chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Patient primary complaint is pain, redness, and swelling in the injection arm.
Age: 67.0
Sex: F
Vaccine: PNC13, FLU4, PNC13
Symptoms: Injection site discolouration, Injection site reaction, Injection site warmth, Rash, Rash erythematous
Clinical narrative: Patient developed a large erythematous rash on the right upper arm in the area of injection site. The patient reported the rash as both painful and hot. The rash resolved after several days (~7days) with NSAIDs and ice. The patient is left with a dark circle in the area where the rash occurred and the skin is slightly scaly.
Age: 67.0
Sex: F
Vaccine: PNC13, FLU4, PNC13
Symptoms: Skin exfoliation
Clinical narrative: Patient developed a large erythematous rash on the right upper arm in the area of injection site. The patient reported the rash as both painful and hot. The rash resolved after several days (~7days) with NSAIDs and ice. The patient is left with a dark circle in the area where the rash occurred and the skin is slightly scaly.
Age: 67.0
Sex: F
Vaccine: PNC13, FLU4, PNC13
Symptoms: Injection site induration, Rash erythematous, Skin discolouration, Skin exfoliation, Skin irritation
Clinical narrative: Patient developed a large erythematous rash on the right upper arm in the area of injection site. The patient reported the rash as both painful and hot. The rash resolved after several days (~7days) with NSAIDs and ice. The patient is left with a dark circle in the area where the rash occurred and the skin is slightly scaly.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: INJECTION SITE REACTION HOT TO THE TOUCH AND RED AREA. PATIENT WENT TO HER PRIMARY CARE DR. FOR ALLERGY SHOT AND THE NURSE DISCOVERED THE ADVERSE REACTION AND TOLD THE PATIENT TO COME BACK TO THE PHARMACY TO HAVE US REPORT THE ADVERSE EVENT. I ADVISED THE PATIENT TO KEEP AN EYE ON THE SITE AND THAT THIS HAPPENS ON OCCASION AND THAT THIS SHOULD IMPROVE. HOWEVER KEEP AND EYE ON IT AND IF IT DOES NOT IMPROVE TO GO TO YOUR DR. AND LET ME KNOW. I HAVE CONTACTED THE PATIENT FOR FOLLOW UP AND SHE IS FINE. SHE HAS NOT RECEIVED ANY OTHER VACCINE IN THE PREVIOUS MONTH.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Hyperacusis, Migraine, Pain
Clinical narrative: Migraine headache affecting patient's gums/teeth/back of fracture vectebrate (muscles across the back (L) shoulder 1/4 of my (L) neck and straight down her (L) shoulder), hearing hurt, difficulty breathing.
Age: 74.0
Sex: M
Vaccine: FLU3
Symptoms: Peripheral swelling, Skin haemorrhage
Clinical narrative: Patient's arm bled and there was some swelling shortly after administration.
Age: 77.0
Sex: F
Vaccine: FLU3, PNC13
Symptoms: Dizziness, Hypersensitivity
Clinical narrative: Patient received immunizations and seemed fine and then about an hour later, patient's representative called saying that patient had been feeling dizzy since she got home. According the VIS, that is perceived as severe allergic reaction. Patient called later in the day saying that she felt better.
Age: 61.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Axillary pain, Breast tenderness, Erythema, Injection site erythema, Injection site nodule
Clinical narrative: Pt CALLED ON 9/19/17 IN THE LATE AFTERNOON SAYING SHE WAS HAVING A REACTION TO THE VACCINES GIVEN THE DAY BEFORE. SHE REPORTED SWELLING, KNOTTING REDNESS AND PAIN AT THE SITE OF INJECTION. THE REDNESS AND PAIN LATER SPREAD T0 THE INNER ARM AND ARMPIT AND ON 9/20/17 SHE REPORTED HER BREAST WAS TENDER ALSO. THE CLINIC WAS CLOSED AT THE TIME SHE CALLED THE PHARMACY, SHE SENT A PICTURE (AS SHE LIVES 30 MINUTE DRIVE AWAY)  BUT THE PICTURE CAME ACROSS BLURRY. I SUGGESTED SHE ICE IT AND TAKE TYLENOL FOR PAIN AND SWELLING. ALSO TO TAKE BENADRYL THAT NIGHT AND IF NOT ANY BETTER TO SEE THE DR. THE NEXT DAY, I ALSO SUGGESTED DRAWING A CIRCLE AROUND THE REDNESS TO SEE IF IT IS SPREADING. SHE CALLED MID MORNING ON THE 20TH SAYING THE SWELLING AND PAIN WENT DOWN BUT WAS STILL RED AND THE REDNESS WAS OUTSIDE HER CIRCLE SHE DREW. I SUGGESTED HAVING A DR. LOOK AT IT AND SHE WENT TO THE CLINIC AND THE DR. SAID IT LOOKED LIKE SHE WAS HAVING A REACTION TO THE PNEUMOVAX VACCINE.  HE PRESCRIBED BACTRIM DS TO BE TAKEN TWICE DAILY FOR 5 DAYS.
Age: 61.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site pain, Injection site swelling, Vaccination complication
Clinical narrative: Pt CALLED ON 9/19/17 IN THE LATE AFTERNOON SAYING SHE WAS HAVING A REACTION TO THE VACCINES GIVEN THE DAY BEFORE. SHE REPORTED SWELLING, KNOTTING REDNESS AND PAIN AT THE SITE OF INJECTION. THE REDNESS AND PAIN LATER SPREAD T0 THE INNER ARM AND ARMPIT AND ON 9/20/17 SHE REPORTED HER BREAST WAS TENDER ALSO. THE CLINIC WAS CLOSED AT THE TIME SHE CALLED THE PHARMACY, SHE SENT A PICTURE (AS SHE LIVES 30 MINUTE DRIVE AWAY)  BUT THE PICTURE CAME ACROSS BLURRY. I SUGGESTED SHE ICE IT AND TAKE TYLENOL FOR PAIN AND SWELLING. ALSO TO TAKE BENADRYL THAT NIGHT AND IF NOT ANY BETTER TO SEE THE DR. THE NEXT DAY, I ALSO SUGGESTED DRAWING A CIRCLE AROUND THE REDNESS TO SEE IF IT IS SPREADING. SHE CALLED MID MORNING ON THE 20TH SAYING THE SWELLING AND PAIN WENT DOWN BUT WAS STILL RED AND THE REDNESS WAS OUTSIDE HER CIRCLE SHE DREW. I SUGGESTED HAVING A DR. LOOK AT IT AND SHE WENT TO THE CLINIC AND THE DR. SAID IT LOOKED LIKE SHE WAS HAVING A REACTION TO THE PNEUMOVAX VACCINE.  HE PRESCRIBED BACTRIM DS TO BE TAKEN TWICE DAILY FOR 5 DAYS.
Age: 20.0
Sex: M
Vaccine: FLU3
Symptoms: Loss of consciousness, Pallor, Syncope
Clinical narrative: Patient turned pale and fainted within a minute of vaccine administration, but regained consciousness within 10 seconds. Breathing was normal and patient was lucid after regaining consciousness. Paramedics were called and escorted patient to ambulance to be evaluated further.
Age: 7.0
Sex: M
Vaccine: FLUX
Symptoms: Erythema, Musculoskeletal pain, Pruritus, Swelling
Clinical narrative: Flu vaccine - Son has had vaccine every year, no side effects. This year, his shoulder is swollen, red, sore and itchy.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event reported. Immunization given 9-20-17. Upon review, it was discovered the vaccine had an expiration of 8-18-17.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Developed shingles 3-4 days after administration of ZOSTAVAX.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Incisional drainage, Injection site abscess, Injection site erythema, Injection site swelling
Clinical narrative: After vaccines patient developed redness and swelling of the area, posteriorly developed a white head that developed as an abscess in the area after several weeks. Seen at the ER twice given antibiotics and area drained.
Age: 76.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Painful swelling on site of injection, Hot at touch. Area about 3-4 Inches of injection site.
Age: 74.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Skin warm, Swelling
Clinical narrative: Painful Swelling, Hot at fill about 6 inch wide.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: RED, PAINFUL, AND SWOLLEN ARM. DIAGNOSED WITH CELLULITIS IN ER AND PUT ON ANTIBIOTIC ON 9/16/17.
Age: 26.0
Sex: M
Vaccine: TDAP
Symptoms: Chills, Injection site mass, Injection site pain, Pyrexia
Clinical narrative: The patient developed fever and chills the weekend following vaccination; resolved after 1-2 days. Then patient developed a lump to left deltoid that is not visible but is palpable. Lump is sore, however nontender to touch. Denies swelling and redness. Lump has lasted for almost 1 month. Patient advised to apply cool compress and take TYLENOL as needed for pain. Patient did not do either. Lump still present today.
Age: 23.0
Sex: F
Vaccine: FLU3
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Loss of consciousness, Syncope
Clinical narrative: The patient had symptoms of syncope starting about 5 minutes after the vaccine was given. She lost consciousness briefly twice, was dizzy, lightheaded, weak, and sweating. She was placed in a flat position with her feet elevated on a chair. We called 911 and the ambulance came after about 20 minutes. At this point she stated she was feeling much better, and was taken in the ambulance for further observation.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Blister, Cellulitis, Chills, Erythema, Influenza like illness
Clinical narrative: Shots given Friday, Sept 15. On Saturday, 9/16, patient experienced flu-like symptoms: achy, chills.  At patient's appointment with shoulder surgeon on Monday, her arm was red, swollen and blistered.  Dr. diagnosed cellulitis and prescribed clindamycin 300mg to be taken three times a day for 5 days.
Age: 76.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Pain, Peripheral swelling
Clinical narrative: Shots given Friday, Sept 15. On Saturday, 9/16, patient experienced flu-like symptoms: achy, chills.  At patient's appointment with shoulder surgeon on Monday, her arm was red, swollen and blistered.  Dr. diagnosed cellulitis and prescribed clindamycin 300mg to be taken three times a day for 5 days.
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Dizziness, Hyperacusis, Impaired driving ability, Migraine, Nausea
Clinical narrative: Patient developed a migraine headache, nausea, dizziness, and sensitivity to light and sound, unexpectedly, about an hour and 35 minutes after receiving a mandatory flu shot at his workplace. Patient was unable to drive himself home. Symptoms lasted about 4 hours. Please end mandatory vaccinations.
Age: 36.0
Sex: M
Vaccine: FLUX
Symptoms: Photophobia
Clinical narrative: Patient developed a migraine headache, nausea, dizziness, and sensitivity to light and sound, unexpectedly, about an hour and 35 minutes after receiving a mandatory flu shot at his workplace. Patient was unable to drive himself home. Symptoms lasted about 4 hours. Please end mandatory vaccinations.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Cough, Dysphagia, Fatigue, Rash, Rash macular
Clinical narrative: On 9/17 rash developed, 9/18 hives, chest welts, runny nose, cough, swallowing difficulties. Patient took BENADRYL for a few days and symptoms are improving. No distress, minimal runny nose, still has splotchy rash, but has improved per patient, some fatigue. If worsens, patient will contact pharmacy for follow-up and appropriate care through PCP.
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Rhinorrhoea, Urticaria
Clinical narrative: On 9/17 rash developed, 9/18 hives, chest welts, runny nose, cough, swallowing difficulties. Patient took BENADRYL for a few days and symptoms are improving. No distress, minimal runny nose, still has splotchy rash, but has improved per patient, some fatigue. If worsens, patient will contact pharmacy for follow-up and appropriate care through PCP.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: Hives started on upper arms and then spread quickly to abdomen and back and forearms.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Generalised erythema, Peripheral swelling
Clinical narrative: Reported redness over her body and swelling in hands and feet. Did seem to get better w/BENADRYL.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: Injection site discolouration, Injection site reaction, Injection site swelling, Injection site vesicles, Skin lesion
Clinical narrative: Right upper thigh 4cm x approximate 3.5cm circumscribed lesion. Somewhat light purplish discoloration. Some vesicular areas are hyper pigmented. Area is slightly raised. Triamcinolone given for acute treatment.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Pain, redness, swelling. Decreased by day 3.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Swelling
Clinical narrative: Swollen, red, raised rash. Appeared within 1-2 days of vaccine. BENADRYL cream improved rash. Reported adverse reaction to MD. Rash is resolving. BENADRYL cream has eased symptoms.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Insomnia, Pain in extremity
Clinical narrative: Sore arm. Losing sleep.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, MMR
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mom noticed redness and swelling around injection site on left deltoid after school on 09/14/2017. Circular area of erythema to left lateral arm. Treatments - cephalexin 250 mg/5 mL; take 5 mL QID x 10 days.
Age: 65.0
Sex: F
Vaccine: FLU3
Symptoms: Drug administered at inappropriate site, Musculoskeletal pain, Nerve injury
Clinical narrative: Pt called the pharmacy 2 days after receiving a flu shot, saying she still had shoulder pain. She said she suspected it was nerve damage because the injection was too close to the shoulder.
Age: 75.0
Sex: F
Vaccine: FLU3
Symptoms: Rash erythematous, Swelling
Clinical narrative: Swollen, red, raised rash appeared within 1-2 day of vaccine. BENADRYL cream improved rash.
Age: 67.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: On 9/14/17, patient notice red area around injection site on her right deltoid. Area was warm to touch and painful. Per exam, erythematous and warm. Treatments: BENADRYL 50 mg x 1 dose, CLARITIN 10 mg in AM and CLARITIN 10 mg at noon, clindamycin 300 mg TID x 10 days.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: No pain when shot was given. Within one hour arm was painful. Arm now red and swollen and hot. Put ice bag on inj. site. Pt. is not feeling sick. No fever.
Sex: M
Vaccine: DTP
Symptoms: Crying, Decreased appetite, Fear, Lethargy, Malaise
Clinical narrative: This case was reported by a consumer via interactive digital media and described the occurrence of sickness in a adult male patient who received DTPa vaccine. Concurrent medical conditions included allergy. On an unknown date, the patient received DTPa vaccine at an unknown dose. On an unknown date, unknown after receiving DTPa vaccine, the patient experienced sickness, lethargy, crying, movement disorder, appetite absent and fear. On an unknown date, the outcome of the sickness, lethargy, crying, movement disorder, appetite absent and fear were unknown. It was unknown if the reporter considered the sickness, lethargy, crying, movement disorder, appetite absent and fear to be related to DTPa vaccine. Additional details were provided as follows: This case was reported by the patient's parent. The age at vaccination was not reported. The patient who was in his mid-30s was allergic. The patient was so very sick from the shot. He was so lethargic and did not move for three days just cried and would not eat scared the hell out of us. The physician were afraid to give our other two children the same shots when they were old enough. They did get DT shots, just not the Dpt.
Sex: M
Vaccine: DTP
Symptoms: Movement disorder
Clinical narrative: This case was reported by a consumer via interactive digital media and described the occurrence of sickness in a adult male patient who received DTPa vaccine. Concurrent medical conditions included allergy. On an unknown date, the patient received DTPa vaccine at an unknown dose. On an unknown date, unknown after receiving DTPa vaccine, the patient experienced sickness, lethargy, crying, movement disorder, appetite absent and fear. On an unknown date, the outcome of the sickness, lethargy, crying, movement disorder, appetite absent and fear were unknown. It was unknown if the reporter considered the sickness, lethargy, crying, movement disorder, appetite absent and fear to be related to DTPa vaccine. Additional details were provided as follows: This case was reported by the patient's parent. The age at vaccination was not reported. The patient who was in his mid-30s was allergic. The patient was so very sick from the shot. He was so lethargic and did not move for three days just cried and would not eat scared the hell out of us. The physician were afraid to give our other two children the same shots when they were old enough. They did get DT shots, just not the Dpt.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Blood glucose normal, Depressed level of consciousness, Full blood count normal, Nausea, Seizure
Clinical narrative: Syncope/seizure like activity approximately 5 sec post vaccines. TDaP, MENACTRA, Flu, HPV. Bladder incont., difficult to arouse approximately 15 min., nausea once A/O x 3.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Syncope/seizure like activity approximately 5 sec post vaccines. TDaP, MENACTRA, Flu, HPV. Bladder incont., difficult to arouse approximately 15 min., nausea once A/O x 3.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Patient received vaccine on 8/7 and came in on 8/10 with a size of a tennis ball in diameter injection site RXN that was mid tone pink in color with a smaller deep red inj. site. No pain or itching, but started on 8/8 was feeling better but after physical therapy when she laid on that arm the intensity of color increased. Patient called back after an hour saying she took BENADRYL and the color was fading.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Within a few hours of receiving vaccine, patient came down with a bad headache and tiredness. Area of vaccine had become reddened. By the next morning (today) whole right shoulder is swollen, red, warm to touch and itchy with a continued headache. Per Mom, the redness is already improving.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site warmth
Clinical narrative: Within a few hours of receiving vaccine, patient came down with a bad headache and tiredness. Area of vaccine had become reddened. By the next morning (today) whole right shoulder is swollen, red, warm to touch and itchy with a continued headache. Per Mom, the redness is already improving.
Age: 60.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Paraesthesia
Clinical narrative: After 5 minutes of administering vaccine patient had a tingling feeling down the injected arm into all five finger.
Age: 83.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Tenderness
Clinical narrative: Patient got a rash on neck. Stated it has gotten worse over the past few days and is sore to the touch.
Age: 72.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injection site pain, Musculoskeletal pain
Clinical narrative: Pt. states she has pain in her left shoulder then switches to right shoulder and also had gone down the left hip and left ankle. Pt. states she had not had these issues previously.
Age: 17.0
Sex: M
Vaccine: FLU4
Symptoms: Syncope
Clinical narrative: Fainted after immunization. Father stated he usually faints after shots. "Always get queasy with needles". "All sibling experience shot anxiety".
Age: 72.0
Sex: M
Vaccine: FLU3
Symptoms: Rash, Rash pruritic
Clinical narrative: An itchy rash formed on arms the day after and spread to back. He tried BENADRYL but it did not relieve symptoms. He saw doctor.
Age: 78.0
Sex: F
Vaccine: FLU3
Symptoms: Erythema, Injected limb mobility decreased, Pain in extremity
Clinical narrative: Beginning the morning of 9/16/17, patient's arm began hurting and had redness on her shoulder. Complains she can't lift right arm.
Age: 82.0
Sex: M
Vaccine: FLU3
Symptoms: Chest X-ray, Chills, Lethargy, Pneumonia bacterial
Clinical narrative: Lethargy, chills, bacterial pneumonia diagnosis 2 days post-vaccination.
Age: 29.0
Sex: M
Vaccine: FLUC4
Symptoms: Fatigue, Pain in extremity
Clinical narrative: Fatigue and left arm soreness the day after influenza vaccine was administered.
Age: 74.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Erythema, Injection site nodule, Peripheral swelling, Skin warm
Clinical narrative: The patient says that he had a big knot at the injection site. Later, his arm began to swell and was warm to the touch. When he came to me Sat 8/19/17 at 4PM the redness and swelling had spread past his elbow towards his hand.
Age: 0.5
Sex: M
Vaccine: FLU4
Symptoms: Drug administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 65.0
Sex: M
Vaccine: FLU3, PNC13
Symptoms: Injection site bruising, Injection site haemorrhage, Injection site pain
Clinical narrative: Bruising and bleeding from injection site. Pretty painful on his upper right arm. Patient went to urgent care 9/14/17.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Myalgia
Clinical narrative: Patient started feeling joint/muscle aches day after vaccine administered and still feels this way today 9-11-17 - Recommended calling MD for appt.
Age: 67.0
Sex: F
Vaccine: FLU3, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Swelling, redness, itching at site of injection - (2) 25 mg BENADRYL, ice pack.
Age: 76.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient given vaccine on 9-3-17. On 9-7-17 patient presented to MD w/ a red itchy rash on arms, legs, abdomen, and groin with bumps. Patient was prescribed prednisone. Rash 1st started 9-5. Rash resolved 9-10-17.
Age: 0.33
Sex: F
Vaccine: DTAP
Symptoms: Electroencephalogram, Musculoskeletal stiffness, Seizure
Clinical narrative: This event involved arm flexion and stiffening draws 6-7 seconds after onset. 3 mini seizures post DTaP. Given at 4 mth visit on 1-13-07. Few hours after DTaP, when afebrile had a possible seizure.
Age: 7.0
Sex: F
Vaccine: TDAP
Symptoms: Syncope
Clinical narrative: Patient fainted after received Tdap and varicella vaccines.
Age: 25.0
Sex: F
Vaccine: MMR
Symptoms: Full blood count, Gingival bleeding, Gingival pain, Lymphadenopathy, Measles antibody
Clinical narrative: Bleeding gums severe in front only. Painful gums. Aching all over. (L) sided jaw swollen lymph nodes.
Age: 25.0
Sex: F
Vaccine: MMR
Symptoms: Metabolic function test, Mumps antibody test, Pain, Rubella antibody test
Clinical narrative: Bleeding gums severe in front only. Painful gums. Aching all over. (L) sided jaw swollen lymph nodes.
Age: 72.0
Sex: M
Vaccine: FLU3, PPV
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Swollen, large bump, soreness on arm where injection site. Vaccine administered at 10am, came back w/reaction after 5pm. Advised to ice it, pain reliever.
Age: 17.0
Sex: F
Vaccine: HPV4, MNQ, VARCEL
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Redness, warmth, pain, itch to injection site.
Age: 60.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site reaction, Rash pruritic
Clinical narrative: "Very itchy rash" at injection site, 2-3 inches diameter, bright pink, has gradually faded over last 4 days (site of ZOSTAVAX).
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Musculoskeletal pain, Pain in jaw, Trismus
Clinical narrative: Jaw pain/locking. (R) shoulder pain.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Swelling, redness and tenderness to (L) Deltoid area about 2x3 cm wide in diameter.
Age: 52.0
Sex: F
Vaccine: FLU3, TDAP, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 2 days redness 5 inches across left arm warm to the touch 1 day after: soreness at site of ZOSTAVAX shot. Red at site of injection 2 days later at Right arm.
Age: 47.0
Sex: M
Vaccine: FLU4, PPV, FLU4, PPV, FLU4, PPV
Symptoms: Arthralgia, Axillary pain, Back pain, Chills, Headache
Clinical narrative: This spontaneous report was received from a pharmacist and refers to a 47 year old male patient.     There was no pertinent medical history or drug reactions/allergies. Concomitant therapies included several medications (unspecified). On 31-AUG-2017, the patient was vaccinated with 1 dose of PNEUMOVAX 23 lot # M035104, expiration date 06-MAY-2018, intramuscularly (dosage was not reported), and with 1 dose of FLUZONE (dosage, route, lot number, expiration date were not reported), both for prophylaxis, during the same office visit. The pharmacist stated "the next day (on 01-SEP-2017), the patient called me and said that he had a fever over 101 Fahrenheit (F) (pyrexia), severe chills (chills), severe pain in the arms (pain in extremity), and pain in the lower back that radiated downwards (back pain)". The patient went to an unknown physician and "the patient was told to wait out the side effects with rest, and take acetaminophen (TYLENOL) for the fever and the pain". At the time of reporting, the patient had not recovered from the events. The causal assessment between he events and suspect therapies PNEUMOVAX 23 and FLUZONE was not provided.
Age: 47.0
Sex: M
Vaccine: FLU4, PPV, FLU4, PPV, FLU4, PPV
Symptoms: Influenza, Pain in extremity, Pyrexia
Clinical narrative: This spontaneous report was received from a pharmacist and refers to a 47 year old male patient.     There was no pertinent medical history or drug reactions/allergies. Concomitant therapies included several medications (unspecified). On 31-AUG-2017, the patient was vaccinated with 1 dose of PNEUMOVAX 23 lot # M035104, expiration date 06-MAY-2018, intramuscularly (dosage was not reported), and with 1 dose of FLUZONE (dosage, route, lot number, expiration date were not reported), both for prophylaxis, during the same office visit. The pharmacist stated "the next day (on 01-SEP-2017), the patient called me and said that he had a fever over 101 Fahrenheit (F) (pyrexia), severe chills (chills), severe pain in the arms (pain in extremity), and pain in the lower back that radiated downwards (back pain)". The patient went to an unknown physician and "the patient was told to wait out the side effects with rest, and take acetaminophen (TYLENOL) for the fever and the pain". At the time of reporting, the patient had not recovered from the events. The causal assessment between he events and suspect therapies PNEUMOVAX 23 and FLUZONE was not provided.
Age: 47.0
Sex: M
Vaccine: FLU4, PPV, FLU4, PPV, FLU4, PPV
Symptoms: Arthralgia, Back pain, Chills, Hyperhidrosis, Pain in extremity
Clinical narrative: This spontaneous report was received from a pharmacist and refers to a 47 year old male patient.     There was no pertinent medical history or drug reactions/allergies. Concomitant therapies included several medications (unspecified). On 31-AUG-2017, the patient was vaccinated with 1 dose of PNEUMOVAX 23 lot # M035104, expiration date 06-MAY-2018, intramuscularly (dosage was not reported), and with 1 dose of FLUZONE (dosage, route, lot number, expiration date were not reported), both for prophylaxis, during the same office visit. The pharmacist stated "the next day (on 01-SEP-2017), the patient called me and said that he had a fever over 101 Fahrenheit (F) (pyrexia), severe chills (chills), severe pain in the arms (pain in extremity), and pain in the lower back that radiated downwards (back pain)". The patient went to an unknown physician and "the patient was told to wait out the side effects with rest, and take acetaminophen (TYLENOL) for the fever and the pain". At the time of reporting, the patient had not recovered from the events. The causal assessment between he events and suspect therapies PNEUMOVAX 23 and FLUZONE was not provided.
Age: 47.0
Sex: M
Vaccine: FLU4, PPV, FLU4, PPV, FLU4, PPV
Symptoms: Pyrexia
Clinical narrative: This spontaneous report was received from a pharmacist and refers to a 47 year old male patient.     There was no pertinent medical history or drug reactions/allergies. Concomitant therapies included several medications (unspecified). On 31-AUG-2017, the patient was vaccinated with 1 dose of PNEUMOVAX 23 lot # M035104, expiration date 06-MAY-2018, intramuscularly (dosage was not reported), and with 1 dose of FLUZONE (dosage, route, lot number, expiration date were not reported), both for prophylaxis, during the same office visit. The pharmacist stated "the next day (on 01-SEP-2017), the patient called me and said that he had a fever over 101 Fahrenheit (F) (pyrexia), severe chills (chills), severe pain in the arms (pain in extremity), and pain in the lower back that radiated downwards (back pain)". The patient went to an unknown physician and "the patient was told to wait out the side effects with rest, and take acetaminophen (TYLENOL) for the fever and the pain". At the time of reporting, the patient had not recovered from the events. The causal assessment between he events and suspect therapies PNEUMOVAX 23 and FLUZONE was not provided.
Age: 47.0
Sex: M
Vaccine: FLU4, PPV, FLU4, PPV, FLU4, PPV
Symptoms: Back pain, Chills, Pain in extremity, Pyrexia
Clinical narrative: This spontaneous report was received from a pharmacist and refers to a 47 year old male patient.     There was no pertinent medical history or drug reactions/allergies. Concomitant therapies included several medications (unspecified). On 31-AUG-2017, the patient was vaccinated with 1 dose of PNEUMOVAX 23 lot # M035104, expiration date 06-MAY-2018, intramuscularly (dosage was not reported), and with 1 dose of FLUZONE (dosage, route, lot number, expiration date were not reported), both for prophylaxis, during the same office visit. The pharmacist stated "the next day (on 01-SEP-2017), the patient called me and said that he had a fever over 101 Fahrenheit (F) (pyrexia), severe chills (chills), severe pain in the arms (pain in extremity), and pain in the lower back that radiated downwards (back pain)". The patient went to an unknown physician and "the patient was told to wait out the side effects with rest, and take acetaminophen (TYLENOL) for the fever and the pain". At the time of reporting, the patient had not recovered from the events. The causal assessment between he events and suspect therapies PNEUMOVAX 23 and FLUZONE was not provided.
Age: 70.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dysphagia, Dyspnoea, Pain, Peripheral swelling, Skin discolouration
Clinical narrative: Initial unsolicited report received from a pharmacist on 06-Sep-2017. This case involves a 70-year-old female patient who was vaccinated with a dose of FLUZONE HD (batch number: UI808AA, expiry date: 28-Feb-2018) in right deltoid via intramuscular route on 04-Sep-2017. The patient had allergies to latex, Penicillin, and newly noted allergy to egg yolk, medical history unknown by reporter. Concomitant medications were not reported. On 04-Sep-2017, same day in evening following the vaccination, the patient experienced a feeling of difficulty in breathing, a cough, and swollen right arm that was also "black and blue" over the entire upper outer arm, experienced pain in her right arm. Patient reports on 06-Sep-2017, continues to have slight swelling with "black and blue" area of her upper right arm and pain in her right arm, breathing difficulty and cough resolved. Stated patient had not seen a physician for evaluation or treatment. The patient's laboratory data and corrective treatment were not reported. The patient was not recovered from event. List of documents held by sender: none.
Age: 70.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Cough, Dyspnoea, Injection site discolouration, Pain in extremity, Peripheral swelling
Clinical narrative: Initial unsolicited report received from a pharmacist on 06-Sep-2017. This case involves a 70-year-old female patient who was vaccinated with a dose of FLUZONE HD (batch number: UI808AA, expiry date: 28-Feb-2018) in right deltoid via intramuscular route on 04-Sep-2017. The patient had allergies to latex, Penicillin, and newly noted allergy to egg yolk, medical history unknown by reporter. Concomitant medications were not reported. On 04-Sep-2017, same day in evening following the vaccination, the patient experienced a feeling of difficulty in breathing, a cough, and swollen right arm that was also "black and blue" over the entire upper outer arm, experienced pain in her right arm. Patient reports on 06-Sep-2017, continues to have slight swelling with "black and blue" area of her upper right arm and pain in her right arm, breathing difficulty and cough resolved. Stated patient had not seen a physician for evaluation or treatment. The patient's laboratory data and corrective treatment were not reported. The patient was not recovered from event. List of documents held by sender: none.
Age: 70.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Skin discolouration
Clinical narrative: Initial unsolicited report received from a pharmacist on 06-Sep-2017. This case involves a 70-year-old female patient who was vaccinated with a dose of FLUZONE HD (batch number: UI808AA, expiry date: 28-Feb-2018) in right deltoid via intramuscular route on 04-Sep-2017. The patient had allergies to latex, Penicillin, and newly noted allergy to egg yolk, medical history unknown by reporter. Concomitant medications were not reported. On 04-Sep-2017, same day in evening following the vaccination, the patient experienced a feeling of difficulty in breathing, a cough, and swollen right arm that was also "black and blue" over the entire upper outer arm, experienced pain in her right arm. Patient reports on 06-Sep-2017, continues to have slight swelling with "black and blue" area of her upper right arm and pain in her right arm, breathing difficulty and cough resolved. Stated patient had not seen a physician for evaluation or treatment. The patient's laboratory data and corrective treatment were not reported. The patient was not recovered from event. List of documents held by sender: none.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: This spontaneous report as received from a licensed practical nurse refers to a female patient of unknown age with hypotension, hypothyroidism (also reported as hypothyroid) and no drug reactions or allergies. On 13-SEP-2017, the patient was vaccinated with a dose of PNEUMOVAX 23 (lot # N001007, expiration date 19-SEP-2018) (dose and route were not reported) for immunisation. There was no concomitant therapy. On 14-SEP-2017, the patient went to the office with "redness, pain, swelling and warmth at the injection site". The patient was told to "elevate her arm and take BENADRYL and ibuprofen as needed every 4 hours". There were no laboratory diagnostics or studies performed. At the time of the report, the patient had not recovered from injection site erythema, injection site warmth, injection site swelling and injection site pain. The reporter requested a lot check.
Age: 75.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: This spontaneous report as received from a licensed practical nurse refers to a female patient of unknown age with hypotension, hypothyroidism (also reported as hypothyroid) and no drug reactions or allergies. On 13-SEP-2017, the patient was vaccinated with a dose of PNEUMOVAX 23 (lot # N001007, expiration date 19-SEP-2018) (dose and route were not reported) for immunisation. There was no concomitant therapy. On 14-SEP-2017, the patient went to the office with "redness, pain, swelling and warmth at the injection site". The patient was told to "elevate her arm and take BENADRYL and ibuprofen as needed every 4 hours". There were no laboratory diagnostics or studies performed. At the time of the report, the patient had not recovered from injection site erythema, injection site warmth, injection site swelling and injection site pain. The reporter requested a lot check.
Age: 23.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in jaw
Clinical narrative: Extreme right jaw pai .
Age: 37.0
Sex: M
Vaccine: TYP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: REDNESS AND RAISED INJECTION SITE AREA, TENDERNESS TO PALPATION.
Age: 21.0
Sex: M
Vaccine: FLU4
Symptoms: Feeling hot, Rash pruritic, Swelling face
Clinical narrative: Rash all over face on 9/20/2017. Today only rash on bilat cheeks that itches and feels hot. Per Interpreter Pt also states his face is swollen. No other complaints.
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus
Clinical narrative: Patient came back to the pharmacy 2 days after stating that she felt itchy at the site of injection.
Age: 6.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Dyskinesia, Injection site pain, Listless, Somnolence
Clinical narrative: After administering the 4 vaccine (in order as indicated above), patient leaned over and began moving around (right arm flailing) and was initially thought to be resisting vaccination. Patient then appeared to become listless/sleeping. Jerking movements last less than 30 seconds, patient was then alert and appropriately responsive within a few minutes. Patient reported sleepiness and injection site soreness only. Vital signs were taken: HR 83, BP 92/69 RUE, RR 24, O2 sat 99% on RA. Once alert and oriented, patient was given a cool compress for her forehead and cool water. Mother reported that patient had no breakfast, only had a little milk earlier in the morning. Patient was observed for 15 minutes, and remained in the waiting area for another half an hour for observation. After resolution of occurrence, her vaccination series was completed (last vaccine-MMR) with mother's approval. Mother was told to bring child to the ED if she acted unusually or if there were any concerns for her health including recurrence or new symptoms. *Please note language barrier: mother translated.
Age: 80.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient came in and the injection site looked like an allergic reaction. Swollen but not red and slightly warm to the touch. Patient stated some soreness but was not painful. Told patient to contact her doctor the next day if area was not better or was worse.
Age: 36.0
Sex: M
Vaccine: PPV
Symptoms: Chills, Injection site pain, Swelling
Clinical narrative: Patient experienced localized swelling post-injection, which partially resolved with direct application of ice to injection site. The following day, experienced recurrence of pain at injection site as well as chills/rigors. At this time, patient has been advised to manage with home remedies (ice, OTC medications, etc.). No additional acute cares required.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Injection site erythema, Malaise
Clinical narrative: Patient reports feeling weakness. Also, the site was red approximately 2 inches in radius around the injection site. Patient says she did not feel well after receiving the injection.
Age: 43.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site reaction, Injection site streaking
Clinical narrative: 9/20/17: area of erythema on L deltoid that has a 3-4 cm pale red streak from this area toward her L axilla. In center of this area there is an area that is firm and quite tender... no fluctuance.
Age: 43.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pallor
Clinical narrative: 9/20/17: area of erythema on L deltoid that has a 3-4 cm pale red streak from this area toward her L axilla. In center of this area there is an area that is firm and quite tender... no fluctuance.
Age: 75.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site swelling
Clinical narrative: THE PATIENT HAS A BIG SWELLING AT THE INJECTION SITE RIGHT AFTER I TAKE OUT THE NEEDLE.
Age: 69.0
Sex: F
Vaccine: FLU3
Symptoms: Tachycardia
Clinical narrative: Patient reported tachycardia several hours after the administration of the vaccine, and three subsequent episodes of tachycardia within the subsequent 6 days thereafter. Patient stated using diphenhydramine to self-treat, which temporarily controlled the heart rate.
Age: 23.0
Sex: F
Vaccine: VARCEL
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Red swollen and hot to the touch reaction. No pain or fever reported. Treatment is to use warm compresses if needed and to keep an eye on it if it is to get larger. Patient is to return to clinic if symptoms worsen.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site vesicles, Injection site warmth
Clinical narrative: 48 hours after injection, patient developed an approximate 4 inch by 3 inch large, hard, hot, red, painful circular area at injection site on right hip/thigh with 1-2 small blisters. Mother applied cold compress periodically for 48 hours until site improved. Patient also, 4 days after injection, broke out in a red rash on back, hips and buttocks that lasted approximately 24 hours.
Age: 2.0
Sex: M
Vaccine: DTAP
Symptoms: Rash erythematous
Clinical narrative: 48 hours after injection, patient developed an approximate 4 inch by 3 inch large, hard, hot, red, painful circular area at injection site on right hip/thigh with 1-2 small blisters. Mother applied cold compress periodically for 48 hours until site improved. Patient also, 4 days after injection, broke out in a red rash on back, hips and buttocks that lasted approximately 24 hours.
Age: 68.0
Sex: F
Vaccine: FLUR3, PPV
Symptoms: Peripheral swelling, Rash, Skin warm, Urticaria
Clinical narrative: Arm swollen, hot, whelps, rash.
Age: 40.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Loss of personal independence in daily activities, Middle insomnia
Clinical narrative: The employee was given the TDAP as a service on 9/5/2017 as the previous TDAP had been recorded in 2006. The injection was given by RN, Employee Health Service, in the left Deltoid after all the EPIC questions were reviewed. The employee was instructed that her arm may be sore for a few days after the injection. When the Employee called, she states that the pain in her left deltoid has not improved and she continues to have 8/10 pain in that muscle with movement. She did a "hall consult" with an orthopedic surgeon and was told she may have developed a "syndrome" R/T the injection and that it should be reported. The employee's arm is not swollen and she doesn't report any markings, just C/O pain in the muscle area to where it wakes her up at night when she rolls on the shoulder and has difficulty with ADL's. She called me wanting to have it documented in case the pain did not go away.
Age: 55.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Exercise tolerance decreased
Clinical narrative: Vaccine given 10/12/2016 after about 2 weeks, decreased arm strength. No other symptoms. Progressive decline in ability to do push-up (no pain, no joint sx, no injuries) normally I was doing 15-17 push-up at times, regular exercise could not do more than 2-3 push-up. Lasted about 8 weeks, normal strength regained after 3-4 months. Did not do any investigations as there was no associated leg weakness. Weakness of both arms equal. Only decline in capacity to do lifting, push-up. Did not drop any objects. Minor activity no difference. No neck issues at this time. No tingling or numbness pure muscle strength decline.
Age: 1.25
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: .5ml dose given instead of .25ml.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered
Clinical narrative: .5ml dose administered instead of .25ml.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Fatigue, Influenza virus test negative, Malaise, Mononucleosis heterophile test negative
Clinical narrative: Went in for flu shot, (medical device sales, need shot for credentialing) on Monday 9/18/2017. Not sure of which actual type of flu shot received. On Wednesday (9/20/2017) morning felt ill. Chills, severe body aches, pain when touched or bumped, sore throat, tonsils swollen, extreme fatigue.  By Wednesday evening symptoms severe enough to frighten me, had third party take me to Clinic ER.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Oropharyngeal pain, Pain, Streptococcus test negative, Tenderness, Tonsillar hypertrophy
Clinical narrative: Went in for flu shot, (medical device sales, need shot for credentialing) on Monday 9/18/2017. Not sure of which actual type of flu shot received. On Wednesday (9/20/2017) morning felt ill. Chills, severe body aches, pain when touched or bumped, sore throat, tonsils swollen, extreme fatigue.  By Wednesday evening symptoms severe enough to frighten me, had third party take me to Clinic ER.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Chills, Fatigue, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: 9/15/17 approx. 3:30 PM, began sweating and chilling intermittently with nausea and extreme fatigue. The symptoms persisted until 9/17/17 afternoon, with one episode of vomiting on 9/16/17.  Symptoms gradually declined over the course of the weekend.
Age: 73.0
Sex: F
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: Arm swelling would not go down without prednisone.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Arthralgia, Back pain, Chills, Erythema, Flushing
Clinical narrative: Patient started with complaints of redness warmth and swelling in R arm on 9-19-2017. Seen by walk-in on 9-21-2017. Had redness swelling and warmth measuring 10.5x12 cm. Complaints of headache 9-20-2017. Has had chills and flushing. Pain in knees, ankles, back and both arms. Has been taking Ibuprofen.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Headache, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient started with complaints of redness warmth and swelling in R arm on 9-19-2017. Seen by walk-in on 9-21-2017. Had redness swelling and warmth measuring 10.5x12 cm. Complaints of headache 9-20-2017. Has had chills and flushing. Pain in knees, ankles, back and both arms. Has been taking Ibuprofen.
Sex: F
Vaccine: MMR
Symptoms: Maternal exposure before pregnancy, Rubella antibody negative
Clinical narrative: This spontaneous prospective pregnancy report was received from a nurse referring to a female patient of unknown age. The patient's medical history and concurrent condition were not reported. Concomitant therapy included sterile diluent(manufacturer unknown). In 1989 the patient was vaccinated with a dose of M-M-R II (1 DF, HSA, frequency, route, lot# and expiration date were unknown) for vaccination. In 1993 the patient was vaccinated with the second dose of M-M-R II (1 DF, HSA, frequency, route, lot# and expiration date were unknown) for vaccination. On an unspecified time, after receiving the second dose, the patient became pregnant(Vaccine exposure during pregnancy). The last menstrual period (LMP) and estimated date of delivery (EDD) were not reported. The pregnancy outcome was pending. Currently the patient was not pregnant. It was reported currently the patient was "nonimmune" to rubella. No further doses of M-M-R II had been administered. The outcome of the events was unknown. Causality between M-M-R II and event "Rubella antibody negative" was provided.
Sex: U
Vaccine: VARZOS
Symptoms: Expired product administered, No adverse event
Clinical narrative: This spontaneous report as received from a medical assistant and refers to a patient of unknown age and gender. No information regarding the patient's pertinent medical history, concomitant medications, drug reactions or allergies was provided. On 31-AUG-2017, the patient was vaccinated with ZOSTAVAX (dose, frequency and route of administration were not reported) batch# M032260 and expiration date on 18-AUG-2017. On 31-AUG-2017, the patient experienced expired product administered. No adverse event was reported. Lot number M032260 is an invalid lot number for zoster vaccine live.