chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Abdominal pain, Blood creatine phosphokinase increased, Computerised tomogram normal, Dysuria, Headache
Clinical narrative: pt was given .5 ml tdap (exp 8/30/26). After getting vaccinated he developed a severe headache. He became nauseated and had severe abdominal cramping.  He had burning sensation when urinating and all over muscle aches. His mother contacted clinic but they did not have any one to treat him. She took him to the ER. They did labs where his CK level was 172. They were busy so they sent them home to take Tylenol and Motrin. The next day she went to the pharmacy and they recommended emetrol for the nausea. On Monday March 31st he went back to the student clinic where they repeated his lab work and the CK level had dropped to 57.  He was given Zofran and referred to hospital. They did  more testing and a CT scan. All test were negative.  He was told to back off of the Tylenol but continue taking the Zofran. On April 2nd he went back to the student clinic where he was tested for mono that was negative. He is still sick and can hardly get out of bed. Everyone feels like it was triggered by the vaccine as the test have come back negative.  They were trying to get exemption for him from this vaccine since he had a reaction from this vaccine as an infant. He is showing the same symptoms he did when he was an infant after getting his 6 month vaccinations and  was diagnosed  hypotonia.
Age: 18.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Influenza virus test negative, Laboratory test normal, Malaise, Mobility decreased, Mononucleosis heterophile test negative
Clinical narrative: pt was given .5 ml tdap (exp 8/30/26). After getting vaccinated he developed a severe headache. He became nauseated and had severe abdominal cramping.  He had burning sensation when urinating and all over muscle aches. His mother contacted clinic but they did not have any one to treat him. She took him to the ER. They did labs where his CK level was 172. They were busy so they sent them home to take Tylenol and Motrin. The next day she went to the pharmacy and they recommended emetrol for the nausea. On Monday March 31st he went back to the student clinic where they repeated his lab work and the CK level had dropped to 57.  He was given Zofran and referred to hospital. They did  more testing and a CT scan. All test were negative.  He was told to back off of the Tylenol but continue taking the Zofran. On April 2nd he went back to the student clinic where he was tested for mono that was negative. He is still sick and can hardly get out of bed. Everyone feels like it was triggered by the vaccine as the test have come back negative.  They were trying to get exemption for him from this vaccine since he had a reaction from this vaccine as an infant. He is showing the same symptoms he did when he was an infant after getting his 6 month vaccinations and  was diagnosed  hypotonia.
Age: 18.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Myalgia, Nausea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: pt was given .5 ml tdap (exp 8/30/26). After getting vaccinated he developed a severe headache. He became nauseated and had severe abdominal cramping.  He had burning sensation when urinating and all over muscle aches. His mother contacted clinic but they did not have any one to treat him. She took him to the ER. They did labs where his CK level was 172. They were busy so they sent them home to take Tylenol and Motrin. The next day she went to the pharmacy and they recommended emetrol for the nausea. On Monday March 31st he went back to the student clinic where they repeated his lab work and the CK level had dropped to 57.  He was given Zofran and referred to hospital. They did  more testing and a CT scan. All test were negative.  He was told to back off of the Tylenol but continue taking the Zofran. On April 2nd he went back to the student clinic where he was tested for mono that was negative. He is still sick and can hardly get out of bed. Everyone feels like it was triggered by the vaccine as the test have come back negative.  They were trying to get exemption for him from this vaccine since he had a reaction from this vaccine as an infant. He is showing the same symptoms he did when he was an infant after getting his 6 month vaccinations and  was diagnosed  hypotonia.
Age: 18.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Blood creatine phosphokinase increased, Dizziness, Fatigue, Headache, Muscle spasms
Clinical narrative: pt was given .5 ml tdap (exp 8/30/26). After getting vaccinated he developed a severe headache. He became nauseated and had severe abdominal cramping.  He had burning sensation when urinating and all over muscle aches. His mother contacted clinic but they did not have any one to treat him. She took him to the ER. They did labs where his CK level was 172. They were busy so they sent them home to take Tylenol and Motrin. The next day she went to the pharmacy and they recommended emetrol for the nausea. On Monday March 31st he went back to the student clinic where they repeated his lab work and the CK level had dropped to 57.  He was given Zofran and referred to hospital. They did  more testing and a CT scan. All test were negative.  He was told to back off of the Tylenol but continue taking the Zofran. On April 2nd he went back to the student clinic where he was tested for mono that was negative. He is still sick and can hardly get out of bed. Everyone feels like it was triggered by the vaccine as the test have come back negative.  They were trying to get exemption for him from this vaccine since he had a reaction from this vaccine as an infant. He is showing the same symptoms he did when he was an infant after getting his 6 month vaccinations and  was diagnosed  hypotonia.
Age: 18.0
Sex: M
Vaccine: TDAP, TDAP
Symptoms: Myalgia
Clinical narrative: pt was given .5 ml tdap (exp 8/30/26). After getting vaccinated he developed a severe headache. He became nauseated and had severe abdominal cramping.  He had burning sensation when urinating and all over muscle aches. His mother contacted clinic but they did not have any one to treat him. She took him to the ER. They did labs where his CK level was 172. They were busy so they sent them home to take Tylenol and Motrin. The next day she went to the pharmacy and they recommended emetrol for the nausea. On Monday March 31st he went back to the student clinic where they repeated his lab work and the CK level had dropped to 57.  He was given Zofran and referred to hospital. They did  more testing and a CT scan. All test were negative.  He was told to back off of the Tylenol but continue taking the Zofran. On April 2nd he went back to the student clinic where he was tested for mono that was negative. He is still sick and can hardly get out of bed. Everyone feels like it was triggered by the vaccine as the test have come back negative.  They were trying to get exemption for him from this vaccine since he had a reaction from this vaccine as an infant. He is showing the same symptoms he did when he was an infant after getting his 6 month vaccinations and  was diagnosed  hypotonia.
Age: 1.0
Sex: F
Vaccine: FLU3, HEPA, MMR, VARCEL
Symptoms: Injection site rash, Rash macular
Clinical narrative: Began having macular rash along the site of injection then became macular papular blanching rash that spread toward head and then began to coal-ace.
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Blood creatine phosphokinase, Full blood count, Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: Within 1 hour of vaccine pt began to have severe pain, erythema and severe edema at injection site, the next day pt had urticaria from head to toe which resolved within 24 hours, currently experiencing left sided myalgias and paresthesias of left arm, trapezius, and left side of neck
Age: 29.0
Sex: F
Vaccine: VARCEL
Symptoms: Metabolic function test, Myalgia, Paraesthesia, Urticaria
Clinical narrative: Within 1 hour of vaccine pt began to have severe pain, erythema and severe edema at injection site, the next day pt had urticaria from head to toe which resolved within 24 hours, currently experiencing left sided myalgias and paresthesias of left arm, trapezius, and left side of neck
Age: 0.58
Sex: M
Vaccine: DTPPVHBHPB, FLU3, PNC20
Symptoms: Injection site mass
Clinical narrative: knots on both thighs
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB, FLU3, PNC20
Symptoms: Rash, Swelling face
Clinical narrative: All three injections were administered and patient was getting ready to leave the exam room/clinic. The mother noticed the patient's face had a more pronounced rash and some swelling, the mother notified the physician and practice manager, who then notified the clinician to respond and assess. Clinician ordered 5 ML of Bendaryl to be administered, the patient was observed every 5-10 minutes and after 30 minutes of observation, the Clinician ordered another 3 ML of Benadryl to be administered. Patient was never in distress nor anaphylaxis. Clinician communicated the event with the rendering clinician, both of whom agreed the patient could be sent home as he was stable.
Age: 1.0
Sex: M
Vaccine: VARCEL
Symptoms: Skin lesion, Varicella
Clinical narrative: Skin lesions consistent with varicella infection according to ER provider.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Rash, Rash pruritic
Clinical narrative: SPOTS/RASH THAT STARTED ON LEFT DELTOID, ABOVE VACCINATION AREA. PATIENT THOUGHT AT FIRST IT WAS A BUG BITE. WITHIN A FEW DAYS THE RASH TRAVELED DOWN THE ARM AND BECAME ITCHY AND IRRITATING. PATIENT THOUGHT IT LOOKED LIKE CHICKEN POX. RASH THEN SPREAD TO BILATERAL ARMS AND LEGS AND WAS ITCHY, NOT EXACTLY PAINFUL, BUT ANNOYING. PATIENT RETURNED TO PHARMACY 4/2//25 FROM RX'S FROM EMERGENCY ROOM; FAMCICLOVIR AND PREDNISONE TO TREAT THE RASH. ER MD NOT 100% CERTAIN RELATED TO VACCINE BUT HIGHLY LIKELY. THIS WAS MY THOUGHT AS WELL AS THE RASH BEGAN WITHIN 1 WEEK OF VACCINATION. PATIENT IS STILL ACTIVELY RECOVERING.
Age: 0.83
Sex: M
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site oedema, Pyrexia, Vaccination site reaction, Vomiting
Clinical narrative: Erythema and edema of entire left thigh within 12 hours of receiving the vaccine. Started locally involving injection site only.  Fever and 1 episode of vomiting that night as well.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Chills, Dizziness, Dyspnoea, Hypoaesthesia, Pyrexia
Clinical narrative: PATIENT REPORTED NUMBNESS OF LEFT ARM, DIZZINESS, CHILLS, FEVER, AND SHORTNESS OF BREATH. SHE DID NOT ATTEND SCHOOL THE FOLLOWING DAY.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Joint injury
Clinical narrative: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 75.0
Sex: M
Vaccine: RSV
Symptoms: Injection site bruising
Clinical narrative: Site: Bruising at Injection Site-Mild
Age: 37.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 58.0
Sex: F
Vaccine: PNC21
Symptoms: Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Additional Details: patient had history of difficulty breathing after moderna vaccine. patient waited 15 min after vaccine came up to counter within 5 min with difficulty breathing gave her 2 benadryl 25mg and still having problem breathing so I gave her epi-pen 0.3mg into her outer thigh. still having problem breathing I called 911 they assessed her vitals and she declined to go with ambulance. she drove home. I called her to make sure she got home safely. she is going to follow up with Md. , Other Vaccines:  VaccineTypeBrand: shingrix; Manufacturer: glaxosmithkline; LotNumber: k2bb7; Route: right arm intramuscularly; BodySite: right arm intramuscularly; Dose: 01; VaxDate: 02/21/2025
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Posture abnormal, Seizure, Seizure like phenomena, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Additional Details: After administering the vaccine, patient slightly slumped down and seemed to have seizure like convulsions. Happened quickly and then she came out of it asking what happened. 911 was called. EMS arrived and patient was fine and talking. EMS not sure if due to patient not eating, being nervous. EMS said sounded more like fainting episode since not prolonged seizing activity.
Age: 52.0
Sex: F
Vaccine: PNC21
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 31.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Feeling abnormal, Immediate post-injection reaction, Injection site pain, Loss of consciousness
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient received the first dose of gardasil 9 vaccine. Immediately after, she expressed that she doesn't feel good and stayed seated for observation. After approximately 3 minutes, she began to lose consciousness and EMS was called. Her partner was there trying to keep her awake and she did not lose consciousness completely. While EMS was en route, she regained consciousness and was checked out by EMS when they arrived. She chose not to go with them to the hospital and left with her partner.
Age: 31.0
Sex: F
Vaccine: HPV9
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient received the first dose of gardasil 9 vaccine. Immediately after, she expressed that she doesn't feel good and stayed seated for observation. After approximately 3 minutes, she began to lose consciousness and EMS was called. Her partner was there trying to keep her awake and she did not lose consciousness completely. While EMS was en route, she regained consciousness and was checked out by EMS when they arrived. She chose not to go with them to the hospital and left with her partner.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 65.0
Sex: M
Vaccine: RSV
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Weakness-Mild, Additional Details: Patient reports soreness, tingling, and weakness in left arm that started immediately post injection and persists to a consistent degree (neither better nor worse).  He has not discussed it with her primary care provider.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Seizure
Clinical narrative: Systemic: Seizure-Medium, Additional Details: From report: Guest (Husband) stated that they were each getting a shot from the pharmacy when the wife started to feel ill and unwell. The husband asked for the Pharmacist to call 911, when they stepped away, wife began to have what is believed to be a seizure. Wife was laid on the ground in the rescue position and was aided by myself, and other guests until paramedics arrived.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Patient went to doctor's office on 2/4/25 and MD was diagnosed with possible SIRVA and was given prednisone.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Additional Details: I SPOKE TO PATIENT CALLED ON 02/24/2025. SHE CALLED IN CONCERNED ABOUT ITCHY, RED, HARD ON TOUCH AREA ON DELTOID WHERE PREVNAR WAS ADMINISTERED. PATIENT SAID SHE CONTACTED HER MD REGARDING REACTION. I COUNSELED PATIENT TO USE HYDROCORTISONE FOR THE REDNESS/SWELLING AND BENADRYL FOR THE ALLERGIC REACTION. PATIENT DECLINED ANY COMPLAINTS OF DIFFICULTY BREATHING, HEART RATE AND BLOOD PRESSURE CHANGES. COUNSELED PATIENT TO NOT BE ALARMED HOWEVER IF THOSE SYMPTOMS COME ABOUT TO GO TO EMERGENCY ROOM.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Pruritus
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Additional Details: I SPOKE TO PATIENT CALLED ON 02/24/2025. SHE CALLED IN CONCERNED ABOUT ITCHY, RED, HARD ON TOUCH AREA ON DELTOID WHERE PREVNAR WAS ADMINISTERED. PATIENT SAID SHE CONTACTED HER MD REGARDING REACTION. I COUNSELED PATIENT TO USE HYDROCORTISONE FOR THE REDNESS/SWELLING AND BENADRYL FOR THE ALLERGIC REACTION. PATIENT DECLINED ANY COMPLAINTS OF DIFFICULTY BREATHING, HEART RATE AND BLOOD PRESSURE CHANGES. COUNSELED PATIENT TO NOT BE ALARMED HOWEVER IF THOSE SYMPTOMS COME ABOUT TO GO TO EMERGENCY ROOM.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Weakness-Medium
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Injection site pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: COUGH-Medium, Additional Details: Patient was not checked at Dr's office if he actually have a viral infection, Other Vaccines:  VaccineTypeBrand: pneumovax 23; Manufacturer: merck sharp and D; LotNumber: Y016291; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: 1; VaxDate: 02/16/2025
Age: 44.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient reported that she developed cellulitis at the site/arm of injection and needed an urgent care visit and antibiotics treatment
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Confusional state, Dizziness, Fatigue, Lethargy, Visual impairment
Clinical narrative: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: visual disturbances, vibrating vision-Medium, Other Vaccines:  VaccineTypeBrand: Menveo; Manufacturer: glaxosmithkline; LotNumber: LN75D; Route: IM; BodySite: right deltoid; Dose: 1; VaxDate: 02/22/2025
Age: 51.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Hypoaesthesia, Injection site erythema, Injection site swelling, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Pain, tingling and numbness in left arm that has not subsided. patient was referred to a neurologist by ER
Age: 51.0
Sex: F
Vaccine: FLUC4
Symptoms: Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Pain, tingling and numbness in left arm that has not subsided. patient was referred to a neurologist by ER
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT SAID SHE FAINTED BRIEFLY; NO OTHER SYMPTOM, , Other Vaccines:  VaccineTypeBrand: fluzone; Manufacturer: sanofi; LotNumber: UT8463BA; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: PREVNAR 20; Manufacturer: PFIZER; LotNumber: LJ5281; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Pruritus, Rash
Clinical narrative: Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
Age: 19.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Infection-Medium, Additional Details: Patient developed arm swelling at injection sight. 2 to 3 inches in size. Dr prescribed cephalexin to treat possible infection. Unknown cause as site of injection was wiped with alcohol and sterile needle was used on sealed prefilled syringe.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient presented with redness/rash on arm 3 inches below injection site.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Tremor
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient presented with redness/rash on arm 3 inches below injection site.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Hypertension, Lethargy, Nausea
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypertension-Mild, Systemic: Nausea-Mild, Additional Details: note of pulsating in ear after administration. symptoms occurred within minutes of administration.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypertension-Mild, Systemic: Nausea-Mild, Additional Details: note of pulsating in ear after administration. symptoms occurred within minutes of administration.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Device connection issue, Needle issue, Soft tissue foreign body, Syringe issue
Clinical narrative: Syringe mal function, when injecting vaccine an unknow amount of RSV substance was injected into patient left arm, and an unknow amount fell out of syringe, when retrieving syringe from patient arm the needle  came apart from syringe and had to remove needle by hand from patient arm.  Patient, Dr., and and RN lead were notified incident. Patient was stable and was  informed of receiving information in a few days of what should be the next steps in this incident. Patient verbalized understanding.
Age: 10.0
Sex: F
Vaccine: HPV9
Symptoms: Erythema, Headache, Nausea, Skin warm
Clinical narrative: Transient redness to face with headache and nausea and warmth of left arm. NO fever reported. Lasted 2 hours and self resolved.
Age: 14.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: On 03/27/2025, Patient presented to clinic requesting to get vaccinations that are now due.  Pt was to get in total 8 vaccines - Tdap, Hep A, Hep B, Gardasil 9, MMR, Varicella, Meningococcal, Polio.  This writer in an attempt to reduce the number of injections, offered a combination vaccine of Proquad with education.  However, this writer failed to follow Protocol and confirm patient's eligibility for the Proquad. No adverse reaction reported by patient or Parent.
Age: 1.0
Sex: F
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Doctor ordered MMR, Varicella and Hap A, But pulled MMRV, Varicella and Hep A
Age: 27.0
Sex: F
Vaccine: COVID19, FLU3, COVID19, FLU3
Symptoms: Swelling face
Clinical narrative: Swelling on left side of face/jaw
Age: 27.0
Sex: F
Vaccine: COVID19, FLU3, COVID19, FLU3
Symptoms: Swelling face, Toothache
Clinical narrative: Swelling on left side of face/jaw
Age: 27.0
Sex: F
Vaccine: COVID19, FLU3, COVID19, FLU3
Symptoms: Swelling face
Clinical narrative: Pt called the clinic the next day after vaccination, about 10:30 AM on 4/3/25.  She stated she had Left sided "jaw swelling" that began about 4 hours after vaccination and lasted throughout the night.  She still had swelling at the time of the phone call.  She denied tongue and throat swelling, denied fever, rash, itching and denied difficulty breathing.  She was self-treating with ice and Tylenol.  She also stated that she had been having pain with a left sided wisdom tooth and had called a dentist to ask about the swelling.  She was advised to seek urgent care or ER, and to see a dentist as soon as possible.
Age: 27.0
Sex: F
Vaccine: COVID19, FLU3, COVID19, FLU3
Symptoms: Swelling face, Toothache
Clinical narrative: Pt called the clinic the next day after vaccination, about 10:30 AM on 4/3/25.  She stated she had Left sided "jaw swelling" that began about 4 hours after vaccination and lasted throughout the night.  She still had swelling at the time of the phone call.  She denied tongue and throat swelling, denied fever, rash, itching and denied difficulty breathing.  She was self-treating with ice and Tylenol.  She also stated that she had been having pain with a left sided wisdom tooth and had called a dentist to ask about the swelling.  She was advised to seek urgent care or ER, and to see a dentist as soon as possible.
Age: 77.0
Sex: M
Vaccine: PNC20
Symptoms: Dysphonia, Fatigue, Oropharyngeal pain
Clinical narrative: pt says day after shot he's been extremely tired and has had sore throat with raspy voice that won't go away.
Age: 1.0
Sex: M
Vaccine: DTAPHEPBIP, HEPA, HIBV, HIBV, MMR, PNC20, VARCEL
Symptoms: Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm
Clinical narrative: Infant went in for a well baby check up on 3/26/25. She missed her 6 month vaccines per mom. Infant was a well baby with just a mild cold and runny nose. Even with this mild cold infant was always healthy and active. Nurse informed mom baby needed 6 vaccines. Mom questioned if this was too many in one visit and nurse told her they were necessary to give. 3 shots were administered in each thigh. A little after 3 in the morning on 3/27/25 mom was driving to another state to visit family.  She stopped at a gas station to change her diaper. She was hot and having seizures. 911 was called and taken to HOSPITAL where she later died of cardiac arrest.
Age: 58.0
Sex: F
Vaccine: PNC20
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient came to the pharmacy on 4/3/2025 stating that she thought she was having a reaction to a vaccine she received last week. Her arm was very swollen and painful and has increasingly gotten worse since she received the shot. She was advised to go to doctor to be fully evaluated.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Hypertension, Hypotension, Myocardial infarction
Clinical narrative: High and low blood pressure. Heart attack resulting in death.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-GAD antibody positive, Asthenia, Brain fog, Chest X-ray, Confusional state
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Coordination abnormal, Cytogenetic analysis, Diplopia, Disorientation
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Electromyogram, Fatigue, Feeling abnormal
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Glycosylated haemoglobin decreased, Heart rate increased, Immunoglobulin therapy, Impaired work ability
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal, Memory impairment, Muscular weakness, Myalgia, Plasmapheresis
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pulmonary function test, Pyrexia, Red blood cell macrocytes present, Sensory loss
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Sexual dysfunction, Speech disorder, Swallow study, Syncope, Thrombosis
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid hormones decreased, Ultrasound thyroid, Vision blurred, White blood cell count increased
Clinical narrative: Fever, then on 10/9/24collapsed to floor unable to move,  blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received dose of Moderna COVID 24-25 vaccine that had gone past it's approved Beyond Use Date. Beyond Use Date for this vaccine was 3/22/2025, but dose was given on 3/27/2025. Patient's family made aware, provider within office made aware. No reports of adverse effects to present.
Age: 6.0
Sex: F
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Rash on arms and legs
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site pain
Clinical narrative: patient presented with on going pain at injection site and also complained of her hand (on the arm that received the injections) falling asleep at night.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling, Joint injury, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient has developed numbness and tingling to extremity which continues to persist.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Joint injury, Muscular weakness
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient received initial dose of Shingrix vaccine, noticed at the time that the injection was given high on the shoulder near the joint, and within a few days was still having pain and couldn't use her left arm much at all.  She discussed with her Dr within a couple weeks of vaccination and Dr wrote it off to side effects from vaccine.  When she arrived to pharmacy on 6/13/23 she mentioned she was still have shoulder pain and limited mobility/range of motion including weakness
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Product administered at inappropriate site
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient received initial dose of Shingrix vaccine, noticed at the time that the injection was given high on the shoulder near the joint, and within a few days was still having pain and couldn't use her left arm much at all.  She discussed with her Dr within a couple weeks of vaccination and Dr wrote it off to side effects from vaccine.  When she arrived to pharmacy on 6/13/23 she mentioned she was still have shoulder pain and limited mobility/range of motion including weakness
Age: 42.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site pain, Joint injury
Clinical narrative: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Joint injury, Product administered at inappropriate site
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Dr. called the pharmacy and stated that the patient received Shingrix (1st dose) on 4/8/24, and has permanent damage from the shot being given too high on the shoulder and on the posterior side of the arm. Per the doctor, she is having mobility issues, cannot raise her left arm, and is on disability
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Joint injury
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: I could see when administering the Arexvy vaccine today on 9/27/24 that the patient still had a bruise on their arm from the vaccine given on 9/13/24. From the location of the bruise, I could tell that the vaccine was given way to high on the arm and when questioned further the patient told me about how much pain they were in for almost 7 days after receiving the vaccine.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered at inappropriate site
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: I could see when administering the Arexvy vaccine today on 9/27/24 that the patient still had a bruise on their arm from the vaccine given on 9/13/24. From the location of the bruise, I could tell that the vaccine was given way to high on the arm and when questioned further the patient told me about how much pain they were in for almost 7 days after receiving the vaccine.
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Joint injury
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient has a bruise from a vaccine administered 2 weeks ago and some slight pain when lifting the arm. I was able to see the bruise when giving the Arevxy vaccine to them today on 09/27/24 and when asked, they said the location of the bruise was where the shot was given and it is way too high on the arm to be correct. The patient also said it was extremely painful for close to the full week to lift the arm at all.
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Pain, Product administered at inappropriate site
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient has a bruise from a vaccine administered 2 weeks ago and some slight pain when lifting the arm. I was able to see the bruise when giving the Arevxy vaccine to them today on 09/27/24 and when asked, they said the location of the bruise was where the shot was given and it is way too high on the arm to be correct. The patient also said it was extremely painful for close to the full week to lift the arm at all.
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Asthenia, Fall, Hypotension, Injury, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Mild, Additional Details: patient fall down while she was leaving vaccine area and got injured, Other Vaccines:  VaccineTypeBrand: priorix; Manufacturer: gsk; LotNumber: kh2bd; Route: sq; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 23.0
Sex: F
Vaccine: MMR
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Mild, Additional Details: patient fall down while she was leaving vaccine area and got injured, Other Vaccines:  VaccineTypeBrand: priorix; Manufacturer: gsk; LotNumber: kh2bd; Route: sq; BodySite: ; Dose: ; VaxDate: UNKNOWN
Age: 57.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Signficant Red Swelling
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site infection, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Systemic: infection at injection site several weeks later due to vaccine per pt-Medium, Additional Details: several weeks after receiving the vaccines, pt states she developed an injection and was prescribed mupirocin 2% ointment, Other Vaccines:  VaccineTypeBrand: Boostrix; Manufacturer: GSK; LotNumber: XN575; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
Age: 58.0
Sex: M
Vaccine: TDAP
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Systemic: Lymph Node Swelling-Medium, Additional Details: lymp nodes swelling and pain  in the armpit areas 4 days after the shot, Other Vaccines:  VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: lk6655; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Flushing, Hyperhidrosis, Injection site erythema, Injection site induration
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: patient came in the pharmacy on 3/30 and i saw her left armat the injection site was red and swollen. patient reported the site being hard to touch and severe pain at the site. she seemed flushed and reported some difficulty in daily activities. recommended patient to go to an urgent care and patient was going after leaving the pharmacy
Age: 34.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Loss of personal independence in daily activities, Pyrexia, Rash
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: patient came in the pharmacy on 3/30 and i saw her left armat the injection site was red and swollen. patient reported the site being hard to touch and severe pain at the site. she seemed flushed and reported some difficulty in daily activities. recommended patient to go to an urgent care and patient was going after leaving the pharmacy
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Limb injury, Mobility decreased, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Pt unable to lift arm fully and has shoulder pain s/p 5 months following covid vaccine. She visited doctor who said vaccine must have been given too high. He ordered physical therapy for her. Pt says dr did not examine her, Doctor said he has seen many patients with similar adverse effect from covid vaccine. He advised patient to get all future vaccines in glute. Dr diagosed as SIRVA.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: Pt received both Shingrix and Arexvy in left arm at same time. Reported back to pharmacy 3 days later complaining of moderate itching and pain. Pt's upper left arm had a red area approx 4x6 inches. Advised pt to keep watch and report to PCP if symptoms worsen., Other Vaccines:  VaccineTypeBrand: Shingrix; Manufacturer: GSK; LotNumber: 47n3y; Route: Intramuscular; BodySite: Left arm; Dose: 1; VaxDate: 03/27/2025
Age: 64.0
Sex: F
Vaccine: PNC21
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site infection, Injection site swelling, Product administered at inappropriate site
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: He said the Dr told him the injection site was infected and the injection was too low, but it looked to me like a normal reaction not an infection and the red/swollen are had lowered on the arm due to gravity. Advised to use ice and ibuprofen (he was also geiven an antibiotic)
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 52.0
Sex: M
Vaccine: MMR
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: 04/03/25 ? Patient called to report pain and itching at the injection site. Immunization was administered on 02/26/25, with symptoms first appearing on 03/23/25.  Patient reports noticing two injection sites on the posterior aspect of the arm. After consultation with RN, it was confirmed that only one vaccine was administered.  Patient states symptoms were severe enough to seek care at the ER on 03/30/25, where he received IV Rocephin and an intramuscular injection of Toradol. A prescription for Keflex was also provided. The rash was outlined at the ER on 03/30/25 for monitoring. However, the rash extended beyond the outline, prompting a return visit to the ER on 04/01/25.  Patient reports that the ER physician was dismissive and advised him to complete the Keflex course.  After speaking with the patient, this RN reassured him that only one vaccine had been administered and informed him that a VAERS report would be submitted.  Patient reports rash is now subsiding, with minimal pain and itching remaining.
Age: 56.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Erythema, Muscle spasms, Pain, Swelling, Vomiting
Clinical narrative: Patient reports redness, swelling, extreme pain, muscle spasms, vomiting, and an MS flare up. Patient told me about a suspicion of MS her doctor's once had that they later explained away as related to her thyroid or parathyroid endocrine disorder.
Age: 15.0
Sex: F
Vaccine: HEP, IPV, TDAP, VARCEL
Symptoms: Dizziness, Fatigue, Swelling face, Syncope, White blood cell count increased
Clinical narrative: Brother called to report swollen jaw, fainting, WBC elevated, dizziness, fatigue on 4/3/25. Reports started day after vax given 3/20/25.  Reports seen at urgent care x2. First visit only given Tylenol  no dx given, second visit few days later, no better, WBC elevated from 1200-1400, given antibx for infection, and advised to f/u with hematology.