chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: 10/4/18-hard lump, surrounding area warm, swollen, red, and itchy. Continues as such until today 10/19/18.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Eschar, Papule, Rash, Rash pruritic
Clinical narrative: Individual reported to clinic on 10/15/2018 stating that he began to get a pruritic rash the evening of the day he received influenza vaccine at the influenza vaccine campaign for employees that occurred on10/11/2018. He stated that the rash spread down the left arm and to his right forearm, with some discrete spots on abdomen and upper back. He experienced no other symptoms. Denies any allergies or exposures to other potential allergens or work or environmental triggers. He applied aloe vera and hydrocortisone cream to affected areas. He has had influenza vaccine in the past 7 years annually with no reactions to the vaccine. No recent travel hx, no hx of ABX use, no one else in the household experiencing similar symptoms. He is otherwise well and healthy today. Follow-up appointment on 10/18/2018 to evaluate rash sites. Signficantly improved compared to 10/15/2018.
Age: 46.0
Sex: M
Vaccine: FLUC4
Symptoms: Abdominal pain, Back pain, Dyspnoea, Injection site pain, Pulmonary pain
Clinical narrative: I know it was the quad vaccine, but I am not sure which manufacturer/brand. Overnight I work up with severe pain in the upper left shoulder/back, near the base of the neck. Starting Wednesday night I notice shortness of breath. My lungs feel clear, but I feel some resistance when I try to breathe in deeply. I notice maybe some slight soreness in the abdomen and right lung. So I suddenly get very winded if I try to jog even a short distance, and I've even noticed it while walking fast. I get the flu shot annually without exception and have never experienced any of these symptoms in the past.
Age: 31.0
Sex: F
Vaccine: FLUC4
Symptoms: Induration, Mass, Pain, Skin warm
Clinical narrative: 1 inch x 1 inch Hard Lump, Warm to touch, Sore for 3 days but beginning to lessen.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Nasal congestion, Rash generalised, Rash maculo-papular, Rhinorrhoea, Vaccination site erythema
Clinical narrative: Mother noticed that a week after vaccine was given patient started with runny nose and congestion. On 9/29, the skin of the vaccine site and surrounding skin started turning red and raised. Pt began having fevers on 9/30 of 102.7 then rash started breaking out with maculopapular lesions to whole body on 10/2, sparing palms and soles. No fluid filled lesions. Supportive care was advised. Patient followed a self-limiting course. Rash started disappearing on 10/3. No further fevers or signs of illness.
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Vaccination site swelling
Clinical narrative: Mother noticed that a week after vaccine was given patient started with runny nose and congestion. On 9/29, the skin of the vaccine site and surrounding skin started turning red and raised. Pt began having fevers on 9/30 of 102.7 then rash started breaking out with maculopapular lesions to whole body on 10/2, sparing palms and soles. No fluid filled lesions. Supportive care was advised. Patient followed a self-limiting course. Rash started disappearing on 10/3. No further fevers or signs of illness.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Cough, Fatigue, Pain, Pyrexia
Clinical narrative: Around 2 PM I started coughing, then low grade fever, followed by aches, chills, tired. Went to bed around 7:30 PM, around 1 AM fever broke, and slept until 6:30 AM.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Throat irritation, Throat tightness, Wheezing
Clinical narrative: Patient reported that about 4 hours after receiving injection, she began to experience her throat closing. She noted wheezing, tightness in the throat, trouble swallowing, and an uncomfortable feeling in her throat. She reported to the emergency room, where she was treated with a steroid, famotidine, and diphenhydramine. She was given a prescription for prednisone as well, and as of the next day, patient reported feeling better.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Pt experienced injection site pain aproximately 1 hour after injection. Redness at injection site occured 6 hours after injection. The site also had fever and swelling. Over the next 36 hours the redness subsided at injection side but slowly streaked down to the bicep area covering aproximately 7 inches by 5 inches. Patient will follow up with any new symptoms. Does not appear infected.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Pain in extremity, Tremor
Clinical narrative: Patient said arm was sore and then they were shaky and weak for approximately 12-15 hours.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Bronchospasm, Pulmonary function test normal
Clinical narrative: Status post flu vaccine, approx. 6-7 hrs. post, experienced upper respiratory constriction. She was able to take breaths. These symptoms lasted approximately 7 hrs. Patient used albuterol inhaler, took Benadryl PO, and Benadryl cream, topically.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right arm injection site redness and swelling.
Age: 19.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site pruritus, Injection site warmth
Clinical narrative: Patient was given FLUARIX QUAD. Procedure was followed according to pharmacy SOP. Upon withdrawal of needle, the patient had significant flash of blood. Within seconds, the patient began to complain of itching at the site of injection and continued to bleed. The Bandaid was pulled off and the site was wiped down with clean cotton ball. In order to determine whether the redness was blood or residue or a histamine reaction. We then wiped the arm with a little water on a cotton ball. The site of injection continued to be red and warm to the touch. Following store guidelines, we applied a cold pack to the site for 15 minutes. The site of injection then started to decrease in redness and slowly back to normal skin tone. The patient never complained of any problems with breathing or any other systemic reactions.
Age: 77.0
Sex: M
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site reaction, Pain, Skin exfoliation
Clinical narrative: Redness, scaling area at injection site. Affected area is slightly larger than dime size. Patient reports soreness, but unknown if it is from the shot or arthritis. No warmth reported by patient. No discharge.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Within 48 hours pt developed swelling, induration, warm to touch, measuring 5 cm width by 10 cm on L deltoid area, no fever, seen at clinic. Treated cellulitis area with Clindamycin 30mg/kg/day and BENADRYL. F/U with pediatrician with in 48 hours.
Age: 43.0
Sex: F
Vaccine: HEP
Symptoms: Injection site reaction, Muscular weakness
Clinical narrative: Left deltoid muscle has become progressively weak over the course of one month following the injection.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Erythema, Fatigue, Mobility decreased, Musculoskeletal chest pain
Clinical narrative: Patient describes area from acromion process to almost elbow as being so painful it was hard to raise her arm. Patient describes that pain, swelling and warmth covered at least 2/3 of her upper arm. She also redness and swelling which was warm to touch in this same area. She reported low grade fever (she did not take temperature) and feeling fatigue and achy within the first 24 hours and also c/o pain from axilla which extended to down below her ribs on the side of the vaccine. No rash or blisters.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Patient describes area from acromion process to almost elbow as being so painful it was hard to raise her arm. Patient describes that pain, swelling and warmth covered at least 2/3 of her upper arm. She also redness and swelling which was warm to touch in this same area. She reported low grade fever (she did not take temperature) and feeling fatigue and achy within the first 24 hours and also c/o pain from axilla which extended to down below her ribs on the side of the vaccine. No rash or blisters.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: There was no adverse event. Just let the patient know that if she was to experience anything to come back and let us know.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Abdominal discomfort, Blood calcium, Blood parathyroid hormone normal, Blood thyroid stimulating hormone normal, Borrelia test negative
Clinical narrative: A parent, called the HD in regards to her son who has been sick for three weeks since he received vaccines on 9/13/18.  Patient received Tdap, HPV, MCV4, and Hep A that day.  Per mom, he has been running a low grade fever, had an upset stomach, and been fatigued for the last three weeks.  She also states that the following night after the vaccines, he had a welt the size of half a tennis ball at the injection site.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Fatigue, Injection site urticaria, Metabolic function test normal, Mononucleosis heterophile test negative, Neutrophil count decreased
Clinical narrative: A parent, called the HD in regards to her son who has been sick for three weeks since he received vaccines on 9/13/18.  Patient received Tdap, HPV, MCV4, and Hep A that day.  Per mom, he has been running a low grade fever, had an upset stomach, and been fatigued for the last three weeks.  She also states that the following night after the vaccines, he had a welt the size of half a tennis ball at the injection site.
Age: 12.0
Sex: M
Vaccine: HEPA, HPV9, MNQ, TDAP
Symptoms: Pyrexia, Specific gravity urine normal, Streptococcus test negative, Vitamin D increased, pH urine normal
Clinical narrative: A parent, called the HD in regards to her son who has been sick for three weeks since he received vaccines on 9/13/18.  Patient received Tdap, HPV, MCV4, and Hep A that day.  Per mom, he has been running a low grade fever, had an upset stomach, and been fatigued for the last three weeks.  She also states that the following night after the vaccines, he had a welt the size of half a tennis ball at the injection site.
Age: 64.0
Sex: M
Vaccine: FLUR4
Symptoms: Chills, Headache, Malaise, Night sweats, Pain
Clinical narrative: HEADACHES, CHILLS, FEVER, NIGHT SWEATS, BODY ACHES, GENERAL MALAISE FOR 4 DAYS  FOLLOWING VACCINATION.
Age: 64.0
Sex: M
Vaccine: FLUR4
Symptoms: Pyrexia
Clinical narrative: HEADACHES, CHILLS, FEVER, NIGHT SWEATS, BODY ACHES, GENERAL MALAISE FOR 4 DAYS  FOLLOWING VACCINATION.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Disturbance in attention, Facial pain, Headache, Hot flush, Mastication disorder
Clinical narrative: Friday night was bit by a dog and received tetanus booster at the ER as a precaution. Mild red rash started on back over the weekend and developed to a bigger area on the back and right forearm by Monday. Wednesday woke up with intense spasm in the jaw muscles that caused a lot of pain and tension in the head and face. Flushed/hot face and mild nausea present. Pain in the facial muscles and severe tension made it uncomfortable to eat even soft foods. Difficult to concentrate at work. Called M. D. to describe symptoms and she said to skip urgent care and go to the ER. They didn't do any treatment and said to come back if high fever or throwing up. Severe muscle spasm and discomfort in the face and jaw muscles continued all day Thursday as well, but lessened in intensity by evening.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Muscle spasms, Muscle tightness, Nausea, Rash erythematous
Clinical narrative: Friday night was bit by a dog and received tetanus booster at the ER as a precaution. Mild red rash started on back over the weekend and developed to a bigger area on the back and right forearm by Monday. Wednesday woke up with intense spasm in the jaw muscles that caused a lot of pain and tension in the head and face. Flushed/hot face and mild nausea present. Pain in the facial muscles and severe tension made it uncomfortable to eat even soft foods. Difficult to concentrate at work. Called M. D. to describe symptoms and she said to skip urgent care and go to the ER. They didn't do any treatment and said to come back if high fever or throwing up. Severe muscle spasm and discomfort in the face and jaw muscles continued all day Thursday as well, but lessened in intensity by evening.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Discomfort, Feeling cold, Headache, Pyrexia
Clinical narrative: Approximately 14 hours after receiving the vaccine, I began shivering / teeth chattering and was unable to get warm. My body and everywhere to the point that I could not get comfortable. I also get a mild headache and fever of 99.9. This episode lasted for about two hours. Twenty four hours after the vaccine, the symptoms mentioned above started all over again. This is when I began doing some research on the vaccine to see if there were any side effects.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Product administered at inappropriate site, Shoulder injury related to vaccine administration
Clinical narrative: Injection 10/1/18; Patient has BMI 20.2 On 10/5/18 call received from patient about redness and mild pain at site of injection. On 10/16/18 call received from patient about continued pain in left shoulder attributed to flu vaccine; specifically, patient believed injection was given too high in his arm and that this caused SIRVA which appears to be an abbreviation for "shoulder injury related to vaccine administration". Patient has not yet been seen in clinic but will be seen 10/22. Patient was unable to come in on date of report.
Age: 47.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Injection site pain, Injection site paraesthesia, Neuralgic amyotrophy, Paraesthesia
Clinical narrative: NUMBNESS AND TINGLING IN THE LEFT UPPER ARM THAT IS RADIATING TO THE PINKY AND RING FINGER ON THE SAME SIDE; PAIN IN THE BRACHIAL PLEXUS REGION WITH TINGLING AND PAIN AT VACCINATION SITE.
Age: 47.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: NUMBNESS AND TINGLING IN THE LEFT UPPER ARM THAT IS RADIATING TO THE PINKY AND RING FINGER ON THE SAME SIDE; PAIN IN THE BRACHIAL PLEXUS REGION WITH TINGLING AND PAIN AT VACCINATION SITE.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient reports pain in arm ranging from elbow to shoulder. Pain with very slight movement. Pain began shortly after vaccine was administered and has lasted without relief for 2 weeks. Patient tried OTC pain medication including TYLENOL and ADVIL with no success. Patient has also tried moving arm around with no relief of pain.
Age: 46.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Pain, Skin warm
Clinical narrative: Redness (13cmx8cm), warm, pain.
Age: 15.0
Sex: F
Vaccine: HEP, HEPA, IPV, MMR, TDAP, VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction was seen 15 mins after vaccines were administered. Child has a 2 week follow up appointment.
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Areflexia, Asthenia, CSF test normal, Computerised tomogram head normal, Demyelination
Clinical narrative: Tingling in toes 8 hours post vaccination, next day progressing to ankles, then hips to fingers. General weakness, sore throat and SOB. Hospital Occ Health Nurse sees patient in hospital hallway and asks how are you feeling after your shot yesterday. Patient reports weakness and Occ Health Nurse takes to ED and advised to go to higher level of care at Medical Center ED. Patient states fever 101F. MD notes absent Achilles reflexes, but intact reflexes otherwise. MD notes limb weakness and MD comments with questionable effort . Patient hospitalized on 10/6. Lab work only remarkable for low hemoglobin (which is normal for this patient). Spinal tap was normal. EMG 10/10 - abnormal - polyneuropathy with mixed axonal and demyelinating features, can not rule out primary demyelinating polyneuropathy. Neurological examination: Exam is very inconsistent. Cranial nerves: II - Visual fields full to finger confrontation at bedside. Pupils equal and reactive. III, IV, and VI - Extraocular movements intact after verbally asking the pt to look to the right, he was able to do so after hesitation. No nystagmus. V - Sensory branches intact. VII - Asymmetry of the lip with weakness on the right. VIII - Hearing intact bilaterally. IX, X and XII - Tongue and uvula mid position. XI - Shoulder shrug is symmetric. Motor examination: BUE 4/5. RLE 3/5. LUE 3/5. Coordination: Good arm movements on finger-to-nose bilaterally. Reflexes: 2+ bilateral patellar reflexes. 0 bilateral Achilles. 2+ BUE. Withdrawal to Babinski bilaterally. Sensory examination: further improved today. Sensation loss to temp up to T9-T10 right abdomen and T9 left abdomen. Moved up to bicep bilaterally. Sensation diminished in hand bilaterally but preserved up to forearm. Gait/Station: Pt not ambulated due to falls risk. Patient started on Plasma exchange 10/12, every other day times 5 days. 10/20 (date of this report) still hospitalized, but starting to feel better, no definitive diagnosis at this time.
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Dyspnoea, Electromyogram abnormal, Haemoglobin decreased, Muscular weakness, Neurological examination abnormal
Clinical narrative: Tingling in toes 8 hours post vaccination, next day progressing to ankles, then hips to fingers. General weakness, sore throat and SOB. Hospital Occ Health Nurse sees patient in hospital hallway and asks how are you feeling after your shot yesterday. Patient reports weakness and Occ Health Nurse takes to ED and advised to go to higher level of care at Medical Center ED. Patient states fever 101F. MD notes absent Achilles reflexes, but intact reflexes otherwise. MD notes limb weakness and MD comments with questionable effort . Patient hospitalized on 10/6. Lab work only remarkable for low hemoglobin (which is normal for this patient). Spinal tap was normal. EMG 10/10 - abnormal - polyneuropathy with mixed axonal and demyelinating features, can not rule out primary demyelinating polyneuropathy. Neurological examination: Exam is very inconsistent. Cranial nerves: II - Visual fields full to finger confrontation at bedside. Pupils equal and reactive. III, IV, and VI - Extraocular movements intact after verbally asking the pt to look to the right, he was able to do so after hesitation. No nystagmus. V - Sensory branches intact. VII - Asymmetry of the lip with weakness on the right. VIII - Hearing intact bilaterally. IX, X and XII - Tongue and uvula mid position. XI - Shoulder shrug is symmetric. Motor examination: BUE 4/5. RLE 3/5. LUE 3/5. Coordination: Good arm movements on finger-to-nose bilaterally. Reflexes: 2+ bilateral patellar reflexes. 0 bilateral Achilles. 2+ BUE. Withdrawal to Babinski bilaterally. Sensory examination: further improved today. Sensation loss to temp up to T9-T10 right abdomen and T9 left abdomen. Moved up to bicep bilaterally. Sensation diminished in hand bilaterally but preserved up to forearm. Gait/Station: Pt not ambulated due to falls risk. Patient started on Plasma exchange 10/12, every other day times 5 days. 10/20 (date of this report) still hospitalized, but starting to feel better, no definitive diagnosis at this time.
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Oropharyngeal pain, Paraesthesia, Plasmapheresis, Polyneuropathy, Pyrexia
Clinical narrative: Tingling in toes 8 hours post vaccination, next day progressing to ankles, then hips to fingers. General weakness, sore throat and SOB. Hospital Occ Health Nurse sees patient in hospital hallway and asks how are you feeling after your shot yesterday. Patient reports weakness and Occ Health Nurse takes to ED and advised to go to higher level of care at Medical Center ED. Patient states fever 101F. MD notes absent Achilles reflexes, but intact reflexes otherwise. MD notes limb weakness and MD comments with questionable effort . Patient hospitalized on 10/6. Lab work only remarkable for low hemoglobin (which is normal for this patient). Spinal tap was normal. EMG 10/10 - abnormal - polyneuropathy with mixed axonal and demyelinating features, can not rule out primary demyelinating polyneuropathy. Neurological examination: Exam is very inconsistent. Cranial nerves: II - Visual fields full to finger confrontation at bedside. Pupils equal and reactive. III, IV, and VI - Extraocular movements intact after verbally asking the pt to look to the right, he was able to do so after hesitation. No nystagmus. V - Sensory branches intact. VII - Asymmetry of the lip with weakness on the right. VIII - Hearing intact bilaterally. IX, X and XII - Tongue and uvula mid position. XI - Shoulder shrug is symmetric. Motor examination: BUE 4/5. RLE 3/5. LUE 3/5. Coordination: Good arm movements on finger-to-nose bilaterally. Reflexes: 2+ bilateral patellar reflexes. 0 bilateral Achilles. 2+ BUE. Withdrawal to Babinski bilaterally. Sensory examination: further improved today. Sensation loss to temp up to T9-T10 right abdomen and T9 left abdomen. Moved up to bicep bilaterally. Sensation diminished in hand bilaterally but preserved up to forearm. Gait/Station: Pt not ambulated due to falls risk. Patient started on Plasma exchange 10/12, every other day times 5 days. 10/20 (date of this report) still hospitalized, but starting to feel better, no definitive diagnosis at this time.
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Sensory loss
Clinical narrative: Tingling in toes 8 hours post vaccination, next day progressing to ankles, then hips to fingers. General weakness, sore throat and SOB. Hospital Occ Health Nurse sees patient in hospital hallway and asks how are you feeling after your shot yesterday. Patient reports weakness and Occ Health Nurse takes to ED and advised to go to higher level of care at Medical Center ED. Patient states fever 101F. MD notes absent Achilles reflexes, but intact reflexes otherwise. MD notes limb weakness and MD comments with questionable effort . Patient hospitalized on 10/6. Lab work only remarkable for low hemoglobin (which is normal for this patient). Spinal tap was normal. EMG 10/10 - abnormal - polyneuropathy with mixed axonal and demyelinating features, can not rule out primary demyelinating polyneuropathy. Neurological examination: Exam is very inconsistent. Cranial nerves: II - Visual fields full to finger confrontation at bedside. Pupils equal and reactive. III, IV, and VI - Extraocular movements intact after verbally asking the pt to look to the right, he was able to do so after hesitation. No nystagmus. V - Sensory branches intact. VII - Asymmetry of the lip with weakness on the right. VIII - Hearing intact bilaterally. IX, X and XII - Tongue and uvula mid position. XI - Shoulder shrug is symmetric. Motor examination: BUE 4/5. RLE 3/5. LUE 3/5. Coordination: Good arm movements on finger-to-nose bilaterally. Reflexes: 2+ bilateral patellar reflexes. 0 bilateral Achilles. 2+ BUE. Withdrawal to Babinski bilaterally. Sensory examination: further improved today. Sensation loss to temp up to T9-T10 right abdomen and T9 left abdomen. Moved up to bicep bilaterally. Sensation diminished in hand bilaterally but preserved up to forearm. Gait/Station: Pt not ambulated due to falls risk. Patient started on Plasma exchange 10/12, every other day times 5 days. 10/20 (date of this report) still hospitalized, but starting to feel better, no definitive diagnosis at this time.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: The afternoon after receiving the injection, pt reports redness around injection approx. the size of a softball and pt c/o itching. She did use BENADRYL OTC cream. The morning after pt notes that the redness had spread down to her elbow. States the itching improved and the redness may have improved slightly. Minimal edema noted. Pt using BENADRYL OTC cream. Encouraged pt use oral BENADRYL, continue cream, apply cold packs and an NSAID.
Age: 42.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness (6cm x 3cm), warmth, pain, swelling at injection site.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: The patient presents with itching, rash, of the neck and chest, redness of skin. Onset: The symptoms/episode began/occurred acutely, just prior to arrival. Associated signs and symptoms: Pertinent positives: hives, rash. Dispensed Medications: 10/15 18:20 Drug: BENADRYL 25 mg Route: IVP; Site: right antecubital; 10/15 19:00 Follow up: Response: No adverse reaction. 10/15 18:22 Drug: PEPCID 20 mg Route: IVP; Site: right antecubital; 10/15 19:00 Follow up: Response: No adverse reaction. 10/15 18:24 Drug: SOLU-MEDROL 125 mg Route: IVP; Site: right antecubital. 10/15 19:00 Follow up: Response: No adverse reaction. 10/15 20:55 10/15/2018 20:55 Discharged to Home/Self Care. Completed..Impression: Allergic urticaria - after receiving flu vaccine. Condition is Stable.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site pain
Clinical narrative: Gave immunization at 3:30pm at clinic. Patient reported numbness in left arm after flu shot at approximately 5:00 pm to the nurse on staff at the clinic site. Patient was unable to distinguish between sharp and dull sensation. Muscle testing by nurse was normal with no weakness, injection site was tender no swelling. Nurse was planning on seeing patient today...outcome of that was patient still complains of numbness in arm.
Age: 16.0
Sex: M
Vaccine: HEP, IPV, MNQ, TDAP, VARCEL
Symptoms: Dyskinesia, Loss of consciousness, Musculoskeletal stiffness, Seizure like phenomena
Clinical narrative: After receiving the last vaccine Varicella, patient had what appeared to be a seizure - symptoms observed were slight loss of consciousness, slight muscle stiffing, and slight muscle jerking with lasted for less than 1 minute. Patient was then conscious and speaking, verbalizing nausea and sleepiness. Patient was alert and oriented by verbalize his name and date of birth, and location.  Patient was always in the presence of RN until ambulance arrival and patient was not observed to have had any other events. Epinephrine was on standby if needed, but was not administered.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Imaging procedure, Injection site pain, Neck pain
Clinical narrative: Patient began experiencing injection site pain within minutes of receiving shot. Later the pain worsened and extended into the shoulder as well as side of the neck. The pain caused the patient to seek medical attention at a hospital on two separate occasions. Patient reported the issue to me today, 10/19/18 while receiving a shingrix vaccine.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
Clinical narrative: Pt presented to pharmacy on 10/19 after receiving FLUZONE HD flu shot on 10/17; showed a very large, red, inflamed, warm area over her entire left deltoid; stated not painful but "tender".
Age: 50.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Oedema peripheral, Peripheral swelling, Skin warm
Clinical narrative: Swelling, warmth, and erythema, with fluid collection per ultrasound to lower third of posterior arm 2 days post vaccination. Empiric antibiotic prescribed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Altered state of consciousness, Chills, Headache, Injection site pain, Nausea
Clinical narrative: Extreme soreness at injection site, entire arm aches, fingers on that arm swollen, shivering for 13 hours, fever of 101, headache, body aches - especially upper body, nausea, everything got very bright and I thought I was going to pass out but did not. Did not seek any treatment. Started to feel some better by 11:15 a.m. 10-19-18 and can finally use my arm a little bit. Fever is down to 99.6 after 12+ hours of being 101. Was ready to go to the emergency room but then I started to feel a little better. As of right now, I do not think I need to be seen by medical personnel and it seems as if I am recovering.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Extreme soreness at injection site, entire arm aches, fingers on that arm swollen, shivering for 13 hours, fever of 101, headache, body aches - especially upper body, nausea, everything got very bright and I thought I was going to pass out but did not. Did not seek any treatment. Started to feel some better by 11:15 a.m. 10-19-18 and can finally use my arm a little bit. Fever is down to 99.6 after 12+ hours of being 101. Was ready to go to the emergency room but then I started to feel a little better. As of right now, I do not think I need to be seen by medical personnel and it seems as if I am recovering.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Injection site pain, Limb discomfort, Pain
Clinical narrative: Injection site is upper left deltoid. Within 4 hours injection site was tender but I had begun to itch about 3 inches below the injection site. Itching continued and by Thursday morning my left arm was itching, swelling, sore, hurt to move, and was turning red from bicep to elbow. Became hot to the touch. Stayed swollen, red, and painful all day. Returned home after work and took BENADRYL and iced my arm. It was quite painful and still red and swollen. Had improved some by Friday morning. Still sore and red. Went to Clinic to have evaluated. This is where I have vaccine. Diagnosis was cellulitis. Antibiotic prescribed.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Injection site is upper left deltoid. Within 4 hours injection site was tender but I had begun to itch about 3 inches below the injection site. Itching continued and by Thursday morning my left arm was itching, swelling, sore, hurt to move, and was turning red from bicep to elbow. Became hot to the touch. Stayed swollen, red, and painful all day. Returned home after work and took BENADRYL and iced my arm. It was quite painful and still red and swollen. Had improved some by Friday morning. Still sore and red. Went to Clinic to have evaluated. This is where I have vaccine. Diagnosis was cellulitis. Antibiotic prescribed.
Age: 16.0
Sex: M
Vaccine: FLU4, MNQ
Symptoms: Dizziness, Erythema, Migraine
Clinical narrative: Large area of redness on left arm, migraine started within 1 hour of getting vaccine and lasted 30 plus hours. Patient felt dizzy and faint later on.
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness (6cm x 3cm), warmth, pain, swelling at injection site.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site bruising, Injection site pain, Injection site warmth, Pyrexia
Clinical narrative: PATIENT RECIEVED SHOT MONDAY AFTERNOON, TUESDAY MORNING WOKE UP WITH FEVER, ARM WAS WARM TO THE TOUCH/PAINFUL, AND HAD BRUSING AROUND AREA OF SHOT. THE BRUSING HAS CONTINUED TO SPREAD DOWN AND AROUND THE ARM TO THE ELBOW.
Age: 61.0
Sex: F
Vaccine: FLUC4
Symptoms: Musculoskeletal pain, Pain in extremity
Clinical narrative: Patient called the day after she got the vaccince and said that her arm and shoulder were in pain. She asked if she should go to doctor. Told pt that some pain and soreness was normal, but if it was bad enough that she was having a hard time moving it or that it was preventing her from her normal daily activities, then she should go to her doctor. Pt said she was probably going to go to the doctor.
Age: 1.25
Sex: M
Vaccine: DTAP, FLU4, HIBV
Symptoms: Rash, Rash erythematous, Rash pustular, Vaccination site reaction
Clinical narrative: Erythematous vesicopustules appeared at the site of vaccine administration the day after presentation. A few bumps on chin as well but with different appearance, more like drool rash. Doesn't have illness symptoms to suggest viral illness, but could be possible. Rash not bothersome to patient. Advised parent to monitor site and try antihistamine.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: The night of the injection I started developing left shoulder pain and reduced ROM in left shoulder. I have continued to have pain and restricted ROM and weakness in the left shoulder.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 18.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hives develop rapidly on right arm. Patient was given 50mg diphenhydramine. After 30 minutes hives disappeared.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Inflammation, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Patient states later in the evening after our pharmacy was closed that she developed a fever and her arm swelled from her shoulder all the way to her elbow and was also feverish to the touch and inflamed. This continued for 4 to 5 days. She took TYLENOL around the clock.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site pain
Clinical narrative: Patient reported to pharmacy on 10/19/18 that her left deltoid has been extremely sore since 9/28/18 (day after flu vaccine was administered). Patient reports using ibuprofen for 1 week without resolution of soreness.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site pain, Myalgia, Pruritus
Clinical narrative: The day after injection the patient experienced flu like symptoms with fever, chills, muscle aches and sore injection site. About 30 hours after injection noted a patch of raised red bumpy rash about 2"x2".  Progressed over the next 24 hours, up the left side of his trunk. Raised , red, clustered bumps, slightly moist, tender to the touch. Itchy. Rash totally resolved after a few days.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Rash, Rash erythematous, Tenderness
Clinical narrative: The day after injection the patient experienced flu like symptoms with fever, chills, muscle aches and sore injection site. About 30 hours after injection noted a patch of raised red bumpy rash about 2"x2".  Progressed over the next 24 hours, up the left side of his trunk. Raised , red, clustered bumps, slightly moist, tender to the touch. Itchy. Rash totally resolved after a few days.
Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: The patient has redness and a rash associated with the injection site.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Feeling cold, Feeling hot, Lethargy, Pain
Clinical narrative: Extreme cold beginning that night- chilled "to the bone," then developing extreme overheating like being "roasted" during the night into the morning. Overall body soreness and aches the next day for the entire day. Weakness, lethargy. Incapacitating for 24 hours. Then it resolved completely.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Dyspnoea, Erythema, Peripheral swelling
Clinical narrative: PATIENT CAME IN 10/19 WITH A SWOLLEN/RED ARM. PATIENT ALSO MENTIONED THAT HE HAD TROUBLE BREATHING LAST NIGHT (DELAYED FROM 10/17 WHEN HE RECEIVED THESE SHOTS). THIS BREATHING GOT BETTER AFTER USING SYMBICORT. PATIENT WAS BETTER TODAY IN TERMS OF BREATHING BUT STILL HAD RED SWOLLEN ARM. I RECOMMEDED HIM TO TAKE BENADRYL AND MONITOR HIS BREATHING.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Pt states that the evening she received vaccine her arm became painful and that she has been experiencing pain/weakness ever since.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Arthralgia, Feeling abnormal, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Pt states that the evening she received vaccine her arm became painful and that she has been experiencing pain/weakness ever since.
Age: 46.0
Sex: F
Vaccine: TDAP, DTAP
Symptoms: Limb discomfort, Pain, Pain in extremity
Clinical narrative: Pt states that the evening she received vaccine her arm became painful and that she has been experiencing pain/weakness ever since.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Headache
Clinical narrative: Patient states that at 8 pm the evening after receiving his second dose of SHINGRIX, he immediately felt intense flu like symptoms. He suffered with body aches, nausea, insomnia, arm tenderness. Day 2, patient said that he remained in bed as he had no energy or appetite and drank Powerade and Pedialyte. He reported that he was feverish, had light and sound sensitivity, which would send waves of pain throughout his body, dizziness, uncontrollable body aches and was smelling something metallic. He couldn't bend over because of pounding in his head. He eventually began to walk a little later in the day. On Day 3, he began to feel better but was not back to 100%. He was no longer shivering uncontrollably, no pounding headache. He added that at the injection site, he could not lift his arm above his head until today which limited performance of normal/daily tasks. He said that he has a red rectangular whelp that is approximately 3 x 3.5 inches in size.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Hyperacusis, Immediate post-injection reaction, Influenza like illness, Injected limb mobility decreased, Insomnia
Clinical narrative: Patient states that at 8 pm the evening after receiving his second dose of SHINGRIX, he immediately felt intense flu like symptoms. He suffered with body aches, nausea, insomnia, arm tenderness. Day 2, patient said that he remained in bed as he had no energy or appetite and drank Powerade and Pedialyte. He reported that he was feverish, had light and sound sensitivity, which would send waves of pain throughout his body, dizziness, uncontrollable body aches and was smelling something metallic. He couldn't bend over because of pounding in his head. He eventually began to walk a little later in the day. On Day 3, he began to feel better but was not back to 100%. He was no longer shivering uncontrollably, no pounding headache. He added that at the injection site, he could not lift his arm above his head until today which limited performance of normal/daily tasks. He said that he has a red rectangular whelp that is approximately 3 x 3.5 inches in size.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Loss of personal independence in daily activities, Nausea, Pain, Parosmia, Photophobia
Clinical narrative: Patient states that at 8 pm the evening after receiving his second dose of SHINGRIX, he immediately felt intense flu like symptoms. He suffered with body aches, nausea, insomnia, arm tenderness. Day 2, patient said that he remained in bed as he had no energy or appetite and drank Powerade and Pedialyte. He reported that he was feverish, had light and sound sensitivity, which would send waves of pain throughout his body, dizziness, uncontrollable body aches and was smelling something metallic. He couldn't bend over because of pounding in his head. He eventually began to walk a little later in the day. On Day 3, he began to feel better but was not back to 100%. He was no longer shivering uncontrollably, no pounding headache. He added that at the injection site, he could not lift his arm above his head until today which limited performance of normal/daily tasks. He said that he has a red rectangular whelp that is approximately 3 x 3.5 inches in size.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Tenderness, Urticaria
Clinical narrative: Patient states that at 8 pm the evening after receiving his second dose of SHINGRIX, he immediately felt intense flu like symptoms. He suffered with body aches, nausea, insomnia, arm tenderness. Day 2, patient said that he remained in bed as he had no energy or appetite and drank Powerade and Pedialyte. He reported that he was feverish, had light and sound sensitivity, which would send waves of pain throughout his body, dizziness, uncontrollable body aches and was smelling something metallic. He couldn't bend over because of pounding in his head. He eventually began to walk a little later in the day. On Day 3, he began to feel better but was not back to 100%. He was no longer shivering uncontrollably, no pounding headache. He added that at the injection site, he could not lift his arm above his head until today which limited performance of normal/daily tasks. He said that he has a red rectangular whelp that is approximately 3 x 3.5 inches in size.
Age: 72.0
Sex: F
Vaccine: FLUA3
Symptoms: Arthralgia, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Patient reported low grade fever, extreme exhaustion and severe pain on hands, elbows, knees and joint.
Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Diarrhoea, Rash, Rash erythematous
Clinical narrative: Patient complaint was that she was having loose stools and noticed bumps on her neck proximal to her clavicle area. She said the bumps were about an inch in diameter and slightly red. Stated that the bumps were not painful to the touch. She said she was on her way to the doctor's office and has yet do anything to treat any of the symptoms.
Age: 43.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Pain in extremity, Peripheral swelling
Clinical narrative: Left arm sore, swelling. Went to urgent care, was prescribed cephalexin and prednisone for cellulitis.
Age: 69.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Blood test, Computerised tomogram, Dizziness, Electrocardiogram, Hypoaesthesia
Clinical narrative: Vision problem in left eye followed by severe dizziness and numbness/tingling all along left side. I was admitted to hospital after going to urgent care then ER at Hospital. Tests were done and x-rays for possible stroke, but results were negative. Follow-up visit to Dr. confirmed no stroke. Another episode occurred Oct. 4 followed by trip to ER - again looking for stroke - no stroke. Another episode Oct. 6 with full left side numbness/tingling. 2 MRIs were done with no evidence of stroke or other diagnosis.
Age: 69.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Laboratory test normal, Nuclear magnetic resonance imaging normal, Paraesthesia, Visual impairment, X-ray normal
Clinical narrative: Vision problem in left eye followed by severe dizziness and numbness/tingling all along left side. I was admitted to hospital after going to urgent care then ER at Hospital. Tests were done and x-rays for possible stroke, but results were negative. Follow-up visit to Dr. confirmed no stroke. Another episode occurred Oct. 4 followed by trip to ER - again looking for stroke - no stroke. Another episode Oct. 6 with full left side numbness/tingling. 2 MRIs were done with no evidence of stroke or other diagnosis.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever, chills. Redness, swelling at injection site, also felt hot to touch. She saw a provider at her PCP office 10/18/18, they drew around the area. She has been treating with BENADRYL and ice, and the site has decreased in size over past 24 hours as of 10/19/19.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Immediate post-injection reaction, Pain, Product administered at inappropriate site, Sensory disturbance
Clinical narrative: I immediately felt like the vaccination went directly into my shoulder joint. The shot was administered too high up on my shoulder and I had immediate pain. The pain has gotten worse since the day of the vaccination and is painful 24/7. I am taking OTC pain reliever and was prescribed a steroid today that I will be starting tomorrow morning.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Fatigue, Myalgia, Rash erythematous, Swelling, Tremor
Clinical narrative: Large swelling, red rash muscle pain fatigue and shaking.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Gait disturbance
Clinical narrative: Extreme joint pain in all joints. Stiffness in all joints. Difficulty walking. Chills. Muscle cramps. Diarrhea. Extreme fatigue. Joint pain was so excruciating it was difficult to even walk. Lasted approx. 14 hours.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Joint stiffness, Muscle spasms
Clinical narrative: Extreme joint pain in all joints. Stiffness in all joints. Difficulty walking. Chills. Muscle cramps. Diarrhea. Extreme fatigue. Joint pain was so excruciating it was difficult to even walk. Lasted approx. 14 hours.
Age: 29.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Pain
Clinical narrative: Complaining of left upper arm pain same day of receiving a flu vaccine. Painful with ADLs, movement.  Tried heat and ibuprofen to help with pain. Pain for approx 2 weeks after injection.
Age: 63.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Cough, Dry throat, Malaise, Oropharyngeal pain
Clinical narrative: Within about 10 minutes of that injection, throat went completely dry, and developed quickly to a sore throat, intermittent cough (seemingly from the throat, no lungs), and generally not feeling well.
Age: 63.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Cough, Malaise, Oropharyngeal pain
Clinical narrative: Within about 10 minutes of that injection, throat went completely dry, and developed quickly to a sore throat, intermittent cough (seemingly from the throat, no lungs), and generally not feeling well.
Age: 6.0
Sex: M
Vaccine: FLU3
Symptoms: Eye pain, Eye swelling, Lacrimation increased, Rhinorrhoea, Sneezing
Clinical narrative: Nasal spray given at achool. Within 12 hours child was sniffing and sneezing. By the next morning he had 1 swollen eye. After 24 hours both eyes were swollen weeping and sore.
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Condition aggravated, Dizziness, Eczema, Fatigue, Malaise
Clinical narrative: The morning after receiving the vaccines patient experienced fatigue, dizziness and described her condition as being sick/ill which continued for 7 days. Within several days her eczema/psoriasis began to flare severely causing her to visit her dermatologist on 10-17-2018 for treatment/abatement.
Age: 64.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Psoriasis
Clinical narrative: The morning after receiving the vaccines patient experienced fatigue, dizziness and described her condition as being sick/ill which continued for 7 days. Within several days her eczema/psoriasis began to flare severely causing her to visit her dermatologist on 10-17-2018 for treatment/abatement.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Redness and swelling at site vs cellulitis.
Age: 59.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Vaccine given on 09/28/18, returned to office on 09/30/18 with c/o ongoing redness and pain at site, reports low grade temps at 99.0. Temp in office 99.1, upper posterior left arm with 9x5 area of erythema and warmth, ttp, no fluctuance. Treated with cephalexin 500mg TID for 5 days.  Returned to the office on 10/05/18 with c/o increased redness beyond the outlined border. Cephalexin continued for another 5 days.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Blood test normal, Injection site erythema, Injection site hypersensitivity, Injection site infection, Injection site swelling
Clinical narrative: Allergic reaction and infection at the site, given antibiotics to treat area. Rx AUGMENTIN 875 mg oral tablets. 1 tab by mouth every 12 hrs for 7 days.
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site warmth
Clinical narrative: Allergic reaction and infection at the site, given antibiotics to treat area. Rx AUGMENTIN 875 mg oral tablets. 1 tab by mouth every 12 hrs for 7 days.