chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: M
Vaccine: MNQ
Symptoms: Product storage error
Clinical narrative: Initial information received on 09-Aug-2018 regarding an unsolicited valid non-serious case received from Physician. This case involves a 16 years old male patient received vaccine MENACTRA. The patients past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medication not reported. On 09-Aug-2018, the patient received a Booster dose of suspect Meningococcal A-C-Y-W135 (D Conj) Vaccine, lot U6016AA (expiry date: Oct 9 2019) via unknown route in left deltoid. It was a case of actual medication error due to product storage error. MENACTRA was ordered from pharmacy and administered after delayed delivery over 24 hours. The products have been too long in transit. 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.
Age: 1.42
Sex: F
Vaccine: HEPA, HIBV
Symptoms: Extra dose administered
Clinical narrative: Initial information received on 16-Aug-2018 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 17 months old female who accidently received two doses of 0.5 ml ACT-HIB (batch number UI904AAA, expiry date 19 Sep 2019) in left thigh on 15 Aug 2018 (also reported as 15 August 2018) and patient also received HEPATITIS A VACCINE dose 4 in the right thigh in hip area. It was a case of actual medication error as Extra dose administered. It was unknown if any adverse event was occurred. 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 and Module VI of the 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. Documents held by sender: none.
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Product preparation error
Clinical narrative: Initial information received on 16-Aug-2018 regarding an unsolicited valid non-serious case received from a nurse. This case involves a six months old male patient who received 0.5 ml third dose of ACT-HIB (lot UI908AA, expiry date: 10-Nov-2019) via intramuscular route in the right thigh (leg) on 23-Jul-2018, which was incorrectly reconstituted. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included PEDIARIX for Immunisation; and PREVNAR for Immunisation. It was a case of actual medication error due to inappropriate reconstitution technique. It was reported that ACTHIB dose that was reconstituted with room temperature sterile water instead of the refrigerated diluent that comes in the Box. It was not reported if the patient experienced any adverse event or not. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders 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. Documents held by sender: none.
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Hypersensitivity
Clinical narrative: Child had 15 months well exam. He also has allergies. Received PENTACEL. 30 min. after allergic reaction seen by urgent care.
Age: 66.0
Sex: F
Vaccine: HEP, PPV, TDAP
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Patient presents with swelling and redness on right arm from the injection site. Also experienced nausea and cellulitis. Patient treatment = ice the area frequently, start on BACTRIM ABx and return to clinic to follow up on treatment, if it is helping.
Age: 6.0
Sex: M
Vaccine: PPV
Symptoms: Blood glucose decreased, Cellulitis, Dehydration, Full blood count abnormal, Injection site erythema
Clinical narrative: Pt Received Pneumococcal-23 in (L) leg on 8-13-18--8-14-18 had redness and swollen to site; called PCP on 8-15-18-marked site with marker; gave BENADRYL-got bigger advised urgent care--they did nothing; high fever/vomiting/back at PCP office-admitted for (L) leg cellulitis and dehydration.
Age: 6.0
Sex: M
Vaccine: PPV
Symptoms: Injection site swelling, Pyrexia, Vomiting, White blood cell count increased
Clinical narrative: Pt Received Pneumococcal-23 in (L) leg on 8-13-18--8-14-18 had redness and swollen to site; called PCP on 8-15-18-marked site with marker; gave BENADRYL-got bigger advised urgent care--they did nothing; high fever/vomiting/back at PCP office-admitted for (L) leg cellulitis and dehydration.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Arthralgia, Facial pain, Headache, Insomnia, Myalgia
Clinical narrative: Pain up to left side of face, down to wrist, throat felt cold, headache, nausea, myalgias significant enough to keep patient awake.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Nausea, Throat irritation
Clinical narrative: Pain up to left side of face, down to wrist, throat felt cold, headache, nausea, myalgias significant enough to keep patient awake.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: PATIENT REPORTED SEVERE ARM PAIN AND LOW GRADE FEVER BEGINNING 3 HOURS AFTER VACCINE ADMINISTRATION THE RESULTED IN EMERGENCY DEPARTMENT VISIT. PATIENT STILL HAVING MINOR PAIN 2 WEEKS POST-INJECTION.
Age: 29.0
Sex: F
Vaccine: TDAP
Symptoms: Rash generalised
Clinical narrative: Administered 08/13/18, "pt stated 08/14/18 started to have a localized rash, 08/15/19 02:10 called stating the rash became generalized."
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Dizziness, Erythema, Headache, Nausea, Pain in extremity
Clinical narrative: Mom says the day after the vaccine her arm swelled up, it was red, hot to the touch, and painful.  Patient also felt dizzy, has nausea, and has headaches.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: Mom says the day after the vaccine her arm swelled up, it was red, hot to the touch, and painful.  Patient also felt dizzy, has nausea, and has headaches.
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Premature delivery, Vaginal haemorrhage
Clinical narrative: I was having a normal healthy pregnancy, no high risk symptoms and was checked by my OBGYN the same day of the vaccine and everything was fine. My estimated due date was April 10, 2016. The day after my vaccine (less than 24 hrs later) I started bleeding vaginally (cervix was thin) and delivered my baby 3 days later at 3 lb and 7 oz.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Inflammation, Paraesthesia
Clinical narrative: Inflammation on left side of face, left arm tingling plus numbness. She went into emergency room the next day after the shot and was put on steroid.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Injection site rash, Pruritus, Rash
Clinical narrative: C/o rash inner forearms, upper arms, buttocks and torso 4 days post vaccine. C/o moderate itching relieved with Benadryl po. Raised red diffuse.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Initial insomnia, Myalgia, Pain in extremity
Clinical narrative: 4 hours after injection- arm started aching. 12 hours after injection - trouble falling asleep. 18 hours after injection woke up with : fever (100.9) headache, and muscle ache. 18.5 hours after injection took 200 mg ibuprofen. 21.5 hours after injection - severe fatigue and blurry vision. 25 hours after injection laid down for short nap, but was awoken 4.5 hrs later by my alarm. I rarely sleep like this during the daytime ! 2 days after injection I finally felt normal.
Age: 59.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Vision blurred
Clinical narrative: 4 hours after injection- arm started aching. 12 hours after injection - trouble falling asleep. 18 hours after injection woke up with : fever (100.9) headache, and muscle ache. 18.5 hours after injection took 200 mg ibuprofen. 21.5 hours after injection - severe fatigue and blurry vision. 25 hours after injection laid down for short nap, but was awoken 4.5 hrs later by my alarm. I rarely sleep like this during the daytime ! 2 days after injection I finally felt normal.
Age: 72.0
Sex: M
Vaccine: FLU3, VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Rash macular, Skin warm
Clinical narrative: Left arm was red, blotchy, swollen, and warm to touch. Arm was sore, but pain had been decreasing each day since vaccine had been given (patient came in to show me 8/18/18). Only the left arm was affected. This was his second dose in the series and he had no reaction to the first dose.
Age: 1.0
Sex: M
Vaccine: MMRV
Symptoms: Constipation, Diarrhoea, Gastrointestinal disorder, Speech disorder developmental
Clinical narrative: Severe bowel issues/ Constipations/ diarrhea/ speech delay.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Pruritus, Rash
Clinical narrative: Shingles only vaccine on Tuesday. Wednesday was tired and rested. Went for a cabin outing on Thursday evening and noticed what she thought were big bites. Saturday the itching intensified but assumed it was still bug bites. Checked for spiders as nobody else reacted. Rash continued to spread at which point the patient followed up regarding the rash. The only place the bites are only located on the lower legs below the knees. Went back to the pharmacy who referred patient to have an exam. Dr. examined the patient and prescribed the treatment. Hydroxzine worked to allow the patient to rest from the itching. Since yesterday there are no new eruptions. Patient has isolated herself as not to risk spread of infection.
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: CSF glucose normal, CSF lymphocyte count increased, CSF protein increased, CSF test normal, CSF white blood cell count increased
Clinical narrative: Patient admitted to hospital 1 week after receiving 3rd dose of hepatitis B vaccine. Admitted with  1 week symptoms of fever, headaches, stiff neck, dizziness, syncope, nausea, blurred vision. LP and PCR sent and negative for all pathogens. Cell counts appear to be aseptic meningitis.
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Headache, Meningitis aseptic, Musculoskeletal stiffness, Nausea
Clinical narrative: Patient admitted to hospital 1 week after receiving 3rd dose of hepatitis B vaccine. Admitted with  1 week symptoms of fever, headaches, stiff neck, dizziness, syncope, nausea, blurred vision. LP and PCR sent and negative for all pathogens. Cell counts appear to be aseptic meningitis.
Age: 43.0
Sex: M
Vaccine: HEP
Symptoms: Polymerase chain reaction, Pyrexia, Syncope, Vision blurred
Clinical narrative: Patient admitted to hospital 1 week after receiving 3rd dose of hepatitis B vaccine. Admitted with  1 week symptoms of fever, headaches, stiff neck, dizziness, syncope, nausea, blurred vision. LP and PCR sent and negative for all pathogens. Cell counts appear to be aseptic meningitis.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Nausea, Pain, Pain in extremity
Clinical narrative: Nausea, diarrhea, sore arm, achiness.
Age: 0.25
Sex: F
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Injection site reaction, Rash macular
Clinical narrative: Several minutes after administering vaccine Pediarix(RT) and HIB(LT)  the child developed red blotchy spots to both lower extremities.
Age: 1.25
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Decreased appetite, Discomfort, Extra dose administered, Injection site erythema, Injection site swelling
Clinical narrative: PROQUAD (MMR and Varicella) administered and Varicella administered and same office visit.  Patient's parents notified and evaluated on 8/20/18. Mother reports patient really cranky and having poor appetite, fever on and off. Area in right upper thigh red and swollen 1cm in size. Instructed to take Tylenol for discomfort and fever. Cool compress to the leg. Return if not improving.
Age: 1.25
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Irritability, Pyrexia
Clinical narrative: PROQUAD (MMR and Varicella) administered and Varicella administered and same office visit.  Patient's parents notified and evaluated on 8/20/18. Mother reports patient really cranky and having poor appetite, fever on and off. Area in right upper thigh red and swollen 1cm in size. Instructed to take Tylenol for discomfort and fever. Cool compress to the leg. Return if not improving.
Age: 28.0
Sex: F
Vaccine: ANTH, SMALL
Symptoms: Injection site scab, Skin disorder
Clinical narrative: Presented to the smallpox immunization clinic 27 July to assess her smallpox vaccine site. She is a primary vaccinee who was vaccinated on 18 May. No contraindications to receipt of vaccine. No hx of skin issues or immune suppression. She denied any major problems with the vaccine site, that it progressed normally and developed a large pustule and scab development. She is here today because the scab has not fallen off and remains attached to her arm. She is keeping the area covered with Tegaderm, but is allowing it to air dry in the evenings. Other than a recent viral illness she is feeling well. There is no drainage, no pain, and no swelling. Has been keeping the site dry, no swimming, saunas or hot tubs. Vaccine site contains approx. 6mm circular scab with surrounding pink skin. Scab is dried, and shiny. No drainage or surrounding erythema. Scab fell off on 16 Aug. No complications.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Body temperature, Headache, Pain, Pain in extremity
Clinical narrative: Spoke with mom. Patient had vaccines yesterday. Temp today 99.9, headaches. Noticed today that she has shooting pains down legs 9/10 and arms 3/10 Off and on throughout day today.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Asthenia, Body temperature increased
Clinical narrative: Mother reports temp 101 and extreme weakness.
Age: 1.08
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Injection site reaction, Rash macular
Clinical narrative: Several minutes after administering vaccine the child developed red blotchy spots to both upper arms.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site discolouration, Injection site pain
Clinical narrative: Initially just had moderate pain at injection site. Anything rubbing up against it was painful. Lasted at least a week. I do not know when it started but at some point I noticed that at the site of the injection there was an area about the size of a dime where all the pigment in my skin was gone. (I normally have alot of freckles). There is now a white filled in circle on my arm. This area will not even tan or burn when I am in the sun. This is concerning and I am wondering if I should get the second shot or not.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Fatigue, Headache, Injected limb mobility decreased, Injection site pain
Clinical narrative: Within hours of shot, lots of pain in shoulder, swelling in shoulder, weakness and unable to move the arm where shot was given without assistance from other arm. Accompanied by fever between 99 and 100 degrees F. Doctor's office prescribed Advil and Benedryl. Took both. Now on day 2. Still have 99.5 fever.  Arm still sore, but able to move it independently today. Tiredness. Mild headache. In process of recovering. Feeling better today than yesterday.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Within hours of shot, lots of pain in shoulder, swelling in shoulder, weakness and unable to move the arm where shot was given without assistance from other arm. Accompanied by fever between 99 and 100 degrees F. Doctor's office prescribed Advil and Benedryl. Took both. Now on day 2. Still have 99.5 fever.  Arm still sore, but able to move it independently today. Tiredness. Mild headache. In process of recovering. Feeling better today than yesterday.
Sex: F
Vaccine: VARCEL
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: This spontaneous report was received from a medical assistant concerning an adult female patient on unknown age. There was no information about the patient's current conditions, medical history or concomitant medications. On an unknown date the reporter states that a possible intramuscular injection of VARIVAX (lot# N017699 exp 09-JUN-2019) into the deltoid muscle was performed (indication and dose was not reported). No adverse reactions were reported. No further information was received.
Sex: F
Vaccine: FLUX, PPV, FLUX, PPV
Symptoms: Injection site cellulitis
Clinical narrative: This spontaneous report was received from a pharmacist concerning a female patient of unknown age. Information on the patient's concomitant medications, pertinent medical history and drug reactions or allergies were not provided. On an unknown date in 2017, the patient was vaccinated with PNEUMOVAX 23 (lot # N013541, expiry date: 23-JAN-2019) intramuscularly in the arm for prevention of pneumococcal disease (strength, dose, frequency was not provided). On the same day, the patient was also vaccinated with an unspecified flu vaccination administered on the same arm (dosing details, route, lot# and expiry date not reported). On an unknown date in 2017, the patient experienced cellulitis at injection site due to which she went to the emergency room and received BACTRIM DS for cellulitis treatment. It was unknown whether lab diagnostics or studies were performed. The pharmacist requested for lot check response as soon as possible. No product quality complaint (PQC) was involved. Outcome and causality was not provided by the reporter. Upon internal review, the event of cellulitis was determined to be medically significant. This is one of the two reports received from the same reporter. Sender's Comments: US-009507513-1808USA008692.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: No adverse event, Product storage error
Clinical narrative: This spontaneous report as received from a other health professional refers to a 4 month old male patient. On 06-AUG-2018 the patient was vaccinated with ROTATEQ lot # N030364 dose 2, oral for prophylaxis. Other suspect therapies included PREVNAR 13 and PENTACEL. No adverse event reported. Patient didn't have reverse reactions to the vaccines.
Sex: U
Vaccine: MMR
Symptoms: Measles antibody, Mumps antibody test, Rubella antibody test, Therapy non-responder
Clinical narrative: This spontaneous report was received from a Certified Medical Assistant referring to an adult patient of unknown gender. The patient's concurrent conditions and medical history were not provided. There was no concomitant medication reported. The health care worker reported that on an unknown date the "adult patient" needed to have titers taken post vaccination. Therefore, vaccine with M-M-R II was ordered and patient was vaccinated with M-M-R II (dose, route, lot number and expiration date were not reported) for prophylaxis. On an unspecified date, provider thought there was no response so had titers for measles, mumps and rubella on patient "but response to titers might have been too early". At the reporting time the outcome of therapy non-responder was unknown. It was also reported that there were no adverse effects.
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: This spontaneous report was received from a pharmacist regarding a 75 year old female patient. Information on pertinent medical conditions and concomitant medications was not reported. On 25-JUL-2018, the patient was vaccinated with PNEUMOVAX 23 in the left arm, (dose, strength and route were not reported), lot# N034512, expiry date: 13-SEP-2019 for prophylaxis. On an unknown date in July 2018, the patient experienced reaction not only at injection site, but around the injection site, furthermore it was reported as lump, redness, swelling and it hurts (injection site mass, injection site pain, injection site swelling and injection site erythema). The reporter had not heard anything more from the patient so she was assuming the patient was fine at the time of the report. Outcome was considered to be unknown. Causality assessment was not provided. This is one of the three cases from the same reporter (MARRS# 1801USA006243 and MARRS# 1801USA006659); Sender's Comments:  US-009507513-1801USA006243:
Sex: U
Vaccine: PNC13, TDAP, VARZOS
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: This is a spontaneous report from a contactable pharmacist, based on information received by Pfizer from Merck & Co., Inc. (Manufacturer control number 00909524). A patient of unspecified age and gender received PREVNAR 13 via an unspecified route of administration at single dose for immunisation, SHINGRIX via an unspecified route of administration at an unspecified dose for immunisation and BOOSTRIX via an unspecified route of administration at an unspecified dose for immunisation, all in May2018. Relevant medical history and concomitant medications were not reported. Pharmacist reported the patient started to "experience pain and tingling in the arm" on unspecified date after receiving the suspect vaccines. At the time of the report, the outcome of the events was unknown. No follow-up attempts are possible, information about batch number cannot be obtained.
Sex: F
Vaccine: MENB
Symptoms: Rash
Clinical narrative: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. A female patient of an unspecified age received TRUMENBA via an unspecified route of administration on an unspecified date at single dose for immunisation. Relevant medical history and concomitant medications were not reported. On an unspecified date, the patient experienced rash. The rash was on her arm or arms; it was unknown if it was one or two arms but that's where the rash was. At the time of the report, the outcome of the event was unknown. The information on the batch number has been requested.
Sex: F
Vaccine: PNC13
Symptoms: Erythema, Pain, Swelling
Clinical narrative: This is a spontaneous report from a contactable Pharmacist via Pfizer sales representative. A female patient of an unspecified age received PREVNAR 13, via an unspecified route of administration on an unspecified date in 2018 at single dose for immunization. The patient's medical history and concomitant medications were not reported. Pharmacist reported that a patient experienced severe pain, redness and swelling after receiving the pneumococcal 13-val conj vac (dipht crm197 protein).The events occurred a few months ago in 2018. The outcome of the events was unknown.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Rotator cuff syndrome
Clinical narrative: Irritation to rotator cuff, right shoulder. Went to physical therapy for 6 weeks.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Eyelid margin crusting, Fatigue, Headache, Nausea, Pain
Clinical narrative: Nausea, vomiting, body pain, headache, fatigue. eye crusting.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Nausea, vomiting, body pain, headache, fatigue. eye crusting.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site extravasation, Ophthalmic herpes zoster, Rash
Clinical narrative: This patient was seen by a floating pharmacist for her first shot in the two part series. When the patient came back for the second dose in the series, she mentioned that when she got the first shot in the series, what she felt was a significant amount of the vaccine dribbled out of the injection site. She was worried that she didn't get the full immunity conference. I did my normal questions about her physical well being and she had visible rash around her eyes. Upon further questioning, she mentioned that she has eye problems related to certain drops she uses for eye conditions and she was in a cycle currently that she was having a reaction to. I continued to discuss this and told her to definitely follow up with her eye doctor bc her eyes looked like they were in acute distress. She assured me that this has happened before and that she would. Not more than 4 hours later she returned with a Valtrex rx for eye shingles. Now she worries that the first shot wasn't effective bc of the dribbling out of the medication and that the second one that was given was during a current outbreak and that she will not get full coverage.
Age: 66.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Eye swelling, Injection site extravasation, Ophthalmic herpes zoster, Underdose
Clinical narrative: This patient was seen by a floating pharmacist for her first shot in the two part series. When the patient came back for the second dose in the series, she mentioned that when she got the first shot in the series, what she felt was a significant amount of the vaccine dribbled out of the injection site. She was worried that she didn't get the full immunity conference. I did my normal questions about her physical well being and she had visible rash around her eyes. Upon further questioning, she mentioned that she has eye problems related to certain drops she uses for eye conditions and she was in a cycle currently that she was having a reaction to. I continued to discuss this and told her to definitely follow up with her eye doctor bc her eyes looked like they were in acute distress. She assured me that this has happened before and that she would. Not more than 4 hours later she returned with a Valtrex rx for eye shingles. Now she worries that the first shot wasn't effective bc of the dribbling out of the medication and that the second one that was given was during a current outbreak and that she will not get full coverage.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Cold sweat, Contusion, Fall, Loss of consciousness, Pallor
Clinical narrative: Client is 11 yr old female who received three vaccinations, Tdap, HPV9 and MENACTRA. She tolerated the initial vaccination without problems. She sat in chair quietly and then got up to go out to reception area to where her parents were waiting. She walked about 10-12 feet and turned fainted and fell to the floor. She sustained a 15 mm rug abrasion to right check and a bruise to rt cheek bone. She regained conscious with 30 sec of falling and laid on floor for about 5 min then in sitting position for 5 min and assisted into a chair, she was paled and clammy, PERL resp regular, A/O x 3 ice pak applied to abrasion and contusion on right side of face. She stayed in clinic for 30 min and then left with her parents and siblings. 24 hr follow up with parents indicated no lingering problems other than the small contusion and abrasion. We did encourage parents to tell any provider about history of fainting and have her stay seated for about 15 to 20 min after vaccinations are give to prevent further episodes.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Skin abrasion, Syncope
Clinical narrative: Client is 11 yr old female who received three vaccinations, Tdap, HPV9 and MENACTRA. She tolerated the initial vaccination without problems. She sat in chair quietly and then got up to go out to reception area to where her parents were waiting. She walked about 10-12 feet and turned fainted and fell to the floor. She sustained a 15 mm rug abrasion to right check and a bruise to rt cheek bone. She regained conscious with 30 sec of falling and laid on floor for about 5 min then in sitting position for 5 min and assisted into a chair, she was paled and clammy, PERL resp regular, A/O x 3 ice pak applied to abrasion and contusion on right side of face. She stayed in clinic for 30 min and then left with her parents and siblings. 24 hr follow up with parents indicated no lingering problems other than the small contusion and abrasion. We did encourage parents to tell any provider about history of fainting and have her stay seated for about 15 to 20 min after vaccinations are give to prevent further episodes.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Rash, Rash erythematous
Clinical narrative: Achy with low grade fever. The next day developed a a spotty red rash. Rash started on torso below the armpits and back. It is spreading to cover the entire torso and down to the groin and upper thighs.
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, MMR, PNC13
Symptoms: Morbillivirus test positive, Polymerase chain reaction positive, Pyrexia, Rash, Vomiting
Clinical narrative: Symptoms and signs include fever, rash and several episodes of vomiting. No Koplik's spots identified. No treatment is needed. Fever and rash have resolved.
Age: 23.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain upper, Chills, Hyperhidrosis, Pyrexia
Clinical narrative: Sweaty, fever, chills, and stomach pain.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Cough, Headache, Myalgia
Clinical narrative: Saturday night started with severe chills, shaking, upset stomach, headache, hard vomiting  four time thru the night, right arm sore and hot to touch, muscle aches, and stomach around rib area, hard to cough Sunday, started to feel better by Monday except for muscle aches and upset stomach.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Skin warm, Tremor, Vomiting
Clinical narrative: Saturday night started with severe chills, shaking, upset stomach, headache, hard vomiting  four time thru the night, right arm sore and hot to touch, muscle aches, and stomach around rib area, hard to cough Sunday, started to feel better by Monday except for muscle aches and upset stomach.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Pain
Clinical narrative: Pt came into the pharmacy 8/21/18 stating that her right arm where she got the PNEUMOVAX vaccine on 7/13/18 is still sore to touch and painful upon moving her arm above her head.
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Nasal congestion, Pain, Pyrexia
Clinical narrative: Fever that peaked at 107 °F, body aches, stuffy nose, headache.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dyspepsia, Headache, Influenza like illness, Migraine with aura
Clinical narrative: After dinner, indigestion started (which I never get) and progressed into a bad headache that kept worsening overnight. By the next morning, the headache was so severe that my vision was blurry, had tunnel vision, and light sensitivity. Also that morning, I developed a fever to 99.1 degrees, chills, and flu-like body aches. After suffering all day, by about 6pm that night, all symptoms went away and I felt perfectly fine.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Photophobia, Pyrexia, Tunnel vision, Vision blurred
Clinical narrative: After dinner, indigestion started (which I never get) and progressed into a bad headache that kept worsening overnight. By the next morning, the headache was so severe that my vision was blurry, had tunnel vision, and light sensitivity. Also that morning, I developed a fever to 99.1 degrees, chills, and flu-like body aches. After suffering all day, by about 6pm that night, all symptoms went away and I felt perfectly fine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Cellulitis, Injection site erythema, Pain in extremity, Skin warm
Clinical narrative: Pt described pain in arm since receiving vaccine 6 days ago. This morning her arm felt hot and she noticed redness at injection site.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Feeling abnormal, Nausea, Swelling
Clinical narrative: ADVERSE EVENT: NAUSEA, WEAKNESS, SHIVERING, SWELLING, FOGGY.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Influenza like illness
Clinical narrative: The next morning on 7/18/2018, I woke up with a headache, flu-like body aches, fever to 100.2 degrees, chills, sweats, and fatigue. After suffering all day, these symptoms went away by about 6pm that evening and I felt perfectly fine.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: The next morning on 7/18/2018, I woke up with a headache, flu-like body aches, fever to 100.2 degrees, chills, sweats, and fatigue. After suffering all day, these symptoms went away by about 6pm that evening and I felt perfectly fine.
Age: 58.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Chills, Dizziness, Erythema, Feeling abnormal, Hypersomnia
Clinical narrative: Pt described pain in arm 2 hours after the dose, then 5 hours after he stated he took a hot bath, began to feel chills while in bath, proceeded to get out and go to bed. He said he awoke abruptly at 9pm to urinate and after finishing urination, felt lightheaded and faint (said he never passed out in his life) and woke in the doorway to his bedroom. He says the proceeding two days he slept more than he was awake and the arm was swollen, red, and painful. By the third day post vaccine, he was not himself, but feeling better overall.
Age: 58.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Loss of consciousness, Pain in extremity, Peripheral swelling
Clinical narrative: Pt described pain in arm 2 hours after the dose, then 5 hours after he stated he took a hot bath, began to feel chills while in bath, proceeded to get out and go to bed. He said he awoke abruptly at 9pm to urinate and after finishing urination, felt lightheaded and faint (said he never passed out in his life) and woke in the doorway to his bedroom. He says the proceeding two days he slept more than he was awake and the arm was swollen, red, and painful. By the third day post vaccine, he was not himself, but feeling better overall.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Atrial fibrillation, Heart rate increased, Pain in extremity
Clinical narrative: Patient felt achy in her extremities. She had afib and was taken to the hospital the following night for heart rate above 160 that could not be controlled.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Oral disorder, Oral pain, Peripheral swelling, Skin lesion
Clinical narrative: I have a sharp, pain in my left arm at the injection site, frequently. I am having severe outbreaks of painful lesions in my mouth, so painful that I can't eat, and it is difficult to talk. I am also getting these lesions on other parts of my body. My vision is changing in my right eye, and sometimes it is so blurry that I can't see. I don't know if this is related, but I am also having swelling in both feet- I never had that problem before the vaccine, and I read that it can cause heart problems.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling face, Vision blurred
Clinical narrative: I have a sharp, pain in my left arm at the injection site, frequently. I am having severe outbreaks of painful lesions in my mouth, so painful that I can't eat, and it is difficult to talk. I am also getting these lesions on other parts of my body. My vision is changing in my right eye, and sometimes it is so blurry that I can't see. I don't know if this is related, but I am also having swelling in both feet- I never had that problem before the vaccine, and I read that it can cause heart problems.
Age: 64.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Patient got the PNEUMOVAX 23 in the left arm on 8/19/18. She called on 8/20/18 to pharmacy describing that her arm is swollen, red, and hot to the touch. She went to urgent care on 8/20/18.  Patient stated that the doctor gave the patient 9 pills of prednisone and discharge the patient with bactrim and a medrol dose pak prescriptions to get at the pharmacy. I followed up with the patient on 8/21/18. She is okay.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered to patient of inappropriate age, No adverse event
Clinical narrative: Patient is 60 years old and was given the high dose influenza vaccine which is indicated for patients 65 and older. Patient did not experience any adverse reactions or events.
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt states that the next day she was itching and then it slowly turned into hives around the 3 or 5 day, she did not come to me at the pharmacy until Aug 21, 12 days after I had administered her the vaccine, she was still having hives and itching.
Age: 75.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Diarrhoea, Nausea, Vomiting
Clinical narrative: Diarrhea the following day (only for one day). Severe nausea / vomiting (since vaccination). Severe weakness. Has never happened with FLUAD or FLUZONE from pervious yearly vaccinations.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Vaccination site pain, Vaccination site rash
Clinical narrative: Recieved her 2nd vaccination on a Wednesday. Thursday night she woke up in pain with a raised rash around the vaccination area about 4 inches long and 2 inches wide. Still there today (Tuesday), although it is a lot smaller in size. Also is itchy. Has tried hydrocortisone cream and icing which helps with the itching and pain.
Age: 18.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Dizziness
Clinical narrative: Patient complained of dizziness about 5 minutes after vaccinations. Patient was still conscious coherent. Patient was advised to remain seated and was given water and orange juice. Patient recovered within 5 to 10 minutes.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Myalgia, Pain in extremity
Clinical narrative: Very sore arm for three days, muscle aches for 2 days, stomach upset for one day.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Fatigue, Genital herpes, Headache, Hypersensitivity
Clinical narrative: Per patient, in order of appearance: "fatigue, genital herpes II outbreak in 24 hours, severe total body pain, headache, fever of 101.5, allergic reaction (difficulty breathing, throat closing). Treated in ER with IV and three IV meds".
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Throat tightness
Clinical narrative: Per patient, in order of appearance: "fatigue, genital herpes II outbreak in 24 hours, severe total body pain, headache, fever of 101.5, allergic reaction (difficulty breathing, throat closing). Treated in ER with IV and three IV meds".
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Pain in extremity
Clinical narrative: Moderate arm pain, shivering, marked fatigue, joint pain, lack of appetite. Shivering occurred 12 hrs after injection. Marked fatigue and joint pain within 24 hrs of injection.
Age: 75.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Swelling
Clinical narrative: Swelling and "fever" to the area.
Age: 1.5
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Enuresis, Pyrexia
Clinical narrative: Fever (101.6°F). Bedwetting.
Age: 22.0
Sex: M
Vaccine: VARCEL
Symptoms: Breath sounds abnormal, Dizziness, Hyperhidrosis, Loss of consciousness, Paraesthesia
Clinical narrative: Today, 8/21/18 at around 7:30PM a patient had a reaction to a VARIVAX vaccine. After administering the shot subcutaneously the patient passed out with his eyes open and was making gurgling noises. As I went to get the E kit and call 911, he awoke subsequently I did not administer an epi pen or call 911 as he was responsive and aware of his surroundings and the events leading up to the vaccination. The patient remembers the vaccine, and slowly drifting off. Afterwards, the patient reported feeling dizzy, sweating, and tingling in his extremities. He also reported that he did not each much during the day which may have contributed to this incident. I am keeping him in the Vaccination room and monitoring him every couple of minutes. I have given him juice and water and will continue to stay with him until the patient has a safe ride back to his home.
Age: 22.0
Sex: M
Vaccine: VARCEL
Symptoms: Vaccination complication
Clinical narrative: Today, 8/21/18 at around 7:30PM a patient had a reaction to a VARIVAX vaccine. After administering the shot subcutaneously the patient passed out with his eyes open and was making gurgling noises. As I went to get the E kit and call 911, he awoke subsequently I did not administer an epi pen or call 911 as he was responsive and aware of his surroundings and the events leading up to the vaccination. The patient remembers the vaccine, and slowly drifting off. Afterwards, the patient reported feeling dizzy, sweating, and tingling in his extremities. He also reported that he did not each much during the day which may have contributed to this incident. I am keeping him in the Vaccination room and monitoring him every couple of minutes. I have given him juice and water and will continue to stay with him until the patient has a safe ride back to his home.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Ill-defined disorder, Loss of personal independence in daily activities
Clinical narrative: I got the SHINGRIX vaccine and the next day it was like I had a severe illness. I was so out of it every time I thought about getting out of the bed before I managed to get out I fell back to asleep. I had to get my daughter to physically drag me out so I did not lie in bed all day (or I would have been in physical pain from that plus not been able to sleep that night) The second day after I Really should have stayed home from work but had to go in due to meetings I could not miss. Bottom line: SHINGRIX kicked my butt for two days. I was completely nonfunctional for one day and virtually nonfunctional for the second day. Now, granted I was given information AFTER I got my shot that I did not get a chance to read that day. When I finally read it I saw that the above are known side effects, especially in younger people. I am on the younger end of people getting that vaccine. I also have alpha-gal allergy and had to talk to my doctor about getting the vaccine at all due to it being made from Hamster Ovaries. It was decided that the risk of getting it now was better than the long term risk, but that may have made my reaction worse. THE ISSUE: If this is such a well known side effect (that a large percentage of younger people may not be able to perform their daily functions for 2-3 days' then people need to be seriously warned about this IN ADVANCE, not in arrears. After having gotten the shot it's too late. What if I had had to be at work the next day? What if my job was not as sedentary as it is? If I was a waitress I would have been out of work for two full days, and I am probably the exact person who could not afford to be out of work for two full days!! THE SOLUTION: people should be seriously warned about possible side effects such as this so that they can PLAN when to get a shot like this. Had I known I could have made a special trip in on Friday night so I could have been laid up for the weekend instead of this bleeding into the workweek. It is a joke to provided this type information after the shot is given. With such a large percent of people having this side effect I believe there should be a simple pre-screen question "Are you willing and able to take the next 2-3 days off to potentially be in bed 'sick' while you recover from this vaccination?" While not life threatening this is a very serious issue. I have offered one solution, I am sure you can come up with others, but something needs to be done ASAP. PS: and if you think you might scare people off getting the vaccine if you were honest up front, believe me I have scared a number of people off by talking about the unexpected, unplanned for, hassle I had to go through. Even my GP said she was probably not going to get it after listening to me! SO, bad advertising by putting people in this situation is not helping your case either.
Age: 56.0
Sex: F
Vaccine: RAB, RAB
Symptoms: Abnormal loss of weight, Antibody test negative, Asthenia, Blood test, Chills
Clinical narrative: I was bitten by a bat on July 21, 2018. I was able to capture it and took it to the local Wildlife Center where a form was filled out regarding the animal. Despite info being provided on the intake form regarding the bite, the bat was let go by the local Wildlife Center. It should have been killed and tested for rabies. Because of the condition of the bat was unknown, I had to undergo rabies vaccination (using RABAVERT), which is supposed be a series of the initial rig plus 5 doses, which were administered by the ER at Hospital. The ER failed to read the manufacturers instructions, not once but on 3 subsequent inoculations all of which were administered by different medical staff. In one instance a shot was incorrectly placed in my gluteal muscle which is one of the main areas where you should NOT get the vaccine since there is too much fatty tissue and it can result in the vaccine being rendered ineffective. As a result, I had to start the series over again, and again, there were protocol errors. I have become extremely ill, with fever and chills, blurred vision, slurred speech, burning pain at the injection sites, nausea, narcolepsy, colitis, forgetfulness, and frequent falling due to muscle weakness and dizziness. An infectious disease specialist was called in as well as the CDC and they all decided I just needed more shots, which enhanced my adverse reaction to the vaccine. To date I have been given 15 shots, 2 of which were the initial introduction of weakened rabies virus into my system. My body has no easy way to get rid of the excess vaccine and I have been told I have been overdosed. I have no idea if antibodies have been forming as expected or not because the protocol was not followed. Neither the hospital, the Dept. of Health, nor the CDC have any idea if the shots were effective and no one can guarantee I do not have an active rabies strain in my body, likely due to their incompetence. A titer to test for antibodies should have been done at 14 days, and it was only done this week, almost a month later. I am more sick than I have ever been in my life, I cannot shake this, I have been sleeping most of the time for the past 3 weeks. I have lost 22 lbs. I have no strength and my muscle tone is suffering. In addition, during one visit to the ER, I went hypoxic with my O2 at 80. I called the vaccine manufacturer, Novartis, and they have no idea how to deal with this. There is no protocol to deal with an overdose of this vaccine. Their comment "we just make it, we don't administer it". The CDC advised that if I was not deathly ill and hospitalized they wouldn't get involved. There has been confirmed rabies in bats within a 50 mile radius of my home. Do I have rabies? Will I develop rabies at some time in the future? No one seems to know, and none of the medical professionals who treated me seemed to have any idea what they were doing.