chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Blood glucose normal, Fall, Nausea, Retching, Syncope
Clinical narrative: Pt had syncopal episode about 5 min after vaccination administration. CMA had pt stay seated on exam table. She stayed in room with pt after his vaccination. He had a syncopal episode, and had assisted fall to the ground. He was face down. Pt was rolled over onto his back. He woke up after 30 seconds. He bit the tip of his tongue. He vomited x 2- dry heaving with some blood in vomit, most likely from blood from tongue. Bleeding on tongue controlled. He is awake and alert. After about 10 min he was able to tolerate apple juice and ate a muffing. BS 99. BP 112/62, HR 66, RR 16. Pt stayed in the clinic for 45 minutes. His friend came to give him a ride home to get his backpack, then he will return to school for the day. He will check in at the clinic throughout the day as need. Gait normal with ambulation. No longer has nausea. Denies any tenderness to head, denies neck pain, shoulder pain, abdominal pain, or hip/leg pain. VM left with dad to let him know about the event. Phone call to dad, he will come to pick up pt. BP 110/60 Pt returned from getting his backpack at 0915. He napped until 1045. Feeling better, but feeling a little nauseated. 1045- home with dad. Discussed Red Flag warning and when to go to the ER. Dad verbalized understanding.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Tongue biting, Tongue haemorrhage, Vomiting
Clinical narrative: Pt had syncopal episode about 5 min after vaccination administration. CMA had pt stay seated on exam table. She stayed in room with pt after his vaccination. He had a syncopal episode, and had assisted fall to the ground. He was face down. Pt was rolled over onto his back. He woke up after 30 seconds. He bit the tip of his tongue. He vomited x 2- dry heaving with some blood in vomit, most likely from blood from tongue. Bleeding on tongue controlled. He is awake and alert. After about 10 min he was able to tolerate apple juice and ate a muffing. BS 99. BP 112/62, HR 66, RR 16. Pt stayed in the clinic for 45 minutes. His friend came to give him a ride home to get his backpack, then he will return to school for the day. He will check in at the clinic throughout the day as need. Gait normal with ambulation. No longer has nausea. Denies any tenderness to head, denies neck pain, shoulder pain, abdominal pain, or hip/leg pain. VM left with dad to let him know about the event. Phone call to dad, he will come to pick up pt. BP 110/60 Pt returned from getting his backpack at 0915. He napped until 1045. Feeling better, but feeling a little nauseated. 1045- home with dad. Discussed Red Flag warning and when to go to the ER. Dad verbalized understanding.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Nasopharyngitis
Clinical narrative: STATES SHE HAS BEEN EXPERIENCING COLD SYMPTOMS SINCE BEING VACCINATED
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: shingles prescribed Valtrex
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Head discomfort, Headache, Pain in extremity
Clinical narrative: R arm very sore, headaches, fees like pillow is "too hard"
Age: 25.0
Sex: F
Vaccine: MMR, MNQ, TYP
Symptoms: Hypersensitivity, Pruritus, Urticaria
Clinical narrative: About a week and a half after vaccinations, patient reported an allergic type reaction across her body.  She had itchy hives.  She wasn't sure if it was from vaccines or something else.  Patient recieved hydroxyzine and medrol dp for her symptoms.
Age: 1.5
Sex: M
Vaccine: HEP
Symptoms: Wrong product administered
Clinical narrative: Hepatitis B given instead of Hepatitis A
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Headache, Myalgia
Clinical narrative: pain,redness, soreness, swelling, headache, muscle aches, fever, shivering, fatigue
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Swelling
Clinical narrative: pain,redness, soreness, swelling, headache, muscle aches, fever, shivering, fatigue
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Night sweats
Clinical narrative: Patient thinks that he had a reaction to second dose of Shingrix vaccine, that manifested about a week after the injection. States he had chills, muscle aches all over for a few days, and night sweats. Does not think he had a fever.  Remembers getting a milder version of this about a week after receiving the first dose of Shingrix.
Age: 9.0
Sex: F
Vaccine: FLU4, VARCEL
Symptoms: Injection site erythema, Injection site induration
Clinical narrative: INDURATION AND ERYTHEMA AT THE SITE OF INJECTION.  INDURATION- 30 *30 ERYTHEMA- 60 * 60
Age: 0.17
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Crying, Diet refusal, Injection site warmth, Irritability, Musculoskeletal disorder
Clinical narrative: The day of the vaccine patient was well.  The night after the shots were administered, the injection site was extremely hot to the touch but no swelling of the site or fever. 48 hours after the injection patient became very fussy. He cried non stop for over 6 hours. He would not nurse or nap , no rocking or holding him would help. He refused to nurse and both of his arms became partially paralyzed.  He would not move them at all they just hung by his side.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Erythema, Nausea, Pain, Peripheral swelling, Product administered at inappropriate site
Clinical narrative: Patient received vaccination at school through the health department. He cam into the office today to have it assessed. The evening after receiving the vaccine the patient became nauseas and then vomited once. The next day the arm began to get warm to the touch and swell. He had significant swelling, erythema, and pain throughout the weekend and it had improved today compared to the pictures from over the weekend. I did notice that the vaccinator gave the vaccine in the medial aspect of the humeral head. There was an obvious marking from the vaccination insertion site.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Skin warm, Vomiting
Clinical narrative: Patient received vaccination at school through the health department. He cam into the office today to have it assessed. The evening after receiving the vaccine the patient became nauseas and then vomited once. The next day the arm began to get warm to the touch and swell. He had significant swelling, erythema, and pain throughout the weekend and it had improved today compared to the pictures from over the weekend. I did notice that the vaccinator gave the vaccine in the medial aspect of the humeral head. There was an obvious marking from the vaccination insertion site.
Age: 41.0
Sex: F
Vaccine: MMR
Symptoms: Injection site cellulitis, Injection site nerve damage, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Site of injection patient reports two days following vaccination, the site is swollen, painful, warm to the touch.  Reported to urgent care where she was started on antibiotics for suspected cellulitis.  Patient suspects nerve damage at site of injection.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Furuncle, Pain, Pain in extremity, Rash
Clinical narrative: Patient describes a rash/boyles on her back within 1 month of receiving influenza vaccine that she has had to take antibiotics for since. She also reports intermittent pain in right arm with overuse.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Night sweats, Pain in extremity
Clinical narrative: Sore arm within hours of vaccination (mid-day Thu 30 May through the night of Saturday 1 Jun 2019) Overnight: chills, light-headedness (lasting through the evening of Fri 31 May 2019) Second night: heavy night sweats (lasting through the night of Sunday 2 Jun 2019)
Age: 73.0
Sex: F
Vaccine: FLUX
Symptoms: Impaired driving ability, Loss of personal independence in daily activities, Nuclear magnetic resonance imaging, Pain in extremity
Clinical narrative: SORENESS IN UPPER LEFT ARM FOLLOWING INJECTION AND BECOMING WORSE AND GRADUALLY MORE PAINFUL OVER MONTHS  PAIN IS SO SEVERE THAT DRIVING, DRESSING AND LIFTING ARE RESTRICTED DUE TO PAIN.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Pain in extremity, Rash erythematous, Rash vesicular, Varicella post vaccine
Clinical narrative: pt had 1st shingrix shot on weds 5/29/19,  local arm soreness began shortly after as expected, then fri am 05/31/19  pt began to develop widespread, red "chicken-pox" like rash, just like chicken pox on trunk arms and legs. this rash subsided with bendaryl and calamine lotion  but was slightly unsightly and uncomfortable. pt reports having experienced chick posx two times as a child. this vaccine gave patient an episode of chicken pox.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Reaction-swelling at subq site, redness, fever, bruise and painful  Treatment-benadryl, steroids
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal discomfort, Altered state of consciousness, Asthenia, Dizziness, Fatigue
Clinical narrative: Patient felt dizzy while going to the restroom 2 minutes after Hepatitis A vaccine administration. Patient taken back to exam room to lie down. I walked out to get mother and ice pack, upon my return within 30 seconds, Patient was really pale and began to have a seizure episode. Physician grabbed from neighboring room. Event was monitored, breathing and heart rate checked. Patient's body became limp and she slowly started to come to, ice pack and cold paper towels placed on her neck and forehead. Second nurse began fanning patient with a magazine to promote air flow . Verified that she was aware of where she was and who was in the room with her. She began to regain color and was able to follow along with conversation. Patient continued to be monitored over the next two hours. She had episodes of dizziness, nausea, weakness and extreme fatigue. Tried to have a bowel movement as she complained of some lower abdominal discomfort. After sitting in the restroom with myself and mother for a couple minutes she was unable to have a movement. Walked patient with mother back to the exam room. Given water to swish and spit while sitting down. Mother held ice on her neck and fan was set up in the room. Updated physician and walked back in but patient was feeling faint again. Helped mother get patient onto exam table to rest. Vitals taken and were stable, pulse rate 50 BP 90/56 OX: 97 and resp 16 (prior to vaccine PR: 96 BP: 96/64 and Resp 14). Physician called in to recheck. At 3:21 patient began to fall asleep. At 3:28 PM mother was on the phone with her employer. I checked in on her at 3:29 PM and she looked more colored, awake and oriented. Stated she was feeling a little bit better but still very tired. Advised that she was more than welcome to stay in the room until she was feeling better. 3:40 PM checked on patient again, feeling slightly better. Wanted to sit up on exam table, mom by her side. Advised that she stay sitting on the table and to call if she needs help. Precautionary information given to mother in case patient does have a recurrent seizure episode. Note provided for patient to be out of work until Thursday (off Wednesday). 3:54 PM mother asked about her finger nails being blue. She states that she is feeling really cold despite not using the cold compresses any longer. Started to take vitals when patient began vomiting at 3:56 PM. After a minute of vomiting/dry heaving she started to feel better. Vitals P: 67, R: 18 BP: 106/72 OX: 98. Recheck at 4:15 PM , Patient states that she is ready to try to go home. BP: 104/62 Ox: 98 P: 58 R: 16. Mother went to restroom and I stayed with patient. At 4:20 PM she states that she is ready to try to go home. Mother and I assisted Patient into wheelchair and taken to mother?s car. She reassured that she is feeling better. Advised that should anything change, she call the office as we have an on-call physician at all hours and if she is feeling worse to not hesitate to go to the ER.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Feeling cold, Hypotonia, Nail discolouration, Nausea, Pallor
Clinical narrative: Patient felt dizzy while going to the restroom 2 minutes after Hepatitis A vaccine administration. Patient taken back to exam room to lie down. I walked out to get mother and ice pack, upon my return within 30 seconds, Patient was really pale and began to have a seizure episode. Physician grabbed from neighboring room. Event was monitored, breathing and heart rate checked. Patient's body became limp and she slowly started to come to, ice pack and cold paper towels placed on her neck and forehead. Second nurse began fanning patient with a magazine to promote air flow . Verified that she was aware of where she was and who was in the room with her. She began to regain color and was able to follow along with conversation. Patient continued to be monitored over the next two hours. She had episodes of dizziness, nausea, weakness and extreme fatigue. Tried to have a bowel movement as she complained of some lower abdominal discomfort. After sitting in the restroom with myself and mother for a couple minutes she was unable to have a movement. Walked patient with mother back to the exam room. Given water to swish and spit while sitting down. Mother held ice on her neck and fan was set up in the room. Updated physician and walked back in but patient was feeling faint again. Helped mother get patient onto exam table to rest. Vitals taken and were stable, pulse rate 50 BP 90/56 OX: 97 and resp 16 (prior to vaccine PR: 96 BP: 96/64 and Resp 14). Physician called in to recheck. At 3:21 patient began to fall asleep. At 3:28 PM mother was on the phone with her employer. I checked in on her at 3:29 PM and she looked more colored, awake and oriented. Stated she was feeling a little bit better but still very tired. Advised that she was more than welcome to stay in the room until she was feeling better. 3:40 PM checked on patient again, feeling slightly better. Wanted to sit up on exam table, mom by her side. Advised that she stay sitting on the table and to call if she needs help. Precautionary information given to mother in case patient does have a recurrent seizure episode. Note provided for patient to be out of work until Thursday (off Wednesday). 3:54 PM mother asked about her finger nails being blue. She states that she is feeling really cold despite not using the cold compresses any longer. Started to take vitals when patient began vomiting at 3:56 PM. After a minute of vomiting/dry heaving she started to feel better. Vitals P: 67, R: 18 BP: 106/72 OX: 98. Recheck at 4:15 PM , Patient states that she is ready to try to go home. BP: 104/62 Ox: 98 P: 58 R: 16. Mother went to restroom and I stayed with patient. At 4:20 PM she states that she is ready to try to go home. Mother and I assisted Patient into wheelchair and taken to mother?s car. She reassured that she is feeling better. Advised that should anything change, she call the office as we have an on-call physician at all hours and if she is feeling worse to not hesitate to go to the ER.
Age: 20.0
Sex: F
Vaccine: HEPA
Symptoms: Retching, Seizure, Vomiting
Clinical narrative: Patient felt dizzy while going to the restroom 2 minutes after Hepatitis A vaccine administration. Patient taken back to exam room to lie down. I walked out to get mother and ice pack, upon my return within 30 seconds, Patient was really pale and began to have a seizure episode. Physician grabbed from neighboring room. Event was monitored, breathing and heart rate checked. Patient's body became limp and she slowly started to come to, ice pack and cold paper towels placed on her neck and forehead. Second nurse began fanning patient with a magazine to promote air flow . Verified that she was aware of where she was and who was in the room with her. She began to regain color and was able to follow along with conversation. Patient continued to be monitored over the next two hours. She had episodes of dizziness, nausea, weakness and extreme fatigue. Tried to have a bowel movement as she complained of some lower abdominal discomfort. After sitting in the restroom with myself and mother for a couple minutes she was unable to have a movement. Walked patient with mother back to the exam room. Given water to swish and spit while sitting down. Mother held ice on her neck and fan was set up in the room. Updated physician and walked back in but patient was feeling faint again. Helped mother get patient onto exam table to rest. Vitals taken and were stable, pulse rate 50 BP 90/56 OX: 97 and resp 16 (prior to vaccine PR: 96 BP: 96/64 and Resp 14). Physician called in to recheck. At 3:21 patient began to fall asleep. At 3:28 PM mother was on the phone with her employer. I checked in on her at 3:29 PM and she looked more colored, awake and oriented. Stated she was feeling a little bit better but still very tired. Advised that she was more than welcome to stay in the room until she was feeling better. 3:40 PM checked on patient again, feeling slightly better. Wanted to sit up on exam table, mom by her side. Advised that she stay sitting on the table and to call if she needs help. Precautionary information given to mother in case patient does have a recurrent seizure episode. Note provided for patient to be out of work until Thursday (off Wednesday). 3:54 PM mother asked about her finger nails being blue. She states that she is feeling really cold despite not using the cold compresses any longer. Started to take vitals when patient began vomiting at 3:56 PM. After a minute of vomiting/dry heaving she started to feel better. Vitals P: 67, R: 18 BP: 106/72 OX: 98. Recheck at 4:15 PM , Patient states that she is ready to try to go home. BP: 104/62 Ox: 98 P: 58 R: 16. Mother went to restroom and I stayed with patient. At 4:20 PM she states that she is ready to try to go home. Mother and I assisted Patient into wheelchair and taken to mother?s car. She reassured that she is feeling better. Advised that should anything change, she call the office as we have an on-call physician at all hours and if she is feeling worse to not hesitate to go to the ER.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain, Asthenia, Chest pain, Headache, Injection site pain
Clinical narrative: I received the new shingles vaccine "Shingrix" from Pharmacy. The first of 2 shots was given 3/28/2019 with the follow up shot Friday, May 31st, 2019.The first shot I got gave me some mild side effects, shoulder pain, low fever 99+F and a so-so feeling lasting 2-3 days. The shot I received Friday had a greater impact on me. Starting about 8 hours after the injection, my left shoulder was very tender, left side of my chest and abdomen sore, scalp felt tender- head feeling like a head ache. Continuous pain level of about 5. Fever of 99.6 to 100.0F the first day. I needed to take Hyrocodine to sleep. Saturday night pain was less but fever as high as 100.6F. Sunday less pain and a fever of 99.4 lessening to 98.6. Monday morning my temperature was down to 97.0 and has stayed at 97.2. As I have mentioned to you before, when I'm healthy I vary little from 98.6. Sub-temperatures drain my energy level which is what I feel now. I believe I'm on the mend but want you to know.???
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain of skin, Pyrexia
Clinical narrative: I received the new shingles vaccine "Shingrix" from Pharmacy. The first of 2 shots was given 3/28/2019 with the follow up shot Friday, May 31st, 2019.The first shot I got gave me some mild side effects, shoulder pain, low fever 99+F and a so-so feeling lasting 2-3 days. The shot I received Friday had a greater impact on me. Starting about 8 hours after the injection, my left shoulder was very tender, left side of my chest and abdomen sore, scalp felt tender- head feeling like a head ache. Continuous pain level of about 5. Fever of 99.6 to 100.0F the first day. I needed to take Hyrocodine to sleep. Saturday night pain was less but fever as high as 100.6F. Sunday less pain and a fever of 99.4 lessening to 98.6. Monday morning my temperature was down to 97.0 and has stayed at 97.2. As I have mentioned to you before, when I'm healthy I vary little from 98.6. Sub-temperatures drain my energy level which is what I feel now. I believe I'm on the mend but want you to know.???
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chest pain, Chills, Headache, Laboratory test normal
Clinical narrative: Thursday(5/30/19) had fever of 103, chest pain, chills headache, nausea, neck pain on left side, and joint pain.  ED admit on Thursday evening. Discharged to home on Saturday (6/1/19)
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Nausea, Neck pain, Pyrexia, Vaccination complication
Clinical narrative: Thursday(5/30/19) had fever of 103, chest pain, chills headache, nausea, neck pain on left side, and joint pain.  ED admit on Thursday evening. Discharged to home on Saturday (6/1/19)
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: Child given Dtap/IPV component of vaccine.  Omitted the HIB  component.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Left arm  red/tender/swollen
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Injection site swelling, Lethargy, Pain in extremity
Clinical narrative: Within 8 hours pain and slight swelling in right upper arm., pain increasing thru the night.   About 24 hours after the injection,  I had severe lethargy and headache.  These symptoms did not begin to subside for 72 hours.    My right arm is still tender to the touch, warm and sore.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin warm, Tenderness
Clinical narrative: Within 8 hours pain and slight swelling in right upper arm., pain increasing thru the night.   About 24 hours after the injection,  I had severe lethargy and headache.  These symptoms did not begin to subside for 72 hours.    My right arm is still tender to the touch, warm and sore.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling face
Clinical narrative: Parent spoke to one of our clinic nurses after work that evening and sent her pictures showing the right leg and right side of patient's face red and swelling.   Patient's MD was called and she advised her to go to the after hours clinic since it was 7:00 on a friday evening.  Cold compresses were already being applied.      We have not received an after hours report at this time.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: Parent called on call doctor 6//2/2019 with a second episode of shortness of breath lasting 2-3 and throat tightness that resolved at time of phone call. parents concerned that it may be related to the vaccine, since had a similiar episode approx 45 minutes after vaccine administration on 5/30/2019.
Age: 68.0
Sex: M
Vaccine: PPV
Symptoms: Induration, Peripheral swelling, Skin warm
Clinical narrative: Patient developed a swollen arm following receiving a vaccination, which then progressed overnight with more swollen. The arm is described as hard, visibly swollen and hot to touch. Patient says it is limited to the right arm with no system effects, not effects on breathing. Patient will be following up with MD today.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Chills, Feeling abnormal, Lethargy, Malaise, Pain
Clinical narrative: Bexsero vaccine was given at approximately 3:00 pm 5/23. Within 30 minutes to one hour, he began to feel bad and developed a fever of 102.5 degrees (oral). 400 mg Ibuprofen was given and the fever reduced to 101. He was lethargic and had chills and body aches. The high fever returned within a few hours and Ibuprofen was given every 6 hours around the clock (5/23-5/26). Late day, 5/2, he no longer had a fever but still felt very lethargic and unwell until the morning of 5/27.  Approximately 72 hours with fever and symptoms. The adverse reaction was reported on 5/24 to his doctor's office and again on 5/25 when his symptoms had not resolved.
Age: 19.0
Sex: M
Vaccine: MENB
Symptoms: Pyrexia
Clinical narrative: Bexsero vaccine was given at approximately 3:00 pm 5/23. Within 30 minutes to one hour, he began to feel bad and developed a fever of 102.5 degrees (oral). 400 mg Ibuprofen was given and the fever reduced to 101. He was lethargic and had chills and body aches. The high fever returned within a few hours and Ibuprofen was given every 6 hours around the clock (5/23-5/26). Late day, 5/2, he no longer had a fever but still felt very lethargic and unwell until the morning of 5/27.  Approximately 72 hours with fever and symptoms. The adverse reaction was reported on 5/24 to his doctor's office and again on 5/25 when his symptoms had not resolved.
Age: 10.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Righ deltoid redness/tenderness
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness
Clinical narrative: Pt. reports muscle weakness of right arm after flu vaccination.
Age: 48.0
Sex: M
Vaccine: TDAP
Symptoms: Abdominal pain upper, Headache, Muscular weakness, Nausea, Pyrexia
Clinical narrative: Headache and muscle weakness developed a little less than 24 hours later. At about 26 hours, mild nausea developed along with stomach cramps. A fever of 101 lasted through much of the night. The fever was around 100 the second day, and resolved by the morning of the third day. The headache was mild throughout, and lasted about 4 days. The nausea was off and on from about 26-48 hours post shot.  Weakness improved but persisted for about a week.
Age: 51.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Rash
Clinical narrative: Local redness in the area, skin rash after a day, no localized pain
Age: 60.0
Sex: F
Vaccine: HEPAB
Symptoms: Infection
Clinical narrative: Customer complaint about that after vaccination got the infection
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Blood urine present, Fatigue, Feeling abnormal, Hypersomnia
Clinical narrative: This patient presents with 3 week history of persistent left arm/shoulder pain on 4/12/2019.  He advised this began evening following receipt of 2nd Shingrix vaccination 3/11/2019. 1) 3/23/2017 Zostavax vaccine administered - c/o sore left deltoid x 1 day 2) 12/28/2018 Received first Shingrix vaccination (Friday morning). That evening (<8-12 hours post vaccination) he "felt poisoned" stating he was sleeping constantly, napped alot, had no energy, had to sit if awake as exhausted and overall felt very bad (non-descript feelings).  Sunday evening (day 3), he began to see blood in urine. Monday he went to ER for "red wine colored UA" and left flank pain with diagnosed with kidney stones.  He stated over next few days passing first a 5 mm then 2.5 mm stone.  It took about 5-7 days before he felt his normal self. He had no reoccurance of these issues. 3) 3/19/2019 he received his 2nd Shingrix vaccine again to left deltoid. he reported 6-8 hours later that day his arm was sore at injection site with no other reactins reported (denied fever, HA, n/v/d, myalgia, arthralgia, rashes, etc).  The next day he advised his arm was sore from elbow to shoulder as if he had worked out too much or too long (lactic acid build up), and the pain worsened if he lifted his arm to 90 deg angle laterally.  He advised this 1/10 discomfort with arm at side resting would and continues to be 2-3/10 discomfort with lifting today (4/12/2019).  He can shower, lift arms overhead, use left hand and perform all ADL, but is concerned the discomfort/pain will not resolve or may worsen.  He is due to training in Oct/Nov and is concerned pushups may worsen unknown underlying problem.  He does not take any pain meds or anti-inflammatory medication for shoulder pain.  He denies any trauma, injury, twisting, wt lifting, or recent travel overseas. Subjective  Follow up entries: Patient called medical office on 5/14/2019 and 5/30/2019  to advise he continues to experience left arm/shoulder pain same as 4/12/2019.  He advised he used Motrin 800 mg 3x/day for a week and the pain resolved but now that he has stopped, the discomfort has returned.  He continues to report issues with lifting (pain) and finger joints are tender to touch at sides of middle and ring fingers (joint closest to tips of fingers).  He is looking for a diagnosis for the issues so it can be treated and not just masked with Motrin.         ----    Patient requested x-ray results.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Musculoskeletal pain, Nephrolithiasis, Osteoarthritis, Pain in extremity, X-ray limb abnormal
Clinical narrative: This patient presents with 3 week history of persistent left arm/shoulder pain on 4/12/2019.  He advised this began evening following receipt of 2nd Shingrix vaccination 3/11/2019. 1) 3/23/2017 Zostavax vaccine administered - c/o sore left deltoid x 1 day 2) 12/28/2018 Received first Shingrix vaccination (Friday morning). That evening (<8-12 hours post vaccination) he "felt poisoned" stating he was sleeping constantly, napped alot, had no energy, had to sit if awake as exhausted and overall felt very bad (non-descript feelings).  Sunday evening (day 3), he began to see blood in urine. Monday he went to ER for "red wine colored UA" and left flank pain with diagnosed with kidney stones.  He stated over next few days passing first a 5 mm then 2.5 mm stone.  It took about 5-7 days before he felt his normal self. He had no reoccurance of these issues. 3) 3/19/2019 he received his 2nd Shingrix vaccine again to left deltoid. he reported 6-8 hours later that day his arm was sore at injection site with no other reactins reported (denied fever, HA, n/v/d, myalgia, arthralgia, rashes, etc).  The next day he advised his arm was sore from elbow to shoulder as if he had worked out too much or too long (lactic acid build up), and the pain worsened if he lifted his arm to 90 deg angle laterally.  He advised this 1/10 discomfort with arm at side resting would and continues to be 2-3/10 discomfort with lifting today (4/12/2019).  He can shower, lift arms overhead, use left hand and perform all ADL, but is concerned the discomfort/pain will not resolve or may worsen.  He is due to training in Oct/Nov and is concerned pushups may worsen unknown underlying problem.  He does not take any pain meds or anti-inflammatory medication for shoulder pain.  He denies any trauma, injury, twisting, wt lifting, or recent travel overseas. Subjective  Follow up entries: Patient called medical office on 5/14/2019 and 5/30/2019  to advise he continues to experience left arm/shoulder pain same as 4/12/2019.  He advised he used Motrin 800 mg 3x/day for a week and the pain resolved but now that he has stopped, the discomfort has returned.  He continues to report issues with lifting (pain) and finger joints are tender to touch at sides of middle and ring fingers (joint closest to tips of fingers).  He is looking for a diagnosis for the issues so it can be treated and not just masked with Motrin.         ----    Patient requested x-ray results.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Altered state of consciousness, Cardiac function test, Fatigue, Laboratory test
Clinical narrative: The patient reported that she started to feel extra tired and as she was shopping, she needed to sit down. This feeling progressed so she left the store to go home. However, she continued to feel worse and like she was going to "pass out," so her daughter took her to the emergency room. She did need a stretcher once she got into the ER while waiting for her turn. She was kept overnight and discharged the next day.
Age: 15.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Chronic spontaneous urticaria, Urticaria
Clinical narrative: Patient received the fluarix vaccine on 9/24/18 and 2 days later he broke out in hives all over his body after he participated in PE class at school.  Hives went away 2 hours after they began with no medication.  Since he had the flu vaccine, Patient still breaks out with hives all over body any time he exerts himself and his body tempo rises.  So in PE class or playing basketball or running outside.  He has been to a allergy specialists and they diagnosed him with Chronic Uticaria.  But there has to be answers of why and how long this can go on.  We thought by now this would have gotten better.  We can control it a bit by taking high doses of antihistamines before doing activities.
Age: 15.0
Sex: M
Vaccine: FLU4, FLU4
Symptoms: Body temperature increased, Urticaria
Clinical narrative: Patient received the fluarix vaccine on 9/24/18 and 2 days later he broke out in hives all over his body after he participated in PE class at school.  Hives went away 2 hours after they began with no medication.  Since he had the flu vaccine, Patient still breaks out with hives all over body any time he exerts himself and his body tempo rises.  So in PE class or playing basketball or running outside.  He has been to a allergy specialists and they diagnosed him with Chronic Uticaria.  But there has to be answers of why and how long this can go on.  We thought by now this would have gotten better.  We can control it a bit by taking high doses of antihistamines before doing activities.
Age: 29.0
Sex: M
Vaccine: MMR
Symptoms: Influenza, Joint stiffness, Lymphadenopathy, Rash generalised
Clinical narrative: I had flu,rash all over my body, pain and stiffness in my joints and swelling glands in my neck .It happened after 2 weeks that i took the MRR shot but i didn't use any medication because i read the booklet they gave me at the clinic.
Age: 79.0
Sex: F
Vaccine: FLU3
Symptoms: Periarthritis
Clinical narrative: frozen shoulder
Age: 21.0
Sex: F
Vaccine: MENB, TDAP
Symptoms: Erythema, Injection site erythema, Injection site urticaria, Injection site warmth, Myalgia
Clinical narrative: Patient reports same day onset of muscle tenderness to right arm and 2 days after receiving injection noted red welts to left arm that were painful to touch. Came to clinic the next day and red wheals noted to left upper arm below deltoid muscle, wheals are slightly raised and warm to touch.
Age: 21.0
Sex: F
Vaccine: MENB, TDAP
Symptoms: Tenderness, Urticaria
Clinical narrative: Patient reports same day onset of muscle tenderness to right arm and 2 days after receiving injection noted red welts to left arm that were painful to touch. Came to clinic the next day and red wheals noted to left upper arm below deltoid muscle, wheals are slightly raised and warm to touch.
Age: 62.0
Sex: F
Vaccine: MMR, VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site of injection became swollen and red within 24 hours. Swelling, redness and tenderness increased over following 4 days resulting in a bruise covering 3/4 of upper arm from the deltoid toward the elbow. Treatment: Tylenol and ice.
Age: 79.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyskinesia, Imaging procedure, Pain
Clinical narrative: on the morning of 6/3/19 the patient contacted the pharmacy stating she received a shingrix vaccine on the evening of 5/31/19 after which she had to visit the emergency room to seek treatment for pain she noted 10/10. She states emergency room staff conducted imaging studies and she was told she may be suffering from the injection of air into the muscle. She also complained of involuntary movements of the lower extremities after reciving the vaccine. She states she visited her neurologist who upon inspecting her arm noted the vaccine may have been administered too high in the deltoid. the patient states her neurologist has prescribed medications to help improve her conditions but the patient could not tell us which these were.
Age: 0.33
Sex: F
Vaccine: MMR, VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccines were given wrong age  of patient. no reaction observed
Age: 19.0
Sex: F
Vaccine: MNQ, PPV, VARCEL
Symptoms: Erythema, Pain in extremity, Pyrexia
Clinical narrative: 5/30/19: Injections given in am; Pt reports arm pain in pm. 5/31/19: Pt reports fever. 6/1-6/2/19: Pt reports fever up to 103* and redness on R upper arm.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: patient reports painful injection site for 4 days and bruising at the injection site
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Induration, Pain, Rash erythematous, Rash pruritic
Clinical narrative: Right arm was the injection site. Pt reported she noticed a rash develop the morning after the shot was given and monitored over time before coming into the store on 06/03 to inquire about her adverse reaction. She stated it was small and hard in nature and painful the morning after the shot was given but it progressively grew larger and more red and itchy in nature. On 06/03 she stated it was simply itchy and she did report having taken prednisone 5 mg tablet the day she received her vaccine. I made the recommendation to use benadryl and ibuprofen for the itchiness and pain.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Vomiting
Clinical narrative: Muscle pain,, shivering, headache, diarrhea, vomiting.
Age: 82.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Rash erythematous
Clinical narrative: Red rash . no treatment
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Within 24 hours left thigh at site of vaccination was swelling and a large rash. Within 48 hours rash had double to be about 4?x4? and was warm to the touch. Within 72 hours rash had covered top of entire thigh and into inside of thigh and was very warm to touch, tender, and red. Child was vomiting and running high fever.
Age: 5.0
Sex: F
Vaccine: DTAP, MMR, VARCEL
Symptoms: Vomiting
Clinical narrative: Within 24 hours left thigh at site of vaccination was swelling and a large rash. Within 48 hours rash had double to be about 4?x4? and was warm to the touch. Within 72 hours rash had covered top of entire thigh and into inside of thigh and was very warm to touch, tender, and red. Child was vomiting and running high fever.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Influenza like illness, Insomnia, Mobility decreased, Myalgia
Clinical narrative: When i woke up at 6am on Friday May 31 2019, I could hardly move out of bed , musles were very sore, tryed to go back to sleep but couldn't, I had some coffee to get the day going took a hot shower thinking that would help,  when i got to work I had a temp. of 101, and was still achey.  I did take tylenol before i left the house, fever did go down but was still hurting alot, felt just like the flu . slept when I got home from work and right through the night! The next day all my insides still hurt but not my musles as much. NEVER  again
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Visceral pain
Clinical narrative: When i woke up at 6am on Friday May 31 2019, I could hardly move out of bed , musles were very sore, tryed to go back to sleep but couldn't, I had some coffee to get the day going took a hot shower thinking that would help,  when i got to work I had a temp. of 101, and was still achey.  I did take tylenol before i left the house, fever did go down but was still hurting alot, felt just like the flu . slept when I got home from work and right through the night! The next day all my insides still hurt but not my musles as much. NEVER  again
Age: 21.0
Sex: F
Vaccine: FLU4, HEP, MNQ
Symptoms: Antibody test abnormal, Glycosylated haemoglobin increased, Insulin C-peptide abnormal, Type 1 diabetes mellitus
Clinical narrative: Diagnosed with type 1 diabetes at the age of 23 requiring the use of insulin for treatment
Age: 86.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity, Skin warm
Clinical narrative: Patient called 5/28/19 several hours after immunization arm very sore and warm.  Pharmacist counseled  use cold compresses and Tylenol.  Patient presented to pharmacy 6/1/19. Right arm swollen to elbow, hot to touch and painful getting worse.  Referred to er where patient was treated.  Tried to follow-up with patient 6/2/19, but patient not home.  Called patient 6/3 to follow up.  Arm improving daily and almost normal again.
Age: 9.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Pt was taken to the ED on 6/1/2019 after she developed itchy red rash on bilat cheeks that started the night before. Some swelling in hands also noted at the ED- No resp. distress. Pt received Diphenhydramine 12.5 mg 15 ml, 5 ml p.o discharged in stable condition.
Age: 37.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Arthropod bite, Blood thyroid stimulating hormone, Borrelia test negative, C-reactive protein, Capillary fragility
Clinical narrative: Patient called PCP office on 5/28/19 - c/o bruising to her arms, legs + hips 1-2 days after vaccines. Stated 3 days later noted "burst capillaries" all over her body. Menstruating-heavy period. Also stated pulled out tick over the weekend. Pt seen by PCP on 5/28 ED on 5/28 5/28-Patient seen in Emergency-Diagnosed with ITP prescribed Prednisone. Patient declined admission received IV SOLO MEDROL in ED. Followed up with Infectious Disease 5/31/19
Age: 37.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Contusion, Ehrlichia test positive, Eosinophil percentage decreased, Full blood count normal, Haematocrit decreased
Clinical narrative: Patient called PCP office on 5/28/19 - c/o bruising to her arms, legs + hips 1-2 days after vaccines. Stated 3 days later noted "burst capillaries" all over her body. Menstruating-heavy period. Also stated pulled out tick over the weekend. Pt seen by PCP on 5/28 ED on 5/28 5/28-Patient seen in Emergency-Diagnosed with ITP prescribed Prednisone. Patient declined admission received IV SOLO MEDROL in ED. Followed up with Infectious Disease 5/31/19
Age: 37.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Haemoglobin decreased, Hepatitis B core antibody negative, Immune thrombocytopenic purpura, International normalised ratio normal, Lymphocyte count normal
Clinical narrative: Patient called PCP office on 5/28/19 - c/o bruising to her arms, legs + hips 1-2 days after vaccines. Stated 3 days later noted "burst capillaries" all over her body. Menstruating-heavy period. Also stated pulled out tick over the weekend. Pt seen by PCP on 5/28 ED on 5/28 5/28-Patient seen in Emergency-Diagnosed with ITP prescribed Prednisone. Patient declined admission received IV SOLO MEDROL in ED. Followed up with Infectious Disease 5/31/19
Age: 37.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Menorrhagia, Metabolic function test
Clinical narrative: Patient called PCP office on 5/28/19 - c/o bruising to her arms, legs + hips 1-2 days after vaccines. Stated 3 days later noted "burst capillaries" all over her body. Menstruating-heavy period. Also stated pulled out tick over the weekend. Pt seen by PCP on 5/28 ED on 5/28 5/28-Patient seen in Emergency-Diagnosed with ITP prescribed Prednisone. Patient declined admission received IV SOLO MEDROL in ED. Followed up with Infectious Disease 5/31/19
Age: 37.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Monocyte count normal, Monocyte percentage, Neutrophil count normal, Platelet count decreased, Platelet morphology abnormal
Clinical narrative: Patient called PCP office on 5/28/19 - c/o bruising to her arms, legs + hips 1-2 days after vaccines. Stated 3 days later noted "burst capillaries" all over her body. Menstruating-heavy period. Also stated pulled out tick over the weekend. Pt seen by PCP on 5/28 ED on 5/28 5/28-Patient seen in Emergency-Diagnosed with ITP prescribed Prednisone. Patient declined admission received IV SOLO MEDROL in ED. Followed up with Infectious Disease 5/31/19
Age: 37.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Polymerase chain reaction, Prothrombin time, Red blood cell count decreased, Red cell distribution width increased
Clinical narrative: Patient called PCP office on 5/28/19 - c/o bruising to her arms, legs + hips 1-2 days after vaccines. Stated 3 days later noted "burst capillaries" all over her body. Menstruating-heavy period. Also stated pulled out tick over the weekend. Pt seen by PCP on 5/28 ED on 5/28 5/28-Patient seen in Emergency-Diagnosed with ITP prescribed Prednisone. Patient declined admission received IV SOLO MEDROL in ED. Followed up with Infectious Disease 5/31/19
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Patient has rash on left arm and two little rash on left side of lower chest. He received the second dose of shingrix. First dose was administered on 3/25/19.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema and swelling around anterior and lateral (R) thigh around injection site
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Middle insomnia, Muscle spasms, Pain, Ultrasound scan, X-ray
Clinical narrative: soreness 4-5 days - then started to hurt. Got worse daily. Sharp pain then muscle like cramping all over upper arm. Waking me at nite several times. Hurt to move arm or shoulder. Xray + ultrasound asst. steroid inj. Some better today - Has been over 9 weeks
Age: 6.0
Sex: M
Vaccine: MMR
Symptoms: Rash erythematous, Rash macular, Rash papular
Clinical narrative: Clustered red macular, papular rash within 1 week - resolved by 5/29/19
Age: 83.0
Sex: M
Vaccine: PNC13
Symptoms: Asthenia, Bladder catheterisation, Bladder dysfunction, Coma, Death
Clinical narrative: Total immobility, terribly weak, bladder not working within days, eventual urinary tract infection w. use of catheter. Home w cath., in a few days, another U.R.I infection. My husband was given a pneumonia shot 1/15/19 after a routine Dr's. visit, within weeks he had full blown pneumonia. He was totally immobile. He said, "get an ambulance". In Emer. room a great number of tests. Dr. looked in the room and said, "we don't know what it is!" Days later, after admission to hospital we were told it was pneumonia. In days, his bladder quit and he was sporting a catheter. In days we were in a nursing home. He received some therapy, after 30 days they said he no longer needed "nursing" care, we came home and in three days he had a UTI. Back to the hospital, wearing diapers, weak, etc. 5 days in hosp. to another nursing home. Same nursing home where our 37 yr. old grandson is a patient. After ? days, another UTI antibiotics. Not much progress. Within days, comatose, eight days in that state. Dead late in day on May 11, with hospice in attendance. What an ordeal. All this after the pneumonia shot. Every day prior to these events, he was walking on the track and the "x" (a mile!). I can provide witnesses to verify this information!
Age: 83.0
Sex: M
Vaccine: PNC13
Symptoms: Hospice care, Immobile, Laboratory test, Pneumonia, Urinary tract infection
Clinical narrative: Total immobility, terribly weak, bladder not working within days, eventual urinary tract infection w. use of catheter. Home w cath., in a few days, another U.R.I infection. My husband was given a pneumonia shot 1/15/19 after a routine Dr's. visit, within weeks he had full blown pneumonia. He was totally immobile. He said, "get an ambulance". In Emer. room a great number of tests. Dr. looked in the room and said, "we don't know what it is!" Days later, after admission to hospital we were told it was pneumonia. In days, his bladder quit and he was sporting a catheter. In days we were in a nursing home. He received some therapy, after 30 days they said he no longer needed "nursing" care, we came home and in three days he had a UTI. Back to the hospital, wearing diapers, weak, etc. 5 days in hosp. to another nursing home. Same nursing home where our 37 yr. old grandson is a patient. After ? days, another UTI antibiotics. Not much progress. Within days, comatose, eight days in that state. Dead late in day on May 11, with hospice in attendance. What an ordeal. All this after the pneumonia shot. Every day prior to these events, he was walking on the track and the "x" (a mile!). I can provide witnesses to verify this information!