better now.
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site joint pain, Pain
Clinical narrative: Daily left shoulder joint pain, worse with movement
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Cold sweat, Dizziness, Loss of consciousness, Pallor, Syncope
Clinical narrative: Pt given an IM injection, became pale and fainted in chair.  Father was holding her at the time. Ammonia inhalant administered and lowered onto pad on floor.  Color pale, clammy skin and regular pulse. Laid flat and feet elevated on a chair.  Immediately regained color and consciousness and answered questions appropriately.  Observed for several minutes.  Sat up and given water and a snack.  Felt dizzy and laid back down for few minutes.  Sat up again and felt fine. Stood up and continued to feel well and maintain color.  Ambulated out with parents. After episode, Pt and parents shared that this happens with every injection and even when losing a tooth.  Explained that it would be helpful to share that prior to any procedure.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Myalgia, Pain, Tenderness
Clinical narrative: After a few hours of muscle ache which is usual high pain began. By late evening I could no longer lift my arm over my head due to intense pain.  By the morning following the shot I could no longer move my arm at all without searing pain.  I had to immobilize it with my other hand.  Over the course of the next three days I took Ibuprofen and then switched to Tylenol. I called the Nurse hotline on day three of the pain where I still could not raise my arm over my head but was able to move my arm with some pain. I was told if it did not get better to go to urgent care the next day. The next day it seemed pain was still sharp but diminished and the pain continued to diminish until almost 2 weeks beyond the shot.  At that point it was still painful but tolerable so that I could perform most duties. Then around 2 weeks the sharp pains began to come back more and again it was very uncomfortable to raise my arm high. It also is painful when I turn my body during rest and lay on it.  I made an appt with my GP for 10/29/20. In the meantime he told me to take Ibuprofen daily. It still is painful but the pain is bearable. None
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Peripheral swelling, Skin reaction
Clinical narrative: Flu vaccine given at school. States patient's left arm became red and also had swelling that was not resolved with Tylenol or Benadryl. Symptoms began same day vaccine was given.
Age: 12.0
Sex: M
Vaccine: FLU4
Symptoms: Hyperhidrosis, Loss of consciousness, Moaning
Clinical narrative: A few minutes after vaccination, pt made loud moaning noise and started to lean to right and lost consciousness briefly.  Pt lowered to floor and ice was applied to back of neck. Pt was diaphoretic and awoke within a minute. vitals taken, BP 98/58 @5:38pm, 100/60 @5:42pm, 98/56 @5:50pm, pulse ox 98%.  Pt was given water and was no longer diaphoretic. he was feeling better and was able to walk on his own. He left with parents to go home. Spoke with mom, he has had no further adverse reactions following this.
Age: 62.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Rash, Rash vesicular
Clinical narrative: Patient received vaccine on 10/22 around 3:28 PM.  Patient presented to primary care office on 10/26 without an appointment stating that he had received the Shingles vaccine and requested to be seen for what he thought was a reaction to the vaccine. Patient noticed the rash on his arms and back. He noticed these 1 day after the vaccine was administered.  Rash is present on R arms and back and are vesicular. PCP diagnosed patient with herpes zoster and described it as textbook shingles infection. Patient is going to be treated with Valtrex and using advil and tramadol for pain.
Age: 62.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Neck pain, Pain, Paraesthesia
Clinical narrative: Patient received vaccine on 10/22 around 3:28 PM.  Patient presented to primary care office on 10/26 without an appointment stating that he had received the Shingles vaccine and requested to be seen for what he thought was a reaction to the vaccine. Patient noticed the rash on his arms and back. He noticed these 1 day after the vaccine was administered.  Rash is present on R arms and back and are vesicular. PCP diagnosed patient with herpes zoster and described it as textbook shingles infection. Patient is going to be treated with Valtrex and using advil and tramadol for pain.
Age: 62.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Patient received vaccine on 10/22 around 3:28 PM.  Patient presented to primary care office on 10/26 without an appointment stating that he had received the Shingles vaccine and requested to be seen for what he thought was a reaction to the vaccine. Patient noticed the rash on his arms and back. He noticed these 1 day after the vaccine was administered.  Rash is present on R arms and back and are vesicular. PCP diagnosed patient with herpes zoster and described it as textbook shingles infection. Patient is going to be treated with Valtrex and using advil and tramadol for pain.
Age: 62.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Rash, Rash vesicular
Clinical narrative: Received vaccine on Thursday 10/22 - Next day 10/23 - injection site on left arm very red and sore - oppisite right arm had multiple small rash locations running down the entire arm - following days Saturday and Sunday rash continued to get bigger and started spreading to back of my neck and upper right back area. Also having ongoing shooting/searing pain sensation in lower right neck area - tingling and burning pain all over the rash areas.
Age: 62.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Neck pain, Pain, Paraesthesia
Clinical narrative: Received vaccine on Thursday 10/22 - Next day 10/23 - injection site on left arm very red and sore - oppisite right arm had multiple small rash locations running down the entire arm - following days Saturday and Sunday rash continued to get bigger and started spreading to back of my neck and upper right back area. Also having ongoing shooting/searing pain sensation in lower right neck area - tingling and burning pain all over the rash areas.
Age: 62.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Rash
Clinical narrative: Received vaccine on Thursday 10/22 - Next day 10/23 - injection site on left arm very red and sore - oppisite right arm had multiple small rash locations running down the entire arm - following days Saturday and Sunday rash continued to get bigger and started spreading to back of my neck and upper right back area. Also having ongoing shooting/searing pain sensation in lower right neck area - tingling and burning pain all over the rash areas.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Syncope following release from administration room.  Multiple syncopal episodes resulting in EMS call for further evaluation.  No conclusive results from BG, BP, EKG resulting in transport to nearby hospital for further evaluation.
Age: 8.0
Sex: F
Vaccine: UNK
Symptoms: Blood test, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture
Clinical narrative: vomiting  numbness in right leg numbness in left foot sensitivity issues Guillain Barre Syndrome
Age: 8.0
Sex: F
Vaccine: UNK
Symptoms: Magnetic resonance imaging brain, Magnetic resonance imaging spinal, Vomiting
Clinical narrative: vomiting  numbness in right leg numbness in left foot sensitivity issues Guillain Barre Syndrome
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: Patient came in on 10/26/20 stating that she still has pain in her arm, where she received her Flu Shot.  She said that anytime she moves it, she has pain.  She also stated that she noticed the pain, right after the shot was administered and it has not gotten any better in 18 days.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Injection site erythema, Injection site induration, Injection site nodule
Clinical narrative: swelling, red, hard knot size of fist at injection site, chills, fever, headache, muscle cramps all lasting about 36 hours. patient recovered at 36 hours no additional problems.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Muscle spasms, Pyrexia
Clinical narrative: swelling, red, hard knot size of fist at injection site, chills, fever, headache, muscle cramps all lasting about 36 hours. patient recovered at 36 hours no additional problems.
Age: 47.0
Sex: F
Vaccine: UNK
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain Barre
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Local reaction
Clinical narrative: immediate local reaction, 4-5" redness, swelling, itching around injection site, tingling sensation in tongue and both hands, near syncope  Benadryl liquid given PO, relieved within 20 minutes, no lasting effects
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia, Paraesthesia oral, Presyncope
Clinical narrative: immediate local reaction, 4-5" redness, swelling, itching around injection site, tingling sensation in tongue and both hands, near syncope  Benadryl liquid given PO, relieved within 20 minutes, no lasting effects
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip swelling, Oral discomfort, Skin tightness
Clinical narrative: The patient noticed her top lip was swollen the morning after the injection, then noticed swelling in top and bottom lip by the afternoon.  She took diphenhydramine.  The second day after the injection, she had some additional swelling and also noticed they felt tight and burning.  No breathing trouble was noticed.  She had taken additional doses of diphenhydramine.  She stopped by the pharmacy at this time and I suggested she talk to her PCP or go to urgent care.  Later that day she had a prescription of prednisone from urgent care.  She said the provider gave her some IV steroids which helped her.  The doctor did not think the vaccine was the likely cause of her symptoms, but it could not be ruled out.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea
Clinical narrative: pt. said that they had had shortness of breath since they received the vaccine
Age: 46.0
Sex: F
Vaccine: FLUC4
Symptoms: Blindness transient, Hypoaesthesia, Magnetic resonance imaging brain normal
Clinical narrative: Numbness and tingling in gloves and stocking pattern, transient blindness left eye
Age: 51.0
Sex: F
Vaccine: FLUC4
Symptoms: Contusion, Erythema, Neck pain, Pain
Clinical narrative: Patient has signs and symptoms of an infection. Patient had experienced pain, redness that radiated up to her neck. Patient currently has a bruise and is still experiencing pain in her neck. She has just seen a doctor to manage the symptoms and received keflex and ibuprofen.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Injection site rash, Injection site vesicles, Pruritus, Rash
Clinical narrative: PATIENT STATES SMALL, ITCHING FLUID FILLED 'BLISTERS' OR BUMPS FORMED NEAR INJECTION SITE AFTER ADMINISTRATION. AS OF 10/26/20, THOSE BUMPS WERE GONE AROUND INJECTION SITE BUT NOW PRESENTED ON LEG.  PATIENT STATES BUMPS ONLY ITCH, NO PAIN ASSOCIATED WITH BUMPS.
Age: 51.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Varicella
Clinical narrative: Varicella eruption
Age: 80.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: shoulder and arm pain
Age: 49.0
Sex: F
Vaccine: FLUC4
Symptoms: Induration, Needle issue, Pain in extremity, Syringe issue
Clinical narrative: Customer was to get the vaccine in the left arm. There was a malfunction with the needle/syringe when giving the patient the vaccine. The pharmacist prepared another syringe and administered the vaccine in the right arm. The patient said that her left arm was still painful. She said that the tissue felt "hard".
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Pt complained of pain at injection site since IM injection, cant lift shoulder, hard to dress, not red or swollen
Sex: M
Vaccine: HEP
Symptoms: Product storage error
Clinical narrative: Refrigerator temp out of range. Invalid vaccination.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Foreign body sensation in eyes, Pain in extremity, Pyrexia, Rash
Clinical narrative: Patient reports "gritty vision", rash along upper chest, fever lasting ~48 hours. Also reports usual side effect of arm soreness. Patient reports she did not have this reaction from the first vaccine. States symptoms only started after vaccine was received. Patient has been taking Tylenol to treat fever. Said she already contacted doctor and was waiting on response. I recommended that if her doctor doesn't respond by the end of the day or if her symptoms worsen, she need to seek care this evening such as urgent care or if more severe, the ER. At this time, patient cannot report exact temperature of fever but states that it broke since she started Tylenol.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Condition aggravated, Electromyogram abnormal, Endotracheal intubation, Guillain-Barre syndrome
Clinical narrative: Patient was documented to have received influenza vaccine at nursing home and admitted to hospital with symptoms of ascending weakness approximately 5 weeks later. Symptoms further progressed to respiratory failure, requiring intubation. Patient received x5 sessions of plasma exchange, was extubated but transferred to long term acute care facility for rehabilitation.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Lumbar puncture abnormal, Plasmapheresis, Respiratory failure
Clinical narrative: Patient was documented to have received influenza vaccine at nursing home and admitted to hospital with symptoms of ascending weakness approximately 5 weeks later. Symptoms further progressed to respiratory failure, requiring intubation. Patient received x5 sessions of plasma exchange, was extubated but transferred to long term acute care facility for rehabilitation.
Age: 5.0
Sex: M
Vaccine: VARCEL
Symptoms: Crying, Faeces soft, Head discomfort, Intentional self-injury, Irritability
Clinical narrative: My son got his Varicella booster on 10-14-20.  He cried upon injection and was irritable a bit. All was ok until Monday 10/19/20. He started becoming super irritable. His stool changed to be softer and liquid. No fever but he kept pointing at his head,  mainly forehead and temples. I have him ibuprofen because I suspected headaches. He since started hitting himself in the head and nose. To the point of bruises on temples and nose bone. He looks like he is in pain all the time. I suspect  Encephalitis, he has been rubbing his eyes a lot.  The severe side effects list "brain reactions" as  a severe side effect. What does that entail? How general! My son is non verbal (mostly) and can't really tell me what's going on. He has  never attacked himself like this to leave such visible marks and bruises. Teachers and family alike are deeply concerned.   Due to covid I am reluctant to make it all worse by going to the hospital. Especially with the lack of attention we get as parents of a ASD child, but if it continues we can't have him keep injuring himself.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pain, Pyrexia
Clinical narrative: Chills , 101 degree fever, muscle and body aches
Sex: F
Vaccine: HEP
Symptoms: Product storage error
Clinical narrative: Refrigerator temp out of range. Invalid vaccination.
Age: 72.0
Sex: F
Vaccine: FLUR4
Symptoms: Ear pain, Pain in jaw
Clinical narrative: according to patient, patient had ear pain and jaw pain. pain level 7 out of 10. and it is getting better
Age: 1.08
Sex: F
Vaccine: FLU4, HEPA, MMR, PNC13, VARCEL
Symptoms: Rash
Clinical narrative: Rash noticed on Friday 10/23/2020. Came to appointment today to have rash examined. Per Dr.'s note who saw them at visit today:  Patient is a 13mo old female here for exanthem on torso. The exanthem does not bother her and reassurance given that this should continue to resolve over the next 1-2 weeks on its own. Reassurance it is not vesicular and not varicella. This could be viral related however it could also be related to the fact that she just received her MMR about 1.5 weeks prior to initial onset of the exanthem. She does not have any other current viral symptoms present which leads me to believe that this is most likely related to her recent MMR vaccine. Again reassurance given that children with measles rash after vaccine are not contagious and she may go back to daycare.
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: injection site reaction: itching and red mark
Age: 34.0
Sex: M
Vaccine: FLU4
Symptoms: Heart rate increased, Urticaria
Clinical narrative: Fast heart rate in the morning 5 days after vaccine administration, then patient exercised and developed hives.
Age: 85.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site reaction, Rash pruritic
Clinical narrative: The patient reported getting an itchy rash at the injection site
Age: 21.0
Sex: F
Vaccine: HEPAB
Symptoms: Cellulitis, Erythema, Injection site pruritus, Skin warm, Swelling
Clinical narrative: Redness, itching at injection site and down arm to bicep.  Area is warm to touch and red with slight swelling. Concern for early cellulitis Patient rx'ed Keflex but advised only to start if symptoms worsen.  Treat currently with Benadryl and ice.
Age: 58.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site swelling, Urticaria
Clinical narrative: Patient reports swelling  and redness at the injection site. She reports at both the injection site and all over her body. She also reports having experienced welts. She stated the reaction started approximately 45 minutes to 1 hour after receiving the vaccines. She reports that the events did not decrease in severity until 10/26/2020. When I spoke to the patient on 10/26/20 she had not treated the reactions, although I recommended diphenhydramine or hydroxyzine.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Limb discomfort, Muscle tightness, Myalgia, Pain in extremity, Sleep disorder
Clinical narrative: Having muscle soreness, some tightness like pressure in upper arm. Arm pain was so bad the day of the injection she had to sleep on the couch
Age: 70.0
Sex: M
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Patient said his pain level was 9 out of 10 that night. took Tylenol ES.  Next morning ( 10-24) he complained he could not raise his left arm at all
Age: 50.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Back pain, Diarrhoea, Dyspnoea, Headache, Muscular weakness
Clinical narrative: My first ever flu shot. Within 4 hours I became very nauseous, diarrhea the next day, low temperature the first night and next day, headache the next  day at night. Nauseous for 5 days, muscle weakness in legs for one day, felt out of breath when walking up stairs, very tired for 4 days. No pain. Overall I was feeling ill for 6 days. I was totally fine prior to the shot. Reached out to my primary to let her know what was going on. Let the pharmacist know my adverse events.
Age: 50.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Nausea
Clinical narrative: My first ever flu shot. Within 4 hours I became very nauseous, diarrhea the next day, low temperature the first night and next day, headache the next  day at night. Nauseous for 5 days, muscle weakness in legs for one day, felt out of breath when walking up stairs, very tired for 4 days. No pain. Overall I was feeling ill for 6 days. I was totally fine prior to the shot. Reached out to my primary to let her know what was going on. Let the pharmacist know my adverse events.
Age: 50.0
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Diarrhoea, Influenza like illness, Nausea
Clinical narrative: My first ever flu shot. Within 4 hours I became very nauseous, diarrhea the next day, low temperature the first night and next day, headache the next  day at night. Nauseous for 5 days, muscle weakness in legs for one day, felt out of breath when walking up stairs, very tired for 4 days. No pain. Overall I was feeling ill for 6 days. I was totally fine prior to the shot. Reached out to my primary to let her know what was going on. Let the pharmacist know my adverse events.
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Back pain, Diarrhoea, Dyspnoea, Headache, Muscular weakness
Clinical narrative: Flu-like symptoms; severe nausea and diarrhea in particular that lasted for 5 days
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Nausea
Clinical narrative: Flu-like symptoms; severe nausea and diarrhea in particular that lasted for 5 days
Sex: F
Vaccine: FLUC4, FLUC4
Symptoms: Diarrhoea, Influenza like illness, Nausea
Clinical narrative: Flu-like symptoms; severe nausea and diarrhea in particular that lasted for 5 days
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Severe pain in injection arm that makes it hard to lift arm. MD visit with steroid shot and physical therapy for affected arm.
Age: 92.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Edema, redness and cellulitis at the injection site.
Age: 21.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Abdominal discomfort, Exposure during pregnancy, Injection site erythema, Injection site mass, Intentional underdose
Clinical narrative: Immunized on 9-9 at approx 28 weeks of pregnancy - EDD 12-1-20 Seen in EC on 9-10 with lump, redness, swelling of left arm.  Pain 7/10.  Red circular area on left deltoid.  Presumed localized reaction with f/u by OB clinic.  Pt seen in OB clinic on 9-11 and rx'ed Bactrim DS for possible cellulitis.  Advised to use Tylenol for pain.  Patient returned to clinic on 9-14 with minimal improvement.  However pt admitted to only taking one dose of antibiotic due to GI upset.  Med changed to Keflex.  Pt returned on 9-17 - arm was improving with less discoloration and no pain.  No subsequent mention of any ongoing problems.
Age: 21.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Local reaction, Pain, Peripheral swelling, Skin discolouration
Clinical narrative: Immunized on 9-9 at approx 28 weeks of pregnancy - EDD 12-1-20 Seen in EC on 9-10 with lump, redness, swelling of left arm.  Pain 7/10.  Red circular area on left deltoid.  Presumed localized reaction with f/u by OB clinic.  Pt seen in OB clinic on 9-11 and rx'ed Bactrim DS for possible cellulitis.  Advised to use Tylenol for pain.  Patient returned to clinic on 9-14 with minimal improvement.  However pt admitted to only taking one dose of antibiotic due to GI upset.  Med changed to Keflex.  Pt returned on 9-17 - arm was improving with less discoloration and no pain.  No subsequent mention of any ongoing problems.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Back pain, Body temperature increased, Fatigue, Impaired work ability, Muscle spasms
Clinical narrative: Temperature 99.5F, muscle pains lower back, mid back, neck (with spasms), fatigue.  Spasms were so bad, I was unable to swallow without pain.  16-Oct-2020 through 22-Oct-2020, unable to work.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Myalgia, Odynophagia, SARS-CoV-2 test negative
Clinical narrative: Temperature 99.5F, muscle pains lower back, mid back, neck (with spasms), fatigue.  Spasms were so bad, I was unable to swallow without pain.  16-Oct-2020 through 22-Oct-2020, unable to work.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Grip strength decreased, Injected limb mobility decreased, Injection site pain, Pain, Pain in extremity
Clinical narrative: The injection site was still sore on the 2nd day but I expected that.  Injection site is still tender and it is over a month later. But that is the least of my problems.  Shot rec'd on Friday.  By Sunday night I tried to do something simple like squeeze a tube of toothpaste and not only was I completely unable to do it, it was incredibly painful in my arm. And I yelped!!   In the last month I am still having much difficulty -- the arm wakes me up at night.   I have pains when I am lying still doing nothing.  Doing simple  tasks like pulling a plug out of an outlet or a USB drive out....pain stops me.  I can not lift anything that weights over 2 pounds.  I tried.  Yelped big time on that one!! I reported this to the pharmacy.  They advised that they know of no system in place to report my problem.  I was quite surprised since in my search for help and relief I found this website.  Store did nicely write my name on a piece of paper.  Said they would note it in the computer and told me to call pharmacy Corporate Office.  You can't get through to anyone there.   It is  my feeling that the pharmacist on duty this day that gave me the flu shot either used too long of needle for my small arm or he did a back stick and he hit a nerve or something --  an older man with gray hair and glasses (don't recall a name) with a face not familiar to me as this is my regular pharmacy.   I say nerve because of the stabbing pains I get while doing absolutely nothing with my arm.  Prior to this I have had NO problems with  my arm and I now have about half the use of it.   He stuck something he shouldn't have and I need help!!!   Hindsight.....just because they are a pharmacist doesn't mean they know how to properly give needles.    I can't be the only unlucky one that day.   I got the flu shot last year.  ZERO issues.   I got it from my regular doctor's office.     I fear that he has done PERMANENT DAMAGE.   I think that if it were a minor issue I would not still be suffering over a month later. I did  mention it to a different doctor at my regular doctor's office.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Sleep disorder
Clinical narrative: The injection site was still sore on the 2nd day but I expected that.  Injection site is still tender and it is over a month later. But that is the least of my problems.  Shot rec'd on Friday.  By Sunday night I tried to do something simple like squeeze a tube of toothpaste and not only was I completely unable to do it, it was incredibly painful in my arm. And I yelped!!   In the last month I am still having much difficulty -- the arm wakes me up at night.   I have pains when I am lying still doing nothing.  Doing simple  tasks like pulling a plug out of an outlet or a USB drive out....pain stops me.  I can not lift anything that weights over 2 pounds.  I tried.  Yelped big time on that one!! I reported this to the pharmacy.  They advised that they know of no system in place to report my problem.  I was quite surprised since in my search for help and relief I found this website.  Store did nicely write my name on a piece of paper.  Said they would note it in the computer and told me to call pharmacy Corporate Office.  You can't get through to anyone there.   It is  my feeling that the pharmacist on duty this day that gave me the flu shot either used too long of needle for my small arm or he did a back stick and he hit a nerve or something --  an older man with gray hair and glasses (don't recall a name) with a face not familiar to me as this is my regular pharmacy.   I say nerve because of the stabbing pains I get while doing absolutely nothing with my arm.  Prior to this I have had NO problems with  my arm and I now have about half the use of it.   He stuck something he shouldn't have and I need help!!!   Hindsight.....just because they are a pharmacist doesn't mean they know how to properly give needles.    I can't be the only unlucky one that day.   I got the flu shot last year.  ZERO issues.   I got it from my regular doctor's office.     I fear that he has done PERMANENT DAMAGE.   I think that if it were a minor issue I would not still be suffering over a month later. I did  mention it to a different doctor at my regular doctor's office.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling, Rash, Skin warm
Clinical narrative: Arm swelled up and is very sore.  Rash developed and is hot to the touch.
Age: 60.0
Sex: M
Vaccine: FLUR4
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient reported to the pharmacy 10/26/2020 that they had a rash that started on 08/20/2020 at around 8:00 pm and spread Monday to their whole body.  The rash was described as red and itchy.  The patient was advised to seek medical attention and counseled to take oral Benadryl.  The patient said that they did not want to take oral Benadryl and was just going to use topical Benadryl until they could see their doctor later the week of the 26th.
Age: 44.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: per provider no treatment needed and patient had no adverse effects.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Left shoulder pain since day after vaccination.  reported to Agency in september 2020.  patient in pain whole time. Patient visited her PCP who referred her to an orthopedic surgeon for follow up.  Possibly an aggravated bursa per PCP from the shot.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Blood glucose normal, Loss of consciousness, Nausea, Pallor, Syncope
Clinical narrative: Patient fainted within 5 minutes following vaccination. Was unconscious briefly. Upon awakening he was pale and nautious. Was provided a chair to sit, water, and juice.
Age: 78.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Injected limb mobility decreased, Injection site joint pain, Injection site pain, Pain, Pyrexia
Clinical narrative: The patient reports: 2 hours after vaccination, she started to experience pain in the shoulder/joint and radiated to the elbow.  This pain slowly worsened over the next 24 hours.  At the worst point the pain radiated to the patient's back and she could not lift her arm without assistance.  Patient reports no injection site reaction or redness.  This occurred on the right arm that she received the Pneumovax 23.  The same day the patient also received Fluad in the left arm but experienced no ill effects from this vaccination.  2 days after vaccination, the patient reported running a low grade fever of 99.1, she reports a usual temp for her is around 97.5.  By the evening of Oct 24th, 3 days after vaccination, the pain started to subside.  As of today, Oct 26th, the patient reported no pain and feels she is back to normal.
Age: 37.0
Sex: F
Vaccine: DTAP
Symptoms: Back pain, Exposure during pregnancy, Pain in extremity, Radiculitis brachial
Clinical narrative: Pain in  left arm from DTaP IM injection. Brachial neuritis suffered for 4 weeks. Level 10 pain in arm and across upper back.  Patient is pregnant.  Due date approximately 06 December 2020.
Age: 4.0
Sex: F
Vaccine: FLU4, MMR, TDAP, UNK, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Patient was given Tdap instead of Dtap.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Hypertension, Pruritus, Tinnitus, Urticaria
Clinical narrative: Ringing in ears, high blood pressure 165/95, hives, face itchy   Took Benadryl
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Blood glucose normal, Loss of consciousness, Nausea, Pallor, Syncope
Clinical narrative: Patient fainted following vaccination. Was unconscious briefly. Upon awakening was pale and nauseous. Was given a chair, water, and juice. EMS arrived to evaluate. Took blood glucose levels which were normal. EMS determined that fainting spell happened too quickly following immunization to be an allergic reaction and that he did not need any further treatment.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: We received a phone call that a patient fainted in the store.
Sex: M
Vaccine: HEP
Symptoms: Product storage error
Clinical narrative: refrigerator temp out of range. Invalid vaccination.
Sex: F
Vaccine: HEP
Symptoms: Product storage error
Clinical narrative: refrigerator temp out of range. Invalid vaccination.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: RED SWOLLEN , HOT TO TOUCH  ON SECOND DAY
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Immediate post-injection reaction, Mobility decreased
Clinical narrative: Left shoulder pain, decreased range of motion. started almost immediately after injection. Treatment: toradol 30mg, mobic daily, ice, orthopedic referral. Outcome: pending
Age: 19.0
Sex: F
Vaccine: FLUC4
Symptoms: Excessive eye blinking, Presyncope
Clinical narrative: Patient's mom stated on vaccination questionnaire on question asking if "patient has ever had reaction, fainted, or felt dizzy after receiving a vaccine or has any physician or other healthcare professional ever cautioned or warned you about receiving certain vaccines or receiving vaccines outside of a medical setting?"  yes - that pt has a fear of needles and mom also stated that she had passed out before, after receiving a vaccine at another pharmacy location in the past.  I spoke with Mom about giving her an ice pack to hold on her neck from the get go and then I spoke with patient as well.  Her eyes started to flutter and I could tell she was near passing out, so I had her lean over with arms on knees and head down, while I held ice pack on her neck until she felt well enough to sit up (probably for about 3-4 minutes).  She then sat up and probably sat in our immunization area for an additional 10 minutes or so and at that point, left with her Mom and 2 other siblings.
Age: 60.0
Sex: F
Vaccine: UNK, FLU4
Symptoms: Arthralgia, Injection site injury, Insomnia, Loss of personal independence in daily activities, Myalgia
Clinical narrative: While having my flu vaccination at approximately 9:30 AM on Ocotber 16, 2020, I thought she seemed to be a bit high with the placement of the needle, but since I do not look, I could not see.  It felt a bit "thick" going in, but I was not sure what that meant.   Within  a few hours of having the injection, my muscle felt a bit sore - which is the usual reaction -  but by midafternoon 3:30 pm, there was this very intense pain on the front of my shoulder,  that did not feel muscular.   It intensified into the evening until I went to bed around 9 pm and took 600MG of Advil to calm the pain.  I awoke around 2:30 with such pain in front of my arm, I was awake for about an hour and then took 400 mg of Advil to return to some unrestful sleep as I could not get comfortable.  This has continued every night since - icing the front of my shoulder and taking 600 mg of Advil before sleep and then being awakened between 2-3:30 am due to the pain in my arm.    It is difficult to get comfortable even with the ice and Advil.  During the day on Saturday 10/17, Sunday 10/18 the pain was evident all day but most excruciating when I attempted to move my right arm back - to put my hand in my right pant or jacket pocket or to pull up my pants on the right side.  Additionally, I could not buckle with my right hand but had to reach over with my left.     There were times over those two days and every day since that moving my right arm just the slightest ?wrong way? causes such excruciating pain, it takes my breath away.   On Monday 10/19 I called to make a doctor?s appointment, but they could not see me for two days. I already had a previously schedule PT appointment for Wednesday 10/21, that I did not need for the previous issues but decided to keep it and have MPT examine my shoulder and arm and make a diagnosis.  She examined me and wrote her observations which can be obtained at Physical Therapy.  She recommended to ice it whenever it hurts and limit any range of motions that aggravated it but to do hanging circles to keep the shoulder moving and reduce the risk of frozen shoulder.  We made a follow-up appointment for 10/26. 10/25/20 The pain continues every day and night and has severely restricted my active lifestyle.  It has also interrupted any sense of restful sleep as I am aware of the pain every time I turn over and awakened every morning between 2-3:30AM.  This lack of restful sleep severely affects my ability to be clearheaded and productive in my job.  10/26/20 I visited Physical Therapist again today at 7:45 am.   She did some laser therapy and some message and taped it with KT tape.  She believes that either a tendon or bursae were struck with the needle and that is what is causing the pain.  She also explained that this could be a 4-6-week recovery. My shoulder felt calm when I left PT and for about 7 hours.  If is now fatigued and had some ?toothache? pain radiating out.