chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Initial information received on 18-Sep-2018 regarding an unsolicited valid non-serious case received from a consumer/non-healthcare professional. This case involves a 63 years old female patient who received an expired dose of vaccine FLUZONE QUADRIVALENT (lot UI815AA, exp date: 30 June 2018) via unknown route on an unknown date 2 days ago. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication was not reported. It was a case of actual medication error due to expired vaccine used. No specific adverse event was experienced. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 57.0
Sex: M
Vaccine: FLU3
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Initial unsolicited report received from pharmacist on 18-Sep-2018. This case involves a 57 years old male patient who was vaccinated with a 0.5 ml dose of FLUZONE HIGH DOSE (Batch number: UI994AB, expiration date: 09-Apr-2019, route: intramuscular and site of administration: right deltoid) on 18-Sep-2018. The patient's medical history and concomitant medications were not reported. It was a case of actual medication error due to inappropriate age at vaccine administration. It was unknown whether patient experienced any adverse event following vaccination. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Sex: F
Vaccine: FLU4
Symptoms: Wrong drug administered
Clinical narrative: Initial information received on 18-Sep-2018 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves an 88 years old female patient who FLUZONE QUADRIVALENT instead of vaccine FLUZONE HIGH DOSE by the nurse. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication or no other vaccine was none. On 07-Sep-2018, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE lot UT6310JA expiry date: in the left deltoid. It was a case of actual medication error due to Wrong vaccine administered and Inappropriate age at vaccine administration. It was not reported that any adverse event occurred or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 0.33
Sex: F
Vaccine: DTAPIPV, HIBV, IPV, PNC13, RVX
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Initial information received on 18-Sep-2018 regarding an unsolicited valid non-serious case received from other health professional. This case involves a four months old female patient she received vaccine IPOL and KINRIX. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided. Concomitant medications included KINRIX; PREVENAR; Rotavirus Vaccine; and HIB Vaccine. On 18-Sep-2018, the patient received a 0.5 ml dose of suspect IPV (VERO) (lot number: N1K9, expiry date: 18-Nov-2019) (dose in series and route was not reported) in the right thigh. It was a case of actual medication error due to extra dose administered. No adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 0.5
Sex: M
Vaccine: DTAPIPVHIB, HEP, PPV, RV5
Symptoms: Incorrect product formulation administered, No adverse event, Product preparation error, Product preparation issue
Clinical narrative: Initial information received on 18-Sep-2018 regarding an unsolicited valid non-serious case received from a nurse. This case involves a six-month old male patient who was vaccinated with a 0.5 ml dose of PENTACEL (Batch number: C5543AA, expiration date: 08-Sep-2019, route: intramuscular and site of administration: left thigh) on 30-Aug-2018. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HEPATITIS B VACCINE for Immunisation; PNEUMOCOCCAL CONJUGATE VACCINE) for Immunisation; and ROTATEQ for Immunisation. It was a case of actual medication error due to inappropriate reconstitution technique. It was reported that the Hib component of PENTACEL was reconstituted in sterile water and DTaP-IPV was not given. It was reported that the patient did not experience any adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Sex: F
Vaccine: DTAPIPVHIB, PNC13
Symptoms: Incorrect product formulation administered, Product preparation error, Product preparation issue
Clinical narrative: Initial information received on 18-Sep-2018 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 2 months old female patient who received vaccine PENTACEL and it was mixed with sterile water and did not the HIB component. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included PREVNAR for Immunization. On 06-Sep-2018, the patient received a dose of suspect DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE lot C5455AA expiry date: 18-Dec-2018 via intramuscular route in the right thigh. It was a case of actual medication error due to inappropriate reconstitution technique. No known symptoms were reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 0.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Expired product administered, Product administered to patient of inappropriate age
Clinical narrative: Initial information received on 18-Sep-2018 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 1 days old male patient who received expired dose of vaccine ACT-HIB. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included PNEUMOCOCCAL VACCINE 13V for Immunization; HEPATITIS A VACCINE for Immunization; MMR for Immunization; and VARIVAX II for Immunization. On an unknown date, the patient received a dose of suspect HIB (PRP/T) VACCINE lot UI799AAB expiry date: 01-Jul-2018 via unknown route in the left thigh. It was a case of actual medication error due to Expired vaccine used. It was also reported that expired dose not valid so re-vaccination recommended. It was also a case of Inappropriate age at vaccine administration. It was not reported that any adverse event occurred or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error. List of documents held by sender: none.
Age: 20.0
Sex: F
Vaccine: FLUC4
Symptoms: Eye swelling
Clinical narrative: 10 hours post vaccination, swelling to left eye. No redness at injection site, no cough, no SOB. Treated with BENADRYL.
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Dyskinesia, Musculoskeletal stiffness, Myalgia
Clinical narrative: Left hip very sore. Lost muscle control. It was like sciatica of the hip. Also a few stomach muscles were sore/stiff like the day after a workout.
Age: 1.25
Sex: F
Vaccine: FLU4, HIBV, MMR
Symptoms: Incorrect route of drug administration, No adverse event
Clinical narrative: No adverse event noted - Nurse accidently administered the Hib vaccine Subcutaneously instead of intramuscular. Reporting due to inappropriate site used in administration of vaccine.
Age: 64.0
Sex: F
Vaccine: FLU4, HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Inadvertently administered 3rd dose of Hepatitis A vaccine.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pain at injection site dispersing through upper arm, with severe redness and swelling covering nearly the entire upper arm. Developed flu-like symptoms. Treatment prescribed by Dr.,  antibiotic, Claritin, and warm compresses...with a follow up appointment scheduled.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antinuclear antibody negative, Asthenia, Blood 25-hydroxycholecalciferol decreased, Blood creatine phosphokinase normal
Clinical narrative: Developed diffuse debilitating body pain and aching; has since been diagnosed with fibromyalgia. Unable to attend school at this time.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein normal, Chest X-ray normal, Fibrin D dimer normal, Fibromyalgia
Clinical narrative: Developed diffuse debilitating body pain and aching; has since been diagnosed with fibromyalgia. Unable to attend school at this time.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Full blood count normal, Immunology test, Loss of personal independence in daily activities, Metabolic function test normal, Pain
Clinical narrative: Developed diffuse debilitating body pain and aching; has since been diagnosed with fibromyalgia. Unable to attend school at this time.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Red blood cell sedimentation rate normal, Rheumatoid factor negative, Thyroxine normal, Troponin normal, X-ray normal
Clinical narrative: Developed diffuse debilitating body pain and aching; has since been diagnosed with fibromyalgia. Unable to attend school at this time.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Ear pain, Eye pain, Fatigue, Headache
Clinical narrative: Headache, lethargy, loss of appetite, fatigue, vesicular eruptions on face, pain, parasthesia, itching, mild aching from eye, ear and mastoid area.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Pain, Paraesthesia, Pruritus, Rash vesicular
Clinical narrative: Headache, lethargy, loss of appetite, fatigue, vesicular eruptions on face, pain, parasthesia, itching, mild aching from eye, ear and mastoid area.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Lymphadenopathy, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: Fever, muscle aches, swollen gland under armpit, muscle cramps including vaginal cramping.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Wheezing
Clinical narrative: Wheezing.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Vaccination site pain
Clinical narrative: Arm had redness/ purple and soreness in area below where vaccination was given.
Age: 1.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was given a 0.5 ml dose versus age appropriate of 0.25 ml. No reaction was documented.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Back pain, Chest pain, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 9/19/18 8:00 pm Left deltoid began throbbing in evening day of injection. 9/20/18, next day, Began with radiation of pain to left anterior chest & back shoulder; swelling, redness & warmth to injection site. No fever reported. On 9/21/18 took BENADRYL 50 mg and subsequently swelling and redness decreased. Pain to anterior chest & back shoulder also resolved.
Age: 40.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site warmth, Pain
Clinical narrative: 9/19/18 8:00 pm Left deltoid began throbbing in evening day of injection. 9/20/18, next day, Began with radiation of pain to left anterior chest & back shoulder; swelling, redness & warmth to injection site. No fever reported. On 9/21/18 took BENADRYL 50 mg and subsequently swelling and redness decreased. Pain to anterior chest & back shoulder also resolved.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Rash
Clinical narrative: Patients guardian reported a rash that appeared 4 days after immunization encounter, rash first appeared on torso and the spread to arms and legs/ pt did not report any itching along with patients rash.
Age: 48.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Infection, Pain in extremity
Clinical narrative: Patient reported very sore arm and went to the Dr. to address.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site nodule, Injection site pain, Malaise
Clinical narrative: Patient called and complained of flu like symptoms. Had injection site pain and knot at injection site. Also complained of fever, chills, rigors and malaise.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient called and complained of flu like symptoms. Had injection site pain and knot at injection site. Also complained of fever, chills, rigors and malaise.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Dyspnoea, Erythema, Hypersensitivity, Peripheral swelling
Clinical narrative: Around 11am I was given the flu shot and a few minutes after the vaccine was given my arm got severely itchy so I looked at it and it had swollen up and red going up to my shoulder. I went over to Occupational health and by the time I get there my throat was really itchy and my chest tightened up - very hard to breath. Occupational health took my vitals and said I needed to go to the Emergency Department. I went and was admitted for allergic reaction from the flu shot.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Throat irritation
Clinical narrative: Around 11am I was given the flu shot and a few minutes after the vaccine was given my arm got severely itchy so I looked at it and it had swollen up and red going up to my shoulder. I went over to Occupational health and by the time I get there my throat was really itchy and my chest tightened up - very hard to breath. Occupational health took my vitals and said I needed to go to the Emergency Department. I went and was admitted for allergic reaction from the flu shot.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Rash macular, Skin warm
Clinical narrative: Whole upper arm swollen, blotchy red and warm the day of shot. Pt states she had been moving it around and it did seem better when she called on 9/19/18. Advised icing if arm was still warm to the touch. Pt stated that it really wasn't hot any longer. 9/24/18: left message to advise pt not to get the 2nd shot in series.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Friday evening after vaccination patient began experiencing pain at injection site, redness and heat at injection site began Saturday morning, and patient went to clinic Sunday afternoon - suspected cellulitis. Clinic provider prescribed cephalexin 500 mg every 6 hours for 10 days.
Age: 29.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Immediate post-injection reaction, Immobile, Musculoskeletal pain
Clinical narrative: She had immediate pain after the procedure. Since then, she has worsening shoulder pain with immobility due to a fear of the joint being unstable.
Age: 29.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site bruising, Mobility decreased, Musculoskeletal pain, Ultrasound joint
Clinical narrative: She had immediate pain after the procedure. Since then, she has worsening shoulder pain with immobility due to a fear of the joint being unstable.
Age: 29.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Immediate post-injection reaction, Immobile, Musculoskeletal pain
Clinical narrative: Immediately after receiving the injection on Thursday, September 20, patient felt abnormal pain in shoulder joint. Patient reached out to her primary care doctor via patient portal to report abnormal pain 12 hours after the injection that was inhibiting her ability to move her shoulder and to sleep. Doctor replied suggesting that the patient try heat or ice and Tylenol to help with discomfort and to come in to be evaluated if symptoms persisted or got worse. The patient's pain continued to worsen and further inhibited her shoulder mobility and ability to do daily tasks such as bathe and dress herself. She made an urgent appointment at clinic on Monday, September 24 and was evaluated. Patient reported that she believes the injection was administered too high on the shoulder, as the injection site and bruising around the injection is only one inch below the acromion process. Patient continues to have bruising at injection site. Patient performed shoulder mobility tests and was unable to lift her left arm above her head. Patient is experiencing constant pain in shoulder. Doctor ordered shoulder ultrasound imaging, occupational therapy, and referral to orthopedic specialist. Patient has received seasonal flu vaccine annually for approximately 15 years with no previous adverse affects.
Age: 29.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Injection site bruising, Mobility decreased, Musculoskeletal pain, Ultrasound joint
Clinical narrative: Immediately after receiving the injection on Thursday, September 20, patient felt abnormal pain in shoulder joint. Patient reached out to her primary care doctor via patient portal to report abnormal pain 12 hours after the injection that was inhibiting her ability to move her shoulder and to sleep. Doctor replied suggesting that the patient try heat or ice and Tylenol to help with discomfort and to come in to be evaluated if symptoms persisted or got worse. The patient's pain continued to worsen and further inhibited her shoulder mobility and ability to do daily tasks such as bathe and dress herself. She made an urgent appointment at clinic on Monday, September 24 and was evaluated. Patient reported that she believes the injection was administered too high on the shoulder, as the injection site and bruising around the injection is only one inch below the acromion process. Patient continues to have bruising at injection site. Patient performed shoulder mobility tests and was unable to lift her left arm above her head. Patient is experiencing constant pain in shoulder. Doctor ordered shoulder ultrasound imaging, occupational therapy, and referral to orthopedic specialist. Patient has received seasonal flu vaccine annually for approximately 15 years with no previous adverse affects.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Fatigue, Injection site erythema, Injection site induration, Nausea
Clinical narrative: PATIENT GOT A FEVER, REDNESS AROUND THE VACCINE AREA. HARDNESS ON THE INJECTION SITE, JOINT PAIN, FATIGUE AND NAUSEA AND VOMITING. PATIENT STATES THAT IT IS NOW CURRENTLY GETTING BETTER.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Pyrexia, Vomiting
Clinical narrative: PATIENT GOT A FEVER, REDNESS AROUND THE VACCINE AREA. HARDNESS ON THE INJECTION SITE, JOINT PAIN, FATIGUE AND NAUSEA AND VOMITING. PATIENT STATES THAT IT IS NOW CURRENTLY GETTING BETTER.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: The patient called the pharmacy on 9/24/2018 to inform us that the FLUZONE vaccine that she received has impaired the mobility of her arm. She stated that since she received the vaccine on 9/19/2018, that her arm has been extremely sore, the pain is not relieved by OTC pain relief (TYLENOL and ADVIL), and that she cannot lift her arm above a certain point.
Sex: F
Vaccine: VARZOS
Symptoms: Varicella zoster pneumonia
Clinical narrative: Information has been received from a lawyer regarding a case in litigation concerning a female patient of unknown age. No information was received regarding the patient's past medical history, concurrent conditions, or concomitant medication. In or about October 2016, the patient was inoculated with the ZOSTAVAX (lot number, dosage and route of administration not provided) at a pharmacy, for routine adult health maintenance and the intended purpose of the long-term prevention of shingles and zoster-related injuries. The ZOSTAVAX did not prevent shingles or zoster-related injuries as intended. In or about February 2017, the patient was treated for zoster-related pneumonia. The outcome of the events is unknown. As a direct and proximate result of the ZOSTAVAX vaccine, and/or despite receiving ZOSTAVAX for long-term prevention of shingles and zoster-related injuries, the patient suffered painful injuries and damages, and required extensive medical care and treatment. As a further proximate result, the patient has suffered and will continue to suffer significant medical expenses, and pain and suffering, and other damages. Upon internal review, zoster-related pneumonia was determined to be medically significant. Additional information has been requested.
Age: 74.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site swelling
Clinical narrative: Swelling  in around the area of administration.
Age: 72.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site rash, Paraesthesia, Urticaria
Clinical narrative: Rash at injection site, hives on body, thumb tingly.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Antinuclear antibody negative, Back pain, C-reactive protein normal, Chills, Decreased appetite
Clinical narrative: Patient presented to the ER on 08/28/2018 with the chief complaint of back pain. Urine and XRay done in ED. Seen in clinic for follow-up on 08/29/2018 and continued to have fever, body aches, chills, decreased appetite, fatigue. Was treating with ibuprofen and FLEXERIL. Sent to lab 08/30/2018 for CBC, ESR, CRP, CMP, mono, EBV, ANA and RA. EBV titer was elevated, all other labs were within normal limits. Seen 09/05/2018 for a follow-up improving appetite, continuing to have joint pain. Encouraged limited acitivity and appropriate rest until pain/fatigue subsided.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Epstein-Barr virus antibody positive, Fatigue, Full blood count normal, Metabolic function test normal, Pain
Clinical narrative: Patient presented to the ER on 08/28/2018 with the chief complaint of back pain. Urine and XRay done in ED. Seen in clinic for follow-up on 08/29/2018 and continued to have fever, body aches, chills, decreased appetite, fatigue. Was treating with ibuprofen and FLEXERIL. Sent to lab 08/30/2018 for CBC, ESR, CRP, CMP, mono, EBV, ANA and RA. EBV titer was elevated, all other labs were within normal limits. Seen 09/05/2018 for a follow-up improving appetite, continuing to have joint pain. Encouraged limited acitivity and appropriate rest until pain/fatigue subsided.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Pyrexia, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Urine analysis, X-ray
Clinical narrative: Patient presented to the ER on 08/28/2018 with the chief complaint of back pain. Urine and XRay done in ED. Seen in clinic for follow-up on 08/29/2018 and continued to have fever, body aches, chills, decreased appetite, fatigue. Was treating with ibuprofen and FLEXERIL. Sent to lab 08/30/2018 for CBC, ESR, CRP, CMP, mono, EBV, ANA and RA. EBV titer was elevated, all other labs were within normal limits. Seen 09/05/2018 for a follow-up improving appetite, continuing to have joint pain. Encouraged limited acitivity and appropriate rest until pain/fatigue subsided.
Age: 70.0
Sex: F
Vaccine: FLUC4, PNC13
Symptoms: Ear pain, Headache, Injection site rash, Neck pain, Pyrexia
Clinical narrative: Headache back of neck and under both ears (mastoid area). Highest fever was 101.2. Rash on both hands. Rash and bumps on right arm where injection was given.
Age: 70.0
Sex: F
Vaccine: FLUC4, PNC13
Symptoms: Rash
Clinical narrative: Headache back of neck and under both ears (mastoid area). Highest fever was 101.2. Rash on both hands. Rash and bumps on right arm where injection was given.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Fatigue, Pain
Clinical narrative: 101.7 temperature, fatigue, body aches.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Vaccine received in left deltoid 09/20/2018 in the afternoon. On the evening of 09/20/2018 she started experiencing swelling, pain and itching at the injection site.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Myalgia
Clinical narrative: Noticeable but not extreme redness about 2 inches wide, 4 inches long around (mostly below) the location of the shot on the upper right shoulder/arm. This was the first of the two SHINGRIX shots. Other side effect was the predictable muscle pain from the shot for the two day since vaccination.  I had the old Shingles vaccine four years ago, and a moderate case of Shingles (diagnosed by dermatologist) a year ago.
Age: 1.75
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: Client received two doses of Varicella.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Skin warm
Clinical narrative: Patient experienced significant bruising going on several days. Her skin was hot to the touch but then it resolved.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Arrhythmia, Influenza, Pyrexia
Clinical narrative: Patient reported very high fever and flu symptoms like muscle, which are expected with SHINGRIX, but she also sufferred arrhythmias and has been in the hospital for several days. She informed me after she was discharged. She also had a high dose flu shot on the same day.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Blood pressure increased, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Within 24 hours the patient developed body aches and pains and spike in blood pressure of 180/90 based on personal reporting by the patient. Over the next 7 days the patient developed a rash with pain and itching around the injection site. She also reports pain in her hips that alternates between a muscular type pain and a sciatica type pain.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain, Sciatica
Clinical narrative: Within 24 hours the patient developed body aches and pains and spike in blood pressure of 180/90 based on personal reporting by the patient. Over the next 7 days the patient developed a rash with pain and itching around the injection site. She also reports pain in her hips that alternates between a muscular type pain and a sciatica type pain.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Pt stated he developed bilateral hand swelling the morning after his SHINGRIX vaccination on 9/19/18. I saw him at the Anticoagulation Clinic this morning and his hands were both still swollen and painful. Advised patient to consult his PCP if reaction does not resolve in 1 week (by 9/26/18).
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Pruritus
Clinical narrative: Pt started to C/O difficulty swalling, itchiness. BENADRYL 50mg/ml, 1 ml given IM to right deltoid and oxygen at 2L via mask placed at 9:43. Pt was instructed to lay day at a 45 degree angle. Pt monitored for approx 45 min, with improved symptoms. Pt was sent home and instructed to go to ER if symptoms return or get worse.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV, TDAP
Symptoms: Erythema, Skin warm
Clinical narrative: Large red area on left arm (two shots given in this arm) and warmth. Patient was told to monitor and if redness worsened, spread or fever developed to be seen immediately by physician.
Age: 70.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Vaccination site rash
Clinical narrative: Pt has redness and swelling of the left bicep (approximately 5 inches long and 2 inches wide. Pt came to pharmacy to ask for recommendation. I recommended that he apply a cool compress and take benadryl to see if that would take care of the rash. Asked pt to follow up with us if the rash proceeded to get worse or not improve. The rash seems to present below the PNEUMOVAX vaccination site.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia oral, Lip swelling, Paraesthesia oral
Clinical narrative: Numbness, tingling, swelling of lower lip. Patient is going to ice the area and take BENADRYL. If no relief she will contact her MD.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site nodule, Musculoskeletal pain, Nausea
Clinical narrative: Pt says she experienced chills, nausea, achiness from the shoulders up, exhaustion and swollen left arm (knot at injection site).
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Pt says she experienced chills, nausea, achiness from the shoulders up, exhaustion and swollen left arm (knot at injection site).
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Nausea, Pyrexia
Clinical narrative: Wife said he had fever and chills, and nausea.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Dizziness, Dysarthria, Headache, Pain
Clinical narrative: Patient reports light headed, tingle left finger, pain in stomach, left side of body hurts, headache, and slurred words started two days after vaccination.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia
Clinical narrative: Patient reports light headed, tingle left finger, pain in stomach, left side of body hurts, headache, and slurred words started two days after vaccination.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Peripheral swelling
Clinical narrative: A day after receiving vaccination, experienced swelling and restriction of movement in right arm, could not move shoulder above head, celecoxib prescribed and exercises recommended, as of 9/24/18 still experiencing restriction but swelling has reduced but not resolved.
Age: 70.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Local reaction, Vaccination site warmth
Clinical narrative: Patient reported to pharmacist on 9/24 that on the day of the vaccine in the late afternoon, she started to experience a very hot, red arm in the area of the vaccine and it spread to her shoulder. The reaction lasted 3 days. The patient used cold compresses, and it slowly resolved over 3-4 days. She sought the advice of her PCP, as she was worried about a blood clot as she has had issues with blood clots in the past. Her PCP advised her that it most likely was a localized reaction from the vaccine itself. Patient reports never having a reaction to the flu vaccine in the past, and gets flu vaccine every year.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Injection site erythema, Injection site swelling, Myalgia, Pruritus
Clinical narrative: Patient experienced redness and swelling at the injection site which was noticed approximately 48 hours after injection. She described the size of the redness as being the size of a lemon. The inflamed area is itchy and warm to the touch. The patient is also experiencing some minor muscle soreness on that arm. She has not sought out medical help nor tried any treatments to alleviate symptoms. She described the symptoms as not that bothersome and will monitor them moving forward.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm
Clinical narrative: Patient experienced redness and swelling at the injection site which was noticed approximately 48 hours after injection. She described the size of the redness as being the size of a lemon. The inflamed area is itchy and warm to the touch. The patient is also experiencing some minor muscle soreness on that arm. She has not sought out medical help nor tried any treatments to alleviate symptoms. She described the symptoms as not that bothersome and will monitor them moving forward.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Insomnia
Clinical narrative: C/O severe left shoulder pain and cannot sleep at night day of vaccine until now.
Age: 76.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Ached all over. Fever and chills. Lasted day and a half.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling hot, Flushing, Headache, Injection site pain
Clinical narrative: I started feeling a warm sensation come over me and  then I got hot. Then I noticed the hives (rash)  starting on my stomach region. They were on my arms or legs by that evening. I felt flush, headache, slight red throat, tired and of course muscle pain at the injection site only. I almost always get these hives during a viral infection, cold cough, strep  throat. I did not have a cough, cold or sore throat. I did notice hot coffee hurt my throat a little that morning as I had a little sinus drainage due to weather here, rainy and cold.  I am breathing just fine. The next morning the rash had spread over my body as just red without a lot of small bumps. By the next day, Friday the 21 everything was gone and I had no other illness, No sore throat just the slight headache. I get this exact rash when my body is fighting an illness or virus. I called my doctor on the 19 and he thought it was caused by a virus and advised me to go to emergency if I had any breathing problems. I thought I should report as I saw on the web that an infant also got several shots and 24 hours later had the same hives as I did. I am wondering if it is something in the shots that I reacted too.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Oropharyngeal pain, Paranasal sinus hypersecretion, Pharyngeal erythema, Rash erythematous, Rash generalised
Clinical narrative: I started feeling a warm sensation come over me and  then I got hot. Then I noticed the hives (rash)  starting on my stomach region. They were on my arms or legs by that evening. I felt flush, headache, slight red throat, tired and of course muscle pain at the injection site only. I almost always get these hives during a viral infection, cold cough, strep  throat. I did not have a cough, cold or sore throat. I did notice hot coffee hurt my throat a little that morning as I had a little sinus drainage due to weather here, rainy and cold.  I am breathing just fine. The next morning the rash had spread over my body as just red without a lot of small bumps. By the next day, Friday the 21 everything was gone and I had no other illness, No sore throat just the slight headache. I get this exact rash when my body is fighting an illness or virus. I called my doctor on the 19 and he thought it was caused by a virus and advised me to go to emergency if I had any breathing problems. I thought I should report as I saw on the web that an infant also got several shots and 24 hours later had the same hives as I did. I am wondering if it is something in the shots that I reacted too.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: I started feeling a warm sensation come over me and  then I got hot. Then I noticed the hives (rash)  starting on my stomach region. They were on my arms or legs by that evening. I felt flush, headache, slight red throat, tired and of course muscle pain at the injection site only. I almost always get these hives during a viral infection, cold cough, strep  throat. I did not have a cough, cold or sore throat. I did notice hot coffee hurt my throat a little that morning as I had a little sinus drainage due to weather here, rainy and cold.  I am breathing just fine. The next morning the rash had spread over my body as just red without a lot of small bumps. By the next day, Friday the 21 everything was gone and I had no other illness, No sore throat just the slight headache. I get this exact rash when my body is fighting an illness or virus. I called my doctor on the 19 and he thought it was caused by a virus and advised me to go to emergency if I had any breathing problems. I thought I should report as I saw on the web that an infant also got several shots and 24 hours later had the same hives as I did. I am wondering if it is something in the shots that I reacted too.
Age: 63.0
Sex: F
Vaccine: FLUC4
Symptoms: Back pain, Neck pain, Pain in extremity
Clinical narrative: Arm, neck pain, and back pain on both sides of body shot at 11 am sand pain started at about noon per patient.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Injection site pain
Clinical narrative: 1-18-2018. Pt came back to pharmacy few days later and had bruising on her arm and stated she was having severe pain where shot was given. Pt stated bruising appeared 2 days post-administration.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Bruxism, Dyskinesia, Fall, Feeling abnormal, Loss of consciousness
Clinical narrative: Daughter received vaccine. Got up from medical table and was standing against wall. Received instructions from MA following injection and daughter was fine. MA left room to get final paperwork together following physician appointment. Daughter stated 'I feel weird'. She then fell to ground. She did not attempt to catch herself during fall. Her upper extremities were tonic, muscles tight, and her head began jolting. Her teeth were clenched, and she was making a humming/moaning sound. She was unresponsive and did not respond to verbal or tactile stimulus. This lasted for at least 30 seconds.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Moaning, Muscle tightness, Unresponsive to stimuli
Clinical narrative: Daughter received vaccine. Got up from medical table and was standing against wall. Received instructions from MA following injection and daughter was fine. MA left room to get final paperwork together following physician appointment. Daughter stated 'I feel weird'. She then fell to ground. She did not attempt to catch herself during fall. Her upper extremities were tonic, muscles tight, and her head began jolting. Her teeth were clenched, and she was making a humming/moaning sound. She was unresponsive and did not respond to verbal or tactile stimulus. This lasted for at least 30 seconds.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Chills, Influenza like illness, Injection site pain, Myalgia
Clinical narrative: Patient complains of rash around the vaccinated area; includes burning sensation that radiates to her back and shoulders with muscle pain/aches. Patient states that it feels like she is getting the flu and chills. She emphasizes that the shot area is hurting, but while talking to us she says it is okay, but still has the burning sensation on her back and shoulders.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site rash
Clinical narrative: Patient complains of rash around the vaccinated area; includes burning sensation that radiates to her back and shoulders with muscle pain/aches. Patient states that it feels like she is getting the flu and chills. She emphasizes that the shot area is hurting, but while talking to us she says it is okay, but still has the burning sensation on her back and shoulders.
Age: 63.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Dysphonia, Fatigue, Injected limb mobility decreased, Injection site pain
Clinical narrative: Nausea, muscle pain, joint pain, hoarseness- all started within 2 hours of vaccine. 5 hours after vaccine I had muscle contractions, like I couldn't stop having to stretch and couldn't stop- very strange! Next day fatigue, nausea, aches and I could not lift the arm that the vaccine was given due to terrible pain at my shoulder, on the fourth day after the vaccine, I am able to lift my right arm without to much pain. On the 2nd day (Saturday) I broke out into hives on my stomach and back and that is still going on and I am very itchy still.
Age: 63.0
Sex: F
Vaccine: FLUR4
Symptoms: Muscle contractions involuntary, Myalgia, Nausea, Pain, Pruritus
Clinical narrative: Nausea, muscle pain, joint pain, hoarseness- all started within 2 hours of vaccine. 5 hours after vaccine I had muscle contractions, like I couldn't stop having to stretch and couldn't stop- very strange! Next day fatigue, nausea, aches and I could not lift the arm that the vaccine was given due to terrible pain at my shoulder, on the fourth day after the vaccine, I am able to lift my right arm without to much pain. On the 2nd day (Saturday) I broke out into hives on my stomach and back and that is still going on and I am very itchy still.
Age: 63.0
Sex: F
Vaccine: FLUR4
Symptoms: Urticaria
Clinical narrative: Nausea, muscle pain, joint pain, hoarseness- all started within 2 hours of vaccine. 5 hours after vaccine I had muscle contractions, like I couldn't stop having to stretch and couldn't stop- very strange! Next day fatigue, nausea, aches and I could not lift the arm that the vaccine was given due to terrible pain at my shoulder, on the fourth day after the vaccine, I am able to lift my right arm without to much pain. On the 2nd day (Saturday) I broke out into hives on my stomach and back and that is still going on and I am very itchy still.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Urticaria
Clinical narrative: Wheal and flare started around the thighs and spread all over the body.
Age: 78.0
Sex: M
Vaccine: FLUA3
Symptoms: Erythema, Pain
Clinical narrative: Red, painful for 2 weeks.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: Patient reported a rash and fever/body aches. Started on 9-14-18 and lasted until 9-21-18. When he presented to the pharmacy on 9-22-18 he looked fine and was not complaining of any issues.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Hyperhidrosis, Injection site rash, Pain
Clinical narrative: Symptoms started 1 day after the vaccine (9-14-18). Patient reports rash around injection site, chills/shaking, fever, sweating, body aches, racing heart and a headache. When she reported to the pharmacy on 9-22-18 she was still suffering from a headache. She called her physician and they advised her to take TYLENOL and EXCEDRIN and then follow up with them.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Palpitations, Pyrexia, Tremor
Clinical narrative: Symptoms started 1 day after the vaccine (9-14-18). Patient reports rash around injection site, chills/shaking, fever, sweating, body aches, racing heart and a headache. When she reported to the pharmacy on 9-22-18 she was still suffering from a headache. She called her physician and they advised her to take TYLENOL and EXCEDRIN and then follow up with them.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling
Clinical narrative: Complains of left shoulder swelling. Shot was given about 2-3 fingers down from shoulder.
Age: 33.0
Sex: F
Vaccine: FLUX
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site urticaria, Injection site warmth
Clinical narrative: Received annual flu vaccine. At injection site developed large welt, about 2.5 inches in diameter. It's red, itchy, warm to touch, and the area is sore.
Age: 29.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus
Clinical narrative: Tdap injection in right arm started to itch and turn red right away. I then developed a large golf ball sized lump at the injection site. I had a flu shot in the left arm. I am not sure of the exact brands of each vaccine.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Customer came back to pharmacy on 9/24/18 stating that her left arm was red and swollen. I verified this and came customer hydrocortisone 1 % cream at no cost. She stated she may follow up with her doctor.
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Arthralgia, Back pain, Herpes zoster, Injection site pain, Malaise
Clinical narrative: Pt reported that she did not feel well for a week after receiving the immunizations. On 9/22, she developed 1 shingle on her right forearm; by 9/23, she had developed a second shingle.  She complains of pain radiating from her right forearm to shoulder. She has also developed pain in right hip, back, and buttocks.
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: Pt reported that she did not feel well for a week after receiving the immunizations. On 9/22, she developed 1 shingle on her right forearm; by 9/23, she had developed a second shingle.  She complains of pain radiating from her right forearm to shoulder. She has also developed pain in right hip, back, and buttocks.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Injection site rash, Pyrexia, Rash
Clinical narrative: On 9/7/18 patient began developing a fever. On 9/8/18, it peaked at 103 degrees. Fever faded by night of 9/8/18. On 9/9/18, he began developing the start of a rash in the creases of his thighs, which on 9/10/18 spread to cover his chest, thighs, feet, hands, and around his nose and mouth. It took 4-5 days for the rash to have no new spots developing and to have the old spots dry over.