chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: M
Vaccine: FLU4
Symptoms: Underdose
Clinical narrative: received an invalid dose of 0.25 mL instead of 0.5 mL/no AE; Initial information received on 15-Oct-2019 regarding an unsolicited valid non-serious case received from a other health professional.  This case is linked to case 2019SA288673 (same reporter).  This case involves a 17 years old male patient who received 0.25 ml single dose instead of 0.5 ml dose of vaccine INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] on 01-Oct-2019 (lot U6653BD via intramuscular route in the right deltoid).  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included TETANUS VACCINE TOXOID (TETANUS TOXOID).  It was of actual medication error due to vaccine underdose.  It was unknown whether adverse event was experienced or not.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Sex: U
Vaccine: TDAP
Symptoms: Vaccination complication
Clinical narrative: an adverse reaction 10-minutes after injection; Initial information received on 23-Oct-2019 regarding an unsolicited valid non-serious case received from a consumer/non-health care professional.  This case involves a patient of unknown demography who experienced an adverse reaction 10-minutes after injection (vaccination complication), while he/she received vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL].  The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided.  On 09-Oct-2019, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot number not reported via unknown route in unknown administration site.  On an unknown date, 10 minutes after the vaccination the patient experienced an adverse reaction 10-minutes after injection (vaccination complication).  (Other relevant tests included no lab data.)  Final diagnosis was vaccination adverse reaction.  It was not reported if the patient received a corrective treatment.  The outcome of the event was unknown at the time of reporting.  Information on the batch number was requested.
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Amyotrophic lateral sclerosis, Arthralgia, Arthritis, Dysarthria, Dysphagia
Clinical narrative: Both doses of vaccine caused a severe headache unbearable arthritis pain gout like symptoms in ankles lethargy and myalgia. Approximately 8 weeks after second vaccine I started having some slurred speech along with decreased dexterity in my right arm. By February I began to have difficulty swallowing and began losing weight. Then in June started with muscle twitching and lower extremity muscle cramping. In right arm and hips and spine have intense inflammation. This has now been diagnosed ALS. Walked 5 miles daily now and stood 8-12 hours a day as a healthcare professional. Have had flu shot every year with no problem until Shingrix involvement
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Electromyogram, Fine motor skill dysfunction, Gout, Headache, Inflammation
Clinical narrative: Both doses of vaccine caused a severe headache unbearable arthritis pain gout like symptoms in ankles lethargy and myalgia. Approximately 8 weeks after second vaccine I started having some slurred speech along with decreased dexterity in my right arm. By February I began to have difficulty swallowing and began losing weight. Then in June started with muscle twitching and lower extremity muscle cramping. In right arm and hips and spine have intense inflammation. This has now been diagnosed ALS. Walked 5 miles daily now and stood 8-12 hours a day as a healthcare professional. Have had flu shot every year with no problem until Shingrix involvement
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Lethargy, Magnetic resonance imaging, Muscle spasms, Muscle twitching, Myalgia
Clinical narrative: Both doses of vaccine caused a severe headache unbearable arthritis pain gout like symptoms in ankles lethargy and myalgia. Approximately 8 weeks after second vaccine I started having some slurred speech along with decreased dexterity in my right arm. By February I began to have difficulty swallowing and began losing weight. Then in June started with muscle twitching and lower extremity muscle cramping. In right arm and hips and spine have intense inflammation. This has now been diagnosed ALS. Walked 5 miles daily now and stood 8-12 hours a day as a healthcare professional. Have had flu shot every year with no problem until Shingrix involvement
Age: 55.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Weight decreased
Clinical narrative: Both doses of vaccine caused a severe headache unbearable arthritis pain gout like symptoms in ankles lethargy and myalgia. Approximately 8 weeks after second vaccine I started having some slurred speech along with decreased dexterity in my right arm. By February I began to have difficulty swallowing and began losing weight. Then in June started with muscle twitching and lower extremity muscle cramping. In right arm and hips and spine have intense inflammation. This has now been diagnosed ALS. Walked 5 miles daily now and stood 8-12 hours a day as a healthcare professional. Have had flu shot every year with no problem until Shingrix involvement
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt was administered 3 doses of Shingrix. Pt had appropirate interval in between dose 1 and dose 2 and 3rd dose was not indicated. Contacted pt and pt states he did not incur any adverse reaction that he was aware of.
Age: 57.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Injection site inflammation, Limb discomfort, Pain in extremity
Clinical narrative: Patient arm was sore and painful. Developed cellulitis 10-12cm on left arm around bicep. Went to urgent care and prescribed Doxycyline. Received vaccines on 10/25/19. Developed soreness and inflammation on 10/28/19 and diagnosed as cellulitis.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL, MMR, PNC13, VARCEL
Symptoms: Constipation, Decreased appetite, Diet refusal, Fatigue, Hyperhidrosis
Clinical narrative: Before shots: Never a picky eater and ate a ton! Day of shots, he became picky and refusing foods and liquids. Becomes constipated (Never was, Would poop everyday-soft) and hardly any wet diapers though out the day. became very fussy and attached. fever off and on 10/26-10/29. Fever ranged through out the day 99.9-103 degrees F. Skin was constantly on fire . broke out in bumps/red dots all over body- face, back, stomach, legs arms, thighs. Rash for one and half days on inner right thigh. did itch at time to time 10/28-10/30. had runny nose off and on. became very tired and exhausted. the nights of 10/26-10/28 my poor baby boy's skin was super hot like fire but constantly sweating.  Very Groggy eyes. Went to the DR. 10/28 said "he will be fine" 10/30 and my son is still very constipated! still has the bumps/red dots! has gone down but still picky eater and not eating like he use to before shots.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL, MMR, PNC13, VARCEL
Symptoms: Injection site rash, Irritability, Pruritus, Pyrexia, Rash
Clinical narrative: Before shots: Never a picky eater and ate a ton! Day of shots, he became picky and refusing foods and liquids. Becomes constipated (Never was, Would poop everyday-soft) and hardly any wet diapers though out the day. became very fussy and attached. fever off and on 10/26-10/29. Fever ranged through out the day 99.9-103 degrees F. Skin was constantly on fire . broke out in bumps/red dots all over body- face, back, stomach, legs arms, thighs. Rash for one and half days on inner right thigh. did itch at time to time 10/28-10/30. had runny nose off and on. became very tired and exhausted. the nights of 10/26-10/28 my poor baby boy's skin was super hot like fire but constantly sweating.  Very Groggy eyes. Went to the DR. 10/28 said "he will be fine" 10/30 and my son is still very constipated! still has the bumps/red dots! has gone down but still picky eater and not eating like he use to before shots.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL, MMR, PNC13, VARCEL
Symptoms: Rash erythematous, Rhinorrhoea, Skin warm, Somnolence
Clinical narrative: Before shots: Never a picky eater and ate a ton! Day of shots, he became picky and refusing foods and liquids. Becomes constipated (Never was, Would poop everyday-soft) and hardly any wet diapers though out the day. became very fussy and attached. fever off and on 10/26-10/29. Fever ranged through out the day 99.9-103 degrees F. Skin was constantly on fire . broke out in bumps/red dots all over body- face, back, stomach, legs arms, thighs. Rash for one and half days on inner right thigh. did itch at time to time 10/28-10/30. had runny nose off and on. became very tired and exhausted. the nights of 10/26-10/28 my poor baby boy's skin was super hot like fire but constantly sweating.  Very Groggy eyes. Went to the DR. 10/28 said "he will be fine" 10/30 and my son is still very constipated! still has the bumps/red dots! has gone down but still picky eater and not eating like he use to before shots.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL, MMR, PNC13, VARCEL
Symptoms: Constipation, Decreased appetite, Diarrhoea, Hyperhidrosis, Injection site rash
Clinical narrative: Before shots: Never a picky eater and ate a ton! Day of shots, he became picky and refusing foods and liquids. Becomes constipated (Never was, Would poop everyday-soft) and hardly any wet diapers though out the day. became very fussy and attached. fever off and on 10/26-10/29. Fever ranged through out the day 99.9-103 degrees F. Skin was constantly on fire . broke out in bumps/red dots all over body- face, back, stomach, legs arms, thighs. Rash for one and half days on inner right thigh. did itch at time to time 10/28-10/30. had runny nose off and on. became very tired and exhausted. the nights of 10/26-10/28 my poor baby boy's skin was super hot like fire but constantly sweating.  Very Groggy eyes. Went to the DR. 10/28 said "he will be fine" 10/30 and my son is still very constipated! still has the bumps/red dots! has gone down but still picky eater and not eating like he use to before shots.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13, VARCEL, MMR, PNC13, VARCEL
Symptoms: Irritability, Pyrexia, Rash, Rash erythematous
Clinical narrative: Before shots: Never a picky eater and ate a ton! Day of shots, he became picky and refusing foods and liquids. Becomes constipated (Never was, Would poop everyday-soft) and hardly any wet diapers though out the day. became very fussy and attached. fever off and on 10/26-10/29. Fever ranged through out the day 99.9-103 degrees F. Skin was constantly on fire . broke out in bumps/red dots all over body- face, back, stomach, legs arms, thighs. Rash for one and half days on inner right thigh. did itch at time to time 10/28-10/30. had runny nose off and on. became very tired and exhausted. the nights of 10/26-10/28 my poor baby boy's skin was super hot like fire but constantly sweating.  Very Groggy eyes. Went to the DR. 10/28 said "he will be fine" 10/30 and my son is still very constipated! still has the bumps/red dots! has gone down but still picky eater and not eating like he use to before shots.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Injection site bruising, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: new onset, bruising, heat, swelling and pain after flu vaccine 2 weeks ago. She denies any injury or trauma to the area shoulder pain. Symptoms:  shoulder pain, shoulder stiffness, localized bruising, localized swelling, localized redness, localized warmth, localized weakness and decreased range of motion at the shoulder. The patient is currently experiencing symptoms. Associated symptoms:  arm pain and nausea, but no fever, no chills, no rash and no neck pain. Current treatment includes ice, activity modification, acetaminophen and ibuprofen. By report, there is good adherence with treatment, good tolerance of treatment and poor symptom control.   Given Toradol and solumedrol.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Musculoskeletal stiffness, Pain in extremity, X-ray limb normal
Clinical narrative: new onset, bruising, heat, swelling and pain after flu vaccine 2 weeks ago. She denies any injury or trauma to the area shoulder pain. Symptoms:  shoulder pain, shoulder stiffness, localized bruising, localized swelling, localized redness, localized warmth, localized weakness and decreased range of motion at the shoulder. The patient is currently experiencing symptoms. Associated symptoms:  arm pain and nausea, but no fever, no chills, no rash and no neck pain. Current treatment includes ice, activity modification, acetaminophen and ibuprofen. By report, there is good adherence with treatment, good tolerance of treatment and poor symptom control.   Given Toradol and solumedrol.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Facial pain, Headache, Influenza, Pain, Pulmonary pain
Clinical narrative: "flu symptoms" headache, aching in face and body, vomiting, runny nose, "lungs hurt"
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: "flu symptoms" headache, aching in face and body, vomiting, runny nose, "lungs hurt"
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Burning sensation, Lymphadenopathy, Paraesthesia
Clinical narrative: Burning and tingling in left arm with Lymph node enlargement.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Choking sensation
Clinical narrative: choking sensation in the back of the throat 15 minutes after receiving the vaccine. No other symptoms. Symptom reported 24 hours later and was decreasing.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: PT COMPLAINED OF LINGERING PAIN ON THE LEFT ARM AFTER RECEIVING THE FLU SHOT. THE PAIN HAS BEEN ONGOING FOR OVER A WEEK
Age: 57.0
Sex: F
Vaccine: FLUN4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There were no symptoms noted, only reported due to giving outside of recommended age range.
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Headache, Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: Developed pain in right arm, large rectangular area became, red, headache, pain from lower right skull though neck and arm, restricted motion in elevating arm
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Immediate post-injection reaction, Injection site erythema, Nausea
Clinical narrative: Immediately after receiving Shingrix the patient's arm began to swell and turn red at the injection site.  The patient reported feeling nauseous, lightheaded, and weak; as if the room were spinning.  Daughter took him to the Emergency Department, where he was further observed.  He was later discharged.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Peripheral swelling, Vertigo
Clinical narrative: Immediately after receiving Shingrix the patient's arm began to swell and turn red at the injection site.  The patient reported feeling nauseous, lightheaded, and weak; as if the room were spinning.  Daughter took him to the Emergency Department, where he was further observed.  He was later discharged.
Age: 72.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Erythema, Peripheral swelling, Tenderness
Clinical narrative: Patient presented with a very large area of redness, that extended down the inner arm almost to the elbow. Patient reported it was very tender and somewhat swollen. Advised patient to take ibuprofen for inflammation and to monitor for worsening. Within a day or two, the symptoms had resolved.
Age: 20.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dyspnoea, Oxygen saturation decreased, Throat tightness
Clinical narrative: 8:47am: Pt given influenza vaccine to L deltoid IM 8:50am: Felt difficulty breathing, throat closing sensation, able to talk, placed pt on the exam table to lie down, Pulse 101, Pulse ox 92% 8:52am: Given epipen to R thigh IM, called 911/security 8:54am: BP 109/66 P: 95 Pulse ox 95% 8:55am: Given oxygen mask non rebreather 8:56am: 99/66 P: 91 Pulse ox 99% 9:01am: 100/63 P: 94 Pulse ox 99%, oxygen mask removed, pt reports feeling better.  Temp 97 F  9:03am: Fire department and Security arrived 9:08am: EMS arrived, evaluated pt 9:14am: EMS left, pt transferred via stairchair to Hospital EMS
Age: 20.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Chills, Cough, Dyspnoea, Headache, Insomnia
Clinical narrative: 8:47am: Pt given influenza vaccine to L deltoid IM 8:50am: Felt difficulty breathing, throat closing sensation, able to talk, placed pt on the exam table to lie down, Pulse 101, Pulse ox 92% 8:52am: Given epipen to R thigh IM, called 911/security 8:54am: BP 109/66 P: 95 Pulse ox 95% 8:55am: Given oxygen mask non rebreather 8:56am: 99/66 P: 91 Pulse ox 99% 9:01am: 100/63 P: 94 Pulse ox 99%, oxygen mask removed, pt reports feeling better.  Temp 97 F  9:03am: Fire department and Security arrived 9:08am: EMS arrived, evaluated pt 9:14am: EMS left, pt transferred via stairchair to Hospital EMS
Age: 20.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Oropharyngeal pain, Throat tightness
Clinical narrative: 8:47am: Pt given influenza vaccine to L deltoid IM 8:50am: Felt difficulty breathing, throat closing sensation, able to talk, placed pt on the exam table to lie down, Pulse 101, Pulse ox 92% 8:52am: Given epipen to R thigh IM, called 911/security 8:54am: BP 109/66 P: 95 Pulse ox 95% 8:55am: Given oxygen mask non rebreather 8:56am: 99/66 P: 91 Pulse ox 99% 9:01am: 100/63 P: 94 Pulse ox 99%, oxygen mask removed, pt reports feeling better.  Temp 97 F  9:03am: Fire department and Security arrived 9:08am: EMS arrived, evaluated pt 9:14am: EMS left, pt transferred via stairchair to Hospital EMS
Age: 15.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Cold sweat, Confusional state, Drooling, Eye movement disorder, Feeling abnormal
Clinical narrative: Patient came into the office for a nurse visit for his first Hep A and first HPV vaccine per PCP Vaccines were administered in opposite arms  After vaccines were given, I went over VIS and return dates for #2 of each vaccine Noticed patient was getting clammy and pale Asked if he was ok Eyes glassed over and rolled into the back of his head Patient then leaned forward becoming limp, I was able to catch him and lay him down on exam table Patient began full body convulsing and drooling  I turned him onto his left side and called for Dr. to assist Convulsions lasted approx 10 seconds Dr. entered room and patient regained consciousness He was dazed and confused Unsure who we were and asked for space We gave him space as he regained consciousness Dr. stayed with patient and his mom while I got him a cup of water Mom denies prior history of seizures, fainting or reactions from vaccines  Patient drank water and felt better Dr. (patient's pcp) came in to see patient and follow up was made for next week Mom will call if there are any concerns or questions in the meantime  Patient walked out of office unassisted and stable
Age: 15.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Glassy eyes, Hypotonia, Loss of consciousness, Pallor, Seizure
Clinical narrative: Patient came into the office for a nurse visit for his first Hep A and first HPV vaccine per PCP Vaccines were administered in opposite arms  After vaccines were given, I went over VIS and return dates for #2 of each vaccine Noticed patient was getting clammy and pale Asked if he was ok Eyes glassed over and rolled into the back of his head Patient then leaned forward becoming limp, I was able to catch him and lay him down on exam table Patient began full body convulsing and drooling  I turned him onto his left side and called for Dr. to assist Convulsions lasted approx 10 seconds Dr. entered room and patient regained consciousness He was dazed and confused Unsure who we were and asked for space We gave him space as he regained consciousness Dr. stayed with patient and his mom while I got him a cup of water Mom denies prior history of seizures, fainting or reactions from vaccines  Patient drank water and felt better Dr. (patient's pcp) came in to see patient and follow up was made for next week Mom will call if there are any concerns or questions in the meantime  Patient walked out of office unassisted and stable
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Cold sweat, Immediate post-injection reaction, Loss of consciousness, Seizure
Clinical narrative: Client was anxious but cooperative prior to administration of vaccines.  Client received Tdap first and Menactra second in left deltoid, then Gardasi in the right deltoid. Immediately after receiving the Gardasil, the client lost consciousness and subsequently had a syncopal seizure, lasting maybe 30 - 60 seconds? Client was cold and clammy. The child's grandmother and myself had to hold onto him to keep him  from sliding off exam bench. Client regained consciousness slowly and  stated he didn't remember what happened.  Vitals were taken and were WNL. When client appeared to be fully recovered, he left with his grandmother,stating he felt fine.
Sex: U
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverde effect were reprted; A patient was administered a dose of improperly stored VARIVAX; This spontaneous report was received from a nurse, referring to a patient of unknown age and gender. The patient's medical history, previous drug reactions, allergies and concurrent conditions were not disclosed. The concomitant therapies included sterile diluent (it could not be determined if it was properly stored).  On an unknown date, the patient was vaccinated with a dose of varicella virus vaccine live (oka/merck) (VARIVAX) administered subcutaneously for prophylaxis (strength, dose number, frequency and anatomical injection site were not reported), lot # S015460 and expiration date 20-MAY-2021.  On 15-OCT-2019, it was noticed that this vaccine had been on a temperature excursion and was stored at minus (-) 11.5 degrees Celsius during 76 hours; but it was also noted that there had not been a previous temperature excursion.  At the time of this report, there were no adverse events reported. Digital data logger was involved.
Sex: U
Vaccine: RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: improperly stored dose of ROTATEQ  was administered to patient; no adverse effects reported; This spontaneous report was received from a medical assistant regarding a patient of unknown age and gender. There was no information reported about the patient's concomitant medications, pertinent medical history and drug reactions or allergies.   On 18-OCT-2019, the patient was vaccinated with an improperly stored dose of rotavirus vaccine, live, oral, pentavalent (ROTATEQ) for prophylaxis (lot number R035369 and expiration date 10-OCT-2020 have been verified to be a valid; strength, dose, route of administration, anatomical site,). The vaccine was exposed to the lowest temperature below 36 Fahrenheit degrees (33.8 Fahrenheit degrees) during a time frame of 6 hours and 48 minutes. There was no previous temperature excursion and the call was because of a data logger. No adverse effects reported.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Swollen tongue
Clinical narrative: Mild swelling of tongue. Started 15 minutes after vaccination. No trouble breathing reported. Resolved on its own within a few hours without any treatment
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dysgeusia, Headache, Nausea, Pyrexia
Clinical narrative: Patient told us 13 days after receiving the vaccine that she had the following symptoms: woozy within 5-10 minutes, nausea/vomiting, fever, headache, projectile vomiting, mercury taste in her mouth.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting, Vomiting projectile
Clinical narrative: Patient told us 13 days after receiving the vaccine that she had the following symptoms: woozy within 5-10 minutes, nausea/vomiting, fever, headache, projectile vomiting, mercury taste in her mouth.
Age: 67.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Chest X-ray normal, Exostosis, Injected limb mobility decreased, Limb discomfort, Musculoskeletal pain
Clinical narrative: I woke up with excruciating pain the the right scapular area, medial aspect) . Pain was sharp and constant. No fever, nausea or vomiting. The following day, Oct 27, Sunday, on top of the scapular pain I felt pain and heaviness of the right upper arm and forearm. Pain was felt more on abduction of the right arm. There was little pain on elevation of the right arm and pain on elevation of the left arm ( could only go midway). I felt pain on reaching out  forward of the right and left arms.  I applied alternating cold and hot therapy on the right scapular area with massage in between. I took Ibubrofen  500 mg in the morning and 500 mg in the evening.  Today 10/30, the symptoms persist.
Age: 67.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Osteopenia, Pain, Pain in extremity, Spinal X-ray abnormal
Clinical narrative: I woke up with excruciating pain the the right scapular area, medial aspect) . Pain was sharp and constant. No fever, nausea or vomiting. The following day, Oct 27, Sunday, on top of the scapular pain I felt pain and heaviness of the right upper arm and forearm. Pain was felt more on abduction of the right arm. There was little pain on elevation of the right arm and pain on elevation of the left arm ( could only go midway). I felt pain on reaching out  forward of the right and left arms.  I applied alternating cold and hot therapy on the right scapular area with massage in between. I took Ibubrofen  500 mg in the morning and 500 mg in the evening.  Today 10/30, the symptoms persist.
Age: 75.0
Sex: M
Vaccine: FLUA3
Symptoms: Injection site rash
Clinical narrative: Patient was administered Fluad  in the pharmacy and went home with no signs or symptoms.  A few days later, patient noted a severe rash around the site of injection.  Patient was advised to visit a doctor to get himself checked out.
Age: 70.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt. experienced redness and swelling on left upper arm near injection site which has moved to inner upper arm area. Slightly warm to touch.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Chills, Nausea, Pain, Pyrexia
Clinical narrative: Got flu shot in am. By afternoon, had body aches. By early evening, had fever, chills, nausea and weakness lasting until early morning. No fever by 7am next morning.
Age: 60.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: Swelling and redness at the injection site that spread to middle forearm.
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Pain in extremity, Paraesthesia
Clinical narrative: Pt called and complained of tingling sensation in her arm after she got the flu shot on 9/24/19. Per pt, the pain didn't go away and still persists until now. Per pt, no redness, but cannot raise arm past her shoulder. She feels that range of motion is limited.
Age: 38.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Influenza like illness, Malaise, Pain in extremity
Clinical narrative: PATIENTS REPORTS A VERY SORE ARM AND FLU=LIKE SYMPTOMS INITIALLY...MISSED THREE DAYS OF WORK. CONTINUES TO FEEL ILL AND LIGHT HEADED/DIZZY
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Insomnia, Muscle twitching, Myalgia, Pain
Clinical narrative: Fatigue, muscular pain, stabbing pain all over body,fever,Unable to sleep, twitches,
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Fatigue, muscular pain, stabbing pain all over body,fever,Unable to sleep, twitches,
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Dysuria, Gait disturbance, Immunoglobulin therapy, Intensive care, Magnetic resonance imaging abnormal
Clinical narrative: THE PATIENT PRESENTED TO A NEARBY ED WITH 3 DAY HISTORY OF DIFFICULTY WALKING, BILATERAL LE PAIN, AND DIFFICULTY VOIDING. HE WAS TRANSFERRED TO OUR FACILITY AND HOSPITALIZED ON 10/25/19 WITH A DIAGNOSIS OF TRANSVERSE MYELITIS BASED ON MRI READING. IT IS OF UNCLEAR ETIOLOGY. HE WAS IN PICU FOR 4 DAYS. HE IS S/P IVIG INFUSION AND IS ON METHYLPREDNISOLONE IV CURRENTLY. HE IS IMPROVING BUT STILL NOT AT BASELINE. HE RECEIVED VACCINATIONS ON 10/16/19. THE ABOVE IS BASED ON VACCINES RECORDS OBTAINED FROM HIS PCP.  ROUTE AND LOT NUMBER IS NOT KNOWN TO ME (THE REPORTER, A HOSPITALIST)
Age: 16.0
Sex: M
Vaccine: FLU4, MENB, MNQ
Symptoms: Magnetic resonance imaging spinal abnormal, Magnetic resonance imaging thoracic abnormal, Myelitis transverse, Pain in extremity
Clinical narrative: THE PATIENT PRESENTED TO A NEARBY ED WITH 3 DAY HISTORY OF DIFFICULTY WALKING, BILATERAL LE PAIN, AND DIFFICULTY VOIDING. HE WAS TRANSFERRED TO OUR FACILITY AND HOSPITALIZED ON 10/25/19 WITH A DIAGNOSIS OF TRANSVERSE MYELITIS BASED ON MRI READING. IT IS OF UNCLEAR ETIOLOGY. HE WAS IN PICU FOR 4 DAYS. HE IS S/P IVIG INFUSION AND IS ON METHYLPREDNISOLONE IV CURRENTLY. HE IS IMPROVING BUT STILL NOT AT BASELINE. HE RECEIVED VACCINATIONS ON 10/16/19. THE ABOVE IS BASED ON VACCINES RECORDS OBTAINED FROM HIS PCP.  ROUTE AND LOT NUMBER IS NOT KNOWN TO ME (THE REPORTER, A HOSPITALIST)
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Neck pain
Clinical narrative: Patient states that he is having pain that started in his arm at injection site and continues up into his neck.  There is no localized swelling or rash.  No signs of anaphylaxis.
Age: 79.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Induration
Clinical narrative: Induration, possibly cellulitis
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: MOTHER DESCRIBES HIVES ALL OVER HER BODY
Age: 7.0
Sex: M
Vaccine: TDAP
Symptoms: Anxiety, Confusional state, Crying, Disturbance in attention, Pruritus
Clinical narrative: Experienced crying and anxiety all day since vaccination. Unable to focus on task, seems confused and broke out with red blotches the day vaccination was received and the blotches continue to appear everyday sine that time. Allergy medication is given to help with the itching and it resolves but reappears once medication wears off.
Age: 7.0
Sex: M
Vaccine: TDAP
Symptoms: Rash macular
Clinical narrative: Experienced crying and anxiety all day since vaccination. Unable to focus on task, seems confused and broke out with red blotches the day vaccination was received and the blotches continue to appear everyday sine that time. Allergy medication is given to help with the itching and it resolves but reappears once medication wears off.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse event, Product preparation error
Clinical narrative: patient was given Shingrix vaccine was not mixed correctly. it was mixed with sterile diluent instead of Adjuvant suspension Component. Vaccineinfo @kingcounty was notified. was informed Shingrix given is invalied and to repeat in 4 weeks. informed patient. patient has no symptoms. .
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient stated she always has fatigue, body aches, fever upon receiving high dose flu shot but physician encourages her to still receive each year.  However, this year she had the following adverse reactions which she has not had in the past.  Patient had swelling of the upper arm, redness, shoulder pain (could lift her arm with discomfort, but much worse if putting weight on it...such as lifting something with her arm raised).  The injection site was hard and swollen and slightly pink/red when patient presented to me on 10/29/19.  The patient took Acetaminophen/ASA as well as applied Benadryl cream topically.  When asked if the pharmacist that administered the shot was sitting or standing the patient stated she was standing.
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient states that the following day she had a full body rash. which itched like crazy. Denies fever, redness at site, difficulty with breathing, Patient states this is the first time she had a reaction like this. No previous problem with flu vaccinations. Patient did not check in with her Primary Care Doctor. I had encouraged to do so even after 2 weeks. So that she can update her provider of the situation.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Pain, Pyrexia
Clinical narrative: I began to get very fatigued about 3.5 hours after the injection on 10/21/19. Around 6 hours after the injection, I had a fever of 100.4 and the worst body/joint aches I've ever experienced. This lasted all that night and all the next day. (10/22/19) When I awoke on 10/23/19, the fever was gone but I still felt very fatigued. By the afternoon of 10/23/19, I felt pretty much back to my normal self.  There was no treatment other than fluids and rest.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth, Lethargy
Clinical narrative: Patient reports having a fever of 101-102 F and feeling lethargic in the afternoon on Tuesday, 10/22/19. On Wednesday, 10/23/19, she developed a rash on her left bicep area which wrapped partly around the arm. The rash did not resolve on its own, so patient went to doctor on Friday, 10/25/19, presenting with symptoms of rash that was painful with swelling and warm to the touch. She was prescribed cephalexin as a treatment for possible cellulitis. Since starting the antibiotic, patient reports that her condition is improving as of follow up call with her on 10/30/19.
Age: 72.0
Sex: F
Vaccine: FLU3, PPV, VARZOS
Symptoms: Pyrexia
Clinical narrative: Patient reports having a fever of 101-102 F and feeling lethargic in the afternoon on Tuesday, 10/22/19. On Wednesday, 10/23/19, she developed a rash on her left bicep area which wrapped partly around the arm. The rash did not resolve on its own, so patient went to doctor on Friday, 10/25/19, presenting with symptoms of rash that was painful with swelling and warm to the touch. She was prescribed cephalexin as a treatment for possible cellulitis. Since starting the antibiotic, patient reports that her condition is improving as of follow up call with her on 10/30/19.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Angioedema, Pain, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Starting about 3 weeks after 1st dose of Shingrix and lasting for about the next 4 weeks after that, began to have hives (pressure urticaria) most evenings around waist and groin where contacted by tight clothing. Hives lasted for short period each evening and were gone by bedtime. One one occasion had itching and burning pain of the plantar feet from evening until bedtime. In the mornings, after having had the evening shingles, had angioedema (swelling) around eyes, face, lips, which would subside about 2 hours after getting up in the morning.
Age: 8.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Child stated their arm started to hurt on the day of the injection.  Mother put ice pack on injection site.  The day after injection, the child's arm was red, swollen, and warm to the touch.  Mother marked with marker the size of the affected area, gave child Benedryl, and put a warm compress on the site.  She will assess in the morning to see if Dr. visit is warranted.
Age: 11.0
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CDC recommendation person 11 years of age or older who has never received Tdap vaccine should count a dose of DTaP as the once-in-a-lifetime dose of Tdap. The next tetanus/diphtheria vaccination will be a routine Td booster 10 years later.
Age: 44.0
Sex: F
Vaccine: FLUR4
Symptoms: Mobility decreased, Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Patient reported that the day of her vaccine, she experienced a sore arm and shoulder. The next day when she awoke her neck was also sore. She feels that the pain is getting slightly worse and spreading to the back of her shoulder. Is somewhat limiting the use of her arm. Tried taking a muscle relaxer 10/29 PM to help with sleep and isn't sure if it helped her shoulder, but she felt slightly better when waking up, but is still having pain.
Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: patient states that her shoulder is frozen on the right side, she has limited mobility. Patient also states that her shoulder throbs at night with a stabbing pain and has to take pain medication to alleviate the pain to sleep. Patient states that she has a gripping pain when she moves her right shoulder a certain way. Patient stated she did ice the area where the flu shot was given and has also taken an NSAID to relieve the pain, but she still has limited mobility with using her right shoulder.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Screaming
Clinical narrative: per pt states that she had extreme pain in arm where she was injected, she claims she was "screaming in pain" all night, she also reports redness in the area and swelling
Age: 52.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Injection site infection
Clinical narrative: Patient states infection in arm at injection site.
Age: 64.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injected limb mobility decreased, Injection site urticaria, Product administered at inappropriate site
Clinical narrative: On 10/16/2019 I gave patient pneumovax-23 & a flu shot in the left upper arm in deltoid region.  The patient wanted both shots in one arm, so I planned to give them in left upper arm, 1 inch apart.  Patient reported on 10/29/2019, that she had an adverse reaction to the pneumonia vaccination.  She was unable to lift her arm and had welts appear on her left upper arm.  The reaction lasted 3 days.  On 10/29/2019, I asked to see the arm in case there was any bruise.  The bruise that was still apparent.  To me appeared to be higher on the arm then where I would give a deltoid injection. I am not sure if I adminstered the vaccine too high.  It is possible I may have done this to make room for 2 shots in upper arm, 1 inch apart.  I thought I would report it, just in case.  After 3 days, the patient was able to lift her arm and the welts  had resolved. She did take zyrtec.
Age: 82.0
Sex: F
Vaccine: FLU3
Symptoms: Aphasia, Neurological examination normal, Vision blurred
Clinical narrative: patient states she was trying to read on Tuesday 9 days after vaccination and works became "jumpy" "black boxes" and confetti-like all over the page. She followed up with optometrist who did not note anything remarkable, thought perhaps ocular migraine. Later in the day she also had trouble finding words in her speech, had neurological work up which also did not produce any diagnosis, nothing remarkable such as stroke per patient.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Joint range of motion decreased
Clinical narrative: Patient reported very painful administration at the time of inoculation and feeling like her arm is going to fall off. She has a limited range of motion and there is visible redness and swelling around injection site. Patient has not taken anything to relieve the pain; I advised taking anti-inflammatory doses of ibuprofen three times daily.
Age: 71.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Neck pain
Clinical narrative: Patient has persistent left shoulder soreness since day after vaccination. Patient did not report using any over-the-counter therapies. She reports having had a massage between date of vaccination and today. Patient reports using arm to lift weights during exercises on multiple days between date of vaccination and today. Patient reports radiation of pain to neck for last several days. I recommended patient use ice for 30 minutes on, 30 minutes off and Tylenol for pain per OTC directions.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Bursitis, Product administered at inappropriate site
Clinical narrative: The pt's wife/caregiver came to the pharmacy to inform the pharmacist that the pt had to go to the ED because of likely bursitis reaction (vaccine administered too high). The ED nurse had mentioned to the pt/wife that it could be how his arm is shaped (ie: not much deltoid muscle there) but to inform the pharmacy of the incident to make sure vaccines are being administered with proper technique. Wife was very calm and understanding of the situation and was informed by pharmacist that we will pass along the message to entire staff/report as necessary.
Age: 0.17
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age, Product prescribing error
Clinical narrative: Dr. marked on fee slip to give a proquad vaccine instead of a prevnar vaccine. MA did not double check and gave vaccine. The vaccine was not due till a later age.  Parents were notified as well as the pcp. No sie effects or adverse reactions have been reported
Age: 1.33
Sex: M
Vaccine: DTAP, FLU4, HIBV, VARCEL
Symptoms: Dyskinesia, Fatigue, Gaze palsy, Irritability, Restlessness
Clinical narrative: Patient initially felt warm , was fussy and restless after the  vaccines later that afternoon.  When he went to bed he started feeling warm. Mother says he woke up at 9 PM "hysterical" and felt warm again. 2.5 hours later he work up again fussy and restless. Around 2:30 AM he started "seizing" and his whole body was jerking and his eyes were rolling back. Mother says he couldn't control his body. The episodes were 5 in total, lasted 5-10 seconds each and occurred over 1 hour. He's had no more episodes since then. He was still fatigued and fussy the next day.  However, mother says he's been playful and appetite is normal for last 3 days.
Age: 1.33
Sex: M
Vaccine: DTAP, FLU4, HIBV, VARCEL
Symptoms: Skin warm
Clinical narrative: Patient initially felt warm , was fussy and restless after the  vaccines later that afternoon.  When he went to bed he started feeling warm. Mother says he woke up at 9 PM "hysterical" and felt warm again. 2.5 hours later he work up again fussy and restless. Around 2:30 AM he started "seizing" and his whole body was jerking and his eyes were rolling back. Mother says he couldn't control his body. The episodes were 5 in total, lasted 5-10 seconds each and occurred over 1 hour. He's had no more episodes since then. He was still fatigued and fussy the next day.  However, mother says he's been playful and appetite is normal for last 3 days.
Age: 39.0
Sex: F
Vaccine: FLUC4
Symptoms: Nodule, Swelling
Clinical narrative: Patient states that after receiving her flu shot her upper chest on her left side is now swollen and there is a nodule on her clavicle bone that she can move. She states she had a similar reaction to a TDaP vaccine about a year ago that she received from her doctor's office.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Cold sweat, Immediate post-injection reaction, Memory impairment, Mydriasis, Posture abnormal
Clinical narrative: patient was given the immunization and immediately after the shot  his head fell backwards in the chair and his body stretched out for just a few brief seconds and then he said he did not remember what happened   His pupils were dilated for just a brief time and he was clammy.  but within minutes he was just fine and left the store with his father who was with him at the time.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: On 10/29/19, patient called pharmacy to report sore left arm, redness and swelling at the injection site of Shingrix on 10/28/19. On 10/30/19, patient saw his primary care doctor, who recommended putting a cold compress on left arm to ease swelling and pain.  Patient reports that the pain is easing up from when he first got the vaccine.
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Pain in extremity, Tenderness
Clinical narrative: Patient received Pneumovax 23 vaccine to left deltoid on 10/28/2019 and patient returned to clinic on 10/30/2019 to report having continued severe pain at left arm that is worsened with movement and touch. Patient is able to grasp and flex arm but  flexion is painful. She reports she is taking OTC pain relievers for pain but with limited relief. She denies any current worsening but reports there has barely been any improvement with pain. Encouraged patient to seek follow up care with PCP if any worsening and that she may continue to take OTC pain reliever as the OTC label directions indicated.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Paraesthesia
Clinical narrative: Soreness and tingling
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort, Localised infection, Pain in extremity, Peripheral swelling, Surgery
Clinical narrative: On 10/30/2019 She told me she had experienced left arm discomfort the day following injection. Her left index finger became swollen with some pain. She went yo her doctor, her left index finger was infected, she had some minor surgery  and was given some prednisone 10/7,, then and antibiotic and pain med 10/20, she feels is related to her flu shot.
Age: 72.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Chills, Injection site pain, Pyrexia
Clinical narrative: Fever, chills, injection site pain
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Bursitis, Injection site pain, Pain
Clinical narrative: Extremely painful at time of injection and arm pain 24-36 hours after injection..  Six days after injection developed bursitis symptons at left shoulder with throbbing pain down to front of bicep and back or bicep areas of arm.  Pain upon raising arm and when pushing arm back.  Pain has been consistent  for 10 days.
Age: 48.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site pain, Magnetic resonance imaging, Musculoskeletal pain
Clinical narrative: I can still feel a sore spot where the injection site was and my arm injection site started aching within the week.  I called Health Department that week and ask if that was normal.  I ask for shot pamphlet to read about pain after the shot and my arm  Is NOT the same.  I read online and I seem to have symptoms of SIRVA.  Fast toward till now and I?m going to a chiropractor who is sending me for an MRI
Age: 14.0
Sex: F
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Patient fainted prior to receiving vaccination and mom mentioned this has happened before. Patient was given snacks and water and waited because mom was adamant for her to get her flu shot. After receiving the flu shot, patient walked off and fainted again and came back to the pharmacy where she stayed for about 45 minutes. The pharmacist on Duty followed up with the patient later that evening and mom reported patient was ok.
Age: 69.0
Sex: M
Vaccine: FLU3
Symptoms: Erythema, Inflammation, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: patient's arm look very red on the inside part of itfrom shoulder to wrist. it was also warm as it was inflamed. patient was taking ibruprofen to bring down pain , swollen
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Headache, Injection site pain, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: Pt presented at pharmacy with following complaint, Soreness at injection site, fever, sore throat, Headache, malaise, and a localize rash on her face. She stated she had done nothing different since vaccine and developed these symptoms.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Rash
Clinical narrative: Pt presented at pharmacy with following complaint, Soreness at injection site, fever, sore throat, Headache, malaise, and a localize rash on her face. She stated she had done nothing different since vaccine and developed these symptoms.