chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Slight fever, followed by bilateral calf pain for a few days, then intermittent moderate achy thigh pain for the last 3 weeks, without weakness or peripheral neuropathy.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation error
Clinical narrative: Correct diluent was not used to mix vaccine. See below documentation: 10/22/2019 1:35:30 PM > Pt was in office to get shingrix vaccine on 10/17/2019. Vaccine was reconstituted using non preservative sterile diluent. Shingrix vaccine comes with its own liquid to be used with powder  to activate full immunity response. As mentioned above, vaccine was reconstituted using normal saline.  I called the Health Dept to see what information I could get before calling the Pt to notify her. Staff with the Health Dept stated that Pt was to be notified and if vaccine was given that day then she was to be revaccinated with the correct components. I did contact GlaxoSmithKline to ask about any additional information that I could pass on to the Pt before calling her. I spoke with RN. RN states that the powder portion of the shingrix is to be reconstituted with the provided activant due to this activating the vaccine and allowing it to "illicit full immune response," states that vaccine mixed with any other diluent "Cannot guarantee full immunity." I did ask RN if mixing sterile diluent with shingrix would cause Pt any side effects or reactions and she stated that there has been no reports or research on this other than Pt not having full immunity. RN notes that per the Coalition, recommendation is to have Pt revaccinated. The GlaxoSmithKline number I called is for medical personnel only but I did ask if there was a number that Pt can call if she has any questions or concerns. I did call to advise Pt of vaccine error and try to explain to her with the information stated above but I did not provide Pt with above number  due to speaking with GSK after I spoke with her. Obviously the Pt is/was unhappy and would wants to speak with Dr. before getting vaccine again.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in jaw
Clinical narrative: Bilateral Jaw pain mild - moderate pain Lasted 48hrs No treatment
Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Syringe issue, Underdose
Clinical narrative: when giving the shot, the vaccination leaked from the syringe and the patient did not receive the dose and therefore it had to be readministered.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: 1 INCH RED AND SWOLLEN AREA AT SITE OF INJECTION. AFEBRILE
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Hypoaesthesia, Mobility decreased, Pain
Clinical narrative: No pain day of, next day pain started that never went away and that gets worse at night.  Patient reports decreased motion in arm at 2 weeks that has increased gradually.  Can not raise greater than 90 degrees without significant pain, also reports numbness in hand and fingers.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Musculoskeletal pain
Clinical narrative: No pain day of, next day pain started that never went away and that gets worse at night.  Patient reports decreased motion in arm at 2 weeks that has increased gradually.  Can not raise greater than 90 degrees without significant pain, also reports numbness in hand and fingers.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient reports redness around injection site 3inx3in in size, swollen to approximately 1/4 inch thickness, itches and pain.
Age: 3.0
Sex: F
Vaccine: FLUN4, HEP
Symptoms: Wrong product administered
Clinical narrative: Hep B given instead of Influenza Flu mist given to avoid another injection
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L upper leg swollen, red, warm to touch, no fluctuance noted Suspect iatrogenic cause of cellulitis (flu vax)
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Dyspnoea, Palpitations
Clinical narrative: Within 5 hours of getting second Shingrix shot patient felt palpitations, intermittent dizziness, a few sensations that she couldn't breathe but these quickly passed.  Patients blood pressure was 76/53 with a HR of 187 when first felt palpitations. Seven minutes later BP 124/59, HR 90.  The following day patient had a BP of 92/60, HR 89. After this, vitals remained stable.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Oral pruritus, Rash, Rash erythematous
Clinical narrative: Red rash on neck area and on outside (left and right) corners of mouth. Patient stated her mouth was itchy. Pt. reported feeling dizzy.  School nurse documented pulse ox at time was 97 and heart rate was 91. Pt. ate a packed lunch from home around 11:15 am. Guardian was notified of symptoms by school nurse. Pt. was signed out of school by guardian and was advised by school nurse to seek medical evaluation with primary care. Pt. returned to school on the next day school was open which was 10/21/19.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: INJECTION SITE TURNED RED  AND WAS WARM TO TOUCH.
Age: 60.0
Sex: M
Vaccine: FLUC4, PPV, TDAP, VARZOS
Symptoms: Chills, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: chills, fever, malaise, pain and swelling at injection site. Redness and warm to the touch at injection site. Fever up to 103.0 degrees.  Patient reported being prescribed Cephalexin.  Some resolution of symptoms started Sunday afternoon and progressively better on Monday.
Age: 60.0
Sex: M
Vaccine: FLUC4, PPV, TDAP, VARZOS
Symptoms: Malaise, Pyrexia
Clinical narrative: chills, fever, malaise, pain and swelling at injection site. Redness and warm to the touch at injection site. Fever up to 103.0 degrees.  Patient reported being prescribed Cephalexin.  Some resolution of symptoms started Sunday afternoon and progressively better on Monday.
Sex: M
Vaccine: HPV9
Symptoms: Erythema, Urticaria
Clinical narrative: erythema on neck which spread to the trunk and the back/ urticaria lesions; This spontaneous report was received from a physician via a company representative, referring to a male patient of unknown age. The patient's concurrent conditions included environmental and food allergies. The patients pertinent medical history were unknown.   On an unknown date, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) intramuscularly, (dose, frequency, lot # and expiration date not mentioned) for vaccination. Concomitant therapies included diphtheria toxoid, pertussis acellular vaccine (unspecified), tetanus toxoid (TDAP) and meningococcal acyw conj vaccine (crm197)(MENVEO).   On an unknown date after vaccination, the patient developed erythema on neck which spread to the trunk and the back. Subsequently, the physician diagnosed urticarial lesions. The patient received treatment with Benadryl and cetirizine hydrochloride (ZYRTEC)  for 1 day.   At the time of this report, the patient had recovered from urticaria. The casuality between vaccination with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) and urticaria was not reported.
Sex: M
Vaccine: PPV
Symptoms: Cellulitis, Peripheral swelling
Clinical narrative: The reporter stated that at an unspecified date and time, "the patient's right arm swelled up like a balloon." The reporter stated that the patient visited an urgent care and treated the patient for cellulitis in his right arm.; This spontaneous report was received from a physician via a company representative, referring to a 67-year-old male patient. The patient's current conditions, medical history, concomitant medications, drug reactions or allergies were unknown by the reporter.    On 09-OCT-2019, the patient was vaccinated with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) for prophylaxis (reported as "because it was recommended at his age") lot #S017430, expiration date was not reported but upon internal validation was stablished as 18-MAY-2021 (dose, strength and frequency were not reported).   On an unspecified date in 2019, the patient's right arm swelled up like a balloon. The patient visited an urgent care center and was treated for cellulitis in his right arm with doxycycline for 10 days.   At the time of this report, the outcome of the cellulitis was unknown. The causality assessment between the cellulitis and the vaccination with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) was not provided.   Upon internal review, the event cellulitis was considered to be medically significant.
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: shingles; This spontaneous report has been received from a lawyer regarding a case in litigation referring to a male patient of unknown age. No information was provided regarding medical history, concurrent conditions, or concomitant medications.  On an unknown date in 2015, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (strength, dose, frequency, route, lot number and expiration date were not reported), as prescribed and/or administered by a healthcare provider at a medical center for the long-term prevention of shingles and/or zoster-related conditions.  Subsequent to his zoster vaccine live (ZOSTAVAX) inoculation (date unknown), the patient was treated by a healthcare provider at the medical center for shingles.  As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient had and would continue suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs include care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; diminished quality of life; increased risk of premature death, aggravation of preexisting conditions and activation of latent conditions; and other losses and damages; and would continue to suffer such losses, and damages in the future. The outcome of the event was not reported.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: shingles; This spontaneous report has been received from a lawyer regarding a case in litigation referring to a female patient of unknown age. No information was provided regarding medical history, concurrent conditions, or concomitant medications.  On or about 07-JAN-2014, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (strength, dose, frequency, route, lot number and expiration date were not reported), as prescribed and/or administered by a healthcare provider for the long-term prevention of shingles and zoster-related conditions.  Subsequent to her zoster vaccine live (ZOSTAVAX) inoculation (date unknown), the patient was treated by a healthcare provider for shingles.  As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient had and would continue suffer ongoing injuries, including but not limited to: mental and physical pain and suffering; medical care and treatment for these injuries; significant medical and related expenses as a result of these injuries, including but not limited to medical losses and costs include care for hospitalization, physician care, monitoring, treatment, medications, and supplies; diminished capacity for the enjoyment of life; diminished quality of life; increased risk of premature death, aggravation of preexisting conditions and activation of latent conditions; and other losses and damages; and would continue to suffer such losses, and damages in the future. The outcome of the event was not reported.
Sex: M
Vaccine: FLUR3, VARZOS
Symptoms: Abdominal pain, Labelled drug-drug interaction medication error, Mesenteric panniculitis
Clinical narrative: Diagnosed as mesenteric panniculitis; Acute abdominal pain; Labelled drug-drug interaction medication error; This case was reported by a pharmacist via sales rep and described the occurrence of mesenteric panniculitis in a 53-year-old male patient who received Herpes zoster (Shingrix) (batch number TB2PK, expiry date unknown) for prophylaxis.   Co-suspect products included INFLUENZA VACCINE (FLUBLOK) for prophylaxis.   On 7th October 2019, the patient received the 1st dose of Shingrix and FLUBLOK. On 7th October 2019, unknown after receiving Shingrix, the patient experienced labeled drug-drug interaction medication error. In October 2019, the patient experienced mesenteric panniculitis (serious criteria hospitalization) and abdominal pain (serious criteria hospitalization). On an unknown date, the outcome of the mesenteric panniculitis, abdominal pain and labeled drug-drug interaction medication error were unknown.   It was unknown if the reporter considered the mesenteric panniculitis and abdominal pain to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and Flublok on left deltoid at same time which led to  labeled drug-drug interaction medication error. The patient experienced acute abdominal pain that was subsequently diagnosed as mesenteric panniculitis (aka sclerosing mesenteritis). For the condition, patient was admitted to the hospital, treated, and discharged. Additional information not available at time of report.  The reporter consented to follow up.
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus, Rash
Clinical narrative: Rash and swelling from shoulder to elbow; Rash and swelling from shoulder to elbow; Continued itching; This case was reported by a consumer via call center representative and described the occurrence of rash in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   In October 2019, the patient received the 1st dose of Shingrix. In October 2019, less than a week after receiving Shingrix, the patient experienced rash, swelling arm and pruritus. On an unknown date, the outcome of the rash, swelling arm and pruritus were recovered/resolved.   It was unknown if the reporter considered the rash, swelling arm and pruritus to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and had rash and swelling from shoulder to elbow for one week and continued itching persisting. The patient showed reaction to pharmacist 3 days after receiving the Shingrix.
Sex: U
Vaccine: UNK
Symptoms: Cellulitis, Erythema, Malaise, Pain in extremity, Peripheral swelling
Clinical narrative: Cellulitis; Arm swell up; Arm turn red; Sore; Fever; Felt run down; This case was reported by a consumer and described the occurrence of cellulitis in a patient who received Flu Seasonal QIV Dresden (Fluarix Quadrivalent 2019-2020 season) for prophylaxis.   On an unknown date, the patient received Fluarix Quadrivalent 2019-2020 season at an unknown dose. On an unknown date, unknown after receiving Fluarix Quadrivalent 2019-2020 season, the patient experienced cellulitis (serious criteria GSK medically significant), swelling arm, erythema, pain in arm, fever and feeling unwell. The patient was treated with antibiotics nos. On an unknown date, the outcome of the cellulitis, swelling arm, erythema, pain in arm, fever and feeling unwell were unknown.   It was unknown if the reporter considered the cellulitis, swelling arm, erythema, pain in arm, fever and feeling unwell to be related to Fluarix Quadrivalent 2019-2020 season.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Fluarix Quadrivalent 2019-2020 season and his arm swell up, turn red, sore, fever, cellulitis and was felt down. On Friday and Saturday, the patient was in bed. The physician prescribed antibiotics for 10 days. The reporter consented to follow up.
Sex: U
Vaccine: UNK
Symptoms: Pyrexia
Clinical narrative: Cellulitis; Arm swell up; Arm turn red; Sore; Fever; Felt run down; This case was reported by a consumer and described the occurrence of cellulitis in a patient who received Flu Seasonal QIV Dresden (Fluarix Quadrivalent 2019-2020 season) for prophylaxis.   On an unknown date, the patient received Fluarix Quadrivalent 2019-2020 season at an unknown dose. On an unknown date, unknown after receiving Fluarix Quadrivalent 2019-2020 season, the patient experienced cellulitis (serious criteria GSK medically significant), swelling arm, erythema, pain in arm, fever and feeling unwell. The patient was treated with antibiotics nos. On an unknown date, the outcome of the cellulitis, swelling arm, erythema, pain in arm, fever and feeling unwell were unknown.   It was unknown if the reporter considered the cellulitis, swelling arm, erythema, pain in arm, fever and feeling unwell to be related to Fluarix Quadrivalent 2019-2020 season.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Fluarix Quadrivalent 2019-2020 season and his arm swell up, turn red, sore, fever, cellulitis and was felt down. On Friday and Saturday, the patient was in bed. The physician prescribed antibiotics for 10 days. The reporter consented to follow up.
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Fatigue, Feeling hot, Myalgia
Clinical narrative: Local heat; Severe itching; Arm is swollen; Arm is red; Arm is tender; Low grade fever; Chills; Myalgia; Fatique; This case was reported by a consumer and described the occurrence of swelling arm in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 12th October 2019, the patient received the 1st dose of Shingrix. In October 2019, less than a week after receiving Shingrix, the patient experienced swelling arm, erythema of extremities, pain in arm, fever, chills, myalgia, fatigue, extremities hot feeling of and pruritus. On an unknown date, the outcome of the swelling arm, erythema of extremities, pain in arm, extremities hot feeling of and pruritus were unknown and the outcome of the fever, chills, myalgia and fatigue were recovered/resolved.   It was unknown if the reporter considered the swelling arm, erythema of extremities, pain in arm, fever, chills, myalgia, fatigue, extremities hot feeling of and pruritus to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and arm was swollen, red, and tender.  The patient had low grade fever, chills, myalgia and fatigue for 3 days.The erythema over my left arm however has increased to about 4 inches at the time of reporting. The patient had local heat with severe itching was very bothersome.
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Pyrexia, Tenderness
Clinical narrative: Local heat; Severe itching; Arm is swollen; Arm is red; Arm is tender; Low grade fever; Chills; Myalgia; Fatique; This case was reported by a consumer and described the occurrence of swelling arm in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 12th October 2019, the patient received the 1st dose of Shingrix. In October 2019, less than a week after receiving Shingrix, the patient experienced swelling arm, erythema of extremities, pain in arm, fever, chills, myalgia, fatigue, extremities hot feeling of and pruritus. On an unknown date, the outcome of the swelling arm, erythema of extremities, pain in arm, extremities hot feeling of and pruritus were unknown and the outcome of the fever, chills, myalgia and fatigue were recovered/resolved.   It was unknown if the reporter considered the swelling arm, erythema of extremities, pain in arm, fever, chills, myalgia, fatigue, extremities hot feeling of and pruritus to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and arm was swollen, red, and tender.  The patient had low grade fever, chills, myalgia and fatigue for 3 days.The erythema over my left arm however has increased to about 4 inches at the time of reporting. The patient had local heat with severe itching was very bothersome.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Mouth ulceration
Clinical narrative: Mouth ulcers on left side; Pain at injection site; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 65-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 9th September 2019, the patient received the 1st dose of Shingrix (intramuscular). On 9th September 2019, less than a day after receiving Shingrix, the patient experienced injection site pain. On 15th October 2019, the patient experienced mouth ulcer. On 16th September 2019, the outcome of the injection site pain was recovered/resolved. On an unknown date, the outcome of the mouth ulcer was recovering/resolving.   It was unknown if the reporter considered the injection site pain and mouth ulcer to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix on left arm and experienced pain at injection site and mouth ulcers on left side. The reporter consented to follow up.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Diarrhoea, Muscle spasms, Nausea
Clinical narrative: Abdominal pain; Cramping; Nausea; Diarrhea; This case was reported by a physician via call center representative and described the occurrence of abdominal pain in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 30th September 2019, the patient received Shingrix. On 3rd October 2019, 3 days after receiving Shingrix, the patient experienced abdominal pain, cramp, nausea and diarrhea. On an unknown date, the outcome of the abdominal pain, cramp, nausea and diarrhea were resolved with sequelae.   It was unknown if the reporter considered the abdominal pain, cramp, nausea and diarrhea to be related to Shingrix.  Additional details were provided as follows: The physician stated that a female patient received Shingrix and experienced horrible abdominal pain. The symptoms also included cramping, nausea, and diarrhea off and on which she has had since receiving the vaccine. There was discrepancy in the outcome of the event reported in source document and database. In source document outcome was reported as unknown in database outcome was reported as resolved with sequelae.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Persistent left arm pain in deltoid muscle with limited range of motion in left shoulder due to pain
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: red, itchy, swollen, painful arm . gave the pt ibuprofen and hydrocortisone cream
Age: 7.0
Sex: M
Vaccine: FLU4
Symptoms: Rash, Rash erythematous
Clinical narrative: Pt. presented to school nurse with red rash around the outside of his mouth on both left and right side. School nurse documented pt. pulse ox at time was 98 and heart rate was 104. The patient ate a packed lunch from home around 11:15 am. Guardian was notified and came to school to pick up pt. Guardian was advised to take pt. to  primary care provider for assessment. Pt. did return to school on the next day school was open which was 10/21/19.
Age: 63.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Chest discomfort, Decreased appetite, Headache, Injection site erythema, Injection site warmth
Clinical narrative: administered vaccine as per store protocol and safety policies. the evening of the injections patient's right arm became red and with fever. The redness was from the site of injection, above and below to the elbow. Pt ran low grade fever and was not feeling well. Headache and body ache. He also experienced heaviness of chest. Pt lost appetite and didn't really eat anything for around 4 days. Pt had to take a day off of work because he wasn't feeling well.
Age: 63.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: administered vaccine as per store protocol and safety policies. the evening of the injections patient's right arm became red and with fever. The redness was from the site of injection, above and below to the elbow. Pt ran low grade fever and was not feeling well. Headache and body ache. He also experienced heaviness of chest. Pt lost appetite and didn't really eat anything for around 4 days. Pt had to take a day off of work because he wasn't feeling well.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Patient came back after 30 minutes and complained about itching on scalp/FACE /BACK OF NECK
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Red, swollen spot on arm. Pt using ibuprofen and cold compresses
Age: 50.0
Sex: M
Vaccine: UNK
Symptoms: Computerised tomogram, Guillain-Barre syndrome, Hypoaesthesia, Lumbar puncture abnormal, Magnetic resonance imaging
Clinical narrative: Numbness in hands and feet, advised Dr I thought it was Guillain-Barre, she said it may be a pinched nerve and prescribed Steroid, went back on 10/1, doctor suggested going to ER. Had CT scan, 3 MRI's and finally a lumbar puncture. diagnosed with GBS.
Age: 20.0
Sex: M
Vaccine: UNK
Symptoms: Agitation, Hyperhidrosis, Loss of consciousness, Panic attack, Syncope
Clinical narrative: pt was anxious to get shot. first time getting flu shot without parents present. was very agitated and anxious while i was giving shot. after shot pt got up and collapse and "blacked out". regain consicinous in a less than a minute. was sweaty. most likely a panic attacked related to shot. EMT did come and evaluated him. let him go on his own accord.
Age: 0.17
Sex: F
Vaccine: PNC13
Symptoms: Injection site urticaria
Clinical narrative: baby developed hives at site of injection x 20 minutes.  Given Benadryl PO x1 with resolution of hives.  No other sx
Age: 58.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Herpes simplex, Pain in extremity
Clinical narrative: Patient experienced extreme pain in right pointer finger on 10/21/19 diagnosed as herpatic whitlow.
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Decreased appetite, Headache, Pain, Pyrexia
Clinical narrative: LOW GRADE FEVER, HEADACHE, NO APPETITE, BODY ACHE(S) STAYED HYDRATED & SLEEP / REST SYMPTOMS LASTED APPROXIMATELY 48HRS
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache, fever, chills that evening, along with a very sore arm
Age: 11.0
Sex: F
Vaccine: HEPA, HPV9, MMRV, MNQ, TDAP
Symptoms: Pyrexia, Rash, Rash macular, Rash vesicular, Scab
Clinical narrative: Patient had  rashes, fever 1 day after vaccine was administered. Rashes are minute vesicular "chicken pox like lessons, generalized. with erythematous linear macular .  Supportive treatment: daily baths, acetaminophen,Benadryl.Stay at home until scabs are dry and no new scabs are coming in. Follow up in 2 weeks.
Age: 66.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: Very painful when needle injected. Gradually worsening as day progressed. By 2:30 very intense which continued in right deltoids. Could not forward flex or abduct right arm .  10 on pain scale. 10/23 gradually improving, decreased pain, increased range.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Arthralgia, Chest discomfort, Insomnia, Pain of skin, Tachycardia
Clinical narrative: Within a few hours of receiving Fluzone HD, patient experienced achy joints/fingers/ankles, heavy chest, tachycardia, and her "skin hurt." She reported the reaction to pharmacy (PharmD) on 10/21/19 while visiting the pharmacy (vaccine was administered at the doctor's office, not associated with pharmacy). Patient reported these side effects to be so severe that was unable to sleep the night of receiving the vaccine. Symptoms resolved within about 18 hours.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Immunisation, Syringe issue, Underdose
Clinical narrative: Pharmacist went to inject vaccine, when he did the vaccine leaked out of the syringe and little to no vaccine went into the patient's arm.  Called gsk and they said to revaccinate the patient but to call cdc to see when the patient could be revaccinated.  Called cdc and they said to vaccinate the patient anytime, could be the same day.  So patient was revaccinated that day.
Age: 69.0
Sex: F
Vaccine: FLUC4, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient noted redness and swelling at the site of injection 10-18-2019.  Was told this was a normal possible reaction and to ice the site and to contact MD if swelling increased and redness enlarged with heat radiation.  Patient noted next morning swelling had grown by 2 inches and reported to emergency room where she was diagnosed with cellulitis.  Treated with antibiotic and reported to Pharmacy for reimbursement.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient came in with mother and sister requesting flu vaccine. Asked patient mother had she already had flu shot she stated no and that they was coming in for just that. After triaging patient I got gave the form to patients mother to fill out. After signing form injection was given. As  I was documenting that's when I noticed that vaccination had already been given.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Rash
Clinical narrative: Rash develop on arm of injection site, back, buttocks, parts of legs starting the evening after vaccination (Friday September 18, 2019). Patient stated not to have experience any swelling of lips or tongue; no difficulty breathing; no hives. Patient contact pharmacy on Tuesday (September 22, 2019) before heading to work to report rash. Since then has not spread and no symptoms present to suggest shingles. Recommend for patient to use benadryl and calamine lotion. Patient will followup with primary provider if symptoms do no improve by the end of the week.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: patient's wife called that he his arm had severe pain and he could barely lift it within several hours of receiving it.
Age: 52.0
Sex: M
Vaccine: TYP
Symptoms: Dyspnoea, Palpitations
Clinical narrative: 4 hours after consuming began to have palpitations and difficulty breathing.  He took a benadryl and used his inhaler and the symptoms were resolved within 30 minutes.
Age: 44.0
Sex: F
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: received the flu shot without incident but 20 minutes later, noticed swelling and pain to L arm and unable to raise arm
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Injection site swelling, Pyrexia
Clinical narrative: She experienced extremely large swelling of her right arm around the injection site and whole bicep  with a rash in the area as well. She had a low grade fever.  We treated her with an  ice pack directly on the area, Children's Motrin, and Benadryl. The swelling gradually went down over the course of a few days.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: swollen arm all the way from the elbow to the shoulder, itchy and red
Age: 0.83
Sex: M
Vaccine: DTAP
Symptoms: Rash, Rash erythematous
Clinical narrative: Red rash bumps on body
Age: 63.0
Sex: F
Vaccine: FLUR4, PPV
Symptoms: Autoimmune disorder, Erythema, Hypersensitivity, Skin irritation, Ultrasound scan
Clinical narrative: On 10/11/2019 patient was administered  flu vaccine and pneumococcal vaccine. P Patient also states that the vaccines were give close to each other on the same arm.  On 10/12/2019 patient calls the primary care doctor to report that she is having an allergic reaction to the shots (redness/irritation). Doctor advised her to go to the nearest urgent care where she was given antibiotics. Urgent care note states that it is a likely prominent immune response and not a bacterial infection On 10/14/2019 she called the doctor to state that she was getting worse and he advised her to go to ER.  On 10/15/2019 the patient was admitted to the hospital  On 10/18 patient was discharged from the hospital
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Alanine aminotransferase increased, Ammonia decreased, Aspartate aminotransferase normal, Ataxia, Atelectasis
Clinical narrative: My baby didn?t want to wake up throughout the night to nurse like she normally did (October, 29th into the morning of October, 30th).  I thought this was unusual of her so I went to check on her early in the morning.  I changed her diaper and noticed she was extremely lethargic and seemed out of it.  She wasn?t interested in nursing or taking a bottle so I called her pediatrician Dr.  I noticed pts legs were stiffening and locking up.  On the way to the doctor?s office she kept her head to the right side in her car seat.  While at the pediatrician?s she stiffened up more into a tonic state.  Dr. told me to rush her to the nearest emergency room because your daughter has either already had a seizure or is having another one.  When Dr. pinched her toes and she had no response to pain.  By the time I got to the emergency room at hospital her eyes where twitching to her right side and seem to be steadily increasing.  Her entire body was stiff as if her joints, tendons, ligaments and muscles were locked up and cramped.  While in the emergency room, the medical staff gave her a shot that brought her out of the seizure but she couldn?t breathe on her own so they had intubate her.  We spent a few days in the icu while the medical staff ran numerous tests on her while closely monitoring her vitals.  After transferring to the neurology department the antibiotic that was given in an IV was switched to oral, we were prescribed oxcarbenzepine to prevent any further seizures and discharged Nov. 3rd 2017.  She couldn?t keep her antibiotic down so we went back to the hospital, readmitted and discharged again Nov 4th 2017. Patient's eyes told me she wasn?t ok, she had a status epileptic seizure that night or early morning and never came out of it completely until treated at the emergency room.  Patient has never had another seizure.  She couldn?t latch to my breast to nurse after the seizure so I had to switch to bottle feeding.  She didn?t have the balance or coordination to sit up and didn?t sit up till around the age of one.  Patient?s eyes drifted bad from the age of 1-2 and was diagnosed with exotropia.  She lacks protective instincts like putting her hands down when falling.  She pulled to stand but very stiff like and falls hard to the floor regardless of the surface.  Patient gets motion sickness or vertigo easily.  Patient?s WILL to achieve milestones is there but her dystonia and ataxia prevent her from walking unassisted, balancing to stand unassisted, feeding herself with utensils ect.  We go to a lot of physical therapy, occupational therapy, and speech therapy but she is progressing behind the curve with global delay.  Patient is 2 year old female who is nonverbal and uses a gate trainer to help her walk along with braces, splints and gloves to help increase her physical mobility.  After the third MRI she was diagnosed with mesial temporal sclerosis
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Balance disorder, Base excess decreased, Basophil percentage decreased, Bilirubin conjugated decreased, Blepharospasm
Clinical narrative: My baby didn?t want to wake up throughout the night to nurse like she normally did (October, 29th into the morning of October, 30th).  I thought this was unusual of her so I went to check on her early in the morning.  I changed her diaper and noticed she was extremely lethargic and seemed out of it.  She wasn?t interested in nursing or taking a bottle so I called her pediatrician Dr.  I noticed pts legs were stiffening and locking up.  On the way to the doctor?s office she kept her head to the right side in her car seat.  While at the pediatrician?s she stiffened up more into a tonic state.  Dr. told me to rush her to the nearest emergency room because your daughter has either already had a seizure or is having another one.  When Dr. pinched her toes and she had no response to pain.  By the time I got to the emergency room at hospital her eyes where twitching to her right side and seem to be steadily increasing.  Her entire body was stiff as if her joints, tendons, ligaments and muscles were locked up and cramped.  While in the emergency room, the medical staff gave her a shot that brought her out of the seizure but she couldn?t breathe on her own so they had intubate her.  We spent a few days in the icu while the medical staff ran numerous tests on her while closely monitoring her vitals.  After transferring to the neurology department the antibiotic that was given in an IV was switched to oral, we were prescribed oxcarbenzepine to prevent any further seizures and discharged Nov. 3rd 2017.  She couldn?t keep her antibiotic down so we went back to the hospital, readmitted and discharged again Nov 4th 2017. Patient's eyes told me she wasn?t ok, she had a status epileptic seizure that night or early morning and never came out of it completely until treated at the emergency room.  Patient has never had another seizure.  She couldn?t latch to my breast to nurse after the seizure so I had to switch to bottle feeding.  She didn?t have the balance or coordination to sit up and didn?t sit up till around the age of one.  Patient?s eyes drifted bad from the age of 1-2 and was diagnosed with exotropia.  She lacks protective instincts like putting her hands down when falling.  She pulled to stand but very stiff like and falls hard to the floor regardless of the surface.  Patient gets motion sickness or vertigo easily.  Patient?s WILL to achieve milestones is there but her dystonia and ataxia prevent her from walking unassisted, balancing to stand unassisted, feeding herself with utensils ect.  We go to a lot of physical therapy, occupational therapy, and speech therapy but she is progressing behind the curve with global delay.  Patient is 2 year old female who is nonverbal and uses a gate trainer to help her walk along with braces, splints and gloves to help increase her physical mobility.  After the third MRI she was diagnosed with mesial temporal sclerosis
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood bilirubin unconjugated decreased, Blood calcium normal
Clinical narrative: My baby didn?t want to wake up throughout the night to nurse like she normally did (October, 29th into the morning of October, 30th).  I thought this was unusual of her so I went to check on her early in the morning.  I changed her diaper and noticed she was extremely lethargic and seemed out of it.  She wasn?t interested in nursing or taking a bottle so I called her pediatrician Dr.  I noticed pts legs were stiffening and locking up.  On the way to the doctor?s office she kept her head to the right side in her car seat.  While at the pediatrician?s she stiffened up more into a tonic state.  Dr. told me to rush her to the nearest emergency room because your daughter has either already had a seizure or is having another one.  When Dr. pinched her toes and she had no response to pain.  By the time I got to the emergency room at hospital her eyes where twitching to her right side and seem to be steadily increasing.  Her entire body was stiff as if her joints, tendons, ligaments and muscles were locked up and cramped.  While in the emergency room, the medical staff gave her a shot that brought her out of the seizure but she couldn?t breathe on her own so they had intubate her.  We spent a few days in the icu while the medical staff ran numerous tests on her while closely monitoring her vitals.  After transferring to the neurology department the antibiotic that was given in an IV was switched to oral, we were prescribed oxcarbenzepine to prevent any further seizures and discharged Nov. 3rd 2017.  She couldn?t keep her antibiotic down so we went back to the hospital, readmitted and discharged again Nov 4th 2017. Patient's eyes told me she wasn?t ok, she had a status epileptic seizure that night or early morning and never came out of it completely until treated at the emergency room.  Patient has never had another seizure.  She couldn?t latch to my breast to nurse after the seizure so I had to switch to bottle feeding.  She didn?t have the balance or coordination to sit up and didn?t sit up till around the age of one.  Patient?s eyes drifted bad from the age of 1-2 and was diagnosed with exotropia.  She lacks protective instincts like putting her hands down when falling.  She pulled to stand but very stiff like and falls hard to the floor regardless of the surface.  Patient gets motion sickness or vertigo easily.  Patient?s WILL to achieve milestones is there but her dystonia and ataxia prevent her from walking unassisted, balancing to stand unassisted, feeding herself with utensils ect.  We go to a lot of physical therapy, occupational therapy, and speech therapy but she is progressing behind the curve with global delay.  Patient is 2 year old female who is nonverbal and uses a gate trainer to help her walk along with braces, splints and gloves to help increase her physical mobility.  After the third MRI she was diagnosed with mesial temporal sclerosis
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood chloride normal, Blood creatinine normal, Blood culture negative, Blood glucose normal, Blood lactic acid normal
Clinical narrative: My baby didn?t want to wake up throughout the night to nurse like she normally did (October, 29th into the morning of October, 30th).  I thought this was unusual of her so I went to check on her early in the morning.  I changed her diaper and noticed she was extremely lethargic and seemed out of it.  She wasn?t interested in nursing or taking a bottle so I called her pediatrician Dr.  I noticed pts legs were stiffening and locking up.  On the way to the doctor?s office she kept her head to the right side in her car seat.  While at the pediatrician?s she stiffened up more into a tonic state.  Dr. told me to rush her to the nearest emergency room because your daughter has either already had a seizure or is having another one.  When Dr. pinched her toes and she had no response to pain.  By the time I got to the emergency room at hospital her eyes where twitching to her right side and seem to be steadily increasing.  Her entire body was stiff as if her joints, tendons, ligaments and muscles were locked up and cramped.  While in the emergency room, the medical staff gave her a shot that brought her out of the seizure but she couldn?t breathe on her own so they had intubate her.  We spent a few days in the icu while the medical staff ran numerous tests on her while closely monitoring her vitals.  After transferring to the neurology department the antibiotic that was given in an IV was switched to oral, we were prescribed oxcarbenzepine to prevent any further seizures and discharged Nov. 3rd 2017.  She couldn?t keep her antibiotic down so we went back to the hospital, readmitted and discharged again Nov 4th 2017. Patient's eyes told me she wasn?t ok, she had a status epileptic seizure that night or early morning and never came out of it completely until treated at the emergency room.  Patient has never had another seizure.  She couldn?t latch to my breast to nurse after the seizure so I had to switch to bottle feeding.  She didn?t have the balance or coordination to sit up and didn?t sit up till around the age of one.  Patient?s eyes drifted bad from the age of 1-2 and was diagnosed with exotropia.  She lacks protective instincts like putting her hands down when falling.  She pulled to stand but very stiff like and falls hard to the floor regardless of the surface.  Patient gets motion sickness or vertigo easily.  Patient?s WILL to achieve milestones is there but her dystonia and ataxia prevent her from walking unassisted, balancing to stand unassisted, feeding herself with utensils ect.  We go to a lot of physical therapy, occupational therapy, and speech therapy but she is progressing behind the curve with global delay.  Patient is 2 year old female who is nonverbal and uses a gate trainer to help her walk along with braces, splints and gloves to help increase her physical mobility.  After the third MRI she was diagnosed with mesial temporal sclerosis
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13
Symptoms: Blood magnesium increased, Blood pH decreased, Blood pH normal, Blood phosphorus decreased, Blood potassium decreased
Clinical narrative: My baby didn?t want to wake up throughout the night to nurse like she normally did (October, 29th into the morning of October, 30th).  I thought this was unusual of her so I went to check on her early in the morning.  I changed her diaper and noticed she was extremely lethargic and seemed out of it.  She wasn?t interested in nursing or taking a bottle so I called her pediatrician Dr.  I noticed pts legs were stiffening and locking up.  On the way to the doctor?s office she kept her head to the right side in her car seat.  While at the pediatrician?s she stiffened up more into a tonic state.  Dr. told me to rush her to the nearest emergency room because your daughter has either already had a seizure or is having another one.  When Dr. pinched her toes and she had no response to pain.  By the time I got to the emergency room at hospital her eyes where twitching to her right side and seem to be steadily increasing.  Her entire body was stiff as if her joints, tendons, ligaments and muscles were locked up and cramped.  While in the emergency room, the medical staff gave her a shot that brought her out of the seizure but she couldn?t breathe on her own so they had intubate her.  We spent a few days in the icu while the medical staff ran numerous tests on her while closely monitoring her vitals.  After transferring to the neurology department the antibiotic that was given in an IV was switched to oral, we were prescribed oxcarbenzepine to prevent any further seizures and discharged Nov. 3rd 2017.  She couldn?t keep her antibiotic down so we went back to the hospital, readmitted and discharged again Nov 4th 2017. Patient's eyes told me she wasn?t ok, she had a status epileptic seizure that night or early morning and never came out of it completely until treated at the emergency room.  Patient has never had another seizure.  She couldn?t latch to my breast to nurse after the seizure so I had to switch to bottle feeding.  She didn?t have the balance or coordination to sit up and didn?t sit up till around the age of one.  Patient?s eyes drifted bad from the age of 1-2 and was diagnosed with exotropia.  She lacks protective instincts like putting her hands down when falling.  She pulled to stand but very stiff like and falls hard to the floor regardless of the surface.  Patient gets motion sickness or vertigo easily.  Patient?s WILL to achieve milestones is there but her dystonia and ataxia prevent her from walking unassisted, balancing to stand unassisted, feeding herself with utensils ect.  We go to a lot of physical therapy, occupational therapy, and speech therapy but she is progressing behind the curve with global delay.  Patient is 2 year old female who is nonverbal and uses a gate trainer to help her walk along with braces, splints and gloves to help increase her physical mobility.  After the third MRI she was diagnosed with mesial temporal sclerosis