chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin discolouration, Throat irritation, Vertigo, Vision blurred
Clinical narrative: (times are approx.) 9/9/15 5:15 pm  Received shot in left arm at pharmacy. 5:25 pm - Felt flush and slightly dizzy while driving home, quickly got worse, broke out into sweat, pulled over into a neighborhood.  Started to pass out. Everything in a haze.  Thought about calling 911, but wasn't getting worse.  Slowly started feeling better.  After about 5 minutes drove the short distance to home. 5:35 pm - Arrived home and was soaking wet.  Somone commented that I was gray.  Still dizzy and light headed. 6:00 pm - Still dizzy, took pulse = 56 and BP = 125/69.  Felt cold even though house was 74 degrees.  Put on warm clothes, but still felt cold.  Wrapped up in blanket in chair and rested.  Felt like when have fever with chills. 8:00 pm  Suddenly got very warm.  Felt like had fever.  Took temp = exactly 98.6. As evening went on began to notice scratchy throat and hoarseness when talking.  Had to keep clearing throat to talk. Later on noticed if close eyes it feels like head is swimming and felt unbalanced.  Don't notice much dizziness or swimming when eyes open.  When went to bed head was swimming. 9/10/16 In morning woke early with slight headache and very warm.  Head still slightly swimming.  Ate breakfast.  Felt in a haze and just didn't feel good.  Didn't want to move around very fast. Noticed left elbow joint painful  down deep in joint. As morning went on head still slightly swimming, but noticeably less. Late afternoon stopped noticing head swimming, even with eyes closed. At night, no noticeable symptoms and elbow no longer painful. 9/11/16 Woke up after sleeping solid for 9 hours.  Don't usually sleep that long. Left arm near injection site sore and red, which had not been before now.  During day redness spread some. 9/12/16 Injection site now painful to light touch. 9/13/16 New occasional aching down deep in upper arm and twinges of pain when move arm. 9/14/16  9/16/16 Aching in arm slowly diminished and no other symptoms.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Local Swelling/Redness at injection site. Pt complained of soreness and reduced range of motion.
Age: 26.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema
Clinical narrative: After vaccine was administered, patient developed red spots on her face. She was advised to take BENADRYL. She was advised to call 911 if symptoms persisted.
Age: 75.0
Sex: M
Vaccine: FLU3
Symptoms: Myalgia, Pain
Clinical narrative: After receiving the vaccine, the patient began feel muscle tenderness & pain that has not resolved.
Age: 8.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Marked swelling and erythema at injection site. Significant pruritus at affected area surrounding injection site.
Age: 25.0
Sex: F
Vaccine: HPV4, TDAP
Symptoms: Hypoaesthesia, Swelling face
Clinical narrative: Patient reported on 10/07/2016 that she had swelling on left side of face on 10/04/2016. She was seen in ER and told that they saw no swelling and she was advised to contact facility where vaccine was given. She reported that on 10/05/2016 that she was experiencing numbness in left side of face which she called and reported to health department on 10/07/2016.
Age: 31.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal stiffness, Neck pain
Clinical narrative: After injection patient developed stiffness of neck and neck pain.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Body temperature decreased, Feeling cold, Injection site pain, Injection site warmth, Peripheral coldness
Clinical narrative: Felt like I had a deep muscle bruise. No redness to the area, but hot at the injection site. 12 hours after the shot - right at bed time - my body temperature dropped and I was freezing. I couldn't get warm, especially my feet. Had to turn off all fans and AC to try to get warm. Didn't sleep well. Couldn't lay on my left side because of the pain from the injection. Woke up hot but the pain in my arm was minimal. Still sore, but no longer a deep bruise pain. Slight "hurt/bruised" feeling through Wednesday. No pain or bruised feeling on Thursday.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Poor quality sleep, Sleep disorder
Clinical narrative: Felt like I had a deep muscle bruise. No redness to the area, but hot at the injection site. 12 hours after the shot - right at bed time - my body temperature dropped and I was freezing. I couldn't get warm, especially my feet. Had to turn off all fans and AC to try to get warm. Didn't sleep well. Couldn't lay on my left side because of the pain from the injection. Woke up hot but the pain in my arm was minimal. Still sore, but no longer a deep bruise pain. Slight "hurt/bruised" feeling through Wednesday. No pain or bruised feeling on Thursday.
Age: 55.0
Sex: F
Vaccine: FLU3
Symptoms: Dizziness, Nausea
Clinical narrative: After administration of influenza vaccine, patient felt queasy and lightheaded. Participant, was taken to ER by ambulance.
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pruritus, Rash maculo-papular
Clinical narrative: Patient had itching at the site on 10/7/16. Patient had received flu shots in the past. Patient received the quadrivalent FLUZONE, came to health center on 10/11 with local macular papular rash. Patient given antihistamine and steroid cream. Patient given referrals to allergist for follow up.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Fatigue, Induration, Malaise, Mass
Clinical narrative: RED SWOLLEN ARM WITH HARD PAINFUL LUMP UNDER SKIN; GENERALLY NOT FEELING WELL; FATIGUED.
Age: 40.0
Sex: F
Vaccine: MMR
Symptoms: Pain, Peripheral swelling
Clinical narrative: RED SWOLLEN ARM WITH HARD PAINFUL LUMP UNDER SKIN; GENERALLY NOT FEELING WELL; FATIGUED.
Age: 62.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Eye irritation, Injection site erythema, Injection site pain, Malaise, Pain
Clinical narrative: Fever of 103.0 F, body aches, general malaise, irritation and burning in eyes, excessive pain in left arm (vaccine site), slight redness at site of Zoster vaccine.
Age: 62.0
Sex: F
Vaccine: FLU4, PPV, VARZOS
Symptoms: Pyrexia
Clinical narrative: Fever of 103.0 F, body aches, general malaise, irritation and burning in eyes, excessive pain in left arm (vaccine site), slight redness at site of Zoster vaccine.
Age: 34.0
Sex: F
Vaccine: FLU3
Symptoms: Chest pain, Pain in extremity, Pain in jaw, Paraesthesia oral
Clinical narrative: Patient complained about arm pain that was opposite side of injection site. Increasing pain to right arm, chest pain, tingling of lips, left jaw pain.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Rash erythematous, Rash generalised, Rash pruritic
Clinical narrative: Red Rash all over body, starting with arms and moving to other areas. Very pruritic. CLARITIN, then BENADRYL at bedtime. 10/11/16 still had some itching, but not as much.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Abdominal compartment syndrome, Abdominal distension, Abdominal operation, Bladder catheterisation, Blood lactic acid increased
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood pH decreased, Central venous catheterisation, Colitis, Colostomy, Death
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Depressed level of consciousness, Echocardiogram abnormal, Ejection fraction decreased, Endotracheal intubation, Gastrointestinal necrosis
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: General physical health deterioration, Hypoglycaemia, Hypotension, Infection, Intensive care
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Intestinal ischaemia, Intestinal resection, Intussusception, Irritability, Malaise
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Pallor, Pathology test, Synovial cyst, Transfusion, Vomiting
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 0.08
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Wound closure, Wound evisceration
Clinical narrative: Per mom, patient was fine when seen at well child visit and vaccinations on 10/4. He became irritable that night and more irritable the next day. Pt developed emesis x1 late on 10/05 and again on 10/06. Presented to outside emergency room where patient was distended, hypoglycemic, and severely ill appearing. Fluids and antibiotics given. In transport to us, required start of Dopamine. On arrival  patient was hypotensive to 42/20 and epinephrine started. Pt was obtunded and grey appearing. Intubated emergently without need for sedation. Based on tense abdomen, patient was taken emergently to the operating room. After placement of central lines and a urinary catheter, the abdomen was opened. At this point labs returned with a pH of 6.5. He was felt to have abdominal compartment syndrome. The bowel was generally ischemic, but perfusion began to improve with the abdomen open and transfusion of blood and albumin. Exploration revealed an ileo-ileal intussusception. This was able to be reduced. Additionally, the patient had dilation of the descending and sigmoid colons with thickening consistent with colitis. A portion of the sigmoid colon was resected and sent for frozen section. Ganglion cells were identified and the pathologists noted colitis was more consistent with infectious etiology. An end colostomy was brought up and the abdomen was left open with a wound vac. On initial return to the ICU, the blood pressure was improved to 60-80 systolic. The patient was making good urine. Extremity perfusion was improved. About an hour and a half later, the patient began to deteriorate again. Lactic acid was rising to >20. An echocardiogram revealed an ejection fraction of only 15%. I removed the abdominal dressing and the bowel below had clear necrosis. I re-explored him at the bedside. With evisceration of the bowel, the ejection fraction went up to 35%. On inspection, the ileum that had previously been intussuscepted was necrotic. This was approximately a foot and a half of bowel. This was resected. The remaining left colon and 1/2 of the transverse colon was now necrotic as well and was resected. The terminal ileum and right colon were viable, as was the small bowel proximal to the intussusception. The remaining bowel was placed in a silo bag. The patient continued to deteriorate. Six hours later, all visible bowel was necrotic. The patient was made comfort measures only and expired.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pain, Skin warm, Swelling
Clinical narrative: Redness, swelling the first day, then next day bright red and expanded swelling (size 5 inches wide and 2 inches high) and heat (warm area). It is also painful. Patient put ice on it, took TYLENOL and TAGAMET.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Nausea, Pyrexia
Clinical narrative: LEFT ARM BELOW DELTOID AND ABOVE ELBOW SWELLED. VERY RED AND HOT. PT ALSO COMPLAINED OF HIGH FEVER OF ABOUT 102F WITH NAUSEA AND VOMITING. PT STATED SHE WENT TO DOCTOR ON MONDAY 10/10/16 AND WAS ADMINSTERED A STERIOD SHOT BY PHYSICIAN.
Age: 65.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Vomiting
Clinical narrative: LEFT ARM BELOW DELTOID AND ABOVE ELBOW SWELLED. VERY RED AND HOT. PT ALSO COMPLAINED OF HIGH FEVER OF ABOUT 102F WITH NAUSEA AND VOMITING. PT STATED SHE WENT TO DOCTOR ON MONDAY 10/10/16 AND WAS ADMINSTERED A STERIOD SHOT BY PHYSICIAN.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Blood pressure normal, Heart rate normal, Immediate post-injection reaction, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: Patient was sitting down and influenza and HPV (GARDASIL) vaccines were given.  Mother and Grandmother were in the room and reported that patient immediately looked pale and began to stiffen his arms and then appeared to lose consciousness.  Mother called for help and patient was moved to lie down on exam table.  He was reportedly unconscious for a few seconds.  The nurse practitioners were called into the room immediately after this occurred and the patient was awake and talking but appeared pale.  The pulse ox, blood pressure, respiratory rate and heart rate were taken and all within normal limits.  EMS was called and patient was taken to closest emergency department.
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Pallor, Respiratory rate
Clinical narrative: Patient was sitting down and influenza and HPV (GARDASIL) vaccines were given.  Mother and Grandmother were in the room and reported that patient immediately looked pale and began to stiffen his arms and then appeared to lose consciousness.  Mother called for help and patient was moved to lie down on exam table.  He was reportedly unconscious for a few seconds.  The nurse practitioners were called into the room immediately after this occurred and the patient was awake and talking but appeared pale.  The pulse ox, blood pressure, respiratory rate and heart rate were taken and all within normal limits.  EMS was called and patient was taken to closest emergency department.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Abasia, Arthralgia, Back pain, Heart rate increased, Osteoarthritis
Clinical narrative: Could not put any pressure on the left leg, could not walk on it, in a lot of pain.  Swollen feet.  Increased heart rate. Went to the ER had to be wheeled around could not do anything that had to do with walking, twisting.  Lower Back pain. X-rays taken of the Pelvis degenerative changes being reported to my physician.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling, Walking aid user, Weight bearing difficulty, X-ray of pelvis and hip abnormal
Clinical narrative: Could not put any pressure on the left leg, could not walk on it, in a lot of pain.  Swollen feet.  Increased heart rate. Went to the ER had to be wheeled around could not do anything that had to do with walking, twisting.  Lower Back pain. X-rays taken of the Pelvis degenerative changes being reported to my physician.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Headache, Injection site swelling, Nausea, Vertigo, Vomiting
Clinical narrative: Developed nausea, vomiting, vertigo, headaches. Vertigo, nausea and HA have continued for the past 2.5 weeks. On 10/10/16 pt noted swelling on left shoulder at site of HPV vaccine administration. She was also give influenza vaccine on 9/21/16, but it was given in the R shoulder.
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Decreased appetite, Diarrhoea, Dyskinesia, Injection site induration, Injection site inflammation
Clinical narrative: Vomiting (resolved), unable to use right leg vaccinated with MMR and Vericella (ongoing-strange movement while crawling), Fever 102.2 resolved with Tylenol), injection site induration and inflammation (ongoing), Lethargy (ongoing), Jerky movements while sleeping (ongoing), diarrhea (resolved), poor appetite (ongoing) and congestion (ongoing).
Age: 1.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PPV, VARCEL
Symptoms: Injection site movement impairment, Lethargy, Pyrexia, Respiratory tract congestion, Vomiting
Clinical narrative: Vomiting (resolved), unable to use right leg vaccinated with MMR and Vericella (ongoing-strange movement while crawling), Fever 102.2 resolved with Tylenol), injection site induration and inflammation (ongoing), Lethargy (ongoing), Jerky movements while sleeping (ongoing), diarrhea (resolved), poor appetite (ongoing) and congestion (ongoing).
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Fatigue, Injection site rash, Nausea, Pain in extremity
Clinical narrative: Felt a little nauseated, tired, and her arm was sore. She slept in. She also reported and rash that seemed to be around the vaccination site. No complaints of swelling of the face/tongue/airway. No reaction to previous vaccinations in the past.
Age: 87.0
Sex: M
Vaccine: FLU3
Symptoms: Urticaria
Clinical narrative: Hives over back, and legs.
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Upper right arm 1/3 swollen, painful and red.
Age: 75.0
Sex: F
Vaccine: FLU3, PNC
Symptoms: Contusion, Pain
Clinical narrative: Vaccine administered by intern pharmacist. Patient received PREVNAR concurrently on same arm, with no issues. Patient described pain, bruising that has persisted for 2 weeks. Normally gets shots every year with no issues. Claims to not be on blood-thinners. Pt went to see MD on 10/10/16, and MD suggested physical therapy.
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Injection site erythema, Pyrexia
Clinical narrative: Fever, sweating, large 4-5 inch diameter area of redness at vaccination site. No warmth or heat palpated over redness at the time of evaluation by Employee Health. I referred her to clinic.
Age: 59.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous
Clinical narrative: Red rash at injection site, raised, and hot to touch. Patient took Benadryl and rash disappeared in 3 days.
Age: 15.0
Sex: F
Vaccine: FLUC4
Symptoms: Drug dispensed to wrong patient, No adverse event
Clinical narrative: At a school the teacher called for girl to come and get a vaccine. The wrong girl with the same first name was vaccinated for a flu shot. There was no adverse reaction. The child was vaccinated without a parent consent due to this mix-up.
Age: 13.0
Sex: F
Vaccine: MENB, MNQ, VARCEL
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: "I couldn't lift my arm above my elbow or move it away from my body".  Patient describes immobility secondary to pain of 8-9/10 that lasted 1 week.  Pain 4/10 with improving mobility in 2nd week following vaccination. Did not use any treatment.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Dental examination, Face and mouth X-ray, Pain in jaw
Clinical narrative: Right-sided jaw pain radiating from front teeth along jaw line to ear.
Age: 0.17
Sex: M
Vaccine: DTAP, DTAPHEPBIP, DTOX, DTP, HIBV, IPV, PPV, TD
Symptoms: Crying, Diet refusal, Injection site pain
Clinical narrative: Non-stop crying.  Unwillingness to eat. Legs (where vaccinated) are extremely sensitive to touch.
Age: 41.0
Sex: F
Vaccine: FLU4
Symptoms: Paraesthesia oral
Clinical narrative: Right side of upper and lower lip felt tingly. This persisted during the day, kind of spreading across to the left side. No trouble talking, eating, swallowing, breathing and smile is symmetrical.
Age: 56.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness, swelling, pain, burning sensation at local injection site; no system side effects.
Age: 74.0
Sex: F
Vaccine: FLU3
Symptoms: Bursitis infective, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Left elbow redness, swelling, warmth that began on 10/04/2016. Septic bursitis of elbow. Treated with BACTRIM DS x10 days.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling, Pain
Clinical narrative: Swelling at and around injection site.  Began a few hours after injection. Patient went to her doctor.  She stated that doctor said she would be sore for a few days and to apply ice.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site induration, Peripheral swelling, Skin warm
Clinical narrative: PATIENT RECEIVED TWO SHOTS, FLUZONE HD AND PNEUMOVAX23 IN HIS RIGHT ARM. THE ARM WAS RED AND SLIGHTLY SWOLLEN. IT WAS WARM TO TOUCH. THERE WAS NO REMARKABLE HARDNESS IN THE INJECTION AREA. ADVISED PATIENT TO TAKE TYLENOL AND USE ICE TO BRING SWELLING DOWN.
Age: 2.0
Sex: M
Vaccine: DTAPIPVHIB, HEPA, MMRV, PNC13
Symptoms: Seizure
Clinical narrative: Patient's mother reports that patient had a seizure the very next day after the MMRV vaccine.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Arm swollen after vaccine internally, minimal outside swelling.
Age: 71.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Rash, Urticaria
Clinical narrative: PATIENT GRADUALLY STARTED TO BREAK OUT IN A RASH...GOT PROGRESSIVELY WORSE OVER THE NEXT COUPLE OF WEEKS.  SOUGHT TREATMENT FOR HIVES ON 10/11/2016.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Dysphagia, Throat tightness
Clinical narrative: Pt was feeling like she couldn't swallow and that her throat was closing. Provider was informed and 0.5 mL of benadryl was given to pt.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Altered state of consciousness, Dyskinesia, Erythema, Hypotension, Loss of consciousness
Clinical narrative: After administering flu shot, he indicated he was feeling "funny" like he wanted to pass out - shortly thereafter he did. His color changed to a pink/reddish color - then suddenly sort of jerked a bit like someone startled - like trying to get up out of chair (but was not lucid) - then after a few seconds he seemed to be fully lucid and his color changed to a pale color. EMS arrived and they noted his blood pressure was very low.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Pallor
Clinical narrative: After administering flu shot, he indicated he was feeling "funny" like he wanted to pass out - shortly thereafter he did. His color changed to a pink/reddish color - then suddenly sort of jerked a bit like someone startled - like trying to get up out of chair (but was not lucid) - then after a few seconds he seemed to be fully lucid and his color changed to a pale color. EMS arrived and they noted his blood pressure was very low.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Pt had her arm swollen at the injection site, was a little red and her arm was sore.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Fatigue, Headache, Heart rate increased, Migraine
Clinical narrative: Woke up with muscle and joint pains, heart rate in the 100s, fever, and severe headache, with sharp, shooting pain in both sides of the head (occipital, parietal areas).  Managed with tylenol and ibuprofen every 4-6 hours.  Symptoms persisted beyond 24 hrs, fever went up to as high as 102.7F.  Today is day 4 after vaccine administration. I currently have 100.9 temp, heartrate at 104, my normal is between 70-80. fatigue and muscle and joint pains have subsided, but headache/migraine remains, so do the periodic stabbing pain on bilateral areas in my head. Fever subsides with tylenol, but headache is persistent even with ibuprofen.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: Woke up with muscle and joint pains, heart rate in the 100s, fever, and severe headache, with sharp, shooting pain in both sides of the head (occipital, parietal areas).  Managed with tylenol and ibuprofen every 4-6 hours.  Symptoms persisted beyond 24 hrs, fever went up to as high as 102.7F.  Today is day 4 after vaccine administration. I currently have 100.9 temp, heartrate at 104, my normal is between 70-80. fatigue and muscle and joint pains have subsided, but headache/migraine remains, so do the periodic stabbing pain on bilateral areas in my head. Fever subsides with tylenol, but headache is persistent even with ibuprofen.
Age: 17.0
Sex: F
Vaccine: FLU3
Symptoms: Blood glucose abnormal, Syncope
Clinical narrative: Fainted approximately 5 minutes after receiving flu shot. Already seated. Immediately laid down with feet elevated and regained consciousness.
Age: 46.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Dizziness, Pain in extremity, Pyrexia
Clinical narrative: Debilitating arm pain. Every joint  in my body aches. Dizzy. Fever. Chills.
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Pyrexia
Clinical narrative: Patient's wife came in later and said that patient had fever and chills.  She reported it started sometime after he got home.
Sex: U
Vaccine: HPV9
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: This spontaneous report as received from a nurse refers to an unknown number of patients of unknown age and gender. On an unknown dates, the patients were vaccinated with improperly stored doses of GARDASIL 9 lot # M020103 with expiration date 15-FEB-2018 (dose and route of administration were not reported). No adverse effects were reported. Administered doses of vaccines experienced the temperature excursion of 11.8 degrees Celsius for 1 hour 3 minutes. Data logger was involved. There was previous excursion of 10.2 Celsius for 1 hour 3 minutes. This is one of several reports received from the same reporter. Additional information has been requested.
Age: 47.0
Sex: F
Vaccine: FLU4, HEP, HEPA, MMR, TD
Symptoms: Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Erythematous, macular rash over chest that started 1 days post-vaccination. Subjective mild fever.
Age: 1.25
Sex: M
Vaccine: FLU4, HEPA, HIBV
Symptoms: Allergy test positive, Blood test abnormal, Culture stool positive, Food allergy, Gastrointestinal disorder
Clinical narrative: The first signs and symptoms that I noticed were redness, swelling and tracking in his thigh. The redness had warmth to it and continued to grow over a week long period and got to the size of a golf ball in his thigh. He still has a knot and discoloration in his thigh over six months later. Since this vaccine he has started having life threatening food allergies and has been hospitalized twice for that. He has also started losing blood, having bowel disorders, now has an immune deficiency, is constantly sick. He has regressed and made no language progression in over six months. He is an incredibly sick child and was not prior to these vaccinations on 3/22/2016.
Age: 1.25
Sex: M
Vaccine: FLU4, HEPA, HIBV
Symptoms: Haemorrhage, Immunodeficiency, Injection site discolouration, Injection site erythema, Injection site nodule
Clinical narrative: The first signs and symptoms that I noticed were redness, swelling and tracking in his thigh. The redness had warmth to it and continued to grow over a week long period and got to the size of a golf ball in his thigh. He still has a knot and discoloration in his thigh over six months later. Since this vaccine he has started having life threatening food allergies and has been hospitalized twice for that. He has also started losing blood, having bowel disorders, now has an immune deficiency, is constantly sick. He has regressed and made no language progression in over six months. He is an incredibly sick child and was not prior to these vaccinations on 3/22/2016.
Age: 1.25
Sex: M
Vaccine: FLU4, HEPA, HIBV
Symptoms: Injection site swelling, Injection site warmth, Laboratory test, Malaise, Regressive behaviour
Clinical narrative: The first signs and symptoms that I noticed were redness, swelling and tracking in his thigh. The redness had warmth to it and continued to grow over a week long period and got to the size of a golf ball in his thigh. He still has a knot and discoloration in his thigh over six months later. Since this vaccine he has started having life threatening food allergies and has been hospitalized twice for that. He has also started losing blood, having bowel disorders, now has an immune deficiency, is constantly sick. He has regressed and made no language progression in over six months. He is an incredibly sick child and was not prior to these vaccinations on 3/22/2016.
Age: 1.25
Sex: M
Vaccine: FLU4, HEPA, HIBV
Symptoms: Speech disorder developmental
Clinical narrative: The first signs and symptoms that I noticed were redness, swelling and tracking in his thigh. The redness had warmth to it and continued to grow over a week long period and got to the size of a golf ball in his thigh. He still has a knot and discoloration in his thigh over six months later. Since this vaccine he has started having life threatening food allergies and has been hospitalized twice for that. He has also started losing blood, having bowel disorders, now has an immune deficiency, is constantly sick. He has regressed and made no language progression in over six months. He is an incredibly sick child and was not prior to these vaccinations on 3/22/2016.
Sex: U
Vaccine: VARZOS
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: Information has been received from a pharmacy technician concerning multiple unspecified patients of unknown age and gender. No pertinent medical history, drug reactions, allergies or concurrent conditions were reported. On unspecified dates, the patients were vaccinated with improperly stored unspecified doses of ZOSTAVAX (lot number L040443 with an expiration date of 15-JAN-2017) (strength, dosage schedule, route and anatomical location were not reported). It was also reported that other multiple unspecified patients were vaccinated with VARIVAX (Captured in MARRS# 1610USA004193). No other suspect and concomitant medications were provided. There was no adverse effect reported. No product quality complaint was involved. This is one of two reports received from the same reporter. Additional information has been requested.
Sex: U
Vaccine: VARCEL
Symptoms: Incorrect product storage, No adverse event
Clinical narrative: Information has been received from a pharmacy technician concerning multiple unspecified patients of unknown age and gender. No pertinent medical history, drug reactions, allergies or concurrent conditions were reported. On unspecified dates, the patients were vaccinated with improperly stored unspecified doses of with (Oka/Merck) VARIVAX (lot number L018001 with an expiration date of 19-MAY-2017) (strength, dosage schedule, route and anatomical location were not reported). It was also reported that other multiple unspecified patients were vaccinated with ZOSTAVAX (Captured in MARRS# 1610USA004091). No other suspect and concomitant medications were provided. There was no adverse effect reported. No product quality complaint was involved. This is one of two reports received from the same reporter. Additional information has been requested.
Age: 70.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Asthenia, Blood pressure increased, Blood test normal, Cardiac stress test normal, Chest discomfort
Clinical narrative: At approximately 3:00am on 10/04/16, patient awoke with her chest feeling heavy. She felt that her heart was beating heavily. She went back to sleep then awoke again shaking and feeling cold, heart still felt like it was beating fast/strong. She again fell back to sleep. She awoke at 6:00 AM(when she normally would prepare for work) but felt very tired and weak, her chest still felt heavy. She had recently (7/30/16) suffered a stroke so she was worried that something serious was happening. Her right arm at the site where she had received the PREVNAR 13 vaccine was red and raised. She measured her blood pressure and found it to be 144/102 (her usual reading would be 135/75), her heart rate was 113 (her usual was appx 70). She took her blood pressure medication and a low dose aspirin. She called 911. The EMT found her to have a low grade fever (100.3). She was given an EKG. She was told that she was having PVC's at the rate of 1 every 5 seconds. Her blood work and stress test were normal. She had an elevated WBC which was expected due to her fever. Doctor diagnosed her to have had an adverse reaction to her PREVNAR 13 vaccine. Over time, (2-3 hours) she felt better and her symptoms went away. She was discharged.
Age: 70.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Electrocardiogram, Fatigue, Feeling cold, Heart rate increased, Injection site erythema
Clinical narrative: At approximately 3:00am on 10/04/16, patient awoke with her chest feeling heavy. She felt that her heart was beating heavily. She went back to sleep then awoke again shaking and feeling cold, heart still felt like it was beating fast/strong. She again fell back to sleep. She awoke at 6:00 AM(when she normally would prepare for work) but felt very tired and weak, her chest still felt heavy. She had recently (7/30/16) suffered a stroke so she was worried that something serious was happening. Her right arm at the site where she had received the PREVNAR 13 vaccine was red and raised. She measured her blood pressure and found it to be 144/102 (her usual reading would be 135/75), her heart rate was 113 (her usual was appx 70). She took her blood pressure medication and a low dose aspirin. She called 911. The EMT found her to have a low grade fever (100.3). She was given an EKG. She was told that she was having PVC's at the rate of 1 every 5 seconds. Her blood work and stress test were normal. She had an elevated WBC which was expected due to her fever. Doctor diagnosed her to have had an adverse reaction to her PREVNAR 13 vaccine. Over time, (2-3 hours) she felt better and her symptoms went away. She was discharged.
Age: 70.0
Sex: F
Vaccine: FLUA3, PNC13
Symptoms: Injection site swelling, Pyrexia, Tremor, Vaccination complication, Ventricular extrasystoles
Clinical narrative: At approximately 3:00am on 10/04/16, patient awoke with her chest feeling heavy. She felt that her heart was beating heavily. She went back to sleep then awoke again shaking and feeling cold, heart still felt like it was beating fast/strong. She again fell back to sleep. She awoke at 6:00 AM(when she normally would prepare for work) but felt very tired and weak, her chest still felt heavy. She had recently (7/30/16) suffered a stroke so she was worried that something serious was happening. Her right arm at the site where she had received the PREVNAR 13 vaccine was red and raised. She measured her blood pressure and found it to be 144/102 (her usual reading would be 135/75), her heart rate was 113 (her usual was appx 70). She took her blood pressure medication and a low dose aspirin. She called 911. The EMT found her to have a low grade fever (100.3). She was given an EKG. She was told that she was having PVC's at the rate of 1 every 5 seconds. Her blood work and stress test were normal. She had an elevated WBC which was expected due to her fever. Doctor diagnosed her to have had an adverse reaction to her PREVNAR 13 vaccine. Over time, (2-3 hours) she felt better and her symptoms went away. She was discharged.