chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral herpes, Paraesthesia, Paralysis, Peripheral coldness, Sensitive skin
Clinical narrative: right after shot got really fatigued and up to a few nights after would go to bed very early. woke up morning of the 16th of June, 2019 with pain in neck going up into ear. went to urgent care june 18, 2019 and they gave shot of antibiotic and put her on antibiotic; the 21st she went to family doctor to let her know she didn't feel right and pain in neck up to ear was still present.  she gave pt higher dose of same antibiotic.  went to use bathroom and hardly any pee would come out.  when she was cathed she filled up a couple of bags and hospital was shocked (same w/bowels). didn't want anyone to touch her skin, then she couldn't feel anything, then she couldn't even walk to get out of bed/bathroom. this is when she went to hospital emergency room on the 23rd of june, 2019.  this is when she felt like she was paralyzed from the chest down.  they cathed her and sent her home.  went back to family doctor on the 24th of june and md sent her to hospital to be admitted.  didn't leave hospital until july 4, 2019.  they gave her a steroid and after that started working she was able to start walking again but then had to go to rehab to help get her balance back and going to the bathroom and walking, etc.  wasn't able to return to work until july 24th, 2019.  still noticing nerve issues.  was weaned off of steroids.  starting to get feeling back where she had lost it.  when she showers now she has a sensation down her spine that is tingly all over and it feels like it activates her nerves.  her feet feel like they are burning now and cold so she wears socks to bed - she notices this now and never had this prior.  had flu august 8 & 9, 2019 and was vomiting and that brought back feelings of her urine and bowels - she felt like she had to go but nothing would come out.  she feels like that part of this illness is coming back.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Sensory loss, Urinary retention, Vitamin D decreased, Vomiting
Clinical narrative: right after shot got really fatigued and up to a few nights after would go to bed very early. woke up morning of the 16th of June, 2019 with pain in neck going up into ear. went to urgent care june 18, 2019 and they gave shot of antibiotic and put her on antibiotic; the 21st she went to family doctor to let her know she didn't feel right and pain in neck up to ear was still present.  she gave pt higher dose of same antibiotic.  went to use bathroom and hardly any pee would come out.  when she was cathed she filled up a couple of bags and hospital was shocked (same w/bowels). didn't want anyone to touch her skin, then she couldn't feel anything, then she couldn't even walk to get out of bed/bathroom. this is when she went to hospital emergency room on the 23rd of june, 2019.  this is when she felt like she was paralyzed from the chest down.  they cathed her and sent her home.  went back to family doctor on the 24th of june and md sent her to hospital to be admitted.  didn't leave hospital until july 4, 2019.  they gave her a steroid and after that started working she was able to start walking again but then had to go to rehab to help get her balance back and going to the bathroom and walking, etc.  wasn't able to return to work until july 24th, 2019.  still noticing nerve issues.  was weaned off of steroids.  starting to get feeling back where she had lost it.  when she showers now she has a sensation down her spine that is tingly all over and it feels like it activates her nerves.  her feet feel like they are burning now and cold so she wears socks to bed - she notices this now and never had this prior.  had flu august 8 & 9, 2019 and was vomiting and that brought back feelings of her urine and bowels - she felt like she had to go but nothing would come out.  she feels like that part of this illness is coming back.
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Syncope
Clinical narrative: Pt. appeared to faint after injection.
Age: 14.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Asthenia
Clinical narrative: As patient left vaccination room (8:05 am) and was walking toward the lobby, according to guardian, she became weak and lowered herself to the floor.  Manager called for assistance, and patient was attended to by 2 RNs and 1 medical assistant as patient lay on the floor in supine position.  Upon application of 2 cold packs on both sides of face and neck, patient immediately opened her eyes and began talking to nurse.  Her guardian stated that she had had nothing to eat or drink this morning.  Cold bottled water was brought to patient, and patient began to lick on lollipop but would not drink water.   After 5-10 minutes, patient walked to vaccination room accompanied by 2 nurses and sat in chair where she was observed by RN for an additional 10 minutes.  Patient & guardian stated that she was feeling better and could walk to car.  RN accompanied patient to car at 8:15-8:20 am where she entered car and seated herself with guardian also in the car.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Hypoaesthesia, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: Within 24 hours, lassitude, slightly feverish. Within 48 hours: red rash on left buttock, painful and itchy, persisted about 2 weeks, gradually subsided. Eventual swelling of lymph node (inguinal) in left leg. Persisted symptom; wave of numbness down left leg when I bend my head forward. Lymph node still (very) slightly swollen and tender 1 month after shot.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Within 24 hours, lassitude, slightly feverish. Within 48 hours: red rash on left buttock, painful and itchy, persisted about 2 weeks, gradually subsided. Eventual swelling of lymph node (inguinal) in left leg. Persisted symptom; wave of numbness down left leg when I bend my head forward. Lymph node still (very) slightly swollen and tender 1 month after shot.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: FEVER OF 102.4F FOR 36 HOURS HEADACHE, DIZZINESS, AND NAUSEA FOR 48 HOURS
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Fatigue, Grip strength decreased, Hypoaesthesia, Muscular weakness
Clinical narrative: have never been vaccinated since childhood vaccinations. never received a flu vaccination before.  was forced to received flu vaccine due to job in healthcare facility. symptoms began about a month or two after vaccine with gradual onset of numbness, tingling, pins and needles sensation, and complete weakness in shoulders, arms, hands, fingers over a period of several months to the point of a near inability to use arms and hands.  unable to lift objects that i was previously able to lift without effort.  continually dropping objects like pens, silverware, etc.  needing to hold objects with both hands.  beginnings of tingling in legs and feet.  general overall body weakness and fatigue.  decided to seek medical treatment after  symptoms got significantly worse after 5 months, with chiropractor and medical doctor.  no outcome yet, still working on it.  Have never received vaccinations before other than childhood vaccinations.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Musculoskeletal disorder, Paraesthesia
Clinical narrative: have never been vaccinated since childhood vaccinations. never received a flu vaccination before.  was forced to received flu vaccine due to job in healthcare facility. symptoms began about a month or two after vaccine with gradual onset of numbness, tingling, pins and needles sensation, and complete weakness in shoulders, arms, hands, fingers over a period of several months to the point of a near inability to use arms and hands.  unable to lift objects that i was previously able to lift without effort.  continually dropping objects like pens, silverware, etc.  needing to hold objects with both hands.  beginnings of tingling in legs and feet.  general overall body weakness and fatigue.  decided to seek medical treatment after  symptoms got significantly worse after 5 months, with chiropractor and medical doctor.  no outcome yet, still working on it.  Have never received vaccinations before other than childhood vaccinations.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Altered state of consciousness, Dizziness
Clinical narrative: She was totally fine and then she got dizzy and couldn?t see and then almost passed out. She had to lay down until she could even stand up and she is still extremely dizzy.
Age: 5.0
Sex: F
Vaccine: HEPA, HIBV, MMRV, PNC13
Symptoms: Herpes zoster, Injection site pain, Injection site rash, Injection site reaction
Clinical narrative: Starting on 8/11 child developed rash and pain on right thigh/hip. Patient presented 8/14/19 with classic Shingles rash in RIGHT L1, L2 dermatomes.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Lymphadenopathy, Malaise
Clinical narrative: adverse reaction to the first dose, and was systemically sick for 3 day with  high fever, myalgia, arthralgia, chills, headache, massive lymphadenopathy etc.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: adverse reaction to the first dose, and was systemically sick for 3 day with  high fever, myalgia, arthralgia, chills, headache, massive lymphadenopathy etc.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Lymph node pain, Pain, Pyrexia
Clinical narrative: Headache, severe body aches, feverish, sore axilla nodes , fatigue
Age: 75.0
Sex: F
Vaccine: FLUA3, VARZOS
Symptoms: Chills, Headache, Nausea, Pyrexia
Clinical narrative: fever 102, chills,headache,nausea
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Malaise, Pyrexia
Clinical narrative: FEVER, CHILLS, FATIGUE AND MALAISE
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Abdominal pain, Headache, Syncope
Clinical narrative: Per parent's report at approximately 9:15am on 8/14/19 child fainted while in their car leaving the pediatrician's office.  Child did not hit her head.  Child c/o headache and abdominal pain.  Parent was offered an appointment to evaluate child, but parent declined.  Update from parent was received by pediatrician's office on 8/14/19 at 3:35pm.  Per parent, child still c/o a slight headache.
Age: 24.0
Sex: F
Vaccine: SMALL
Symptoms: Exposure during pregnancy, Pregnancy test positive
Clinical narrative: PT FILLED OUT SCREENING FORM  DENIED ANY PREGNENCY RETURN TWO WEEKS LATER HAD POSITIVE PREGNANCY TEST
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: shingles; This spontaneous report as received from a lawyer refers to a female patient of unknown age. There was no information about the patient's concurrent conditions, concomitant therapies or medical history provided. On an unknown date, the patient was vaccinated with zoster vaccine live (manufacturer unknown) (dose, route of administration, lot# and expiration date were not provided). On an unknown date, reported as 3 or 4 months after vaccination, the patient experienced shingles. The outcome of herpes zoster was unknown. The causality assessment as not provided.; Sender's Comments:  US-009507513-1711USA008704:
Sex: U
Vaccine: HPV9
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse effect reported; a patient received expired GARDASlL 9; This spontaneous report as received from a nurse refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, concomitant medications, drug reactions and allergies was provided.  On 09-AUG-2019, the patient was vaccinated with an expired dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, lot # M040412, expiration date 30-JUN-2019 (dose and route of administration were not provided) for prophylaxis. No adverse effect was reported.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Hyperaesthesia, Pain, Pain in extremity, Pyrexia
Clinical narrative: 1st dose -- sore arm 2nd dose -- developed a fever (100.2) with chills, lots of body aches, and skin sensitivity, especially on the trunk -- feels like a sunburn. No rash and fever responded to ibuprofen. Feel significant exhaustion today (day after) and skin sensitivity is less but still present. I had shingles prior to this (about 6 years ago) and had a deep tissue massage yesterday afternoon (I have them regularly).
Age: 0.17
Sex: F
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pain
Clinical narrative: Mom, contacted me and said she noticed a red hard lump at injection site the next morning. Painful to touch.  About the size of a dime.  Infant Tylenol and ibuprofen were used for pain/discomfort, along with cold compress.  Mom also massaged area.  Area of concern did grow to a quarter size lump and then slowly dissipated.  Patient fully recovered.
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Headache, Injection site erythema, Injection site mass, Injection site rash, Injection site warmth
Clinical narrative: Pt states after receiving vaccine, he developed a "half dollar size" lump.  On 13 Aug, after working out (fitness) member experienced HA, nausea, rash at immunization site.  Rash is currently 20 cm x 10 cm in size on left arm, visible redness and warmth to touch.
Age: 44.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Nausea
Clinical narrative: Pt states after receiving vaccine, he developed a "half dollar size" lump.  On 13 Aug, after working out (fitness) member experienced HA, nausea, rash at immunization site.  Rash is currently 20 cm x 10 cm in size on left arm, visible redness and warmth to touch.
Age: 17.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness
Clinical narrative: Patient with lightheadedness and dizziness with vaccination soon after administration
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Fall, Headache, Nausea, Syncope
Clinical narrative: Patient fainted while in the pediatrician office approximately 15 minutes after receiving vaccines.  Patient did not hit her head, her mother caught her fall.  Vital signs were performed on patient with normal results.  Patient c/o slight headache and nausea.  At approximately 2:30pm a call was made from pediatrician's office to the parent to obtain an update on child.  Per Mom, child was resting and was no longer c/o of headache or nausea.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Local reaction, Swelling
Clinical narrative: Local reaction, erythema and mild swelling, approximately quarter-sized.
Age: 66.0
Sex: F
Vaccine: PNC13
Symptoms: Discomfort, Pruritus, Rash
Clinical narrative: Individual developed rash 3 days after vaccination and reports itching and discomfort.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Fatigue, Induration, Lethargy, Pain
Clinical narrative: Mother reports within a few hours after injection, child developed redness and swelling from her elbow to the top of her shoulder. the area was hot to touch, "hard as a rock", and extremely painful requiring pain relievers. She reports child also had extreme lethargy/tiredness for the first 24 hours after the vaccine. Child also developed hives for 5 days. Mother treated at home with Benadryl.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Peripheral swelling, Skin warm, Urticaria
Clinical narrative: Mother reports within a few hours after injection, child developed redness and swelling from her elbow to the top of her shoulder. the area was hot to touch, "hard as a rock", and extremely painful requiring pain relievers. She reports child also had extreme lethargy/tiredness for the first 24 hours after the vaccine. Child also developed hives for 5 days. Mother treated at home with Benadryl.
Age: 79.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site bruising, Injection site discolouration, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Bruising, red and purple around injection site and soreness shooting up to neck. Warm to touch, and raised. Patient went to urgent care and md confirmed no infection. Advised to take Tylenol and or ibuprofen
Age: 79.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site warmth, Neck pain, Pain
Clinical narrative: Bruising, red and purple around injection site and soreness shooting up to neck. Warm to touch, and raised. Patient went to urgent care and md confirmed no infection. Advised to take Tylenol and or ibuprofen
Age: 70.0
Sex: M
Vaccine: VARZOS
Symptoms: Hyperhidrosis, Pyrexia, Tremor
Clinical narrative: Fever, shaking, sweating
Age: 75.0
Sex: F
Vaccine: PNC13, TDAP, VARZOS
Symptoms: Hypersensitivity, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Per ER report dated 04/28/2019 patient presented with redness, tenderness with mostly warm and itching to left arm at injection(s) site.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Fatigue, Induration, Lethargy, Pain
Clinical narrative: Mother reports redness and swelling from the elbow to the top of the shoulder. The area was hot to touch, "hard as a rock", and extremely painful required pain relievers. She reports the child had extreme lethargy/tiredness for the first 24 hours after the vaccine. She also had hives for 5 days. Mother treated the hives with Benadryl
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Peripheral swelling, Skin warm, Urticaria
Clinical narrative: Mother reports redness and swelling from the elbow to the top of the shoulder. The area was hot to touch, "hard as a rock", and extremely painful required pain relievers. She reports the child had extreme lethargy/tiredness for the first 24 hours after the vaccine. She also had hives for 5 days. Mother treated the hives with Benadryl
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Dizziness, Headache, Malaise, Neuralgia
Clinical narrative: dizziness, headache, malaise, shooting nerve pain, blisters
Age: 43.0
Sex: M
Vaccine: MENB
Symptoms: Arthralgia, Discomfort, Injected limb mobility decreased, Injection site pain, Insomnia
Clinical narrative: Patient states had some pain during injection which was different from his experience with receiving other vaccines in the past. Left arm/shoulder pain intensified several hours after vaccine was given and caused a sleepless night and inability to move arm as of time of report @ 1330 on 8/15/19. Denies redness, swelling, lumps, or rash in or around the injection site. States injection site was about 3-4 inches below edge of shoulder. Pain radiates from shoulder to wrist with inability to move arm. Measures taken to ease discomfort include use of aspiring and supplements for muscle pain. Patient plans to seek medical attention if symptoms do not resolve in the next 24 hours.
Age: 43.0
Sex: M
Vaccine: MENB
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Patient states had some pain during injection which was different from his experience with receiving other vaccines in the past. Left arm/shoulder pain intensified several hours after vaccine was given and caused a sleepless night and inability to move arm as of time of report @ 1330 on 8/15/19. Denies redness, swelling, lumps, or rash in or around the injection site. States injection site was about 3-4 inches below edge of shoulder. Pain radiates from shoulder to wrist with inability to move arm. Measures taken to ease discomfort include use of aspiring and supplements for muscle pain. Patient plans to seek medical attention if symptoms do not resolve in the next 24 hours.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Dyskinesia, Nausea, Pain in extremity, Somnolence
Clinical narrative: Minutes after administering the HPV vaccine to the patient, patient presented involuntary body movements, nausea, dizziness, pain on the left arm and sleepiness.
Age: 17.0
Sex: F
Vaccine: HEPA, MNQ
Symptoms: Blood pressure decreased, Feeling abnormal, Hyperhidrosis, Pallor, Visual impairment
Clinical narrative: After receiving both vaccines the patient immediately said that she did not feel good. She reported feeling dizzy and not being able to see good. Blood pressure dropped and patient became very pale  and sweaty.
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Blood creatine phosphokinase MB normal, Chest X-ray normal, Computerised tomogram head normal, Electroencephalogram abnormal, Encephalopathy
Clinical narrative: Patient presents following referral for seizure like activity 15 min after HPV9 #3 (given 8/7/2019 at Immun Clinic) - reported while waiting his 15 min post vaccine recommendations, he felt like he was falling asleep, unable to keep eyes open, his heart was racing/pounding in chest, he felt his mouth open and lost feeling in his body.  He states he went unconscious slumping back into a chair and was told he placed on floor by staff.  His next memory was 3 days later on Friday/Saturday - he was intubated and in ICU.  He reported he was stress out day of vaccination, but not more than normal; he did not have breakfast and at an apple for lunch with no hx hypoglycemia; he denied any pertinent PMH or family hx seizures but did report hx seizure like activities after wisdom teeth surgery (thought due to benzodiazepines) and again after use of Percocet (was stressed with both episodes). ER note Medical Center notes pt on intravenous Ativan, Keppra and fentanyl on arrival  for airway protection (intubated)and has prior hx of seizure like disorders - was released on 8/10/2019 (normal CBC, CMP, KC, CKMB, Troponin I, CXR, CT head, MRI brain w/wo contrast normal, EEG abnormal due to presence of diffuse slowing of cortical activity, consistent with a non-specific encephalopathy. No epileptiform discharges in this recording.
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Endotracheal intubation, Full blood count normal, Intensive care, Laboratory test normal, Loss of consciousness
Clinical narrative: Patient presents following referral for seizure like activity 15 min after HPV9 #3 (given 8/7/2019 at Immun Clinic) - reported while waiting his 15 min post vaccine recommendations, he felt like he was falling asleep, unable to keep eyes open, his heart was racing/pounding in chest, he felt his mouth open and lost feeling in his body.  He states he went unconscious slumping back into a chair and was told he placed on floor by staff.  His next memory was 3 days later on Friday/Saturday - he was intubated and in ICU.  He reported he was stress out day of vaccination, but not more than normal; he did not have breakfast and at an apple for lunch with no hx hypoglycemia; he denied any pertinent PMH or family hx seizures but did report hx seizure like activities after wisdom teeth surgery (thought due to benzodiazepines) and again after use of Percocet (was stressed with both episodes). ER note Medical Center notes pt on intravenous Ativan, Keppra and fentanyl on arrival  for airway protection (intubated)and has prior hx of seizure like disorders - was released on 8/10/2019 (normal CBC, CMP, KC, CKMB, Troponin I, CXR, CT head, MRI brain w/wo contrast normal, EEG abnormal due to presence of diffuse slowing of cortical activity, consistent with a non-specific encephalopathy. No epileptiform discharges in this recording.
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Metabolic function test normal, Nuclear magnetic resonance imaging brain normal, Palpitations, Scan with contrast normal, Seizure like phenomena
Clinical narrative: Patient presents following referral for seizure like activity 15 min after HPV9 #3 (given 8/7/2019 at Immun Clinic) - reported while waiting his 15 min post vaccine recommendations, he felt like he was falling asleep, unable to keep eyes open, his heart was racing/pounding in chest, he felt his mouth open and lost feeling in his body.  He states he went unconscious slumping back into a chair and was told he placed on floor by staff.  His next memory was 3 days later on Friday/Saturday - he was intubated and in ICU.  He reported he was stress out day of vaccination, but not more than normal; he did not have breakfast and at an apple for lunch with no hx hypoglycemia; he denied any pertinent PMH or family hx seizures but did report hx seizure like activities after wisdom teeth surgery (thought due to benzodiazepines) and again after use of Percocet (was stressed with both episodes). ER note Medical Center notes pt on intravenous Ativan, Keppra and fentanyl on arrival  for airway protection (intubated)and has prior hx of seizure like disorders - was released on 8/10/2019 (normal CBC, CMP, KC, CKMB, Troponin I, CXR, CT head, MRI brain w/wo contrast normal, EEG abnormal due to presence of diffuse slowing of cortical activity, consistent with a non-specific encephalopathy. No epileptiform discharges in this recording.
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Sensory loss, Somnolence, Troponin I normal
Clinical narrative: Patient presents following referral for seizure like activity 15 min after HPV9 #3 (given 8/7/2019 at Immun Clinic) - reported while waiting his 15 min post vaccine recommendations, he felt like he was falling asleep, unable to keep eyes open, his heart was racing/pounding in chest, he felt his mouth open and lost feeling in his body.  He states he went unconscious slumping back into a chair and was told he placed on floor by staff.  His next memory was 3 days later on Friday/Saturday - he was intubated and in ICU.  He reported he was stress out day of vaccination, but not more than normal; he did not have breakfast and at an apple for lunch with no hx hypoglycemia; he denied any pertinent PMH or family hx seizures but did report hx seizure like activities after wisdom teeth surgery (thought due to benzodiazepines) and again after use of Percocet (was stressed with both episodes). ER note Medical Center notes pt on intravenous Ativan, Keppra and fentanyl on arrival  for airway protection (intubated)and has prior hx of seizure like disorders - was released on 8/10/2019 (normal CBC, CMP, KC, CKMB, Troponin I, CXR, CT head, MRI brain w/wo contrast normal, EEG abnormal due to presence of diffuse slowing of cortical activity, consistent with a non-specific encephalopathy. No epileptiform discharges in this recording.
Age: 75.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Injection site pruritus, Oral herpes, Rash pustular, Rash vesicular, Urticaria
Clinical narrative: Patient received shingles booster shot on 8/6/2019.   (She received first shot on 5/21/2019).  She later developed severe itching at the injection site.  On Thursday, 8/8/2019 she developed a pustular rash on her arm along her elbow area that was hive like.  She also developed one hive on her leg.  She self treated with Benadryl and washed the area with a special soap that she said is used for Poison Ivy.  She has had shingles in the past and said the rash closely resembled the rash she had at that time.  She still had the rash on 8/14/19 when she reported the incident to me, but it is improving.  Oddly enough, she has also developed a cold sore on her lip.
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Right deltoid erythematous & edematous.  No Tenderness on palpation
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood culture, Culture urine, Full blood count, Nausea, Polymerase chain reaction
Clinical narrative: Patient ran a 104 degree fever off and on for 4 days. He also had nausea and vomiting. He had an urgent care visit, ER visit, and follow up visit at our office. High fever from unknown source
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Pyrexia, Respiratory viral panel, Vomiting
Clinical narrative: Patient ran a 104 degree fever off and on for 4 days. He also had nausea and vomiting. He had an urgent care visit, ER visit, and follow up visit at our office. High fever from unknown source
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Extra dose administered
Clinical narrative: The doctor's office did not report giving vaccines to the State. They then looked up his State record only not his medical chart. He had finished his series or hepatitis b and chicken pox vaccines. They had the records in the office-the only office I go to for vaccines-they did not check the records. They only checked the State records which were not correct because of their failure to report giving vaccines in the first place. They gave him extra doses of these two vaccines. The medical assistant realized the mistake when reviewing his records
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Body temperature increased, Eating disorder, Hypersomnia
Clinical narrative: Mom called on 8.14.19 @ 1500 stating that child started with 102.3 temp a few hours prior. Sleeping a lot, not eating. Giving Tylenol q 4-6 hrs + pushing fluids.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Joint range of motion decreased, Local reaction
Clinical narrative: 5 hrs post PCV 23 #2 yesterday 8/7/19 developed sever local reaction with pain, swelling, warmth, decreased ROM left deltoid and (L) shoulder
Age: 14.0
Sex: F
Vaccine: HEP, HEPA, MNQ
Symptoms: Syncope
Clinical narrative: Client fainted after receiving MCV4, Hep A, and Hep B. Client came to after about 5 seconds. Client
Sex: M
Vaccine: PPV
Symptoms: Abdominal discomfort, Vomiting
Clinical narrative: vomiting; upset stomach; This spontaneous report as received from a medical assistant refers to a 65-year-old male patient with hypertension, bipolar disorder, benign prostatic hyperplasia (BPH), chronic idiopathic constipation, chronic pain, dyslipidemia, erectile dysfunction (ED), anxiety disorder, insomnia, lumbar displacement/herniation, lumbar sacral neuritis, "nevesis" back, panic disorder and pre-diabetes. The patient had an drug/allergic reaction to buspirone hydrochloride (BUSPAR), clonazepam (KLONOPIN), hydromorphone hydrochloride (DILAUDID), acetaminophen (+) codeine phosphate (TYLENOL WITH CODEINE) and escitalopram oxalate.  Concomitant therapies included lisinopril, clonidine, diclofenac sodium, alprazolam, zaleplon, zolpidem, ibuprofen 800mg, pregabalin (LYRICA), aspirin, pantoprazole and ondansetron.   On 22-JUL-2019, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) 1 dose, intramuscularly, lot # S002582, expiration date 10-AUG-2020 (anatomical location was not provided), as the patient was due for the vaccine.  On 23-JUL-2019 at midnight, the patient began vomiting, which continued through 23-JUL-2019.  On 24-JUL-2019, the patient recovered from vomiting but was still reporting an "upset stomach".  The patient sought medical attention and called a physician. No treatment was given for the adverse events.  At the time of the report the outcome of "upset stomach" was not recovered. The relatedness between the events and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was not provided.
Age: 36.0
Sex: F
Vaccine: MMR, UNK
Symptoms: Exposure during pregnancy, No adverse event, Pregnancy test positive
Clinical narrative: No adverse effects reported.; patient inadvertently received a dose of MMR II on 7/5/2019. Administrator states patient completed a pregnancy test on 7/18/2019 which was positive wilh estimated 3 to 6 weeks gestation; This spontaneous prospective pregnancy report was received from an administrator and refers to a 36-year-old female patient. The patient's concurrent conditions were not provided. Concomitant therapies included thyroid medication. She was allergic to crab and lobster.  On 05-JUL-2019, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, subcutaneously (lot # S004120 and expiry date 11-FEB-2021, albumin status rHa; exact dose and anatomical location were not reported) for prophylaxis. The vaccine was reconstituted with sterile diluent (lot # S007959 and expiry date 19-AUG-2019). On 18-JUL-2019, the patient completed pregnancy test which was positive with estimated 3 to 6 weeks gestation. Based on this information, the patient's last menstrual period (LMP) occurred on unknown date in June 2019, date of conception was on an unknown date in 2019 and estimated date of delivery (EDD) would be on an unknown date in 2020. She sought medical attention contacting the office. At the time of this report, the patient was doing fine. No adverse effects were reported. The pregnancy outcome was pending.
Sex: U
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse effects were reported; the first ofGARDASIL 9 the patient was 14 years and 3 months old, the second dose ofGARDASIL 9 when the patient was 15 years and 3 months old.; This spontaneous report was received from a medical assistant and refers to a 15 year old patient of an unknown gender. The patient's concurrent conditions, medical history and concomitant therapies were not provided.  On 21-JUL-2018 (when the patient was 14 years and 3 months old),  the patient was vaccinated with their first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (dose, frequency, route, vaccination site, lot# and expiration date were not provided); for prophylaxis.  On 21-JUL-2019 (when the patient was 15 years and 3 months old), the patient was vaccinated with their second dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (dose, frequency, route, vaccination site, lot# and expiration date were not provided); for prophylaxis. No adverse effects were reported.
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: herpes zoster; Information has been received from a lawyer regarding a case in litigation and refers to a currently 68-year-old female patient (pt). There was no information about the patient's concurrent conditions, concomitant therapies or medical history provided. In 2011, pt was administered with zoster vaccine live (ZOSTAVAX) injection (dose, route of administration, vaccination site, lot # and expiration date were not provided) by a helath care provider for the long-term prevention of shingles and zoster-related conditions. Pt was treated by a physician for the following injuries resulting from pt's zoster vaccine live (ZOSTAVAX) use: herpes zoster. The reporter considered the event to be related to zoster vaccine live (ZOSTAVAX). The outcome of the event was not reported.
Age: 67.0
Sex: F
Vaccine: FLUA3
Symptoms: Dizziness
Clinical narrative: Patient stated she was feeling light headed after standing up about 10 minutes after receiving flushot. Patient stated she may be feeling light headed due to working out prior to receiving flushot. Patient sat down for about 15 minutes after started feeling much better.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Electrocardiogram, Injection site pain, Pain, Pyrexia, Tachycardia
Clinical narrative: Fever 100.5, body aches and tachycardia 105 bpm.  Soreness at the site of injection.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Patient complaining of stiffness or crick in her neck on the left side.  Denies swelling or severe pain.  She said her left arm was sore for a day after shot, but no pain now.  She said it is getting better, but slowly.  She was going to talk to her primary MD at Clinic.
Age: 79.0
Sex: F
Vaccine: PNC13
Symptoms: Cough, Injection site erythema, Injection site swelling
Clinical narrative: Patient outside of left arm where vaccine was given was red and swollen down to elbow. Patient was also complaining of cough.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Loss of personal independence in daily activities
Clinical narrative: Injection site was sore soon after the dose was given. Soreness increased and spread to most of left shoulder over the next 2-3 days and then began abating. By day 7 (today) most of the soreness is gone. At the peak of soreness, the area could hardly be touched. Also, on day 2, redness at the injection site was first observed - in about a 2" circle and the area became slightly swollen. Some redness is still observed on day 7, although the red area has shifted about 3" from the injection site to lower on the arm. Fatigue and general malaise was felt on the second and third day. Felt too tired to do normal exercise (run 5 miles). No treatment for any adverse effects was taken, except for rest.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise
Clinical narrative: Injection site was sore soon after the dose was given. Soreness increased and spread to most of left shoulder over the next 2-3 days and then began abating. By day 7 (today) most of the soreness is gone. At the peak of soreness, the area could hardly be touched. Also, on day 2, redness at the injection site was first observed - in about a 2" circle and the area became slightly swollen. Some redness is still observed on day 7, although the red area has shifted about 3" from the injection site to lower on the arm. Fatigue and general malaise was felt on the second and third day. Felt too tired to do normal exercise (run 5 miles). No treatment for any adverse effects was taken, except for rest.
Sex: U
Vaccine: VARZOS
Symptoms: Back pain, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Headache Pain, redness, swelling at the injection site mid-back pain
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: mom called, 8/13/19 at 220pm to report that area surrounding the vaccination was red, swollen and warm to the touch, itchy, and tender to touch, afebrile. Nurse suggested ibuprofen for pain and inflammation and cold compress.  mom ok with monitoring. Mom called on 8/14/19 to report no improvement to Left arm, still afebrile but this writer suggested patient come in for evaluation of  site and out of concern for secondary infection.  Patient was examined by the doctor and recommended cool compress/ice, SARNA for itch, benadryl PRN, close monitoring for fever, increased pain and recommended Td in the future. outcome pending.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Lethargy, Pyrexia, Vomiting
Clinical narrative: VOMITING, LETHARGIC SINCE THE MORNING AFTER HE HAD VACCINES.  DOES WANT TO EAT OR DRINK, AND FEVER . MOTHER ADVISED TO PUSH FLUIDS AND TREAT FEVER AND SORENESS WHEN NEEDED AND TO CONTACT OFFICE IF NOT BETTER OR WORSENING BY SATURDAY.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Myalgia, Pain
Clinical narrative: Mild body/muscle aches, chills.  Aspirin helps relieve symptoms.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient stated itching and hives on the arm that the shot was given. I informed her that she needed to contact her PCP she declined. I called her PCP and left a message with the nurse about the reaction.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: severe left shoulder pain 10/10 few hours after getting second Shingrix vaccine.
Age: 14.0
Sex: M
Vaccine: HPV9
Symptoms: Cold sweat, Dizziness, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: Patient appeared to faint in the chair just moments/seconds after receiving the vaccine. Patient became pale, clammy, and was slightly dizzy as he became alert from the episode. Mom stated he nearly fainted from a finger-stick blood sample before, but has not fainted fully. Ice pack was applied to the patient's neck. Juice was offered, but patient declined and requested water. Once able, patient was placed in a lying position on a cot and monitored and offered support for approximately 20 minutes. Pt regained color and felt comfortable standing/walking/leaving at that point.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth
Clinical narrative: Very large area on arm, much larger than injection site has become red, inflamed and warm to the touch. I advised to patient to contact her doctor
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Emotional distress, Oropharyngeal pain, Pyrexia, Upper-airway cough syndrome
Clinical narrative: Here in our office for her annual exam 3 days ago.  Received Tdap and MCV.  That night started with fever up to 103. Gets emotional, not herself when febrile.  Sore throat and postnasal drip.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Left arm, swelling began on 7/24 (red, warm to touch, no tenderness), swelling continued to worsen until 7/27 (size of softball, hot to touch, painful), her father traced outline with marker, all symptoms began to dissipate 7/28.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Headache, Neck pain, Pain in extremity, Photophobia, Pyrexia
Clinical narrative: Headache, neck pain, arm pain, photophobia, blurry vision, subjective fever.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Vision blurred
Clinical narrative: Headache, neck pain, arm pain, photophobia, blurry vision, subjective fever.
Age: 17.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Depressed level of consciousness, Hyperhidrosis, Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: Patient received the Meningicoccal B vaccine in the left arm, then received the Meningicoccal ACWY (Menactra) in the right arm. Almost immediately after receiving the second vaccine, the patient appeared to faint. The patient became very sweaty and pale. Patient was difficult to arouse and for approximately 5 minutes, the patient drifted in and out of alertness. When patient became more alert, he reported that his legs were cold, he could not see (reported everything was gray), and he was nauseous. Ice pack was applied to neck, cold cloth to forehead, patient was provided a few sips of orange juice and some water, per his request. The nausea subsided and vision returned to normal, and once able, patient was moved to a cot to lay down. Patient was monitored for 10 more minutes and his last immunization (Gardasil 9) was given while he was lying on the cot. Patient was monitored for 10 more minutes after the final immunization and when he felt like he recovered, he was allowed to sit up slowly, stand, and then leave with parent.
Age: 17.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Peripheral coldness, Syncope, Visual impairment
Clinical narrative: Patient received the Meningicoccal B vaccine in the left arm, then received the Meningicoccal ACWY (Menactra) in the right arm. Almost immediately after receiving the second vaccine, the patient appeared to faint. The patient became very sweaty and pale. Patient was difficult to arouse and for approximately 5 minutes, the patient drifted in and out of alertness. When patient became more alert, he reported that his legs were cold, he could not see (reported everything was gray), and he was nauseous. Ice pack was applied to neck, cold cloth to forehead, patient was provided a few sips of orange juice and some water, per his request. The nausea subsided and vision returned to normal, and once able, patient was moved to a cot to lay down. Patient was monitored for 10 more minutes and his last immunization (Gardasil 9) was given while he was lying on the cot. Patient was monitored for 10 more minutes after the final immunization and when he felt like he recovered, he was allowed to sit up slowly, stand, and then leave with parent.
Age: 66.0
Sex: U
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse effects reported.; patient inadvertently received dose of PNEUMOVAX 23 that was past its expiry.; This spontaneous report has been received from a pharmacist referring to a 66 years (also reported as over 65 years) old patient. Information about concurrent conditions, concomitant therapies and drug allergies was not provided. The patient's vaccination histories included pneumococcal 13v conj vaccine (PREVNAR 13) on 07-JUL-2013 and pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) on 21-NOV-2017.      On 26-JUL-2019 the patient inadvertently received dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (lot # N025656, expiration date: 19-APR-2019, dose and route were unknown) that was past its expiry for prophylaxis (expired product administered).         No adverse effects reported.
Sex: U
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse effects reported; gave pediatric patient an adult dosage of VAQTA; This spontaneous report was received from a medical assistant, concerning a pediatric patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant medications were not reported.   On 12-AUG-2019, the patient was administered an adult dosage of Hepatitis A Vaccine, Inactivated (VAQTA), lot # S003756 and expiration date on 06-MAR-2020, for prophylaxis (route of administration and anatomical location were not reported). No adverse effects were reported.
Sex: U
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse affects reported; a expired dose of VAQTA was administered; This spontaneous report was received from a registered nurse, concerning a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant medications were not reported.   On 13-AUG-2019, the patient was administered an expired dose of Hepatitis A Vaccine, Inactivated (VAQTA) 50 (units not reported), lot # R022983 and expiration date on 09-AUG-2019, for prophylaxis (route of administration and anatomical location were not reported). No adverse effects were reported.
Age: 11.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMR, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Child was given vaccines that were needed for his 4 year old brother which included DTaP/IPV,Hep A, MMR and varicella. Mother was informed of the incorrect vaccines given at the time of visit and to return to office.  (Unknown regarding adverse events).
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Autoimmune disorder, Dizziness, Joint swelling, Mobility decreased
Clinical narrative: 6 days after injection, tinnitus and extreme dizzyness followed by needle like sensations to both beet, esp big toe continuing to april 2 when both knees became very swollen and painful.  Unable to get up from sitting position without assistance..  Tests negative for gout or rheumatoid symptoms.  xrays negative except for swelling.  Neurologist suggested an autoimmune response.  Rheumatologist suggested Polymyalgia Rheumatica and started steroids.  After 30 days symptoms improved but returned two weeks after steroids finished.  Back on steroids.  Dizzyness has persisted throughout.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Polymyalgia rheumatica, Rheumatoid factor negative, Tinnitus, X-ray limb normal
Clinical narrative: 6 days after injection, tinnitus and extreme dizzyness followed by needle like sensations to both beet, esp big toe continuing to april 2 when both knees became very swollen and painful.  Unable to get up from sitting position without assistance..  Tests negative for gout or rheumatoid symptoms.  xrays negative except for swelling.  Neurologist suggested an autoimmune response.  Rheumatologist suggested Polymyalgia Rheumatica and started steroids.  After 30 days symptoms improved but returned two weeks after steroids finished.  Back on steroids.  Dizzyness has persisted throughout.
Age: 2.0
Sex: F
Vaccine: HEPA, PPV
Symptoms: Dyspnoea, Swelling face, Urticaria, Wheezing
Clinical narrative: Hives, facial swelling, difficulty breathing, wheezing
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Injection site urticaria, Myalgia, Pain in extremity
Clinical narrative: Localized hives to left upper arm; Top hive is 2.5 X 2cm; Lower 1.5 X 1.25cm. Arm pain and muscle soreness. Doctor told patient to take clairitin or zyrtec daily until resolved.