chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Pain, Pain of skin, Pruritus, Tenderness
Clinical narrative: Recombinant Zoster (Shingles) Vaccine and Pneumococcal Polysaccharide Vaccine.  The first night symptoms were just swelling, redness and hot to touch at the site.  The next two days, I felt achey and very tired.  I didn't run a fever but my skin hurt like I was.  Today is the 4th day and the swelling has gone down a little and I'm not as fatigued but both shot sites have large red circles and are very tender and itchy.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Head injury, Headache, Loss of consciousness
Clinical narrative: Patient received the flu shot while being seated and reported no discomfort.  Patient stood up and was watching her mom receive the flu shot.  While applying the bandaid on the mom the daughter(patient) started losing consciousness and fell to the floor with her back against the wall. When the patient fell she hit her head. The parents assisted the daughter up and seated her in a chair. We provided the daughter with water, and upon visual and verbal inspection the patient was able to answer and was visibly alert and aware of her surroundings. She did tell us her head hurt where she had bumped head.
Age: 1.0
Sex: F
Vaccine: FLU4, MMR, VARCEL
Symptoms: Blister, Injection site erythema, Rash
Clinical narrative: isolated clustered rash (vesicles) on left lower abdomen redness around injection site
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Lip swelling, Oropharyngeal pain, Swelling face
Clinical narrative: She started getting sore throat & horrible cough approximately 4 hours after vaccine, called MD they said to just rest probably from shot. she called me I told her take Benadryl b/c her face was swelling / lips swelling. She took outdated 10/3 then 10/4 9:00 AM took good date feeling much better after 2:00 10/5/19 speaking w/ pt as of 2:00pm 10/5/19 pt is feeling much better. No doctor office visit or any other things needed. Pt just took Benadryl & slept.
Age: 15.0
Sex: F
Vaccine: FLU4
Symptoms: Blister, Cellulitis, Erythema, Skin warm
Clinical narrative: 8.5 cm x 7.5 cm diameter circular erythematous, warm to touch small blister noted inside circular >Dx: Right ARM Cellulitis   Treatment - Keflex & bactroban ointment
Age: 82.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Headache
Clinical narrative: The patient after getting the flu shot told the staff that she intended to receive the pneumonia booster shot. She was subsequently given the pneumonia vaccine. She reported a headache as her only side effect/ adverse event as of 10/2/19. The pharmacist on duty on 10/2/19 contacted patient's nurse to report the vaccines that were administered and that the patient had now claims to have not requested one of them. The nurse for the provider said that no action was needed at this time and that the provider will be notified.
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Infection, Injection site pain, Pain in extremity
Clinical narrative: Per patient report, 1 hour after injection pain at injection site and pain continued to spread down the arm that day. On October 5th, 2019 patient went in to see physician and at that time physician prescribed an antibiotic for patient. Per patient the physician believed there was an infection near the injection site.
Age: 79.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site bruising
Clinical narrative: Patient has a really bad bruise on his left arm that expands from his shoulder to his elbow. He said it began on 9/30/19 and it keeps spreading.
Age: 68.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: soreness, red, swelling of arm where flu vaccine was given and surrounding areas
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site irritation, Injection site swelling
Clinical narrative: LOCAL IRRITATION AT INJECTION SITE. VERY RED, SWOLLEN. PT REPORTS NO SYSTEMIC EFFECTS. WILL MONITOR
Age: 73.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: warm, red, raised area by inj site Pt saw MD & given Benadryl cream.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Posture abnormal, Seizure, Syncope
Clinical narrative: THE SHOT WAS GIVEN AND THE PATIENT APPEARED PERFECTLY FINE BEFORE LEAVING THE IMMUNIZATION ROOM. THE FATHER RETURNED ABOUT 15 MINUTES LATER, CARRYING THE CHILD IN HER ARMS, SHE SEEMED RESPONSIVE AND ALERT. HER FATHER STATES THAT SHE WAS SEATED IN A CART AND HAD A SMALL SEIZURE AND SLUMPED OVER AND HER HEAD FELL TO THE SIDE OF THE SHOPPING CART. HE RAN IMMEDIATELY BACK TO THE PHARMACY TO LET US KNOW. THE FATHER SPOKE TO ME AS THE CHILD SAT ALERTLY IN THE CHAIR IN THE IMMUNIZATION ROOM. I HAD A PHARMCY INTERN CALL 911 WHILE I STAYED WITH THE CHILD. THE 911 OPERATOR HAD ME MONITOR HER BREATHING WHILE THEY HELD ON THE PHONE. HER FATHER ASKED IF HE COULD GIVE HER WATER. I TOLD HIM THAT WE SHOULD HOLD OFF ON FOOD AND WATER IN THE EVENT SHE HAS ANOTHER SEIZURE. WE CHECKED HER RIGHT ARM TO SEE IF THERE WAS A RASH BUT THERE WAS NONE. ALSO, I ASKED IF SHE HAD ANY PAIN ANYWHERE IN HER BODY BUT SHE SAID NO. THE 911 OPERATOR SAID THAT THEY WOULD BE SENDING AN AMBULANCE OUT TO US. WE RELAYED THIS INFORMATION TO THE FATHER AND HE CHOSE TO DECLINE HAVING AN AMBULANCE SENT OUT. I TOLD HIM TO MONITOR HER CLOSELY ESPECIALLY IN THE NEXT 24 HOURS AND TO TAKE HER TO THE EMERGENCY ROOM IMMEDIATELY IF HE NOTICES ANYTING OUT OF THE ORDINARY.
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Hyperhidrosis, Nausea, Pruritus
Clinical narrative: Sweating, nausea, extreme itching.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Nasal congestion, Pain, Vomiting
Clinical narrative: Severe vomiting for 7 hours, severe headache for 10 hours, stuffy nose for 7 hours, chills and body aches  for 12 hours.   Vomiting symptoms improved after taking ondansetron
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Decreased appetite, Dizziness, Headache, Hypoaesthesia
Clinical narrative: Sudden dizziness/nausea, fever up to 104, severe body aches, headache, chills, sore throat, pain in jaw, rash all over trunk, pain/tingling/numbness in hands, loss of appetite
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Influenza virus test negative, Nausea, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Sudden dizziness/nausea, fever up to 104, severe body aches, headache, chills, sore throat, pain in jaw, rash all over trunk, pain/tingling/numbness in hands, loss of appetite
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in jaw, Paraesthesia, Pyrexia, Rash, Streptococcus test negative
Clinical narrative: Sudden dizziness/nausea, fever up to 104, severe body aches, headache, chills, sore throat, pain in jaw, rash all over trunk, pain/tingling/numbness in hands, loss of appetite
Age: 62.0
Sex: F
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives on neck and face, continuing to spread on Sunday. Shot was on Thursday
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Crying, Decreased appetite, Injection site movement impairment, Injection site swelling, Lethargy
Clinical narrative: Fever, lethargy, crying, refusing to walk, no eating or nursing, swollen at injection site on day 1 and 2, rash all over body started on day 4
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, lethargy, crying, refusing to walk, no eating or nursing, swollen at injection site on day 1 and 2, rash all over body started on day 4
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: The following day I had a fever (100.7), headache and fatigue. It was gone by the next morning.
Age: 50.0
Sex: F
Vaccine: PNC13
Symptoms: Chills, Influenza, Influenza like illness, Mobility decreased, Myalgia
Clinical narrative: Pain in arm- inability to move arm, chills, muscle aches, flu flu like symptoms
Age: 50.0
Sex: F
Vaccine: PNC13
Symptoms: Pain in extremity
Clinical narrative: Pain in arm- inability to move arm, chills, muscle aches, flu flu like symptoms
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erosion, Injection site erythema
Clinical narrative: 1 cm erythematous and excoriated lesion involving epidermis at location of flu vaccination
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Hypoacusis, Magnetic resonance imaging, Tinnitus
Clinical narrative: Within hours, an unusually large skin reaction/weal. Approximately 10 days later, developed pulsatile tinnitus, distortions in hearing. Within month, saw ENT specialist, had MRI, confirmed hearing loss in left ear compared to previous hearing studies with same doctor.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Within hours, an unusually large skin reaction/weal. Approximately 10 days later, developed pulsatile tinnitus, distortions in hearing. Within month, saw ENT specialist, had MRI, confirmed hearing loss in left ear compared to previous hearing studies with same doctor.
Age: 53.0
Sex: F
Vaccine: FLU4, HEP, PPV
Symptoms: Injection site rash, Pyrexia
Clinical narrative: Patient stated she went to the ER with a 103 degree fever and rash at the injection site of the Heplisav
Age: 52.0
Sex: F
Vaccine: DT, VARZOS
Symptoms: Asthenia, Fatigue, Headache, Impaired work ability, Malaise
Clinical narrative: 10/2: Received shots (Shingles #1, Td booster, and B-12 injection) in the morning @9am.  Went to work and started to not feel well after 2:30pm.  Decided to go home @3:30.  Took temperature it was 99.4.  I also had headache, a little nausea, and muscle aches.  Over the next several hours my temperature kept going up and muscle aches expanded to entire body and were severe.  Fever peaked (I think) at 102 degrees F @1AM (10/3).  Muscles aches so bad that I took 2 motrin at that time and tried to get some sleep.    10/3:  Woke up and temp was done but not completely gone.  99.9F  I stayed home from work.  Still had headache and muscle aches.   Within 2 hours of waking, temp was up to 101 where it stayed until I went to bed that evening.  Still severe muscle aches throughout the day.  10/4: Woke up and fever was completely gone.  Muscle aches were gone.  Went to work.  Still a little tired/weak but able to work full day.  Continued back to feeling 100%.  No other symptoms.
Age: 52.0
Sex: F
Vaccine: DT, VARZOS
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: 10/2: Received shots (Shingles #1, Td booster, and B-12 injection) in the morning @9am.  Went to work and started to not feel well after 2:30pm.  Decided to go home @3:30.  Took temperature it was 99.4.  I also had headache, a little nausea, and muscle aches.  Over the next several hours my temperature kept going up and muscle aches expanded to entire body and were severe.  Fever peaked (I think) at 102 degrees F @1AM (10/3).  Muscles aches so bad that I took 2 motrin at that time and tried to get some sleep.    10/3:  Woke up and temp was done but not completely gone.  99.9F  I stayed home from work.  Still had headache and muscle aches.   Within 2 hours of waking, temp was up to 101 where it stayed until I went to bed that evening.  Still severe muscle aches throughout the day.  10/4: Woke up and fever was completely gone.  Muscle aches were gone.  Went to work.  Still a little tired/weak but able to work full day.  Continued back to feeling 100%.  No other symptoms.
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Emotional disorder, Fear, Myalgia
Clinical narrative: shivering, heightened emotions--feelings of dread, muscle and joint pain
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Immediate post-injection reaction, Injection site discharge, Injection site pain, Injection site scab, Injection site swelling
Clinical narrative: patient came in to consultation area and asked to speak with rph.  she showed me her arm/shoulder area and asked if a scab was normal after receiving a flu shot.  it was her left arm just below the shoulder  .. about 1/2 a dime sized scab ... she said immediately after her flu shot it was a raised area filled with fluid. it did not puss only leak a small amount of fluid for about a week.  then last week, it scabbed over and it is what it looks like today ... a regular scab.  she said she did experience some more pain than she normally does than when she had received her flu shot in the past and she asked if this was normal.  I asked her about her range of motion in her arm and shouler (because of the placement of the flu shot) .. she said her range of motion and pain right now was good. no pain.  she is an regular exerciser and she is not experiencing any additional pain than what she normally experiences when she exercises. she just came in to ask if she should be concerned with the scab. I felt the area it was not warm to the touch nor was it red.  I told her that if the area did not continue to heal properly or she started to experience pain, then she should come back or then contact her doctor but that we would report this but that it did look like it was now healing.
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Inflammation, Pruritus, Rash
Clinical narrative: Rash all over body; extensive itching; inflammation; still extant after 72 hours
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Hives on arms, back, face,eyes, ears, throat and left leg
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site swelling, Malaise
Clinical narrative: HARD, RED, SWOLLEN UPPER/INNER LEFT ARM. Patient received influenza & pneumovax-23 IMZ Thursday at approximately 11:00 AM without incident. At approximately 7:30 PM he felt "sick" expressing specific symptoms of fever and chills. On Friday he was confined to the bed with chills, fever and nightmares. He did self-treat with alternating doses of APAP and Ibuprofen with little improvement. Saturday he went to a walk-in clinic and subsequent to that visit filled Rxs for a topical steroid and an oral antibiotic (5:00 PM). At counseling for the Rxs he shared the  prior information. The patient was NOT upset and recognized that this reaction was unpredictable, he just  wanted to inform us in case there was a unknown problem with one of the IMZs. He did not express any desire for compensation nor did he require any further assistance. He did state that he had received flu shots in the past (he described as many) without problems. He had received Prevnar-13 in the past without incident.
Age: 69.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Nightmare, Pyrexia
Clinical narrative: HARD, RED, SWOLLEN UPPER/INNER LEFT ARM. Patient received influenza & pneumovax-23 IMZ Thursday at approximately 11:00 AM without incident. At approximately 7:30 PM he felt "sick" expressing specific symptoms of fever and chills. On Friday he was confined to the bed with chills, fever and nightmares. He did self-treat with alternating doses of APAP and Ibuprofen with little improvement. Saturday he went to a walk-in clinic and subsequent to that visit filled Rxs for a topical steroid and an oral antibiotic (5:00 PM). At counseling for the Rxs he shared the  prior information. The patient was NOT upset and recognized that this reaction was unpredictable, he just  wanted to inform us in case there was a unknown problem with one of the IMZs. He did not express any desire for compensation nor did he require any further assistance. He did state that he had received flu shots in the past (he described as many) without problems. He had received Prevnar-13 in the past without incident.
Age: 43.0
Sex: F
Vaccine: HPV9
Symptoms: Burning sensation, Eye pruritus, Eye swelling, Genital tract inflammation, Peripheral swelling
Clinical narrative: Severe itching, burning on palms of both hands, with mild swelling. Lasted 3 days.  Severe itching and inflammation in genitals, lasted 2 days. Had mild itching and swelling of left eye intermittently for 2 weeks.
Age: 43.0
Sex: F
Vaccine: HPV9
Symptoms: Pruritus, Pruritus genital
Clinical narrative: Severe itching, burning on palms of both hands, with mild swelling. Lasted 3 days.  Severe itching and inflammation in genitals, lasted 2 days. Had mild itching and swelling of left eye intermittently for 2 weeks.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site scab, Middle insomnia, Musculoskeletal discomfort, Musculoskeletal stiffness
Clinical narrative: On 9/25/19 @ 0800 employee arrives to occupational health clinic reporting concerns following the IM administration of her flu vaccine on 9/23/19.  Employee states symptoms of right arm stiffness when raising arm above head and discomfort radiating across rt back of shoulder and up neck began hours after the administration of her flu vaccine on 9/23/19.  Employee reports waking from sleep in the early hours of 9/25/2019 with "pins and needles" sensation of right arm and "slight tingling" of tongue.  Employee reports she has access to an Epi-Pen at home but did not require its use.  Arm was evaluated by clinic nurse and clinic manager.  One needle point scab noted on upper deltoid visually noted.  No swelling or rash visualized. Photos taken and uploaded to employee's electronic chart.  Employee encouraged to seek medical attention by MD if  signs and symptoms continue.  Employee to return to OHC/EH&S on 9/27/19 for follow up.   9/27/2019: Employee arrives for follow up.  Employee reports improvement with right arm soreness 3/10 pain scale. No tingling.  Employee taking Advil OTC , PRN (as needed).  Employee did not seek outside medical attention.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Pain in extremity, Paraesthesia, Paraesthesia oral
Clinical narrative: On 9/25/19 @ 0800 employee arrives to occupational health clinic reporting concerns following the IM administration of her flu vaccine on 9/23/19.  Employee states symptoms of right arm stiffness when raising arm above head and discomfort radiating across rt back of shoulder and up neck began hours after the administration of her flu vaccine on 9/23/19.  Employee reports waking from sleep in the early hours of 9/25/2019 with "pins and needles" sensation of right arm and "slight tingling" of tongue.  Employee reports she has access to an Epi-Pen at home but did not require its use.  Arm was evaluated by clinic nurse and clinic manager.  One needle point scab noted on upper deltoid visually noted.  No swelling or rash visualized. Photos taken and uploaded to employee's electronic chart.  Employee encouraged to seek medical attention by MD if  signs and symptoms continue.  Employee to return to OHC/EH&S on 9/27/19 for follow up.   9/27/2019: Employee arrives for follow up.  Employee reports improvement with right arm soreness 3/10 pain scale. No tingling.  Employee taking Advil OTC , PRN (as needed).  Employee did not seek outside medical attention.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: PT reported hives beginning the day after vaccine was given
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Chest discomfort, Cough, Decreased appetite, Myalgia, Oropharyngeal pain
Clinical narrative: I woke up after I had worked the 3 PM to 11 PM shift. My muscles starting aching and I was almost ready to go to the ER as I couldn't eat or didn't have an appetite. I had a tight chest and sore throat as well as a fever of 101.8 and cough.
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: I woke up after I had worked the 3 PM to 11 PM shift. My muscles starting aching and I was almost ready to go to the ER as I couldn't eat or didn't have an appetite. I had a tight chest and sore throat as well as a fever of 101.8 and cough.
Age: 66.0
Sex: F
Vaccine: FLUA3
Symptoms: Facial paresis, Hypoaesthesia
Clinical narrative: Facial muscle weakness on left side with some numbness
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Biopsy kidney abnormal, Blood creatine increased, Blood urine present, Chromaturia, Haemorrhage urinary tract
Clinical narrative: Brown frothy urine that turned to blood, no fever, no infection. ER reported kidney inflammation but not known why.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: IgA nephropathy, Magnetic resonance imaging abnormal, Magnetic resonance imaging renal, Protein urine present, Urinary tract inflammation
Clinical narrative: Brown frothy urine that turned to blood, no fever, no infection. ER reported kidney inflammation but not known why.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Urine abnormality
Clinical narrative: Brown frothy urine that turned to blood, no fever, no infection. ER reported kidney inflammation but not known why.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Erythema, Headache, Heart rate increased, Peripheral swelling
Clinical narrative: swollen, itchy, red arm .... chills, fever, increased heart rate (118) ... extreme headache
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Pyrexia
Clinical narrative: swollen, itchy, red arm .... chills, fever, increased heart rate (118) ... extreme headache
Age: 50.0
Sex: M
Vaccine: FLUC4
Symptoms: Apathy, Asthenia, Feeling abnormal, Headache, Heart rate abnormal
Clinical narrative: Beginning around bed time or a little earlier that night of the vaccine, I could tell something was off. Began feeling weak, heart rate was up above normal, head aches began. I had trouble sleeping and had a bad headache all night. Body aches also, occurring most strongly at site of injection but radiated throughout my body. That night, my average resting heart rate was 77, and my minimal RHR was 73. My normal average is around 59 and minimum is around 55. (This is tracked via an activity tracker.) The next day I felt terrible, really awful, for pretty much the whole day. The best way to describe it was like having a really bad hang over. Headache, no energy, motivation, just felt like I wanted to lie down and rest. The following day (today) I am feeling much better and almost back to normal. It was bad enough that I will think twice (or three times) before getting a flu shot again... I have gotten an annual flu shot regularly the last few years and never had a reaction like this.
Age: 50.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site pain, Insomnia, Pain
Clinical narrative: Beginning around bed time or a little earlier that night of the vaccine, I could tell something was off. Began feeling weak, heart rate was up above normal, head aches began. I had trouble sleeping and had a bad headache all night. Body aches also, occurring most strongly at site of injection but radiated throughout my body. That night, my average resting heart rate was 77, and my minimal RHR was 73. My normal average is around 59 and minimum is around 55. (This is tracked via an activity tracker.) The next day I felt terrible, really awful, for pretty much the whole day. The best way to describe it was like having a really bad hang over. Headache, no energy, motivation, just felt like I wanted to lie down and rest. The following day (today) I am feeling much better and almost back to normal. It was bad enough that I will think twice (or three times) before getting a flu shot again... I have gotten an annual flu shot regularly the last few years and never had a reaction like this.
Age: 70.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: after 2 days of shot pt arm sore. Difficult to lift.  Still experiencing difficulty after 6 weeks
Age: 70.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Injection site pain
Clinical narrative: after 2 days of shot pt arm sore. Difficult to lift.  Still experiencing difficulty after 6 weeks
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: red arm, itchy, swelling
Age: 40.0
Sex: U
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site inflammation, Injection site irritation, Injection site warmth
Clinical narrative: in a 24 hour period, patient reported a red, inflamed and warm site of injection.  He was advised that taking ibuprofen would help with the redness and inflammation.  Reported on 10/6/19 that his arm was still red and irritated and irritation had spread over a 4' band surrounding the injection site over the last 7 days.  Advised that he be seen by a provider at this time, but the patient has no PCP
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nausea
Clinical narrative: Body Aches, Severe Headache, Chills & Shivers, Sweats, Nausea, Fatigue  Lasted 3 days
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Body Aches, Severe Headache, Chills & Shivers, Sweats, Nausea, Fatigue  Lasted 3 days
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient presented on 10/4/19  with swollen arm , red and hot, radiating down to elbow
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Aphasia, Blood pressure increased, Headache, Neck pain
Clinical narrative: Aphasia, headache and neck pain onset 10 min after administration.  Went to Medical Center emergency room at 4 pm on 2 Oct.  Saw  triage nurse who ruled out stroke.  Waited 2 hours without seeing doctor , symptoms were subsiding  and self- discharged at 6 pm.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Product administered at inappropriate site
Clinical narrative: Patient came into pharmacy consultation area complaining of flu site reaction from dose 5 days before.  She was 1st concerned shot waas given in wrong place.  She noted it was below deltoid and behind, closer to arm pit.  Area is now warm, raised and bumpy.
Age: 66.0
Sex: M
Vaccine: FLU3
Symptoms: Chills, Fatigue, Hyperhidrosis, Injection site erythema, Malaise
Clinical narrative: Woke up day after, chills, sweats, malaise, fatigue, large erythematous area around injection site extending to medial bicep area
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: THE LEFT ARM WAS ERYTHEMATOUS WITHOUT ANY SIGN OF PAIN OR SWELLING. NO COMPLAINT OF IMPEDED MOVEMENT OF ARM
Age: 22.0
Sex: F
Vaccine: FLUR4, HPV9, TDAP
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: After receiving her Gardasil in her right arm and the Flublok in her left arm she asked me to wait a minute because she was feeling a little light headed. I instructed her to place her head between her knees and sit like that for a minute to see if that made her feel any better. She did feel better after a minute or so and I asked her if she wanted to postpone the Adacel  or continue with getting the shot. She said she wanted to continue with receiving the shot. After getting the Adacel the feeling came back and she lost consciousness for a brief moment. I had her place her head between her knees again and got her a cold pack.  I asked several times if she would like to lay down but she denied each time. After a few minutes of the cold pack on her forehead and keeping her head between her knees she began to feel better.  I waited with her until her family was able to come pick her up.
Age: 57.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Rash erythematous, Rash macular
Clinical narrative: RED SPLOTCHY RASH OCCURRED  ON CHEST AREA AND UPPER ARM AND SHOULDERS SATURDAY NIGHT 10/5/2019 RIGHT BEFORE BED BUT WAS GONE THE NEXT MORNING.  PATIENT SAID IT DID NOT ITCH.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site warmth, Pyrexia, Skin infection
Clinical narrative: Patient described her reaction as having a redness/warm feeling  in the injection area the next day (on 9/30/2019) and then getting a fever on the third day  (10/1/2019).   Pt received care at urgent care/ER and got an antibiotic  for skin infection.  Per pt, she is better now since pt started the antibiotic. The redness in the injection area is decreasing per pt.
Age: 13.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood pressure abnormal, Dizziness, Loss of consciousness, Pulse abnormal
Clinical narrative: A few minutes after vaccine was administered, patient said she felt dizzy and sat back down in chair. A few moments later she lost consciousness. She regained consciousness a few moments later. Her blood pressure and pulse returned to normal about 5 minutes later. 911 was called and paramedics also took patients vitals.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Vaccine site erythematous, swollen, warm, slightly tender
Age: 1.0
Sex: M
Vaccine: FLU4
Symptoms: Dyskinesia, Hypersomnia, Mental status changes, Unresponsive to stimuli
Clinical narrative: On 10/2 patient developed rhythmic jerking in the right arm.  During the episode which lasted about 20 minutes according to parents, he had altered mental status and was unresponsive.  EMS was called and he was taken to the ER.  By the time he arrived at the ER he was back to baseline.  He had no documented fever according to the parents - although that day he was sleeping more than usual.  He had no prior episodes of seizure or febrile seizure.  Unclear if this was directly related to the vaccine or if there is another underlying issue.  The patient has been referred to Neurology.  But out of an abundance of caution the office decided to report this to the VAERS system.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: LEFT UPPER ARM BECAME RED, SWOLLEN AND HOT.  THE REDNESS WAS AN AREA ABOUT 6INCHES LONG BY 3 INCHES WIDE OVER THE BICEP AREA.   PATIENT APPLIED ICE FOR RELIEF FROM HEAT AND SWELLING.   REDNESS IS GONE.  TENDERNESS REMAINS.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Injection caused redness, swelling, tenderness to left arm, below deltoid up to the elbow.   injection was given in left deltoid region.  Patient came back to pharmacy 2 days after injection to show the reaction
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Fatigue
Clinical narrative: Tired with high body temperature but tolerable
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Paraesthesia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient believes she has gotten the shingles as a result of receiving the Shingrix vaccine. Patient states she has a red bumpy rash that is spreading and currently is present on her forehead, abdomen, and entire right side of her face. She describes the rash as "itchy and tingling." She has been diagnosed with shingles in the past and describes the rash to be almost identical to what she has previously experienced when going through a shingles outbreak around 9 years ago.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous, Swelling, Vaccination site swelling
Clinical narrative: Localized swollen-ness.  Feels like a small ball at the vaccination area.  It was red in some small spots, almost if it was a rash.  It started the day after vaccination, but 2 days after, I called her and she reported an improvement.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Contusion, Discomfort, Immediate post-injection reaction, Pain in extremity, Yellow skin
Clinical narrative: The patient states that immediately after receiving the vaccine she experienced significant pain in her arm. She states that it felt like the needle was left in her arm. She states that she made mention of her discomfort to the immunizing healthcare professional at that time. Soreness in her arm continued for the remainder of the day she received the vaccine. She states that starting on 9-28-19, she noticed an area of what appears to be bruising surrounded by a yellow border. She denies any use of routine or scheduled blood thinning medications. When she presented to the pharmacy on  10-5-19 to report her adverse event, she still had an area bruising with a yellow border. She denies any pain in the area beyond the day of vaccination and has full range of motion in this area with no reported discomfort. A fax has been sent to her PCP today and we will be calling her PCP  to inform her of the adverse event as well. The patient was advised to continue to monitor the area and to contact her PCP on Monday to report the issue.
Age: 69.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Nausea
Clinical narrative: Patient stated that shortly after receiving her vaccines, she started feeling very nauseous. She stated that it lasted several hours, but eventually went away.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Painful for a week, Red, Swelling, and warm to touch of the entire upper arm for 3 weeks, with continued soreness 4 weeks later. no treatment pt was out of state from doctor, no outcome
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Balance disorder, Cold sweat, Dizziness, Memory impairment
Clinical narrative: PATIENT BECAME LIGHT HEADED AND DIZZY ABOUT 20 MINUTES AFTER FLU SHOT. WENT INTO THE BATHROOM AND SAT DOWN. PATIENT DOES NOT REMEMBER HOW LONG HE WAS IN THERE BUT YELLED FOR HELP AND WAS CONFRONTED BY PHARMACY STAFF. CALLED EMS. UNABLE TO TAKE BLOOD PRESSURE. PATIENT WAS IN A COLD SWEAT AND WAS HAVING PROBLEMS WITH BALANCE. PATIENT WAS NOT ABLE TO RECALL LAST MEAL/FOOD OR DRINK OF WATER. PATIENT WAS TAKEN TO LOCAL HEALTHCARE FACALITY FOR FURTHUR EVALUATION.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Flu Vaccine was administered on the left upper arm on 10/02/2019.  On 10/03/2019 the redness, swelling and fever occurred at the site of the Shingrix (first in the series of 2) which was given on 06/02/2019 in the same left arm, approximately four (4) inches lower then the location of the Flu Vaccine.  After the Shingrix Vaccine on 06/02/2019, this same redness, swelling and fever occurred.  There was no reaction at the site of the Flu Vaccine.
Age: 81.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Nausea
Clinical narrative: NAUSEA AND DIARRHEA
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: Woke up with nausea. Dizziness and vertigo upon rising. No other symptoms.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Skin irritation, Swelling, Vasodilatation
Clinical narrative: Per spouse, redness, swelling, irritation and "veins surfacing" in the last few days
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling abnormal, Injection site pain, Lower respiratory tract infection, Myalgia
Clinical narrative: PATIENT SAYS SHE EXPERIENCED NAUSEA/VOMITING, MUSCLE ACHES, SYMPTOMS OF A CHEST COLD ,CHILLS  AND ARM PAIN AT INJECTION SITE APPROXIMATELY 2 HOURS AFTER RECEIVING THE VACCINE. IT IS UNKNOWN IF SHE HAD A FEVER, SHE FELT TOO TERRIBLE TO GET OUT OF BED TO CHECK.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea, Vomiting
Clinical narrative: PATIENT SAYS SHE EXPERIENCED NAUSEA/VOMITING, MUSCLE ACHES, SYMPTOMS OF A CHEST COLD ,CHILLS  AND ARM PAIN AT INJECTION SITE APPROXIMATELY 2 HOURS AFTER RECEIVING THE VACCINE. IT IS UNKNOWN IF SHE HAD A FEVER, SHE FELT TOO TERRIBLE TO GET OUT OF BED TO CHECK.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash, Rash erythematous, Rash papular
Clinical narrative: patient had a rash form on her abdomen that was raised and red and becoming painful that she stated started approximately Friday or Saturday (10/4 or 10/5). Morning of 10/6 she came to pharmacy to report and ask for advice. She was advised to talk to her doctor or if he wasn't available to go to urgent care to have rash checked out. Urgent care doctor diagnosed her with shingles and prescribed Valtrex and lidocaine for treatment.
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Arthritis, Myalgia, Pyrexia
Clinical narrative: Fever to 100.5 degrees, diffuse myalgias, mild arthritis
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Skin warm, Swelling
Clinical narrative: hot warm and swollen
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: Swelling and reddnesss
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Nasal congestion, Nodule, Pain in extremity, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Patient reported the event on 10/16/19.  The TDap was administered on 10/1/19. Patient stated that her left arm is swollen an has a knot feel to it.  She ran a fever off and on for four days.  She still has a stuff nose, throat swollen, and her left arm is still hurting and is swollen.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Pyrexia
Clinical narrative: Patient reported the event on 10/16/19.  The TDap was administered on 10/1/19. Patient stated that her left arm is swollen an has a knot feel to it.  She ran a fever off and on for four days.  She still has a stuff nose, throat swollen, and her left arm is still hurting and is swollen.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: PATIENT CAME IN ON 10.06.19 TO EXPLAIN ABOUT THE REACTIONS FROM PNEUMOVAX VACCINE SHE RECEIVED ON 10.02.19.  SHE HAS SWELLING ON THE AREA AROUND INJECTION SITE (3X6-7 INCH) THAT WAS RED AND WARM. SHE HAS BEEN EXPERIENCING FEVER, PAIN,HEADACHE, AND HARDSHIP MOVING HER LEFT ARM SINCE APPROXIMATELY 1 DAY AFTER THE INJECTION. I RECOMMENDED HER TO GO TO THE DOCTOR AND SHE WENT TO THE URGENT CARE.   I RECEIVED PRESCRIPTION FOR ANTIBIOTIC(KEFLEX) AND FILLED FOR HER.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pyrexia
Clinical narrative: PATIENT CAME IN ON 10.06.19 TO EXPLAIN ABOUT THE REACTIONS FROM PNEUMOVAX VACCINE SHE RECEIVED ON 10.02.19.  SHE HAS SWELLING ON THE AREA AROUND INJECTION SITE (3X6-7 INCH) THAT WAS RED AND WARM. SHE HAS BEEN EXPERIENCING FEVER, PAIN,HEADACHE, AND HARDSHIP MOVING HER LEFT ARM SINCE APPROXIMATELY 1 DAY AFTER THE INJECTION. I RECOMMENDED HER TO GO TO THE DOCTOR AND SHE WENT TO THE URGENT CARE.   I RECEIVED PRESCRIPTION FOR ANTIBIOTIC(KEFLEX) AND FILLED FOR HER.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Lethargy, Pain, Pyrexia
Clinical narrative: had body aches, headache, lethargy, fever 101 degrees.  It lasted the full day after I got the injection.  The 2nd day I had mostly recovered but had some body aches and faint headache.   I took Tylenol.
Age: 87.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site warmth, Skin infection
Clinical narrative: red hot skin surrounding site, approx 6 inches long above and below shot area, advised patient to visit urgent care located inside pharmacy to see the nurse practioner for an antibiotic to treat a skin infection, patient immediately saw the NP and received Keflex 500 mg script filled, and picked up by patient to begin taking tonight 10/6/19
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: I developed hive and itchi the day after receiving the flu vaccine. The hives began on my elbows, spreading to my arms, wrists, hands, legs, feet, buttocks, trunk, and lastly eyelids. I never had trouble swallowing or breathing.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Influenza like illness, Injection site pain, Lethargy, Pyrexia
Clinical narrative: Day of and for the next two days had soreness at the site of the injection.   Two days after, experienced flu-like symptoms of chills and a low grade fever.  Felt very lethargic throughout the day two days after.  It is now near the end of day 2 and the symptoms seem to be subsiding.  Temperature is normal.
Age: 55.0
Sex: F
Vaccine: FLU4, HEP, PPV
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Entire arm red, hot, swollen, painful from injection site to wrist
Age: 55.0
Sex: F
Vaccine: FLU4, HEP, PPV
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Entire arm red, hot, swollen, painful from injection site to wrist
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Asthenia, Hyperhidrosis, Lip discolouration, Pallor, Vomiting
Clinical narrative: Weak, Vomiting, Pale, Diaphoretic, Greenish Yellow lips ( from emesis)
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Acute disseminated encephalomyelitis, Gait disturbance, Hemiparesis, Magnetic resonance imaging brain abnormal, Magnetic resonance imaging spinal abnormal
Clinical narrative: on 4/29/2018 Patient began suffering syptons including full body Uticaria , Gate imbalance , Left side weaknessand brain mri studies postive for white matter patches that were subsequently diagnosed as ADEM (acute disseminated encephalomyelitis to the currnt date patient countinues to suffer from the abouve injuries
Age: 1.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Urticaria, White matter lesion
Clinical narrative: on 4/29/2018 Patient began suffering syptons including full body Uticaria , Gate imbalance , Left side weaknessand brain mri studies postive for white matter patches that were subsequently diagnosed as ADEM (acute disseminated encephalomyelitis to the currnt date patient countinues to suffer from the abouve injuries
Age: 22.0
Sex: M
Vaccine: TYP
Symptoms: Headache, Rash
Clinical narrative: Rash in various places consistently throughout treatment, as well as occasional headaches.  Rash is nothing more than annoying, one severe headache occurred.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, PNC13
Symptoms: Crying, Irritability, Pyrexia
Clinical narrative: Fever of 101.7 for more than 48 hours.  Crying/fussiness for more than 48 hours.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Erythema, Fatigue, Gait disturbance, Induration, Lethargy
Clinical narrative: Right after he received his polio and d-tap shot, his leg started swelling and he was very tired. He fell asleep right after and slept for 5 hours, i had to wake him which is not normal. That night his leg started swelling even more and he spiked a fever up to 102 degrees. He was really lethargic and his leg continued to swell and become hard. The next day he was limping and his leg had swelled down to his knee and up to his hip. That night it also started to become even more hot and red, the redness started spreading up to his diaper area. That was on 10/05/19. On 10/06/2019, his leg is still swelling in size and becoming increasingly red. He will not let me touch it because it hurts him.
Age: 2.0
Sex: M
Vaccine: DTAP, IPV
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Skin warm
Clinical narrative: Right after he received his polio and d-tap shot, his leg started swelling and he was very tired. He fell asleep right after and slept for 5 hours, i had to wake him which is not normal. That night his leg started swelling even more and he spiked a fever up to 102 degrees. He was really lethargic and his leg continued to swell and become hard. The next day he was limping and his leg had swelled down to his knee and up to his hip. That night it also started to become even more hot and red, the redness started spreading up to his diaper area. That was on 10/05/19. On 10/06/2019, his leg is still swelling in size and becoming increasingly red. He will not let me touch it because it hurts him.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient fainted after received vaccine
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased
Clinical narrative: Patient states her flu shot was given improperly. The pharmacist injected into her upper shoulder and starting the day after, it became difficult to lift and move.
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Syncope, Vomiting
Clinical narrative: Approximately 5 minutes after vaccine administration, patient began to feel faint and lightheaded, and began to slump forward in her chair. She straightened up quickly, did not fall and did not completely lose consciousness. The patient then started vomiting. Taking blood pressure at this point yielded 78/48 with a pulse of 68. Patients mother walked the patient out and stated they were going to the emergency room.
Age: 85.0
Sex: F
Vaccine: FLUA3
Symptoms: Hypoaesthesia, Injected limb mobility decreased
Clinical narrative: Patient called on 10/5/19 for a refill and stated she was unable to lift her arm above her head since Thursday night, a few hours after receiving her flu shot. Stated she had flu shots in the past but believed the young lady gave it to her too high in her arm, and pointed to a place just below the shoulder joint where the shot was administered. Patient complained of numbness in the arm and that she had kept it in a sling for Friday (10/4/19) since she had trouble moving the left arm.
Age: 83.0
Sex: F
Vaccine: FLUA3
Symptoms: Dizziness, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: patient received flu shot was fine for a second tried to stand up and stated that she felt dizzy and then sat back down. upon sitting back down patient passed out but still breathing. she was non responsive for about 2-3mins and came too feeling just fine. during her unresponsiveness i moved her to the floor in case i had to preform CPR and did also yelled for my intern to call 911. paramedics arrived and checked the patient out and he BP and heart rate was normal. Patient stated she felt fine and that she did not want to be taken to the hospital.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Local reaction, Muscular weakness, Nausea, Pruritus, Pyrexia
Clinical narrative: STARTED AS LOCALIZED REACTION. NEXT DAY Pt FELT FEBRILE AND ITCHING THROUGH ENTIRE BODY. WENT TO ER 3 DAYS LATER. NAUSEA & MUSCLE WEAKNESS. GIVEN BENADRYL 50mg Q6H
Age: 30.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Anaphylactic reaction
Clinical narrative: Anaphylaxis; Shortness of breath; Chest pain; This case was reported by a other health professional via call center representative and described the occurrence of anaphylaxis in a 30-year-old male patient who received Flu Seasonal QIV Quebec (FluLaval Tetra 2019-2020 season) (batch number 4MA5A, expiry date 30th June 2020) for prophylaxis.   On 25th September 2019, the patient received FluLaval Tetra 2019-2020 season. On 25th September 2019, less than a day after receiving FluLaval Tetra 2019-2020 season, the patient experienced anaphylaxis (serious criteria GSK medically significant), shortness of breath and chest pain. The patient was treated with epinephrine and steroids nos (Steroids). On 25th September 2019, the outcome of the anaphylaxis, shortness of breath and chest pain were recovered/resolved.   It was unknown if the reporter considered the anaphylaxis, shortness of breath and chest pain to be related to FluLaval Tetra 2019-2020 season.  Additional information was reported as follows: This case was reported by an immunization program specialist at health center. The patient received a dose of Flulaval vaccine at an employee health clinic. The patient experienced anaphylaxis. The patient was treated with Epinephrine in the office and transported to the emergency room. In the emergency room, the patient was treated with steroids. The symptoms resolved that same day. The reporter consented to follow up. This case has been linked with case US2019178156, reported by the same reporter. The outcome of anaphylaxis, shortness of breath and chest pain were reported as recovered/resolved in the system however in source document, it was mentioned as recovered/resolved with sequel.