chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of shingles in a 58-year-old female patient who received SHINGRIX for prophylaxis. On 23rd October 2018, the patient received the 1st dose of SHINGRIX. In October 2018, 2 days after receiving SHINGRIX, the patient experienced shingles. On an unknown date, the outcome of the shingles was unknown. It was unknown if the reporter considered the shingles to be related to SHINGRIX.  Additional details were provided as follows: On 25th October 2018, the patient was hospitalized for surgery un-related to receiving the SHINGRIX vaccine. The healthcare professional did not provide the lot number or expiration date of the SHINGRIX vaccine used for the 1st dose. The reporter gave consent to follow up.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Rash, Varicella
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of chickenpox in a 52-year-old male patient who received SHINGRIX (batch number 3Z53C, expiry date 13th March 2021) for prophylaxis. On 24th November 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 28th November 2018, 4 days after receiving SHINGRIX, the patient experienced chickenpox, influenza-like symptoms and rash. The patient was treated with MEDROL dose pack and medication unknown (Cream (Medication Unknown)). On an unknown date, the outcome of the chickenpox and rash were not recovered/not resolved and the outcome of the influenza-like symptoms was unknown. It was unknown if the reporter considered the chickenpox, influenza-like symptoms and rash to be related to SHINGRIX. Additional details were provided as follows: The patient received his SHINGRIX on left arm. He reported flu like symptoms and he developed a rash on his face and chest. The patient was referred to his doctor that same day (28th November 2018) to rule out an allergy to the vaccine. The patient's physician prescribed a cream and MEDROL dose pack. The day before reporting the patient followed-up with the pharmacist and reported that he still had the rash and he was diagnosed with chicken pox. The reporter gave consent to follow up.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 84-year-old female patient who received SHINGRIX for prophylaxis. On 3rd December 2018, the patient received the 1st dose of SHINGRIX (intramuscular) .5 ml. On 3rd December 2018, less than a day after receiving SHINGRIX, the patient experienced pain in arm and mobility decreased. On an unknown date, the outcome of the pain in arm was not recovered/not resolved and the outcome of the mobility decreased was unknown. It was unknown if the reporter considered the pain in arm and mobility decreased to be related to SHINGRIX. Additional information received as follows: This case was reported by the patient's daughter. The patient received SHINGRIX on the left arm. The patient experienced arm pain so much so that it was difficult to lift her arm. The reporter did not give consent to follow-up.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a 72-year-old female patient who received SHINGRIX for prophylaxis. On 7th November 2018, the patient received SHINGRIX. On 8th November 2018, 1 days after receiving SHINGRIX, the patient experienced injection site erythema, injection site swelling and pain in hand. On an unknown date, the outcome of the injection site erythema and injection site swelling were recovering/resolving and the outcome of the pain in hand was not recovered/not resolved. It was unknown if the reporter considered the injection site erythema, injection site swelling and pain in hand to be related to SHINGRIX. Additional details were provided as follows: The patient received the SHINGRIX on right arm. The patient experienced redness, swelling and pain at the injection site the morning after getting the vaccine. The pain progressed to the inside of the right arm and down to the elbow. It then went into the wrist and hand. The pain traveled down in was a gradual progression and had been in the hand for approximately a week at the time of reporting. The redness and swelling had improved and were almost gone but the pain was still present at the reporting time. The reporter gave consent to follow up.
Age: 19.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Dizziness, Headache, Injection site pain, Product packaging confusion, Pyrexia
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of fever in a 19-year-old female patient who received BOOSTRIX (batch number K5F5R, expiry date 3rd April 2021) for prophylaxis. Co-suspect products included Flu unspecified (Flu vaccine) for prophylaxis. On 30th November 2018, the patient received BOOSTRIX (intramuscular) .5 ml. On an unknown date, the patient received Flu vaccine at an unknown dose. On 30th November 2018, unknown after receiving BOOSTRIX and not applicable after receiving Flu vaccine, the patient experienced wrong vaccine administered. On an unknown date, the patient experienced fever, injection site tenderness, headache, light headedness and product packaging confusion. On an unknown date, the outcome of the fever, injection site tenderness, headache and light headedness were recovered/resolved and the outcome of the wrong vaccine administered and product packaging confusion were unknown. It was unknown if the reporter considered the fever, injection site tenderness, headache and light headedness to be related to BOOSTRIX. Additional details were provided as follows: The nurse reports that BOOSTRIX vaccine was accidentally administered to the patient instead of a flu vaccine, which led to wrong vaccine administered. The nurse who administered the vaccine commented that the flu vaccine box and the BOOSTRIX box look the same this year, which led to product packaging confusion. Less than a week after receiving BOOSTRIX vaccine, the patient experienced a slight fever for one day, tenderness where the vaccine was administered, headache and was light headed. The nurse did not know what brand of flu vaccine their office uses.
Age: 19.0
Sex: F
Vaccine: FLUX, TDAP
Symptoms: Wrong product administered
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of fever in a 19-year-old female patient who received BOOSTRIX (batch number K5F5R, expiry date 3rd April 2021) for prophylaxis. Co-suspect products included Flu unspecified (Flu vaccine) for prophylaxis. On 30th November 2018, the patient received BOOSTRIX (intramuscular) .5 ml. On an unknown date, the patient received Flu vaccine at an unknown dose. On 30th November 2018, unknown after receiving BOOSTRIX and not applicable after receiving Flu vaccine, the patient experienced wrong vaccine administered. On an unknown date, the patient experienced fever, injection site tenderness, headache, light headedness and product packaging confusion. On an unknown date, the outcome of the fever, injection site tenderness, headache and light headedness were recovered/resolved and the outcome of the wrong vaccine administered and product packaging confusion were unknown. It was unknown if the reporter considered the fever, injection site tenderness, headache and light headedness to be related to BOOSTRIX. Additional details were provided as follows: The nurse reports that BOOSTRIX vaccine was accidentally administered to the patient instead of a flu vaccine, which led to wrong vaccine administered. The nurse who administered the vaccine commented that the flu vaccine box and the BOOSTRIX box look the same this year, which led to product packaging confusion. Less than a week after receiving BOOSTRIX vaccine, the patient experienced a slight fever for one day, tenderness where the vaccine was administered, headache and was light headed. The nurse did not know what brand of flu vaccine their office uses.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Feeling hot, Incomplete course of vaccination, Nausea, Pyrexia
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of feeling hot in a 53-year-old male patient who received SHINGRIX for prophylaxis. Co-suspect products included SHINGRIX for prophylaxis. On 22nd May 2018, the patient received the 1st dose of SHINGRIX. On an unknown date, the patient received the 2nd dose of SHINGRIX. On 23rd May 2018, 1 days after receiving SHINGRIX and not applicable after receiving SHINGRIX, the patient experienced feeling hot, fever and nausea. On an unknown date, the patient experienced incomplete course of vaccination. On 27th May 2018, the outcome of the feeling hot, fever and nausea were recovered/resolved. On an unknown date, the outcome of the incomplete course of vaccination was unknown. It was unknown if the reporter considered the feeling hot, fever and nausea to be related to SHINGRIX. Additional details were reported as follows: The patient received SHINGRIX vaccine on right deltoid. The patient states he received his 1st dose at about 8:30 at night. The patient stated the next day he felt hot at work and left early. The patient noted he had a fever and felt nauseous. The patient did not go to work on next day due to the symptoms, he stayed home in bed. On Friday the patient worked from home, was doing better. The patient stated he was still slightly nauseous on Saturday but everything resolved by Sunday. The patient also noted he had not been able to get his 2nd dose and was beyond the 6 month window, which led to incomplete course of vaccination.
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus
Clinical narrative: This case was reported by a other health professional via call center representative and described the occurrence of pruritus in a adult female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 1st dose of SHINGRIX. On an unknown date, unknown after receiving SHINGRIX, the patient experienced pruritus. On an unknown date, the outcome of the pruritus was unknown. It was unknown if the reporter considered the pruritus to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. The health care professional stated that they the patient who experienced pruritis after their 1st dose. The reporter gave consent to follow up. No product expiry date or lot number was given for SHINGRIX.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Immediate post-injection reaction, Incomplete course of vaccination, Injection site pain, Myalgia, Pain
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 62-year-old male patient who received SHINGRIX for prophylaxis. On 18th October 2018, the patient received the 1st dose of SHINGRIX (intramuscular). On 18th October 2018, immediately after receiving SHINGRIX, the patient experienced injection site pain. On 1st November 2018, the patient experienced muscle pain and pain. In November 2018, the patient experienced leg pain. On an unknown date, the outcome of the injection site pain and muscle pain were not recovered/not resolved and the outcome of the pain and leg pain were unknown. It was unknown if the reporter considered the injection site pain, muscle pain, pain and leg pain to be related to SHINGRIX. Additional information received as follows: The patient received SHINGRIX in the right arm. The patient immediately experienced soreness at the injection site. He claimed that he started to feed his cattle and that was when he first started to experience muscle pain. The pain occurred with any activity he did and the pain would start within hours of physical activity. He also reported that the pain occurred in his leg but he said it would occur all over. On 28th November 2018, he had a physician visit at his physician's office and the physician provided no insight. The patient claimed that he would not be getting his second dose of the SHINGRIX because of the side effects which he was experiencing. The reporter consented to follow up.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 62-year-old male patient who received SHINGRIX for prophylaxis. On 18th October 2018, the patient received the 1st dose of SHINGRIX (intramuscular). On 18th October 2018, immediately after receiving SHINGRIX, the patient experienced injection site pain. On 1st November 2018, the patient experienced muscle pain and pain. In November 2018, the patient experienced leg pain. On an unknown date, the outcome of the injection site pain and muscle pain were not recovered/not resolved and the outcome of the pain and leg pain were unknown. It was unknown if the reporter considered the injection site pain, muscle pain, pain and leg pain to be related to SHINGRIX. Additional information received as follows: The patient received SHINGRIX in the right arm. The patient immediately experienced soreness at the injection site. He claimed that he started to feed his cattle and that was when he first started to experience muscle pain. The pain occurred with any activity he did and the pain would start within hours of physical activity. He also reported that the pain occurred in his leg but he said it would occur all over. On 28th November 2018, he had a physician visit at his physician's office and the physician provided no insight. The patient claimed that he would not be getting his second dose of the SHINGRIX because of the side effects which he was experiencing. The reporter consented to follow up.
Sex: F
Vaccine: VARZOS
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site erythema in a 66-year-old female patient who received SHINGRIX for prophylaxis. On an unknown date, the patient received the 1st dose of SHINGRIX. On an unknown date, unknown after receiving SHINGRIX, the patient experienced injection site erythema, injection site pain and feeling hot. On an unknown date, the outcome of the injection site erythema, injection site pain and feeling hot were recovered/resolved. It was unknown if the reporter considered the injection site erythema, injection site pain and feeling hot to be related to SHINGRIX. Additional details were received as follows: The age at vaccination was not reported. The reporter mentioned that, she knows a person at her gym who received a dose of SHINGRIX and had injection site reactions that were lasted for 1 to 2 days. The patient presented with redness and pain at the site and felt feverish for 1 to 2 days. The reporter did not know the patient's full name and provided the patient's age. The reporter did not consented to follow up.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: This case was reported by a pharmacist via call center representative and described the occurrence of injection site pain in a 71-year-old male patient who received SHINGRIX for prophylaxis. On 8th May 2018, the patient received the 1st dose of SHINGRIX. On an unknown date, unknown after receiving SHINGRIX, the patient experienced injection site pain. On an unknown date, the outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to SHINGRIX. Additional details were provided as follows: The reporter consented to follow up. No further details were provided. For tolerance after 2nd dose of SHINGRIX, refer case US2018219535.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Product supply issue
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a adult female patient who received SHINGRIX for prophylaxis. Co-suspect products included SHINGRIX for prophylaxis. In July 2018, the patient received the 1st dose of SHINGRIX. On an unknown date, the patient received the 2nd dose of SHINGRIX. On an unknown date, less than a year after receiving SHINGRIX and not applicable after receiving SHINGRIX, the patient experienced injection site pain, injection site swelling and product supply issue. On an unknown date, the outcome of the injection site pain and injection site swelling were recovered/resolved and the outcome of the product supply issue was unknown. It was unknown if the reporter considered the injection site pain and injection site swelling to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported. The patient received SHINGRIX on right arm. The patient reported that, it has been past 6 months and she could not locate the 2nd dose due to supply issues. The patient also reported that she needs another dose for her husband as well but did not clarify when he received his first shot (US2018GSK226181 case for husband). The patient reported that after injection, she experienced pain and swelling at the injection site which was resolved.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of influenza in a 72-year-old male patient who received SHINGRIX for prophylaxis. On 14th July 2018, the patient received the 1st dose of SHINGRIX. On an unknown date, several days after receiving SHINGRIX, the patient experienced influenza. On an unknown date, the outcome of the influenza was unknown. It was unknown if the reporter considered the influenza to be related to SHINGRIX. Additional details were reported as follows: The case was reported by the wife of the patient. The patient received the SHINGRIX vaccine and had the flu and not sure if he could get his 2nd dose of SHINGRIX vaccine. The reporter had granted permission for GlaxoSmithKline to contact patient's healthcare professional if needed.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient showed up 2 days after PNEUMOVAX was given and complaining that she could barely lift her arm it was so sore. I instructed her to follow up with her primary care doctor to get checked out and make sure everything was ok. She said it was starting to get a little better but still hard to lift her arm and she was concerned.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Mental impairment, Myalgia
Clinical narrative: Chills, myalgia, difficulty thinking clearly.
Age: 0.5
Sex: F
Vaccine: MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MENACTRA was not a scheduled vaccine that was supposed to be given at the patients age.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Around the injection site, patient's arm was hot, bright red, raised and painful. The diameter of affected arm was about 2 inches around the injection site on Saturday 12/15 and by Sunday, it spread to about 3 inches below injection site. Patient's primary care doctor treated her for cellulitis.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Fatigue, Injection site erythema, Injection site induration, Somnolence
Clinical narrative: Three inch red spot around injection site, small hard spot in center of site, no fever, some tiredness and sleeping done by child, per patient's mother. Mom stated that the red spot is still present, not as big and is not hurting child. Mother did not wish to be seen in office at the time.
Age: 1.0
Sex: F
Vaccine: PNC13
Symptoms: Urticaria
Clinical narrative: Parents reported hives and sought medical care twice at ER and urgent care facility. Symptoms started approximately 48 hours after immunization was given.
Age: 42.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Headache, Injection site pain, Pyrexia, Swelling
Clinical narrative: Fever, headache, wheezing, pain at injection site, swelling and pain under arm of injection.
Age: 42.0
Sex: F
Vaccine: VARZOS
Symptoms: Wheezing
Clinical narrative: Fever, headache, wheezing, pain at injection site, swelling and pain under arm of injection.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Vaccination site pain, Vaccination site rash, Vaccination site swelling
Clinical narrative: Severe pain in the arm where vaccine given, difficulty moving the arm, at about 10pm when getting ready noticed my arm was swollen to about the size of a large orange at site of vaccine, with a rash beginning to form. Took a Benadryl before going to bed. Was not having swelling in the face or difficulty breathing at that time. The next morning the swelling was gone but the rash was worse and continued until 12/16/2018.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Headache, Nausea, Vomiting
Clinical narrative: STARTED CHILLS & FATIGUE ON 12/15/18, 7PM. PROGRESSED TO NAUSEA AND 2 EPISODES OF VOMITING. ONCE ON 12/15 AND ONCE ON 12/16. SYMPTOMS MOSTLY RESOLVED 48 HOURS LATER.  PATIENT FEELS MUCH BETTER TODAY (12/17/18), STILL SOME HEADACHE AND MILD FATIGUE.
Age: 1.0
Sex: F
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash papular
Clinical narrative: LITTLE RED BUMPS ON CHEST AND BACK, LOW GRADE TEMP FOR A DAY, UP TO 100. RASH IMPROVING 2 DAYS AFTER ONSET. FEVER RESOLVED AFTER ONE DAY.
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Diarrhoea, Fatigue
Clinical narrative: Had injection mid-morning on Saturday. Was weak and tired Saturday evening. Had diarrhea for the first time at 2:00 am Sunday. In the next 30 hours have an additional 18 diarrhea "events".
Age: 0.08
Sex: M
Vaccine: RV5
Symptoms: Diarrhoea, Vomiting
Clinical narrative: VOMITING AND DIARRHEA STARTED THE DAY OF THE VACCINE AND CONTINUED FOR ONE WEEK.
Age: 11.0
Sex: F
Vaccine: FLU4, MNQ, TDAP
Symptoms: Erythema, Skin induration, Skin warm, Tenderness
Clinical narrative: The patient's father called the Health Unit on 12/13/2018 at approximately 3:45 p.m. to report that the patient had an approximate 5x3 circular red patch on her left arm. The father stated that the red patch was first noted on the morning of 12/13/2018 prior to the child's departure for school. The father stated that the patch was warm to the touch, very tender, and hard. The father denied any allergies or chronic medical conditions and stated that the child is very healthy. The father denied all other symptoms including nausea, vomiting, shortness of breath, and dizziness. The father stated that an ice pack was placed on the arm upon her arrival home from school but that no other treatments were provided at this time. Dr. medial director was made aware of these symptoms. The patient's father was instructed to inform the patient's pediatrician of these symptoms and to seek care at a local urgent care center. The father stated that he works in the medical field and was comfortable monitoring these symptoms but would seek care at the local urgent care center if the patch worsened. The father was encouraged to provide oral benadryl to the patient per Dr.'s recommendation. The patient's father was called on 12/14/2018 for a status update and the father stated that the patch was much better and that he would continue to provide benadryl as needed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Constipation, Headache, Injection site erythema, Injection site pain
Clinical narrative: Severe pain and redness on my left upper arm from the shoulder to my elbow. A rash on my chest. Muscle pain, headache, fever, chills. Constipation. It had been 10 days and the arm is still sore the redness is finally gone.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain in extremity, Pyrexia, Rash
Clinical narrative: Severe pain and redness on my left upper arm from the shoulder to my elbow. A rash on my chest. Muscle pain, headache, fever, chills. Constipation. It had been 10 days and the arm is still sore the redness is finally gone.
Age: 54.0
Sex: M
Vaccine: PPV
Symptoms: Immunodeficiency, Vomiting
Clinical narrative: Pt is immunocompromised. Vomiting began evening after vaccine (PNEUMOVAX) was given. Vaccine administered 12/15/18 at 10:00am. Pt's partner called 12/16/18 to notify me he was going to hospital due to vomiting.
Age: 61.0
Sex: M
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site reaction, Limb discomfort, Muscle atrophy, Muscular weakness
Clinical narrative: Onset of feeling of weakness and mild discomfort in left arm within a few days of vaccination. This feeling progressed over the course of the next couple months, and then plateaued. He progressively noticed difficulty in performing tasks with left arm, especially those requiring flexion or abduction of the shoulder. Examination for this problem occurred on 12/07/2018. At that time, there is visual evidence of atrophy of left anterior deltoid muscle, with moderate severe weakness of abduction and forward flexion. No distal weakness noted. The patient has been referred to Neurology for further testing and treatment.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Dermatitis, Erythema, Mechanical urticaria, Pallor, Papule
Clinical narrative: Parent reports that patient received 15mo immunizations on 02 May 2018. She experienced no immediate adverse reaction. She went to bed per usual around 8 PM and woke at 7 AM at which time her mother noted a full body dermatitis affecting face, all extremities and torso. The mom states it was pruritic. She is unsure if the lesions were fixed or transient. The parents are unsure if there are oral lesions. She was not ill, ate normally and had usual activity. She was seen at primary care whose exam notes 'Erythematous blanching papules and plaques generalized no edema, Dermatographism is positive.' Patient was given BENADRYL and prednisolone. Mom states symptoms improved when dosed but would worsen in the interim prior to next dose. The rash resolved in a few days. She had no other illness symptoms in the week to vaccine receipt such as nausea vomiting diarrhea cough, nasal discharge, wheeze congestion or shortness of breath. She had no systemic symptoms such as cough shortness of breath watery eyes, rhinorrhea audible wheezing, nausea vomiting or diarrhea. Parent denies any other known adverse events following immunizations. Parent states patient tolerates ingestion of eggs and gelatin, and denies any known adverse reactions to latex, neomycin, polymyxin, streptomycin, thimerosal, yeast, or formaldehyde.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Pruritus, Rash, Skin lesion, Skin plaque
Clinical narrative: Parent reports that patient received 15mo immunizations on 02 May 2018. She experienced no immediate adverse reaction. She went to bed per usual around 8 PM and woke at 7 AM at which time her mother noted a full body dermatitis affecting face, all extremities and torso. The mom states it was pruritic. She is unsure if the lesions were fixed or transient. The parents are unsure if there are oral lesions. She was not ill, ate normally and had usual activity. She was seen at primary care whose exam notes 'Erythematous blanching papules and plaques generalized no edema, Dermatographism is positive.' Patient was given BENADRYL and prednisolone. Mom states symptoms improved when dosed but would worsen in the interim prior to next dose. The rash resolved in a few days. She had no other illness symptoms in the week to vaccine receipt such as nausea vomiting diarrhea cough, nasal discharge, wheeze congestion or shortness of breath. She had no systemic symptoms such as cough shortness of breath watery eyes, rhinorrhea audible wheezing, nausea vomiting or diarrhea. Parent denies any other known adverse events following immunizations. Parent states patient tolerates ingestion of eggs and gelatin, and denies any known adverse reactions to latex, neomycin, polymyxin, streptomycin, thimerosal, yeast, or formaldehyde.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Pain in extremity
Clinical narrative: Employee states she is experiencing significant pain radiating to her shoulder and upper arm with impaired range of motion.
Age: 92.0
Sex: M
Vaccine: PPV, UNK
Symptoms: Erythema
Clinical narrative: Vaccine was given at Medical Center prior to resident transfer on 12/12/18 - Developed a Red area size of a quarter upon admission on 12/12/18 and on 12/15 had a red area 7 inches x 3 inches in length over the same site. PCP here (Dr. notified and asked if a VAERS report should be completed by Nsg. Supervisor - RN - he wishes us to proceed with VAERS report).
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Pain
Clinical narrative: Chills, aches.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain
Clinical narrative: Patient complained of redness and soreness. Went to urgent care and they prescribed a steroid and antihistamine.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Erythema, Headache, Induration, Laboratory test
Clinical narrative: Fever, headache, extremely sore swollen, red, hard arm.
Age: 54.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Fever, headache, extremely sore swollen, red, hard arm.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Gait inability, Movement disorder
Clinical narrative: Patient was having trouble moving his arm and legs, and could not walk. He went to his PCP Dr., who referred him to the emergency department on 10-19-18.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Woke up with headache, nausea, body aches, and muscle pain from injection site up through left side of neck. I'm even a little light headed.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Woke up with headache, nausea, body aches, and muscle pain from injection site up through left side of neck. I'm even a little light headed.
Age: 1.75
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HEPA, HIBV, MMRV, PNC13, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Was drawn up shots for a patient and was distracted by provider double check my imms before administering and still only to realize that I had given MMRV and Varicella, Spoke with patient dad and advised him of the mistake and that he should keep an eye on him, making sure if he starts to have any high fevers to take him to the Emergency room, or rashes that he bring him into the clinic if its low grade to give him ibuprofen or Tylenol  and other (high grade fevers or major symptoms please take the patient to the ER.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Balance disorder, Fatigue, Headache, Injection site reaction
Clinical narrative: After flu shot - nausea, vomiting, headaches, reaction at the site, fever, body aches. At night leg cramps - has had charley horses in past and this was worse. Fatigue since then, wheezing, tingling in feet went on for 6 weeks. Balance seemed off. Felt weak. Seems like lost strength.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Muscle spasms, Nausea, Pain, Paraesthesia, Pyrexia
Clinical narrative: After flu shot - nausea, vomiting, headaches, reaction at the site, fever, body aches. At night leg cramps - has had charley horses in past and this was worse. Fatigue since then, wheezing, tingling in feet went on for 6 weeks. Balance seemed off. Felt weak. Seems like lost strength.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting, Wheezing
Clinical narrative: After flu shot - nausea, vomiting, headaches, reaction at the site, fever, body aches. At night leg cramps - has had charley horses in past and this was worse. Fatigue since then, wheezing, tingling in feet went on for 6 weeks. Balance seemed off. Felt weak. Seems like lost strength.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Injection site pain, Loss of personal independence in daily activities, Mobility decreased, Nuclear magnetic resonance imaging abnormal
Clinical narrative: The injection was given in my left shoulder, higher than I've ever had an injection for the flu shot previously. I also noted after the injection that the individual administering the vaccine was new. I knew this because she has difficulty drawing my blood after my vaccination and needed to ask for assistance. I also confirmed with the office after the vaccination that she was indeed new to the office. My left shoulder was extremely sore the following week, but I have always felt discomfort following my flu vaccination. I began noticing increased pain and limited mobility in the weeks to follow. I made an appointment with the practice who administered my vaccine and advised on my shoulder pain. The Dr referred me to the Orthopedic. At my appointment with Orthopedic, I received an Xray and multiple mobility tests. The Dr diagnosed me with Frozen Shoulder, but ordered an MRI to be sure. I had the MRI and it was confirmed that I have frozen shoulder, I have been advised that it should resolve itself anywhere from months to years. I am an active 38 year old female, now unable to exercise. I am having restless nights due to my shoulder pain and the inability to sleep properly on my shoulder.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Periarthritis, Poor quality sleep, Restlessness, Sleep disorder, X-ray
Clinical narrative: The injection was given in my left shoulder, higher than I've ever had an injection for the flu shot previously. I also noted after the injection that the individual administering the vaccine was new. I knew this because she has difficulty drawing my blood after my vaccination and needed to ask for assistance. I also confirmed with the office after the vaccination that she was indeed new to the office. My left shoulder was extremely sore the following week, but I have always felt discomfort following my flu vaccination. I began noticing increased pain and limited mobility in the weeks to follow. I made an appointment with the practice who administered my vaccine and advised on my shoulder pain. The Dr referred me to the Orthopedic. At my appointment with Orthopedic, I received an Xray and multiple mobility tests. The Dr diagnosed me with Frozen Shoulder, but ordered an MRI to be sure. I had the MRI and it was confirmed that I have frozen shoulder, I have been advised that it should resolve itself anywhere from months to years. I am an active 38 year old female, now unable to exercise. I am having restless nights due to my shoulder pain and the inability to sleep properly on my shoulder.
Age: 33.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: Warm to touch on injection site, sore, and a lumpy feeling with pain to the touch.
Age: 44.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Patient contacted informed pediatric dose given on 12/14/18 and needs to return for adult dose administration.
Age: 32.0
Sex: M
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: Adult patient given pediatric dose patient contacted 12/17/2018  and informed to come in for Hep A adult dose.
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Localised infection, Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Arm felt feverish red and puffy. Unable to lift arm. Went to Dr. Dr stated it was infected so gave a antibiotic. Arm continues to be sore after medicine is finished. Went back to check Dr said go apply heat continues to be sore and can't lift arm.
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm
Clinical narrative: Arm felt feverish red and puffy. Unable to lift arm. Went to Dr. Dr stated it was infected so gave a antibiotic. Arm continues to be sore after medicine is finished. Went back to check Dr said go apply heat continues to be sore and can't lift arm.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Heart rate decreased, Metabolic function test, Myocardial necrosis marker, Ultrasound scan, X-ray
Clinical narrative: Starting Friday 5 October my pulse rate went down into 50's by Saturday it was in the 40's by sunday 7 October my pulse rate was in the 30's could not get it up heart stimulant at emergency rate. By Monday 8 October my pulse was in the 20's could not get over 30. I was admitted to hospital.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Back pain, Chest pain, Chills, Injection site pain, Injection site swelling
Clinical narrative: Injection given 12-14-18 on administration, pt said feel a little pain of it going in. Said by evening had swelling at site & pain over the next day or two that radiated from shoulder to elbow & around upper chest & back. Felt a few chills but no fever. Pain resolving over time. No known medical treatment sought. Partner had gotten shot at same time with no adverse effects seen.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Pain
Clinical narrative: Injection given 12-14-18 on administration, pt said feel a little pain of it going in. Said by evening had swelling at site & pain over the next day or two that radiated from shoulder to elbow & around upper chest & back. Felt a few chills but no fever. Pain resolving over time. No known medical treatment sought. Partner had gotten shot at same time with no adverse effects seen.
Age: 2.0
Sex: M
Vaccine: FLUN4
Symptoms: Pyrexia, Seizure
Clinical narrative: 106 Fever, seizures, ER.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site warmth, Muscle swelling
Clinical narrative: VACCINATION WAS GIVEN IM INTO MY UPPER ARM. THE ARM HURT VERY SLIGHTLY AT THE INJECTION SITE, AS EXPECTED. HOWEVER, THE NEXT MORNING I AWOKE TO HAVE THE INSIDE OF MY BICEP MUSCLE VERY SWOLLEN, RED AND HOT. I WENT TO A URGENT CARE FACILITY, AND THE DOCTOR INFORMED ME THAT I WAS HAVING A SEVERE REACTION TO THE VACCINATION, PROBABLY BECAUSE I HAD ANTIBODIES IN MY SYSTEM FROM THE PREVNAR 13 THAT I GOT ON 01/29/15 AND A PREVIOUS PNEUMONIA VACCINATION I GOT APPROXIMATELY 10 YEARS PRIOR.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Vaccination complication
Clinical narrative: VACCINATION WAS GIVEN IM INTO MY UPPER ARM. THE ARM HURT VERY SLIGHTLY AT THE INJECTION SITE, AS EXPECTED. HOWEVER, THE NEXT MORNING I AWOKE TO HAVE THE INSIDE OF MY BICEP MUSCLE VERY SWOLLEN, RED AND HOT. I WENT TO A URGENT CARE FACILITY, AND THE DOCTOR INFORMED ME THAT I WAS HAVING A SEVERE REACTION TO THE VACCINATION, PROBABLY BECAUSE I HAD ANTIBODIES IN MY SYSTEM FROM THE PREVNAR 13 THAT I GOT ON 01/29/15 AND A PREVIOUS PNEUMONIA VACCINATION I GOT APPROXIMATELY 10 YEARS PRIOR.
Age: 0.33
Sex: F
Vaccine: DTAP
Symptoms: Cough, Decreased appetite, Pyrexia
Clinical narrative: Fevers, prolonged for weeks no known cause. Anorexia. Chronic cough.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Pyrexia, Rash
Clinical narrative: Fever, rashes.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Injection site swelling, Pain, Pyrexia
Clinical narrative: Swelling and pain at the injection site, persisting three days. Low grade fever. Full body aches. EDD: 2/6/18.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Asthenia, Flushing, Headache, Hypoaesthesia, Injection site erythema
Clinical narrative: Localized redness, warmth, swelling of LUE, with mild swelling, decreased strength, and numbness of left upper extremity. Associated with mild left sided neck pain, flushed left cheek, and headache.  Treatment: cool compress every 2 hours, BENADRYL every 6 hours-if not improvement in one day, prednisone x 3 days. Symptoms were already improving.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site swelling, Injection site warmth, Neck pain
Clinical narrative: Localized redness, warmth, swelling of LUE, with mild swelling, decreased strength, and numbness of left upper extremity. Associated with mild left sided neck pain, flushed left cheek, and headache.  Treatment: cool compress every 2 hours, BENADRYL every 6 hours-if not improvement in one day, prednisone x 3 days. Symptoms were already improving.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever over 100 degrees F.
Age: 52.0
Sex: U
Vaccine: FLU4
Symptoms: Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: Severe headache, body aches, flu-like symptoms began 7-8 hours following vaccination, fevers up to 100.7-improving with TYLENOL, but still has body aches, low grade fever on/off. States had same symptoms following flu shots past 2 years, but did not report.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Asthenia, Body temperature increased, Cough, Decreased appetite, Influenza like illness
Clinical narrative: Three hours after injection, severe pain at injection site (arm muscle). Grew worse through the evening. Unable to sleep that night due to muscle pain, flu-like symptoms, general weakness. Early morning temp 103 degrees. Temp fell to 100 by late morning, then to normal by afternoon. Next four days, strong cold- or flu-like symptoms (weakness, mild nausea, little appetite, muscle pain, periodic coughing from deep in lungs; but no more fever), As of today (five days after vaccination), soreness at injection site finally gone, but cold- or flu-like symptoms continue.
Age: 72.0
Sex: M
Vaccine: PPV
Symptoms: Injection site pain, Insomnia, Nasopharyngitis, Nausea
Clinical narrative: Three hours after injection, severe pain at injection site (arm muscle). Grew worse through the evening. Unable to sleep that night due to muscle pain, flu-like symptoms, general weakness. Early morning temp 103 degrees. Temp fell to 100 by late morning, then to normal by afternoon. Next four days, strong cold- or flu-like symptoms (weakness, mild nausea, little appetite, muscle pain, periodic coughing from deep in lungs; but no more fever), As of today (five days after vaccination), soreness at injection site finally gone, but cold- or flu-like symptoms continue.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Lymphadenopathy, Malaise, Ophthalmic herpes zoster
Clinical narrative: 10 min. after-extreme swollen glands in throat sick for 2 days. 13 days later, Dr. found shingles in cornea of right eye and a circle on forehead. Allergic to valacyclovir. Became very ill. Had to be on prednisone for 10 days. Shingles went to roof of mouth, then to under tongue. Lower tongue and gums. Then appeared on stomach.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Allergy test negative, Injection site erythema, Injection site swelling
Clinical narrative: Swollen (L) anterior thigh extending to the left knee. Erythema noted. Had a previous reaction to last year's vaccine (R) upper arm (received vaccine in different place). Was tested for allergy to egg and deemed not to be allergic per allergist. Had two flu vaccine doses in 2015, and did not have any reaction then. Not yet seen in office 12/6/18.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Arthralgia, Chills, Flatulence, Headache
Clinical narrative: Moderate flu-like symptoms for four days, including headache, fever, chills, sore joints and muscles, stomach upset, farting.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Myalgia, Pyrexia
Clinical narrative: Moderate flu-like symptoms for four days, including headache, fever, chills, sore joints and muscles, stomach upset, farting.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Chest pain, Eructation, Musculoskeletal pain
Clinical narrative: Per patient's report via a message to clinic, "I had my annual physical yesterday, and along with it, the shingles vaccine. I had disturbing symptoms last night. If they're related to the vaccine, perhaps it could be noted for the benefit of other patients. If it's something else, maybe it's something I should investigate further. Lying in bed on my left side, I was jolted by an intense, stabbing pain in my chest. This was on the far left side, at the edge of what we might call the chest, a couple of inches below the armpit. The vaccine had been administered into my left shoulder. The stabs continued until I shifted to my back, where they became softer. When I rolled to my right shoulder, they ceased. I experimented with this for a while, and it was consistent. There was no change in sensation in my left arm; it felt normal. Other than pain, there were no other symptoms (except letting loose about five large burps over a couple of minutes, which then stopped). Four hours later, I must have rolled back to my left in my sleep, because the stabs jolted me awake. I noted that they flared, to varying degrees, whenever my heart pumped. That was kind of freaky. I tried applying pressure, while continuing to lie on my left side, jamming my right fist between my armpit and the pain area and the symptoms stopped. After 20 minutes, I removed the hand, and the symptoms stayed gone. Today, other than a sore shoulder, everything is normal. If this is something to get checked out, let me know. Otherwise, faux heart attack might be listed in symptoms of the vaccine."
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Erythema, Induration, Limb mass, Pruritus
Clinical narrative: Patient reports a hard lump in the left arm - surrounded by red, itchy skin. This has been over the last 12 days since receiving injection and was told it was cellulitis by her nurse. Patient instructed to use a hot pack on her arm by nurse and this has been helping.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Decreased appetite, Feeling of body temperature change, Headache
Clinical narrative: Over the course of 3 days: uncontrollable shivering for 3-4 hours, hot and cold flashes, nausea with vomiting, intense headache for 3 days, sharp pain to touch of skin all over body, pain and stiffness in joints, and loss of appetite. ALEVE for headache: two tablets, twice a day for 2 days. Increased hydration with PEDIALYTE.
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Joint stiffness, Nausea, Pain of skin, Vomiting
Clinical narrative: Over the course of 3 days: uncontrollable shivering for 3-4 hours, hot and cold flashes, nausea with vomiting, intense headache for 3 days, sharp pain to touch of skin all over body, pain and stiffness in joints, and loss of appetite. ALEVE for headache: two tablets, twice a day for 2 days. Increased hydration with PEDIALYTE.
Age: 66.0
Sex: U
Vaccine: VARZOS
Symptoms: Chest pain, Influenza like illness, Injection site erythema, Injection site vesicles, Muscular weakness
Clinical narrative: 3 to 4 inch redness at site of injection, with some blistering, told to take BENADRYL at that time 5 months later- have had weakness in legs and feet, flu like symptoms for 2-3 day periods of time, now have pain in the upper right side under rib area.
Age: 53.0
Sex: F
Vaccine: PNC13
Symptoms: Inflammation, Pyrexia
Clinical narrative: Patient reported low grade fever (99 degrees) 24 hours after administration. Patient then reported inflammation and possible rash at injection site and went to ER. Patient was given antibiotic course, which was unsuccessful. Patient's symptoms were resolved with short course of steroids starting 12/16/18, prednisone 40mg once daily.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Headache, Injection site rash, Myalgia
Clinical narrative: I experienced severe pain, swelling, and heat in left arm, as well as a 3 x 5 inch rash at injection site. I had a severe headache, nausea, generalized muscular pain, exhaustion and weakness for 2 days following injection.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: I experienced severe pain, swelling, and heat in left arm, as well as a 3 x 5 inch rash at injection site. I had a severe headache, nausea, generalized muscular pain, exhaustion and weakness for 2 days following injection.