chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Discomfort, Injection site pain
Clinical narrative: Patient came to get a new prescription filled on 10/26/18 and said that he has been having some pain in his left arm at the injection site since the flu shot on 9/25/18. Nothing serious but he still feels some discomfort, especially when he is lying down on his left side and was just wondering if this normal. He is not seeking medical attention for this but was just wondering.
Age: 80.0
Sex: M
Vaccine: FLU3, FLU3
Symptoms: Injection site discomfort, Injection site pain
Clinical narrative: Patient came to get a new prescription filled on 10/26/18 and said that he has been having some pain in his left arm at the injection site since the flu shot on 9/25/18. Nothing serious but he still feels some discomfort, especially when he is lying down on his left side and was just wondering if this normal. He is not seeking medical attention for this but was just wondering.
Age: 71.0
Sex: F
Vaccine: FLUA3
Symptoms: Injected limb mobility decreased
Clinical narrative: Patient reported she couldn't lift her arm the evening after her shot, she feel the pharmacist administered it "too high" into the shoulder. Her husband took her to the ER for an Xray and nothing serious was shown. The patient reports the arm feels better now.
Age: 68.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site infection, Injection site swelling
Clinical narrative: Patient's arm became swollen and red from injection site to elbow. He states he went to the hospital and it was infected and he was admitted.
Age: 17.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Heart rate decreased, Pallor
Clinical narrative: Patient received both immunizations and 5-10 minutes later had a "reaction". Pt became pale, moist with heart rate decreased to 40. Pt remained alert and oriented. ED response called and pt's vital signs improved with oxygen and time.
Age: 64.0
Sex: M
Vaccine: FLU3
Symptoms: Injected limb mobility decreased, Injection site injury, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient claims via email: "My left arm has gotten progressively worse in terms of pain and range of motion. Initially there was no reaction but then approximately a week later I noticed some stiffness in the shoulder area. This has gotten to the point that I can't raise my arm to shoulder level or reach out to the side with that arm. I called my doctor and they think that that it is an injection site injury. They suggested I contact HR. Hence this message. I have not fallen, strained the arm, bruised it or any other thing that I can think of as to why it is so painful.. The only thing that seems to fit is the shot." Adverse reaction was brought to our attention on 10/22/18. Followed up and spoke with patient on 10/24/2018. Patient claims to have slowly regained range of motion, but will keep appointment with primary doctor for follow-up.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Injection site bruising, Injection site pain, Malaise, Pyrexia
Clinical narrative: Patient reported a bruise and soreness at site and fever, chills, and malaise starting at 9 pm, lasting 24 hours.
Age: 11.0
Sex: M
Vaccine: FLU4, MNQ
Symptoms: Injection site erythema, Vaccination site swelling
Clinical narrative: Pt had swollen red circle where vaccines were given.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, Pain in extremity
Clinical narrative: Employee experienced nausea and headache the same day as vaccine. Employee experienced swelling and pain in joints and hands the next day following the vaccine. The employee experienced pain at the injection site the day following the vaccine. All were reported the day following the vaccine.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Swelling
Clinical narrative: Employee experienced nausea and headache the same day as vaccine. Employee experienced swelling and pain in joints and hands the next day following the vaccine. The employee experienced pain at the injection site the day following the vaccine. All were reported the day following the vaccine.
Age: 73.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injected limb mobility decreased, Musculoskeletal pain
Clinical narrative: Patient had severe pain in shoulder and had difficulty moving her right arm. She went to the walk-in and they told her ibuprofen and to put heat on it.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Musculoskeletal pain, Neck pain, Pain in extremity
Clinical narrative: Neck, shoulder and arm pain.
Age: 80.0
Sex: M
Vaccine: FLU3
Symptoms: Hypoaesthesia, Pain
Clinical narrative: PATIENT HAD REPORTED UNRELIEVED PAIN THAT HE NOTICED AFTER GETTING THE VACCINATION ON 09/20/2018. HE HAD STATED THAT HIS DR. HAD ASKED HIM TO WAIT FOR 1 MORE WEEK TO SEE IF THE PAIN WOULD BE RELIEVED BEFORE HE COULD SEE A SPECIALIST. PATIENT IS PLANNING ON VISITING A SPECIALIST FOR HIS PAIN. PATIENT HAD ALSO REPORTED THAT HE HAD BEEN HAVING NUMBNESS IN THE SAME ARM FOR OVER 10 YEARS.
Age: 58.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Pain at injection site (and a little redness) two weeks after injection.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspepsia, Pain in extremity
Clinical narrative: Patient reported initial pain in the arm. She stated that 4 days later she experienced "severe heartburn".
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Diarrhoea, Injection site erythema, Injection site irritation, Injection site pain
Clinical narrative: Patient reports being at home the evening of the immunization and experiencing extreme gastrointestinal side effects including nausea and diarrhea. Patient also reports redness and irritation at the administration site with associated soreness. She called to alert me at the pharmacy the next day, I confirmed that she was feeling better and condition was improving. I checked on her today 10/26/2018 and she reports still feeling "under the weather" but is still improving from the previous side effects. Complete recovery from the aforementioned side effects is unknown at this time of reporting.
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Patient reports being at home the evening of the immunization and experiencing extreme gastrointestinal side effects including nausea and diarrhea. Patient also reports redness and irritation at the administration site with associated soreness. She called to alert me at the pharmacy the next day, I confirmed that she was feeling better and condition was improving. I checked on her today 10/26/2018 and she reports still feeling "under the weather" but is still improving from the previous side effects. Complete recovery from the aforementioned side effects is unknown at this time of reporting.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Musculoskeletal disorder, Pain in extremity
Clinical narrative: Left arm started becoming sore and got increasingly worse until my left arm was barely usable. This took about 3 weeks to subside.
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Induration, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Next day, upper arm was swollen, red, firm, hot and painful.
Age: 73.0
Sex: M
Vaccine: FLU3
Symptoms: Balance disorder, Dizziness, Tinnitus
Clinical narrative: Patient describes ringing in the ear for the first five days and then dizziness upon change in position or abrupt movement of head that continues to this date. He also is off balance when standing.
Age: 69.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Back pain, Headache, Muscle spasms, Pain in extremity
Clinical narrative: After receiving injection, I walked out of the pharmacy, opened my car door and sad down in the driver's seat, turned on the ignition and experienced a raging pain in the mid to lower mid portion  of my back. I had to stiffen up and scream to bear the pain. The pain began to ease a little, then returned. I cried out again and knew I needed to get help. The pain eased up again a little. I got out of the car and walked carefully back into the pharmacy to the nurse. I sat and waited for an hour. The pain subsided. A family member came, followed me driving home, and then took me to Patient First. No pulmonary embolism or other obvious adverse symptoms. Diagnosed with muscle spasm. Am having mild aches in arm and head at 10 pm. Otherwise, no particular symptom.
Age: 69.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Back pain, Muscle spasms, Pain
Clinical narrative: After receiving injection, I walked out of the pharmacy, opened my car door and sad down in the driver's seat, turned on the ignition and experienced a raging pain in the mid to lower mid portion  of my back. I had to stiffen up and scream to bear the pain. The pain began to ease a little, then returned. I cried out again and knew I needed to get help. The pain eased up again a little. I got out of the car and walked carefully back into the pharmacy to the nurse. I sat and waited for an hour. The pain subsided. A family member came, followed me driving home, and then took me to Patient First. No pulmonary embolism or other obvious adverse symptoms. Diagnosed with muscle spasm. Am having mild aches in arm and head at 10 pm. Otherwise, no particular symptom.
Age: 69.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Back pain, Injection site pain, Spinal pain
Clinical narrative: After receiving injection, I walked out of the pharmacy, opened my car door and sad down in the driver's seat, turned on the ignition and experienced a raging pain in the mid to lower mid portion  of my back. I had to stiffen up and scream to bear the pain. The pain began to ease a little, then returned. I cried out again and knew I needed to get help. The pain eased up again a little. I got out of the car and walked carefully back into the pharmacy to the nurse. I sat and waited for an hour. The pain subsided. A family member came, followed me driving home, and then took me to Patient First. No pulmonary embolism or other obvious adverse symptoms. Diagnosed with muscle spasm. Am having mild aches in arm and head at 10 pm. Otherwise, no particular symptom.
Age: 71.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Erythema, Headache, Inflammation, Musculoskeletal stiffness, Pneumonia
Clinical narrative: Patient received pneumonia shot on 10/17 and came in to the store on 10/26. Patient said she believed she had had a reaction to the shot and showed me her arm and there was a large red spot she said it had been inflammed and hot to the touch I told her to try benadryl to help with the inflammation and swelling. She then mentioned that she had had a headache since the day she got the shot and woke up this morning with a stiff neck. I advised the patient to go to the doctor and get checked out and also put a note on her profile that she had a reaction to the shot.
Age: 71.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Skin warm, Swelling
Clinical narrative: Patient received pneumonia shot on 10/17 and came in to the store on 10/26. Patient said she believed she had had a reaction to the shot and showed me her arm and there was a large red spot she said it had been inflammed and hot to the touch I told her to try benadryl to help with the inflammation and swelling. She then mentioned that she had had a headache since the day she got the shot and woke up this morning with a stiff neck. I advised the patient to go to the doctor and get checked out and also put a note on her profile that she had a reaction to the shot.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Nausea
Clinical narrative: Feeling nauseated and stomach upset starting at 9pm.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: RED LOCAL INJECTION SITE-SIZE OF APPLY, PATIENT GOT KEFLEX.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Mass, Paraesthesia, Pruritus
Clinical narrative: Pt had tingly feeling after the vaccine, got itchy. patient developed red bump on arm 2 days later. Pt did not seek treatment.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Ear infection viral, Headache, Influenza virus test, Lumbar puncture, Meningitis viral
Clinical narrative: Monday afternoon at home slight headache and temp. Tuesday went to PCP Dx with viral ear infection. Wednesday - went to school. Thursday - woke up Temp 102.4, N/V, severe HA. Went back to clinic, APN referred child to hospital sent Thursday night, flu test, lumbar tap, fluids, pain control MOTRIN TYLENOL, temp. treated with MOTRIN TYLENOL. Dx with viral meningitis discharged Friday 10/26/2018 to home. 10/26/2018 I spoke with mother today and child is progress well taking TYLENOL/MOTRIN for fever and pain. Have follow-up next week with PCP. Mother also stated that doctor at hospital stated that taking flu vaccine was not the cause of the illness.
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Monday afternoon at home slight headache and temp. Tuesday went to PCP Dx with viral ear infection. Wednesday - went to school. Thursday - woke up Temp 102.4, N/V, severe HA. Went back to clinic, APN referred child to hospital sent Thursday night, flu test, lumbar tap, fluids, pain control MOTRIN TYLENOL, temp. treated with MOTRIN TYLENOL. Dx with viral meningitis discharged Friday 10/26/2018 to home. 10/26/2018 I spoke with mother today and child is progress well taking TYLENOL/MOTRIN for fever and pain. Have follow-up next week with PCP. Mother also stated that doctor at hospital stated that taking flu vaccine was not the cause of the illness.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: C-reactive protein, Erythema multiforme, Full blood count, Laboratory test, Oedema peripheral
Clinical narrative: Hives, fever, erythema multiforme ?. Hand/foot edema serum sickness like reaction.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Pyrexia, Red blood cell sedimentation rate, Serum sickness-like reaction, Urine analysis, Urticaria
Clinical narrative: Hives, fever, erythema multiforme ?. Hand/foot edema serum sickness like reaction.
Age: 42.0
Sex: F
Vaccine: FLU3
Symptoms: Wrong product administered
Clinical narrative: FLUZONE HIGH DOSE was given instead of FLUZONE. Patient was doing ok no problem at the time.
Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: SkinRash and UrticariaPruritus.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Asthenia, Chills, Malaise, Syncope
Clinical narrative: Pt felt ill like viral syndrome for one week, briefly fainted one day. Had weakness and chills.
Age: 74.0
Sex: F
Vaccine: FLUA3
Symptoms: Chills, Hot flush, Rash
Clinical narrative: Rash start on left arm (underside) and spread to right arm, front torso and both upper front legs. Had some minor hot flashes and chills as well. No itching. Patient took BENADRYL and was instructed to take more as needed. Also seek medical attention if condition became worse or didn't improve in the next day or 2.
Age: 18.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Back pain, Blood creatine phosphokinase, C-reactive protein, Chest pain, Computerised tomogram
Clinical narrative: Fever, bilat arm et leg pain, bilat tingling/numbness in legs et arms, slight cough, low back pain, chest pain, short of breath x 2 days.
Age: 18.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Cough, Dyspnoea, Electrocardiogram, Fibrin D dimer, Full blood count
Clinical narrative: Fever, bilat arm et leg pain, bilat tingling/numbness in legs et arms, slight cough, low back pain, chest pain, short of breath x 2 days.
Age: 18.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Human chorionic gonadotropin, Hypoaesthesia, International normalised ratio, Lipase, Metabolic function test
Clinical narrative: Fever, bilat arm et leg pain, bilat tingling/numbness in legs et arms, slight cough, low back pain, chest pain, short of breath x 2 days.
Age: 18.0
Sex: F
Vaccine: FLU4, MENB
Symptoms: Pain in extremity, Paraesthesia, Pyrexia, Red blood cell sedimentation rate decreased, Urine analysis
Clinical narrative: Fever, bilat arm et leg pain, bilat tingling/numbness in legs et arms, slight cough, low back pain, chest pain, short of breath x 2 days.
Age: 4.0
Sex: U
Vaccine: FLU4
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site urticaria
Clinical narrative: Left leg soreness, swelling to twice the normal size with hives around injection site, skin taut.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Malaise, Musculoskeletal pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Swelling on arm, neck, side and shoulder, along w/pain, soreness, and patient feeling sick.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Peripheral swelling, Swelling
Clinical narrative: Swelling on arm, neck, side and shoulder, along w/pain, soreness, and patient feeling sick.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Neuralgia, Ultrasound scan
Clinical narrative: Received injection at flu clinic on 10/10 had immediate nerve (shooting) pain down arm, continued to be "sore" despite warm compresses, 2 weeks post injection cannot bring arm across chest without shooting pain from left shoulder to left hand medial aspect.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Hypersensitivity, Injection site pain, Paraesthesia
Clinical narrative: (L) arm pain at site of injection within couple of hours 10/23, same night biceps became red and tender and has worsened. Biceps erythema size 6 inches x 4 inches. Cellulitis and allergic reaction to pneumococcal vaccine 23.
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Vaccination complication
Clinical narrative: (L) arm pain at site of injection within couple of hours 10/23, same night biceps became red and tender and has worsened. Biceps erythema size 6 inches x 4 inches. Cellulitis and allergic reaction to pneumococcal vaccine 23.
Age: 83.0
Sex: M
Vaccine: PNC13
Symptoms: Adverse drug reaction, Cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Left arm erythematous warm/hot upper deltoid to bicep medially 8 inches x 7 inches at widest area. Tx for both cellulitis and drug reaction.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Computerised tomogram normal, Dizziness, Laboratory test normal, Loss of consciousness
Clinical narrative: Within 20 min of receiving vaccine she became nauseated 10 min later she passed out with generalized weakness and dizziness. Taken to the ED. Was tx with BENADRYL and SOLUMEDROL and observed. Within an hour her symptoms had resolved and she was discharged. Perhaps a vagal response rather than an allergic rx.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea
Clinical narrative: Within 20 min of receiving vaccine she became nauseated 10 min later she passed out with generalized weakness and dizziness. Taken to the ED. Was tx with BENADRYL and SOLUMEDROL and observed. Within an hour her symptoms had resolved and she was discharged. Perhaps a vagal response rather than an allergic rx.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Flank pain, Herpes zoster, Loss of consciousness
Clinical narrative: The patient reports having pain in the back and side then passing out on an unknown date after receiving SHINGRIX. The patient was transported via squad to the ER but nothing could be found wrong with her. She has a history of orthostatic hypotension (self report). On 10-19-18 the patient continued to have pain so she went to clinic. They diagnosed her with Shingles, but didn't give her any medication. She then went to her primary care on 10/22/18 and the doctor gave her medication (she couldn't tell me what it was). The patient feels this was all due to the vaccine and wanted it reported.
Age: 93.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Peripheral swelling
Clinical narrative: Patient presented to pharmacy on Friday 10/26/2018 with right arm swollen, and red. Felt warm to the touch. We checked the VAR and the right arm was the arm the PNEUMOVAX was given in. The left arm he received FLUZONE and there was no swelling redness etc, normal appearance. We recommended over the counter antihistamines and contacting his PCP, patient asked if he could try putting ice on it. Patient returned to pharmacy and said his doctor's office told him to come back to the pharmacy and check with them on Monday. Patient stated he would head home and if he got worse call emergency. We advised the patient to visit urgent care as soon as he left he pharmacy to be evaluated by a physician.
Age: 93.0
Sex: M
Vaccine: FLU4, PPV
Symptoms: Skin warm
Clinical narrative: Patient presented to pharmacy on Friday 10/26/2018 with right arm swollen, and red. Felt warm to the touch. We checked the VAR and the right arm was the arm the PNEUMOVAX was given in. The left arm he received FLUZONE and there was no swelling redness etc, normal appearance. We recommended over the counter antihistamines and contacting his PCP, patient asked if he could try putting ice on it. Patient returned to pharmacy and said his doctor's office told him to come back to the pharmacy and check with them on Monday. Patient stated he would head home and if he got worse call emergency. We advised the patient to visit urgent care as soon as he left he pharmacy to be evaluated by a physician.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Joint range of motion decreased
Clinical narrative: Patient states she had pain and limited range of motion in arm that received vaccination. Possible minimal redness at injection site. Some mild improvement next few days. Patient was evaluated by orthopedist specialist.
Age: 67.0
Sex: F
Vaccine: PPV, FLUX, PPV
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: On 10/17/18 patient presented to office with redness and swelling to right arm. Patient stated it had started to get warm, turn red, and swell the day following the vaccine. Dr. was advised and saw patient. He administered BENADRYL 25mg PO once and Ibuprofen 600mg PO once. He instructed patient to go to ED if symptoms worsened and to report back to clinic next day.
Age: 67.0
Sex: F
Vaccine: PPV, FLUX, PPV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Injection site warmth, Peripheral swelling
Clinical narrative: On 10/17/18 patient presented to office with redness and swelling to right arm. Patient stated it had started to get warm, turn red, and swell the day following the vaccine. Dr. was advised and saw patient. He administered BENADRYL 25mg PO once and Ibuprofen 600mg PO once. He instructed patient to go to ED if symptoms worsened and to report back to clinic next day.
Age: 71.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site swelling
Clinical narrative: 10-15-18 10:15pm acute severe swelling-prednisone 60 mg x 3 days, loratadine 10 mg daily, famotidine 2 mg daily. Localized to (R) deltoid PCV 23 vaccine.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Adenovirus test, Barium swallow, Barium swallow normal, Dehydration, Diarrhoea
Clinical narrative: Rotavirus given 8/24/18. Patient experienced vomiting, diarrhea, dehydration arose on 9/8 and resulted in a 3 day hospital admission for IV fluids and evaluation by 9/12.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Enterovirus test negative, Rotavirus test negative, Stool analysis normal, Ultrasound abdomen normal, Viral test negative
Clinical narrative: Rotavirus given 8/24/18. Patient experienced vomiting, diarrhea, dehydration arose on 9/8 and resulted in a 3 day hospital admission for IV fluids and evaluation by 9/12.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Rotavirus given 8/24/18. Patient experienced vomiting, diarrhea, dehydration arose on 9/8 and resulted in a 3 day hospital admission for IV fluids and evaluation by 9/12.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Malaise, Myalgia
Clinical narrative: Chills, malaise, muscle ache x 72 hours.
Age: 67.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Patient complained of left arm being warm to the touch and redness around injection site. Patient visited doctor to get checked out. Doctor was not concerned. Redness had started to diminish and patient was feeling better.
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain, Product administered at inappropriate site
Clinical narrative: Immunization was given in left deltoid and the patient called later stating the immunization was given "too high" and she felt that it was given in a joint. She was experiencing joint pain and it was not muscle pain. Her arm had pain that was moderate to severe and.
Age: 65.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient states that she has severe pain in her arm and cannot lift her arm. Patient contacted the nurse for the health department. Nurse contacted me and informed me of the problem that the patient was experiencing.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Anxiety, Dizziness, Dysarthria, Nausea
Clinical narrative: After 30 seconds of immunization, pt. complained from dizziness, stomach pain and nausea. Then, she had slurred speech, her heart rate was about 80 but blood pressure was 80/46. I called 911, and asked the patient to lie down raising her legs. Checking BP every minute and readings was 90/61, 92/66, 99/70 then EMS showed up. It took about 15 minutes until patient fully recovered and she was able to walk. She also was anxious from the shot, however she had to have it for school. Called patient after 4 hours at 10:23 PM and she was fine and has no issues or complaints.
Age: 69.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Back pain, Headache, Muscle spasms, Pain in extremity
Clinical narrative: Patient left after receiving shot, came back after about 5 minutes, stating that she has a shooting pain in her back that started as she got in her car. She appeared in pain, but no other classic immunization adverse effects. She rested, while waiting for a family member to arrive. She left with the family member at about 2:30pm and was taken to her doctor's office.
Age: 69.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Back pain, Muscle spasms, Pain
Clinical narrative: Patient left after receiving shot, came back after about 5 minutes, stating that she has a shooting pain in her back that started as she got in her car. She appeared in pain, but no other classic immunization adverse effects. She rested, while waiting for a family member to arrive. She left with the family member at about 2:30pm and was taken to her doctor's office.
Age: 69.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Back pain, Injection site pain, Spinal pain
Clinical narrative: Patient left after receiving shot, came back after about 5 minutes, stating that she has a shooting pain in her back that started as she got in her car. She appeared in pain, but no other classic immunization adverse effects. She rested, while waiting for a family member to arrive. She left with the family member at about 2:30pm and was taken to her doctor's office.
Age: 75.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Rash, Rash erythematous
Clinical narrative: Patient reported that they were developing rash on arms and legs. She showed them to me and her skin got redder in about 30mins. I suggested she take BENADRYL orally or apply over the counter hydrocortisone and that I would call her DR while she waited. Nurse at dr's office said for patient to take BENADRYL and head down from pharmacy to Dr office so that patient can be seen. Patient got the BENADRYL and said she would go to Dr's office.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Pain, Peripheral swelling, Skin warm, Urticaria
Clinical narrative: Patient said they started developing welts on injection arm the night of the day of vaccination. She said  that her arm swelled up, the skin was "hot" and it hurt to lie down on her left side. She said she took ibuprofen and it helped a bit. I told her that I would call her Dr to see what they recommend for her to do. Her dr suggested that she apply cold compresses to the arm. I followed up with her every other day. In a few days, patient reported that the swelling on her arm had gone down and the pain was almost gone.
Age: 94.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Injection site erythema, Injection site rash, Injection site urticaria, Injection site warmth
Clinical narrative: Pt developed 4 inch rash/hives that continues to develop from the injection site running down her arms, also red and warm to touch. Pt visits a local health care provider at an urgent care who instructed her to take oral benadryl, use a cold compress, and cortizone 10 cream.
Age: 1.08
Sex: M
Vaccine: PNC13, VARCEL
Symptoms: Erythema, Injection site bruising, Injection site mass, Swelling
Clinical narrative: Half dollar size raised red mark that is swollen. Lump at injection site. Bruising at injection site.
Age: 61.0
Sex: F
Vaccine: FLUA3
Symptoms: Dysphonia, Oropharyngeal pain, Swelling face
Clinical narrative: UNUSUAL HOARSE VOICE, FACE SWELLING, THROAT SORENESS.
Age: 63.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Chills, Dizziness, Nausea, Pain in extremity, Pyrexia
Clinical narrative: High fever, extreme shivering, nausea, dizziness for about 8 hours. Also soreness in upper arm.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: 10/26/18 4 pm painful stiff arm at injection site. 10/27/18 6:30 am, body aches all over, 10/27/18 6:30 am fever 101.5, 10/27/18 6:30 am chills, 10/27/18 6:30 am headache.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: 10/26/18 4 pm painful stiff arm at injection site. 10/27/18 6:30 am, body aches all over, 10/27/18 6:30 am fever 101.5, 10/27/18 6:30 am chills, 10/27/18 6:30 am headache.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Swelling at site, possible cellulitis.
Age: 0.58
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Vomiting projectile
Clinical narrative: Pt got the shot on Friday. On Saturday, I woke up to an area on pt's right thigh swollen, hard, red, and hot to the touch. I wasn't too concerned because this happened with his PENTACEL shot too. On Sunday, I woke up to his whole upper thigh hard, more swollen, red and hot to the touch. We went to church and I asked a nurse there about it. He said they could have hit a blood vessel and to only be worried about infection if he developed a fever. He didn't have a fever. When we got home, he projectile vomited. I called the pediatrician, but it was a weekend so they weren't open. I contacted my paramedic friend who wasn't too concerned because pt was acting completely normal. He just said to watch for a fever as well. Pt never got a fever and continued to act normal. The next day his leg was a little better.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Per patient's mom woke up at 4 am on 10/27/18 covered in hives from head to toe. She is to take benadryl as direst and dosing 12.5 at 5 ml as well as oatmeal baths. She is aware that hives could last up to 10 days. If symptoms worsen after hours to go to the ER.
Age: 51.0
Sex: F
Vaccine: MMRV, TDAP
Symptoms: Blood test, Dizziness, Dyspnoea, Groin pain, Injection site inflammation
Clinical narrative: On the day of the immunizations, shortly after receiving them, I began having severe pain directly in my groin area approximately 15-20 minutes after the shots were administrated. I also felt light headed and my arm began to slightly swell. After 24 hours the arm where the immunization were given began to throb and swell slightly more: the pain became almost unbearable to the touch. I began range of motion on my arm continuously trying to work the medication in but nothing worked at that point. Fast-forward two weeks later my arm is extremely hot to the touch and throbs terribly. Now, my arm has swollen immensely.
Age: 51.0
Sex: F
Vaccine: MMRV, TDAP
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: On the day of the immunizations, shortly after receiving them, I began having severe pain directly in my groin area approximately 15-20 minutes after the shots were administrated. I also felt light headed and my arm began to slightly swell. After 24 hours the arm where the immunization were given began to throb and swell slightly more: the pain became almost unbearable to the touch. I began range of motion on my arm continuously trying to work the medication in but nothing worked at that point. Fast-forward two weeks later my arm is extremely hot to the touch and throbs terribly. Now, my arm has swollen immensely.
Age: 16.0
Sex: M
Vaccine: FLUC4
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: He fainted, became sweaty. Recovered in about 10 minutes after drinking a bottle of water.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chest discomfort, Cough, Dysphonia, Influenza A virus test negative
Clinical narrative: Fever (101.4), joint pain/body aches, red/sore throat, chest tightness/cough, hoarseness.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Influenza B virus test, Influenza virus test negative, Oropharyngeal pain, Pain, Pharyngeal erythema
Clinical narrative: Fever (101.4), joint pain/body aches, red/sore throat, chest tightness/cough, hoarseness.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Streptococcus test negative
Clinical narrative: Fever (101.4), joint pain/body aches, red/sore throat, chest tightness/cough, hoarseness.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral mucosal blistering, Rash macular, Rash pruritic
Clinical narrative: Roof of mouth (left side only) small blisters for one day only. Left arm rash like. Maybe 8 inches around, blotchy and very very itchy for 6 days now.. getting slightly better with time.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain
Clinical narrative: Sore shoulder - indicates shot may have been given to high in the shoulder. She has seen a physician and will be starting physical therapy to treat starting 10/29/18.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: She had a red, swollen band around her arm (at the bicep). About 4-5 inches wide and wrapped around most of her arm. She saw her doctor and they said it was the start of cellulitis.
Age: 69.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Patient stated that she received HD FLUZONE in L arm the afternoon of 10/25/18. She also received a PNEUMOVAX vaccine in the R arm at this time. The evening of 10/25 her L arm started to swell around the injection site and was described as a "tennis ball" like swelling that was warm to touch and sore, but not painful to touch. She stated that the next morning of 10/26 she noticed a rash around the injection site and the swelling and rash began to move to the inside of her arm. She stated she iced her arm, put hydrocortisone on the rash, and took ibuprofen for swelling. She called today (10/27) to report reaction and stated that the swelling and rash had since subsided substantially.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Extensive swelling of vaccinated limb, Injection site erythema, Swelling
Clinical narrative: Extensive swelling and erythema extending to L wrist, shoulder, upper chest to breastbone, and to below L nipple. Required antibiotic and prednisone.
Age: 11.0
Sex: M
Vaccine: FLU4, MNQ, TDAP
Symptoms: Differential white blood cell count normal, Full blood count normal, Petechiae, Rash, Reticulocyte count normal
Clinical narrative: Patient developed rash on 9/27/18 in the evening on the anterior aspect of his neck, which spread to his neck and face, including cheeks and bilateral upper eyelids. He was seen on 9/29/18, and was diagnosed with petechiae. No prior history of trauma, vomiting, or coughing. He was seen on 10/1/18 for follow-up and the petechiae were still present but not spreading.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling cold
Clinical narrative: Several hours after the vaccine was administered I felt very cold and had difficulty keeping warm this condition lasted for about two and a half days. I used warm clothes, blankets, heating pad, and warm liquids but still felt cold.
Age: 62.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Chills, Dizziness, Headache, Malaise, Pyrexia
Clinical narrative: Fever, malaise, headache, severe chills, dizziness.
Age: 17.0
Sex: F
Vaccine: MENB, UNK
Symptoms: Back pain, Chills, Fatigue, Neck pain
Clinical narrative: Chills, Upper back and neck ache, Fatigue.
Age: 8.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient returned 30 minutes after vaccine administration with mild swollen red area radiating in a 3 inch area around the injection site. Patient did not present any other symtoms. The redness around the injection site resolved over the next 30 minutes after Diphenhydramine cream was applied and after multiple applications was almost completely resolved at 4.40pm after telephone conversation with mother of patient.
Age: 21.0
Sex: F
Vaccine: FLUC4
Symptoms: Blood pressure normal, Hyporesponsive to stimuli, Oxygen saturation normal, Syncope
Clinical narrative: Patient said put she had an adverse reaction to vaccine on her consent form. When I consulted her, she said she gets nervous and a little dizzy. Approximately 30 seconds after receiving her shot, patient fainted. It looked as if she may seize so I and her mother lay her on the floor on her left side. Patient never totally lost consciousness and about 10 seconds later she was responsive and after a few minutes she said she felt better. She sat up and received medical attention from EMS. She refused hospitalization. Her mother said she has not fainted before after a flu shot.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Erythema, Pain
Clinical narrative: Pt got vaccine on 10/25 began to have symtoms that evening. Redness and soreness got worse went to urgent care on 10/27 at noon and was give MOTRIN 800 and cephalxin 500. Being treated for cellulitis.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin infection
Clinical narrative: Pt got vaccine on 10/25 began to have symtoms that evening. Redness and soreness got worse went to urgent care on 10/27 at noon and was give MOTRIN 800 and cephalxin 500. Being treated for cellulitis.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Sluggishness
Clinical narrative: Moderate upper arm pain; generally sluggish feeling; possible balance issues when standing.
Age: 1.0
Sex: M
Vaccine: MMR, PNC13
Symptoms: Cough, Feeling hot, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient started with fever 10 days after MMR, felt hot. Also had congestion and cough.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Axillary pain, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Sore Arm with Moderate Pain, Muscle Pain, Headache, Mild Fever, Mild Stomach Pain, Nausea, Swollen Lymph Nodes, and Moderate Pain in Underarm Lymph Nodes.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain in extremity, Pyrexia
Clinical narrative: Sore Arm with Moderate Pain, Muscle Pain, Headache, Mild Fever, Mild Stomach Pain, Nausea, Swollen Lymph Nodes, and Moderate Pain in Underarm Lymph Nodes.
Age: 73.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Rash
Clinical narrative: Painful injection. Rash that has lasted for 5 days.
Age: 73.0
Sex: F
Vaccine: FLU3
Symptoms: Chills, Feeling cold, Muscular weakness
Clinical narrative: The patient got her flu shot around 10:00 am on 10/08/18 and then the patient went home after 15 min. Approximately 2 hours after getting the flu shot, the patient said she felt  cold and was shivering. So, she rested until approx 5 pm. Further, the patient had muscle weakness through out that night. She felt a little better from the next day, but it took her almost a week to come back to normal. The patient gets her flu shots regularly, but this is her first time having these symptoms.
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Diarrhoea
Clinical narrative: Diarrhea started 2 days after vaccination. Would experience diarrhea shortly after eating. At this time it is ongoing and has lasted for over a week (started 10/20/18 and today is 10/27/18).
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site pain, Myalgia
Clinical narrative: Flu like symptoms, muscle pain and injection site pain. 1 day so far. Aleve for pain.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Temp 100, slept 2 hrs after taking ibuprofen then constant severe muscle pain/aches, chills, headache, extreme fatigue, queasy stomach the rest of the night & following day.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea
Clinical narrative: Temp 100, slept 2 hrs after taking ibuprofen then constant severe muscle pain/aches, chills, headache, extreme fatigue, queasy stomach the rest of the night & following day.
Age: 54.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Erythema, Inflammation, Influenza like illness, Pain in extremity
Clinical narrative: Patient states that 1 hour after receiving her flu shot along with SHINGRIX shot she started experiencing sharp pain in her right arm which the same day became inflamed and red hot. Patient took TYLENOL to relieve pain since she is not allowed to take Ibuprofen. She also felt flu like symptoms next few days and severe inflammatory reaction lasted for about 1 week. She states that her inflammation is getting better with time and it is minimal when noticed by me today on 10/27/2018. Patient notified her primary doctor who has advised her not to take the second shot in SHINGRIX series.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: PATIENT STARTED HAVING A WARM, ITCHY, SLIGHTLY SWOLLEN ARM THE EVENING OF 10/25/2018. PRESENTED AT THE PHARMACY 10/27/2018. ADVISED PATIENT TO GIVE HER DOCTOR'S OFFICE ON CALL NUMBER A CALL TO LET THEM KNOW OF THE SITUATION AND SEE IF THEY WOULD LIKE TO EVALUATE/TREAT. PATIENT SAID SHE WOULD PHONE THE DCOTOR'S OFFICE.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Decreased appetite, Fatigue, Injection site erythema, Nausea
Clinical narrative: Still have redness at injection site-and yesterday woke up feeling exhausted, gi upset- no vomit or diarrhea but definitely nausea- didn't really eat anything until dinner-just took sips of water and Sprite-  and took 2 naps- which is something I only do ONCE a year if at all! Not something I ever do unless early pregnant (which I'm not!) or have the flu etc. Today i am feeling  85% - no nausea- still redness. Flu shot first week of Oct- can get details if need.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Patient describes a red hard area with severe pain that progressed down her arm. The site became warm to the touch. She reports severe neck and head pain that she self treated with TYLENOL and heat. She reports the symptoms resolved after 3 days.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Patient describes a red hard area with severe pain that progressed down her arm. The site became warm to the touch. She reports severe neck and head pain that she self treated with TYLENOL and heat. She reports the symptoms resolved after 3 days.
Age: 73.0
Sex: F
Vaccine: FLU3, HEPA, PPV
Symptoms: Chills, Injection site swelling, Pyrexia, Rash generalised
Clinical narrative: Patient had swelling at injection site of her right arm. She also develped a full body rash shortly thereafter. She also reported suffering with slight fever and chills for 2 days. Patient reported personally and has fully recovered.
Age: 31.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Injected limb mobility decreased, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: Day after, significant arm soreness to right arm, difficulty moving right arm, redness the size of a quarter to right arm. 2 days after injection, fever of 103, arm redness getting larger, double in size from day 2. 3 days after, fever resolved, arm soreness improved with arm mobility almost to baseline, but redness, swelling, warmth worsening to size of palm. Was seen at local urgent care on day 2 and given cephalexin 500mg TID. Was seen by urgent care  above on day 3 and advised conservative measures and that remaining symptoms will resolve on own with no further treatment required.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Felt like I had the flu; 102 degree fever, extremely tired, insomnia (rare for me), injection site swelling and redness, it was painful to touch but not pain is just standing there. I took ibuprofen and alternated with TYLENOL. Fever went down to 101 after 4 hours. Fever continued from 100-101 for the next 20 hours. Still tired and had swelling for 48 hours total after symptoms appeared.
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Insomnia, Pyrexia
Clinical narrative: Felt like I had the flu; 102 degree fever, extremely tired, insomnia (rare for me), injection site swelling and redness, it was painful to touch but not pain is just standing there. I took ibuprofen and alternated with TYLENOL. Fever went down to 101 after 4 hours. Fever continued from 100-101 for the next 20 hours. Still tired and had swelling for 48 hours total after symptoms appeared.
Age: 19.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Patient came to the pharmacy on 10/27/18 reporting that she had experienced a lot of soreness for 2 days after receiving her influenza shot (FLUZONE QUAD) on 10/18/18. She said it hurt too much to move her left arm for approximately 2 days, but has currently recovered except for minor soreness when moving her left arm.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Syringe issue
Clinical narrative: While administering the vaccine some leaked out of the syringe.
Age: 71.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: 10/26 11 pm Very sore upper right arm - used extra strength TYLENOL. 10/27 7 am Low grade fever - 100 with nausea and headache - used extra strength TYLENOL. 10/27 5 pm Headache, fever, nausea continue.
Age: 67.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Patient received FLUAD in right arm and PNEUMOVAX in left arm. A day later she developed a fever that was brought down with ibuprofen, however her left arm is swollen and sore still.
Age: 24.0
Sex: M
Vaccine: FLUC4
Symptoms: Chest pain, Nasopharyngitis, Nausea, Tension
Clinical narrative: 18 hrs after shot pt felt chest pain, tense, cold symptoms, and nausea.
Age: 78.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Big, swollen, red area, about 3-4 inches in size, but a couple inches away from the injection site. No itching, fever, ulcer, or disorientation.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Headache, Injection site bruising
Clinical narrative: 14 hours after injection, developed diffuse arthralgias, severe back pain, and chills along with headache lasting 36 to 40 hours. Injections side severely bruised, painful, erythema extending almost to the elbow. I'm able to sleep on left side for more than 48 hours.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: 14 hours after injection, developed diffuse arthralgias, severe back pain, and chills along with headache lasting 36 to 40 hours. Injections side severely bruised, painful, erythema extending almost to the elbow. I'm able to sleep on left side for more than 48 hours.