chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Hypersensitivity, Pruritus, Rash, Rash macular, Urticaria
Clinical narrative: SUBJECTIVE: The patient is a 36 yo female who is here today for a flu vaccine.  The Pt. denied any allergies except Latex and Ibuprofen.   She received Fluarix  Quadrivalent, ZZ772  Exp. 6/30/20 given in right deltoid at 8:42 AM.  Five min. after the vaccine the Pt. started C/O itching on her back.   She denied any lip tingling/swelling or trouble breathing.   She didn't disclose any other allergies until after the vaccine had been given.  Once she started feeling itchy she admitted that she had been allergy tested and was very sensitive to Balsam of Peru and slightly sensitive to polysorbate 80.  OBJECTIVE. Red flat 20 plus blotches appeared on the back of her neck and mid scapular area 5 min after injection. One, three cm sized hive on her right arm 3 inches from the injection site after injection.   No redness or swelling or itching around the injection site at 10 min after injection. Palpable fine rash and redness noted on left shoulder 10 min. after the injection. Palpable fine ash on right side of face 10 min after injection.  VITALS: Pulse 80 Respirations 14 Airway patent and lungs clear BP not taken (We do not have a BP cuff large enough)  Denies being pregnant - on OCPS LMP: 10/19   ASSESSMENT:  Possible allergic reaction to Fluviarx (contains polysorbate - 80)  PLAN. 1.  Diphenhydramine  25 mg given PO STAT.  Epi pen was on hand. 2.  Manager notified by the Pt. that she was having an allergic reaction to the flu vaccine. 3.  Pt. was observed for one hour after given 25 milligrams of diphenhydramine po. 4.  Pt. advised she could RTW after an hour of observation but if the itching started again that she should go      straight to the ED. 5.  Pt. advised should let her PCP and allergist know about today's allergic reaction. 6.  Pt. was given a list of all the flu vaccines and what each one contains and advised to share with her       physicians.   7.  Pt.  was advised to clarify with her allergist if she can have the Fluzone Quadrivalent vaccine in the future as it       is polysorbate - 80 free.  The Fluvarix Quadravalent that the patient received did contain polysorbate - 80. 8.  Redness and itching started to resolve 15 min after administration of Diphenhydramine but still pink rash at 1 hour after meds. 9.  Pt.  states she understands and agrees with the plan of care.  FOLLOW - UP DONE: The Pt. was called an two hours after the allergic reaction and 6 hours after the reaction for f/u.  She stated she no longer felt itchy and the hive and rashes were still improving.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Papule, Pruritus, Skin irritation
Clinical narrative: Symptoms (itching, irritation) began 11/11/2019 am in perineal/buttocks area and progressed to small papules, blisters.  Diagnosed with shingles by Dr. at OB/GYN.
Age: 89.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Herpes zoster, Pain, Rash
Clinical narrative: shingles rash on back and on left arm and hand treated with 7 day antiviral and gabapenton for pain still ongoing
Age: 21.0
Sex: F
Vaccine: MENB
Symptoms: Adverse drug reaction
Clinical narrative: Side effect; This case was reported by a nurse via other manufacturer and described the occurrence of adverse drug reaction in a 21-year-old female patient who received Men B NVS (Bexsero) (batch number ABX795AA, expiry date August 2020) for prophylaxis.   On an unknown date, the patient received Bexsero. On an unknown date, less than 3 months after receiving Bexsero, the patient experienced adverse drug reaction. On an unknown date, the outcome of the adverse drug reaction was unknown.   It was unknown if the reporter considered the adverse drug reaction to be related to Bexsero.  Additional details were provided as follows: The patient had reported a side effect to the medication spelled out by transfer agent as Bexsero.  The reporter stated it was a meningococcal vaccine, but not a Pfizer vaccine. However, on the report it says Trumenba which was a Pfizer Meningococcal brand.  The agent clarified the report had the adverse event listed as Trumenba as the vaccine, whereas, the patient got Bexsero injection. There was an error on the report. The caller confirmed details provided from transfer agent. The caller stated apparently when the patient called on her own she did not realize we did not make that product. The caller was questioning if she needs to do anything regarding the papers she received since they are inaccurate or can she toss them.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Accidental exposure to product, Accidental underdose, Exposure via skin contact, Pain in extremity, Product complaint
Clinical narrative: Product Complaint; Arm sore; Arm warm to the touch; Underdose; Small drops ran down the patient's arm; Exposure via skin contact; This case was reported by a pharmacist via call center representative and described the occurrence of pain in arm in a 60-year-old female patient who received Herpes zoster (Shingrix) (batch number AC79X, expiry date 17th October 2021) for prophylaxis.   On 18th October 2019, the patient received the 2nd dose of Shingrix. On 18th October 2019, unknown after receiving Shingrix, the patient experienced accidental underdose, inadvertent exposure to vaccine and exposure via skin contact. On 19th October 2019, the patient experienced pain in arm and skin warm. On an unknown date, the patient experienced pharmaceutical product complaint. On an unknown date, the outcome of the pain in arm, skin warm, accidental underdose, inadvertent exposure to vaccine, exposure via skin contact and pharmaceutical product complaint were unknown.   It was unknown if the reporter considered the pain in arm and skin warm to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix and during the injection, 3 small drops came out of the syringe and ran down the patient's arm, which led to underdose, inadvertent exposure to vaccine, exposure via skin contact and pharmaceutical product complaint. The following day the patient's arm was sore and warm to the touch. The reporter consented to follow up. The health care professional stated the needle was secure and that the leakage was due to a malfunction of the syringe.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm, Syringe issue
Clinical narrative: Product Complaint; Arm sore; Arm warm to the touch; Underdose; Small drops ran down the patient's arm; Exposure via skin contact; This case was reported by a pharmacist via call center representative and described the occurrence of pain in arm in a 60-year-old female patient who received Herpes zoster (Shingrix) (batch number AC79X, expiry date 17th October 2021) for prophylaxis.   On 18th October 2019, the patient received the 2nd dose of Shingrix. On 18th October 2019, unknown after receiving Shingrix, the patient experienced accidental underdose, inadvertent exposure to vaccine and exposure via skin contact. On 19th October 2019, the patient experienced pain in arm and skin warm. On an unknown date, the patient experienced pharmaceutical product complaint. On an unknown date, the outcome of the pain in arm, skin warm, accidental underdose, inadvertent exposure to vaccine, exposure via skin contact and pharmaceutical product complaint were unknown.   It was unknown if the reporter considered the pain in arm and skin warm to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix and during the injection, 3 small drops came out of the syringe and ran down the patient's arm, which led to underdose, inadvertent exposure to vaccine, exposure via skin contact and pharmaceutical product complaint. The following day the patient's arm was sore and warm to the touch. The reporter consented to follow up. The health care professional stated the needle was secure and that the leakage was due to a malfunction of the syringe.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Herpes zoster, Lip exfoliation, Nausea, Pruritus
Clinical narrative: the skin in these areas burns; Itching; her lips peels off; the skin peels off; Nausea; first lesion around her right eye / getting several lesions above her right eyebrow, on the right eyelid and on the far outside corner of her right eye / lesions were red; Shingles; This case was reported by a consumer via call center representative and described the occurrence of skin lesion in a 71-year-old male patient who received Herpes zoster (Shingrix) (batch number TE493, expiry date 19th October 2021) for prophylaxis.   On 16th August 2019, the patient received the 1st dose of Shingrix (intramuscular). On 18th August 2019, 2 days after receiving Shingrix, the patient experienced skin lesion and shingles. On an unknown date, the patient experienced burning sensation skin, itchy skin, peeling lips, skin peeling and nausea. The patient was treated with valaciclovir (Valacyclovir) and famciclovir. On an unknown date, the outcome of the skin lesion and shingles were recovered/resolved and the outcome of the burning sensation skin, itchy skin and peeling lips were not recovered/not resolved and the outcome of the skin peeling and nausea were unknown.   It was unknown if the reporter considered the skin lesion, shingles, burning sensation skin, itchy skin, peeling lips, skin peeling and nausea to be related to Shingrix.  Additional details were provided as follows: The patient received dose of Shingrix in the left arm. On 18th August 2019, the patient got 1st lesion around right eye. On 19th August 2019, the patient went to physician and told that, it was shingles. The patient ended up getting several lesions above her right eyebrow, on the right eyelid and on the far outside corner of her right eye. The lesion were red and round. The patient stated that, the lesions were resolved but but the skin in these areas burns, itches, and the skin peels off. The patient also reported that, the skin on lips peels off. The symptoms were less than they were the first three weeks. The patient received valcyclovie and experienced nausea, so the patient stopped that product and took a full course of famciclovir. The reporter consented to follow up.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin burning sensation, Skin exfoliation, Skin lesion
Clinical narrative: the skin in these areas burns; Itching; her lips peels off; the skin peels off; Nausea; first lesion around her right eye / getting several lesions above her right eyebrow, on the right eyelid and on the far outside corner of her right eye / lesions were red; Shingles; This case was reported by a consumer via call center representative and described the occurrence of skin lesion in a 71-year-old male patient who received Herpes zoster (Shingrix) (batch number TE493, expiry date 19th October 2021) for prophylaxis.   On 16th August 2019, the patient received the 1st dose of Shingrix (intramuscular). On 18th August 2019, 2 days after receiving Shingrix, the patient experienced skin lesion and shingles. On an unknown date, the patient experienced burning sensation skin, itchy skin, peeling lips, skin peeling and nausea. The patient was treated with valaciclovir (Valacyclovir) and famciclovir. On an unknown date, the outcome of the skin lesion and shingles were recovered/resolved and the outcome of the burning sensation skin, itchy skin and peeling lips were not recovered/not resolved and the outcome of the skin peeling and nausea were unknown.   It was unknown if the reporter considered the skin lesion, shingles, burning sensation skin, itchy skin, peeling lips, skin peeling and nausea to be related to Shingrix.  Additional details were provided as follows: The patient received dose of Shingrix in the left arm. On 18th August 2019, the patient got 1st lesion around right eye. On 19th August 2019, the patient went to physician and told that, it was shingles. The patient ended up getting several lesions above her right eyebrow, on the right eyelid and on the far outside corner of her right eye. The lesion were red and round. The patient stated that, the lesions were resolved but but the skin in these areas burns, itches, and the skin peels off. The patient also reported that, the skin on lips peels off. The symptoms were less than they were the first three weeks. The patient received valcyclovie and experienced nausea, so the patient stopped that product and took a full course of famciclovir. The reporter consented to follow up.
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Hypersensitivity, Pruritus, Rash erythematous
Clinical narrative: rash/ rash on eyeborw, shoulder, elbows, arm, stomach, chin, cheek; allergic reaction; tired; itches; This case was reported by a consumer via call center representative and described the occurrence of red rash in a 64-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included flu vaccine (received yearly with no reactions. ). Concomitant products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2019-2020 season).   On 22nd October 2019, the patient received the 1st dose of Shingrix. On 3rd November 2019, 12 days after receiving Shingrix, the patient experienced red rash and allergic reaction. In November 2019, the patient experienced pruritus and tiredness. The patient was treated with hydrocortisone (Cortisone Cream (Hydrocortisone)). On an unknown date, the outcome of the red rash was not recovered/not resolved and the outcome of the pruritus was recovered/resolved and the outcome of the allergic reaction and tiredness were unknown.   It was unknown if the reporter considered the red rash, pruritus, allergic reaction and tiredness to be related to Shingrix.  Additional case details were reported as follows: The age at vaccination was not reported. The parteint received Shingrix in left arm and received Flu vaccine in right arm. The patient also received the flu shot (unknown name) on her right arm on the same day, however, she was not relating the flu shot to her rash because she gets the flu vaccine yearly with no reactions. The patient reported that four days before reporting she started to see a little rash above her right eyebrow and one on her left shoulder that then spread to her elbows on both arms on the crease of the inside of her arm. Then the rash started on her stomach near her belly button and the side of her right cheek and under her chin from the ear to her chin area on her left side. The patient described the areas as patches of red rash that itches. The biggest rash area in on her left shoulder and over her right eyebrow. The patient had been putting 0.5 cortisone cream on the rash and it takes the itch away within 30 minutes.  The patient reported that the area where the rash initially started was not bothering her as bad, however, it was still there as new areas arise. All the rash areas continue to be unresolved and she believed that it was an allergic reaction to the Shingrix vaccine. The reporter requesting consent to follow up. In the XML document outcome of rash was reported as recovering, but in Argus its mentioned as not recovered, so kept as reported in Argus.
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Hives all over body- progressively spreading in the 24 -48 hours following injection.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient had left arm soreness, redness, and swelling in the middle of her upper arm shortly after receiving the flu vaccine and symptoms continued into the next day. Patient monitored site and was advised to contact Primary Care Physician if symptoms continued or worsened.
Age: 0.25
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood pressure fluctuation, Blood pressure increased, Fatigue, Headache, Injection site erythema
Clinical narrative: Next day patient reports site pain and redness. On day 2, patient reports also nausea.  On day 3, patient was very fatigue, had fever, night sweats, and headaches.   Patient took Tylenol; it helped with some symptoms.  On 5th day, patient developed 3x2 red spot 4 inches below vaccination site--still is pink. The red area had little dots so has been checking whether shingles would develop.  One night, patient reports waking up and blood pressure was very high (~180/80); during the day would rise on and off.  Patient went to pharmacist around the week of 10/28, told to follow-up with doctor if symptoms continue. On 11/6 a rash under both breast started; site was painful, itching, and burning. Also had times when blood  pressure was very low (~100/50).   Patient felt terrible, used Claritin, Tylenol, put baking soda on affected sites, was tired, and had a headache. Nausea had resolved by then.  On 11/10, patient went to pharmacist to show breasts; patient told to follow-up with doctor.   On 11/14 patient went to see the doctor; there was no testing and doctor recommended continuing with same care--provided no treatment.  Doctor specified symptoms are related to vaccine reaction. This is the 3rd day that the rash on breasts is drying out.  Today, patient obtained lot number from pharmacist.   Today,  red area still on arm still there and a bit pin painful, under breast rash is drying off,  no nausea, not as fatigued and no headache.  Recovery at 75%.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site pruritus, Malaise, Nausea, Night sweats
Clinical narrative: Next day patient reports site pain and redness. On day 2, patient reports also nausea.  On day 3, patient was very fatigue, had fever, night sweats, and headaches.   Patient took Tylenol; it helped with some symptoms.  On 5th day, patient developed 3x2 red spot 4 inches below vaccination site--still is pink. The red area had little dots so has been checking whether shingles would develop.  One night, patient reports waking up and blood pressure was very high (~180/80); during the day would rise on and off.  Patient went to pharmacist around the week of 10/28, told to follow-up with doctor if symptoms continue. On 11/6 a rash under both breast started; site was painful, itching, and burning. Also had times when blood  pressure was very low (~100/50).   Patient felt terrible, used Claritin, Tylenol, put baking soda on affected sites, was tired, and had a headache. Nausea had resolved by then.  On 11/10, patient went to pharmacist to show breasts; patient told to follow-up with doctor.   On 11/14 patient went to see the doctor; there was no testing and doctor recommended continuing with same care--provided no treatment.  Doctor specified symptoms are related to vaccine reaction. This is the 3rd day that the rash on breasts is drying out.  Today, patient obtained lot number from pharmacist.   Today,  red area still on arm still there and a bit pin painful, under breast rash is drying off,  no nausea, not as fatigued and no headache.  Recovery at 75%.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Next day patient reports site pain and redness. On day 2, patient reports also nausea.  On day 3, patient was very fatigue, had fever, night sweats, and headaches.   Patient took Tylenol; it helped with some symptoms.  On 5th day, patient developed 3x2 red spot 4 inches below vaccination site--still is pink. The red area had little dots so has been checking whether shingles would develop.  One night, patient reports waking up and blood pressure was very high (~180/80); during the day would rise on and off.  Patient went to pharmacist around the week of 10/28, told to follow-up with doctor if symptoms continue. On 11/6 a rash under both breast started; site was painful, itching, and burning. Also had times when blood  pressure was very low (~100/50).   Patient felt terrible, used Claritin, Tylenol, put baking soda on affected sites, was tired, and had a headache. Nausea had resolved by then.  On 11/10, patient went to pharmacist to show breasts; patient told to follow-up with doctor.   On 11/14 patient went to see the doctor; there was no testing and doctor recommended continuing with same care--provided no treatment.  Doctor specified symptoms are related to vaccine reaction. This is the 3rd day that the rash on breasts is drying out.  Today, patient obtained lot number from pharmacist.   Today,  red area still on arm still there and a bit pin painful, under breast rash is drying off,  no nausea, not as fatigued and no headache.  Recovery at 75%.
Age: 37.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Clonic convulsion, Dizziness, Loss of consciousness, Opisthotonus, Pallor
Clinical narrative: Withing 1-2 minutes of completion of vaccination administration, patient stated she felt lightheaded. Nurse turned to turn on fan and when nurse turned back the patient was arched back with head dropped behind chair having clonic generalized seizure, unconscious, color pale. Turned patient on left side, lifted head up and supported head. Seizure lasted about 45 seconds and regained consciousness about 15 seconds after seizure ended. Fully oriented post seizure. Denies hx of seizures. Fan and ice to back of neck, rested, gave koolaid. Patient denied having breakfast. Gave patient a nutrigrain bar. Pt. ate all of bar and then assisted to restroom. Gait steady. Pt. was asked prior to vaccine if h
Age: 37.0
Sex: F
Vaccine: HEPA, TDAP, TYP
Symptoms: Posture abnormal
Clinical narrative: Withing 1-2 minutes of completion of vaccination administration, patient stated she felt lightheaded. Nurse turned to turn on fan and when nurse turned back the patient was arched back with head dropped behind chair having clonic generalized seizure, unconscious, color pale. Turned patient on left side, lifted head up and supported head. Seizure lasted about 45 seconds and regained consciousness about 15 seconds after seizure ended. Fully oriented post seizure. Denies hx of seizures. Fan and ice to back of neck, rested, gave koolaid. Patient denied having breakfast. Gave patient a nutrigrain bar. Pt. ate all of bar and then assisted to restroom. Gait steady. Pt. was asked prior to vaccine if h
Age: 71.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: arm pain, couldn't move up or down with out pain for 2 months.
Age: 35.0
Sex: F
Vaccine: JEV1
Symptoms: Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Numbness of arms, bilateral tingling, progressive weakness of arms
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Back pain, Blood test, Inflammation, Myalgia
Clinical narrative: 10-12-19 PM JOINT AND MUSCLE ACHES: HIPS HURT. ARMS HURT.  BACK HURT.  EVERYTHING  ACHED 10-21-19 CONTACTED RN AT HEALTH DEPARTMENT. POSSIBLE FLU LIKE SYMPTOMS. IF NOT BETTER BY FRIDAY, CONTACT PHYSICIAN. 10-25-19 WENT TO OFF HOURS CLINIC. LPN TOOK LABWORK. 150/90 10-26-19 RESULTS "VIRAL INFLAMMATION".  ENCOURAGED TO GET B/P CUFF AND MONITOR. APPOINTMENT W/DR. JANUARY 2, 2020...FIRST APPOINTMENT AVAILABLE. 11-14-19 CONTACTED HEALTH DEPARTMENT AGAIN.  11-15-19 HD WORKED WITH PATIENT TO COMPLETE VAERS REPORT. 20 MIN HOT SHOWERS  11-15-19 SOME IMPROVEMENT. NO WADDLING.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Viral infection
Clinical narrative: 10-12-19 PM JOINT AND MUSCLE ACHES: HIPS HURT. ARMS HURT.  BACK HURT.  EVERYTHING  ACHED 10-21-19 CONTACTED RN AT HEALTH DEPARTMENT. POSSIBLE FLU LIKE SYMPTOMS. IF NOT BETTER BY FRIDAY, CONTACT PHYSICIAN. 10-25-19 WENT TO OFF HOURS CLINIC. LPN TOOK LABWORK. 150/90 10-26-19 RESULTS "VIRAL INFLAMMATION".  ENCOURAGED TO GET B/P CUFF AND MONITOR. APPOINTMENT W/DR. JANUARY 2, 2020...FIRST APPOINTMENT AVAILABLE. 11-14-19 CONTACTED HEALTH DEPARTMENT AGAIN.  11-15-19 HD WORKED WITH PATIENT TO COMPLETE VAERS REPORT. 20 MIN HOT SHOWERS  11-15-19 SOME IMPROVEMENT. NO WADDLING.
Age: 56.0
Sex: F
Vaccine: FLUR4
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: I'm not sure whether I received Flulaval or Flublok because I lost my Information Sheet.  The vaccine was given at our offices and I assume it can be looked up.  This was my first ever Flu Shot and the next day (11/13) I woke up with a headache, a low grade fever, chills and body aches.  I took Advil Cold and Sinus every 5 hours which helped.  I continued to feel this way until the following morning (11/14)
Age: 67.0
Sex: F
Vaccine: FLUX
Symptoms: Electromyogram, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Patient immediately developed red small bumps at injection site and by the evening area was sore and red.  Next day, the red rash started to go down arm towards elbow.  Patient called doctor a couple of days later. By the 3rd/4th day mobility issues started. Fingers on the left arm lost mobility; patient cannot open hand fully.  Patient had a doctor visit on 10/7 and given referrals.  On 10/10 started occupational therapy in Center.   On 10/11 went to neurologist, and got an EMG test.   Point of contact for care is her PCP.  Patient had telephone appointment on 10/15, and has another telephone appointment scheduled for 11/21.    There were no results from testing and no improvement so far since therapy started.  Rash resolved within 6 days. Patient has received the Flu vaccine prior with no problems.
Age: 67.0
Sex: F
Vaccine: FLUX
Symptoms: Mobility decreased, Rash erythematous
Clinical narrative: Patient immediately developed red small bumps at injection site and by the evening area was sore and red.  Next day, the red rash started to go down arm towards elbow.  Patient called doctor a couple of days later. By the 3rd/4th day mobility issues started. Fingers on the left arm lost mobility; patient cannot open hand fully.  Patient had a doctor visit on 10/7 and given referrals.  On 10/10 started occupational therapy in Center.   On 10/11 went to neurologist, and got an EMG test.   Point of contact for care is her PCP.  Patient had telephone appointment on 10/15, and has another telephone appointment scheduled for 11/21.    There were no results from testing and no improvement so far since therapy started.  Rash resolved within 6 days. Patient has received the Flu vaccine prior with no problems.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Pyrexia, Skin warm
Clinical narrative: The patient called the pharmacy on 11/14/19 to report he had a fever of  101.9 F and his arm was very hot but not swollen. He also said he had a itchy back but no rash. I told him to take a 800mg Ibuprofen. After several hours he said the fever had decreased.  On 11/15/19 I followed up with the patient and he felt better but still needed to take the Ibuprofen to keep the fever away.
Age: 25.0
Sex: M
Vaccine: HPV9
Symptoms: Asthenia, Hyperhidrosis, Pallor, Presyncope, Visual impairment
Clinical narrative: At end of office visit, patient was administered Gardasil-9 vaccine by MA. Per MA, patient stood up to leave and was advised by MA to wait for 15 minutes after vaccination before leaving clinic. Patient then stated he "couldn't see" and had near syncope. MA ensured safety of patient and asked for help from clinic manager.  Upon RN's arrival to room, patient was pale, diaphoretic and weak. BP was upper 60's over 40's. HR near 40. NP also was called to the room. Oxygen was 99-100 % throughout without supplementation.  Patient did not recover after a couple minutes, so RN and NP assisted patient to ground, elevated legs and patient immediately began to recover. Patient was no longer pale, stopped sweating and BP began to rise. Patient stated symptoms improved.  Prior to leaving the clinic, patients BP improved to 106/74, hr 56. Patient was not orthostatic. Total time in clinic after vaccination was 40 minutes.
Age: 36.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site induration, Injection site pain
Clinical narrative: Pt reported that during the week following her vaccine the injection site got increasingly more tender and more firm. Pt was seen one week later on 11/11/19 for a follow up visit and was treated for a possible staph infection, with cephalexin 500mg. Pt was instructed to return for follow up visit but didn't show up for appointment, so outcome is unknown.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Myalgia
Clinical narrative: Spoke w/ pt and she stated that she was dizzy w/ a H/A, muscle px and stomach ache.  She advised that the sx were worse yesterday and better today, but still present.  Pt stated that she also has redness and swelling on the R arm where she got the vaccines.  Pt was advised to take Benadryl, Anti-Inflammatory and ice the swollen area to see if that helps w/ the sx.  Pt was also advised that if sx get worse or continue to go to ER or Urgent care to be evaluated and treated.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Vaccination site swelling
Clinical narrative: Spoke w/ pt and she stated that she was dizzy w/ a H/A, muscle px and stomach ache.  She advised that the sx were worse yesterday and better today, but still present.  Pt stated that she also has redness and swelling on the R arm where she got the vaccines.  Pt was advised to take Benadryl, Anti-Inflammatory and ice the swollen area to see if that helps w/ the sx.  Pt was also advised that if sx get worse or continue to go to ER or Urgent care to be evaluated and treated.
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Body temperature increased, Chills, Ocular hyperaemia, Pain, Pharyngeal erythema
Clinical narrative: 07:55 on 11/14/19  Influenza Seasonal Vaccine was administered. At 15:21 on 11/14/19 the patient complained of chills, body aches, and throat swelling. Temperature was 101.2 HR: 115 with O2 Sat of 98% to room air. Eyes were reddened and described as "blood shot". Throat redness and mild swelling was noted by medical staff. The patient was treated with one dose of Epi-Pen , Benadryl 50 mg. IM, and Tylenol1300 mg   at 15:22 and transported to Hospital. The patient returned at 19:45 back to his housing unit at 19:45 with a complete resolution of symptoms and in no distress. Temperature was 98.6 HR 84 BP 130/80
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Pharyngeal swelling
Clinical narrative: 07:55 on 11/14/19  Influenza Seasonal Vaccine was administered. At 15:21 on 11/14/19 the patient complained of chills, body aches, and throat swelling. Temperature was 101.2 HR: 115 with O2 Sat of 98% to room air. Eyes were reddened and described as "blood shot". Throat redness and mild swelling was noted by medical staff. The patient was treated with one dose of Epi-Pen , Benadryl 50 mg. IM, and Tylenol1300 mg   at 15:22 and transported to Hospital. The patient returned at 19:45 back to his housing unit at 19:45 with a complete resolution of symptoms and in no distress. Temperature was 98.6 HR 84 BP 130/80
Age: 82.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Left deltoid swelling redness to entire area
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm
Clinical narrative: Patient reported her arm was very red after the injection and hot to the touch two days after her injection.  It had continued to get worse so she called.  She was not in pain but concerned that she had flu shots previously and never had a problem.
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Dehydration, Loss of consciousness, Middle insomnia, Renal disorder, Urticaria
Clinical narrative: Patient woke up in the middle of the night with hives over several parts of his body. He started getting worse so his wife called 911. He passed out once the ambulance got there. They gave him benadryl on the way to the hospital. Once he got to the hospital he was found to be dehydrated and his kidneys were compromised.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site haemorrhage, Pain in extremity
Clinical narrative: Patients complains of arm soreness on 11/8/19 with occasional break through bleeding at the injection site. I've referred patient to contact her provider for a follow up on this report. I called patient on 11/15/19 to follow up on patient seeing a provider. She states that the breakthrough bleeding has stopped but her arm is still  sore. She has not made an appointment with her provider yet. States that she is too busy at this time. She states that she will call this nurse back after she sees her provider.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Pain in extremity
Clinical narrative: very sore arm
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Patient reported  on 11/13  the area around the injection site was red and itchy since 11/11 when she got the vaccine and that the redness continued to get larger and the itchiness persisted.  She visited her doctor on 11/13 and received a cortisone shot and was instructed to take Benadryl.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Blood pressure decreased, Body temperature, Nausea, Palpitations
Clinical narrative: Low blood pressure of 75/49, racing heartbeat, nausea, backache, hives over whole body, temperature
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Low blood pressure of 75/49, racing heartbeat, nausea, backache, hives over whole body, temperature
Age: 0.33
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No adverse signs or symptoms noted. Person entering into the database realized that the flu vaccine was given at too early an age. patient is only 4 months old. Flu vaccine is approved for 6 months and older.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Wife called and reported since 11/14 evening time patient was feeling extremely dizzy and has been throwing up. It continued into the morning (11/15) and patient was still feeling dizzy, nauseous and vomiting. Told wife to make sure patient stays hydrated due to constant vomiting and that if it persists to call PCP on next course of action.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Blood test, Fatigue, Gait disturbance, Groin pain
Clinical narrative: within 24 hours felt slightly flu-ish for about 1 day.  2 weeks later patient; developed very stiff/sore shoulders, neck, that progressed to hips/thighs/groins during the next few weeks. VERY fatigued and very hard to walk and have a normal life. He had about 5-7 lb weight loss over 2 months. By end of October he did see a internist who did basic blood work and an orthopedic doctor prescribed steroids which helped dramatically.  He will be seeing the rheumatologist at the end of November. Both doctors think he might have developed PMR and once we see the doctor, C-protein and ESR levels will be drawn. He does have all symptoms of PMR and I have done much research of the potential effects of this vaccine.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Joint stiffness, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain
Clinical narrative: within 24 hours felt slightly flu-ish for about 1 day.  2 weeks later patient; developed very stiff/sore shoulders, neck, that progressed to hips/thighs/groins during the next few weeks. VERY fatigued and very hard to walk and have a normal life. He had about 5-7 lb weight loss over 2 months. By end of October he did see a internist who did basic blood work and an orthopedic doctor prescribed steroids which helped dramatically.  He will be seeing the rheumatologist at the end of November. Both doctors think he might have developed PMR and once we see the doctor, C-protein and ESR levels will be drawn. He does have all symptoms of PMR and I have done much research of the potential effects of this vaccine.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Weight decreased
Clinical narrative: within 24 hours felt slightly flu-ish for about 1 day.  2 weeks later patient; developed very stiff/sore shoulders, neck, that progressed to hips/thighs/groins during the next few weeks. VERY fatigued and very hard to walk and have a normal life. He had about 5-7 lb weight loss over 2 months. By end of October he did see a internist who did basic blood work and an orthopedic doctor prescribed steroids which helped dramatically.  He will be seeing the rheumatologist at the end of November. Both doctors think he might have developed PMR and once we see the doctor, C-protein and ESR levels will be drawn. He does have all symptoms of PMR and I have done much research of the potential effects of this vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Chills, Malaise, Peripheral swelling, Pyrexia, Rash
Clinical narrative: Pt received Pneumo and Flu vaccine yesterday and now has large bump/rash on arm, fever, chills and malaise.  Pt stated reaction started the same night as the vaccine, but continued to get worse the next day.    Pt was seen in office for reaction.  She was evaluated and treated by PCP.  Pt was rx'd doxycycline and advised to talk Ibuprofen 800mg q6hr PRN px, fever and swelling.
Age: 2.0
Sex: M
Vaccine: HEP
Symptoms: Injection site rash, Pyrexia, Rash
Clinical narrative: 102 degree Fever, rash on legs
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Diarrhoea, Flushing, Hypotension, Pyrexia
Clinical narrative: High fever, chills, low blood pressure, diarrhea, flushing, then hives
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: High fever, chills, low blood pressure, diarrhea, flushing, then hives
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Malaise, Pyrexia
Clinical narrative: PATIENT STARTED FEELING SUBJECTIVE FEVER SYMPTOMS THE MORNING AFTER IMMUNIZATION. SHE REPORTED FEVER, CHILLS, AND MALAISE FOR THE NEXT 48 HOURS, PRIMARILY STAYING IN BED FOR THAT DURATION. SHE TOOK TYLENOL TO HELP WITH SYMPTOMS DURING THAT TIME. SHE NOTED SOME MILD INJECTION SITE PAIN/SORENESS BUT IT WAS LESS THAN SHE EXPERIENCED AFTER HER FIRST DOSE.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Malaise, Peripheral swelling, Skin warm
Clinical narrative: Patent reported Swelling on the arm and hot to touch  and did not feel well for few days . Patient did not seek medical attention and it felt better after a few days .
Age: 14.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Lip swelling, Swelling face
Clinical narrative: swelling of lip and face.
Age: 65.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Patient states pain at injection site on 11/15/19 has not significantly decreased since injection. Bruise and swelling was present within 24 hours after shot and has subsided significantly. This is the patient's first 65+ flu dose.
Age: 92.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Rash
Clinical narrative: headache and rash starting day after injection in L forehead/temple region.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Limb discomfort
Clinical narrative: PATIENT SAID HIS ARM FEELS "DEAD" SINCE HE RECEIVED HIS FLUZONE HIGH DOSE AND IT HAS BEEN FOR 6 WEEKS.
Age: 67.0
Sex: F
Vaccine: FLUR4
Symptoms: Throat irritation
Clinical narrative: ITCHY THROAT
Age: 18.0
Sex: M
Vaccine: FLU3
Symptoms: Condition aggravated, Loss of consciousness, Seizure, Syncope
Clinical narrative: During vaccination patient started to have a seizure about half way through the injection and fainted. Seizure only last roughly 10 seconds, but took the pt roughly a min to regain consciousness.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Feeling abnormal, Hypoaesthesia, Impaired work ability, Life support, Malaise
Clinical narrative: Patient's employer - HR Department states that on the day of receiving the shot his wife told the HR department that he didn?t feel right. For the next two days, Wednesday and Thursday, October 30 and 31 patient called out sick. He reported back to work the following week, but went home early due to not feeling well. He complained of numb legs and toes. To current, patient is on life support (critical condition).
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Three hours after the injection the site became red, swollen and painful.  20 hours later my arm from my shoulder to my elbow was swollen, extremely painful , red and hot to the touch. I went to the emergency room on 11/ 14/2019 at approximately 11:30 pm
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: X-ray
Clinical narrative: Three hours after the injection the site became red, swollen and painful.  20 hours later my arm from my shoulder to my elbow was swollen, extremely painful , red and hot to the touch. I went to the emergency room on 11/ 14/2019 at approximately 11:30 pm
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Malaise
Clinical narrative: pt was in the store today to pick up her medication and she indicated that when she had her shingrix shot her arm hurt at site of injection and she had chills and didnt feel well for 24 hours. she has no issues presently
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Soreness, swelling at injection site , injection site hot to touch. Headache. Fever of 101
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia
Clinical narrative: Patient called pharmacy in the evening of 11-15-19 and complained about her arm being numb from shoulder to forearm.  The patient stated that it started the morning of 11-15-19.  Patient was advised to see a doctor immediately.  Patient stated she was going to make an appointment with her doctor.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Lip swelling, Mouth ulceration, Oral discomfort, Oral pain, Swelling face
Clinical narrative: face and lip swelling and severe oral burning pain and ulcers in mouth lasting over 1 week
Age: 59.0
Sex: F
Vaccine: FLUR4, HEPA
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Pt received two vaccines (flu vaccine and HepA vaccine) on 10-3-19 (one in deltoid of left arm, one in deltoid of right arm). The left arm is the arm concerned. Pt stated vaccination stung alittle, but seemed normal. Day after vaccine, injection site hurt alittle. Pt stated as weeks went on, still hurt. Pt stated she heard other people said their arm was sore after vaccine, so she thought hers was similar. However, it has gotten worse and pt states it is making everyday tasks difficult. Pt thought she would wait until her next scheduled doctor appointment to ask about it, however, she was having trouble sleeping due to the pain.Pt states she experiences periods of numbness in arm and sometimes has to use right arm to move left arm to roll over while trying to sleep. Pt states has taken tylenol and ibuprofen OTC and has used topical OTC cream/rubs, but pain continues. Pt had doctor visit on 11-14-19 for the problem. Doctor recommended MRI. Pt currently unsure or undecided what to do now. Pt states pain is in various parts of left arm and hand and the degree of pain varies and fluctuates.
Age: 59.0
Sex: F
Vaccine: FLUR4, HEPA
Symptoms: Pain in extremity
Clinical narrative: Pt received two vaccines (flu vaccine and HepA vaccine) on 10-3-19 (one in deltoid of left arm, one in deltoid of right arm). The left arm is the arm concerned. Pt stated vaccination stung alittle, but seemed normal. Day after vaccine, injection site hurt alittle. Pt stated as weeks went on, still hurt. Pt stated she heard other people said their arm was sore after vaccine, so she thought hers was similar. However, it has gotten worse and pt states it is making everyday tasks difficult. Pt thought she would wait until her next scheduled doctor appointment to ask about it, however, she was having trouble sleeping due to the pain.Pt states she experiences periods of numbness in arm and sometimes has to use right arm to move left arm to roll over while trying to sleep. Pt states has taken tylenol and ibuprofen OTC and has used topical OTC cream/rubs, but pain continues. Pt had doctor visit on 11-14-19 for the problem. Doctor recommended MRI. Pt currently unsure or undecided what to do now. Pt states pain is in various parts of left arm and hand and the degree of pain varies and fluctuates.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Hypersensitivity, Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Bruise at site of injection, 3 x 2 inch swollen, red area below injection site.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Diarrhoea, Influenza like illness
Clinical narrative: PATIENT RECIEVED 2ND SHINGRIX DOSE IN THE MORNING, PT HAD NO COMPLAINTS BESIDES ARM SORENESS WITH THE FIRST VACCINE. LATER IN THE AFTERNOON, 4:30PM, PT STATED SHE STARTED FEELING CHILLS COMING ON. AT 7PM SHE SAID SHE WENT TO BED. EARLY IN THE MORNING ON THE 11TH PT WOKE WITH DIARRHEA. PT FELT FLU LIKE SYMTOMS  THE REST OF THE DAY AND DID NOT EAT. SHE DID TRY TO HYDRATE BY SIPPING WATER. ON THE 12TH PT WAS STARTING TO FEEL BETTER AND WAS EATING CRACKERS.
Age: 54.0
Sex: M
Vaccine: FLUR4
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient presented to pharmacy 11/14/2019 with a pea-sized rash on right arm, claims it happened several days after flu shot administered. No sob/ct/wheeze/tenderness/pain; rash is itchy. Recommended topical hydrocortisone 1% cream to apply to area three times daily.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: left shoulder pain x6 weeks following administration of flu shot. tenderness to palpation at area of injection without erythema, swelling, visible skin changes.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Headache, Pain
Clinical narrative: My symptoms started  around 1pm with extreme tiredness.  as the afternoon progressed I developed a headache, body aches, joint pain and general fatigue
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient was administered on 11/6/2019 Prevnar and was advised on possible side effects and recommended to use ice in the area. On 11/13/19 the patient complained of redness, itching and burning sensation in the injection site. Patient was advised to continue to use ice and hydrocortisone cream in the area. Today 11/15/19 the patient states there has been improvement and that he would be well by tomorrow. The patient was very grateful for the services provided.
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Bronchiolitis, Cough, Crying, Laryngitis, Otitis media
Clinical narrative: Received DTaP, next day cried all day, then symptoms of laryngitis, cough. Fever for 1 day with a few days of vaccine. URI sx's persisted for weeks.  Seen in E.D. 10-23. Diagnosed with URI (see record) Ongoing symptoms then seen 11-11-19 diagnosed with otitis media & pneumonia, Rx Augmentin (no chest x-ray done)  Seen by me 11-15-19: Diffuse wheeze, diagnosis bronchiolitis
Age: 2.5
Sex: M
Vaccine: DTAP
Symptoms: Pneumonia, Pyrexia, Upper respiratory tract infection, Wheezing
Clinical narrative: Received DTaP, next day cried all day, then symptoms of laryngitis, cough. Fever for 1 day with a few days of vaccine. URI sx's persisted for weeks.  Seen in E.D. 10-23. Diagnosed with URI (see record) Ongoing symptoms then seen 11-11-19 diagnosed with otitis media & pneumonia, Rx Augmentin (no chest x-ray done)  Seen by me 11-15-19: Diffuse wheeze, diagnosis bronchiolitis
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Peripheral swelling, Pyrexia
Clinical narrative: large red patch on left arm below injection site swelling of arm fever shivering all day chronic tiredness I had to stay home from work on 10/01/2019 due to adverse reaction to the Shingles vaccine.