chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1, DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Blood test normal, Cardiac monitoring, Echocardiogram normal, Intensive care, Respiratory pathogen panel
Clinical narrative: SVT- HR 280's  EMergency department treated with Adenosine and transfer to another facility PICU and cardiology. On continuous heart monitor, propranolol every 8 hours, and cardiology follow up
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC20, RV1, DTAPHEPBIP, HIBV, PNC20, RV1
Symptoms: Supraventricular tachycardia
Clinical narrative: SVT- HR 280's  EMergency department treated with Adenosine and transfer to another facility PICU and cardiology. On continuous heart monitor, propranolol every 8 hours, and cardiology follow up
Age: 72.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: The morning after the vaccination (10/26) the patient noticed that the area surrounding the injection site was beginning to itch. By the following morning (10/27) there was a large swollen area around the injection site that was sore and warm to the touch and continued to itch. The patient came in today (10/28) for advice on the situation. She is unable to take NSAIDs so I recommended applying ice to the area to help with the pain and swelling and using Benadryl to help with the itching. I advised that if it doesn't begin to get better in the next 24 hours or if it gets worse that she should contact her doctor. The swelling and itching was localized, with no central/generalized symptoms occurring
Age: 74.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Arthritis, Injection site swelling
Clinical narrative: Patient received flu shot and covid shot on 10/11. She is stating that she had some swelling at the injection site that went away in about 3 days, but since then she is experiencing pain in her shoulder. She is asking if it is related to the vaccines. She said pain has not improved. She said she has rheumatoid arthritis but does not believe this pain to be a flare up of that. She was told to monitor the pain and to follow up with her md
Age: 82.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Fall, Gait disturbance, Laboratory test, Tremor
Clinical narrative: Son reports patient experiences shaking, stumbling, and a fall. She was taken to the ER on 10/17/24 and had a full workup. Patient has been discharges and deemed otherwise okay.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vasculitis
Clinical narrative: vasculitis in lower legs, started 24 hours after vaccine was administered. treated with prednisone for 10 days and resolved
Age: 0.5
Sex: F
Vaccine: DTAPIPV, PNC15
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received KINRIX vaccine  indicated for ages 4-6y rather than separate DTap and IPV vaccines. I reviewed the pamphlet materials that come with the vaccines and it states "The diphtheria, tetanus, and pertussis components of KINRIX (DTap, IPV Ages 4-6y) are the same as those in INFANRIX (DTap Ages 6w-7y) and PEDIARIX (DTap, Hep B, IPV Ages 6w-6y) and the poliovirus component is the same as that in PEDIARIX. Patient experienced no adverse effect the the vaccine given.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Cardiac ablation, Cardiac flutter, Condition aggravated, Dizziness
Clinical narrative: About two weeks after the second dose, I would experience strong heart fluttering (Afib). They ranged from 6-8 intensity, with 1 being hard to detect and 10 being passing out. Episodes occurred 3-4 times per week, regularly after high intensity exercise. I decreased workout frequencies and intensity, ceased all alcohol, then later ceased work-outs. With these changes, there was a decrease in frequency of Afib episodes down to about 2-3 per week with an intensity of about 4-5. In most cases, duration of episodes averaged  3-4 hours of noticeable flutter. The adjustments and changes I made occurred over a number of weeks until May 25, 2021. While driving my son home from soccer practice on May 25, 2021 about 6 pm, my heart was fluttering and I became lightheaded and my peripheral vision was blacking out; like tunnel vision. The moment described in the episode would be considered about 8-9. I pulled over to the side of the road. Once my vision cleared, I drove directly home with an intensity of about 7. My symptoms continued through the night and I was still in Afib, when I arrived at work on the morning of May 26, 2021. I called the clinic  and they were able to see me for an appointment; that's when my Afib was confirmed.  Episodes that were captured/confirmed with EKG's and wearable devices between 3/2021-9/2021: 5/26/2021, 6/4/2021, 6/23/2021, 8/7-8/14/2021 (3 Afib events), 9/14/2021 (ablation surgery), 9/15/2021. There are many Afib incidents that occurred between the dates noted. For every captured instance, there are perhaps 2-3 events not captured with medical device. Therefore, for the 6 months time period between 3/2021 and 9/2021 I would approximate 40-50 episodes.   Current: After 3+ years, multiple emergency room visits, 2 ablation surgeries, 6 different pharmaceutical combinations, no alcohol, no dark chocolate, no high intensity exercise, conscience hydration, I am down to 1 event in the last 3 months so long as I take medication on schedule to help control the Afib.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Loss of consciousness, Visual field defect
Clinical narrative: About two weeks after the second dose, I would experience strong heart fluttering (Afib). They ranged from 6-8 intensity, with 1 being hard to detect and 10 being passing out. Episodes occurred 3-4 times per week, regularly after high intensity exercise. I decreased workout frequencies and intensity, ceased all alcohol, then later ceased work-outs. With these changes, there was a decrease in frequency of Afib episodes down to about 2-3 per week with an intensity of about 4-5. In most cases, duration of episodes averaged  3-4 hours of noticeable flutter. The adjustments and changes I made occurred over a number of weeks until May 25, 2021. While driving my son home from soccer practice on May 25, 2021 about 6 pm, my heart was fluttering and I became lightheaded and my peripheral vision was blacking out; like tunnel vision. The moment described in the episode would be considered about 8-9. I pulled over to the side of the road. Once my vision cleared, I drove directly home with an intensity of about 7. My symptoms continued through the night and I was still in Afib, when I arrived at work on the morning of May 26, 2021. I called the clinic  and they were able to see me for an appointment; that's when my Afib was confirmed.  Episodes that were captured/confirmed with EKG's and wearable devices between 3/2021-9/2021: 5/26/2021, 6/4/2021, 6/23/2021, 8/7-8/14/2021 (3 Afib events), 9/14/2021 (ablation surgery), 9/15/2021. There are many Afib incidents that occurred between the dates noted. For every captured instance, there are perhaps 2-3 events not captured with medical device. Therefore, for the 6 months time period between 3/2021 and 9/2021 I would approximate 40-50 episodes.   Current: After 3+ years, multiple emergency room visits, 2 ablation surgeries, 6 different pharmaceutical combinations, no alcohol, no dark chocolate, no high intensity exercise, conscience hydration, I am down to 1 event in the last 3 months so long as I take medication on schedule to help control the Afib.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Influenza virus test negative, Myalgia, Pyrexia
Clinical narrative: VOMITING, MUSCLE ACHES, CHILLS, FEVER, FATIGUE
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vomiting
Clinical narrative: VOMITING, MUSCLE ACHES, CHILLS, FEVER, FATIGUE
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Transient ischaemic attack
Clinical narrative: TIA Lost ability to speak
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram abnormal
Clinical narrative: Swollen lymph nodes noted on screening mammogram on 10/16/24. Ultrasound of L breast done 10/28/24, concludes that Novavax vaccine given on 10/14/24 is likely the cause of swollen lymph nodes in axillary area of L breast. Return for annual screening next year.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pain, Mobility decreased, Swelling
Clinical narrative: Next day, pain and swelling in shoulder, upper back and neck. Pt could not turn neck.  Pain persists for greater then 1 week.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site reaction, Mobility decreased, Muscle spasms
Clinical narrative: Patient reports severe muscle spasms to the point where she was immobile. She states these spasms were in her left lower back, left shoulder, and left shoulder blade. Stated she was unable to move from her chair. These lasted for several hours. Patient reports spasms were gone the next morning and now just experiencing normal injection site reaction.
Age: 64.0
Sex: F
Vaccine: TYP
Symptoms: Erythema, Pruritus
Clinical narrative: Patient called clinic on 10/28/24 to report potential allergic reaction to oral typhoid vaccine. Patient reports tolerating first dose of four taken in the evening of 10/24/24. After taking capsules #2/4 on 10/26/24, pt reports having left ear redness the following morning 10/27/24  and progressing to itchy palms that continued into 10/28/24. Pt states she has taken 2 doses of Benadryl at 0500 and 0630 on 10/28/24 with relief. Advised pt to seek medical care and attention if symptoms worsen or persist and to discontinue taking remaining doses of oral vaccine, patient verbalized understanding.
Age: 25.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Muscular weakness, Pain, Product administered at inappropriate site
Clinical narrative: "Injection was given in right arm, according to clinicians I work with it was given too high. Injection was given in right arm, approx 20-25mm from where lateral bicep meets shoulder. The injection was more painful than typical. I was sore for several days after, however I assumed I was simply more sensitive to the injection this year. One month later the pain has increased, my grip is weakened and I experience a significant amount of pain when raising my arm. Arm, Upper Right"
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Asthenia, Headache, Impaired work ability, Malaise, Myalgia
Clinical narrative: General malaise and weakness, headache, muscle aches, inflammation, and sore throat. The symptoms have been progressively increasing, resulting in the inability to go to work for four days, including today. I am NOT sure what brand of flu vaccine I received, just check the first one on the menu.
Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Myositis, Oropharyngeal pain
Clinical narrative: General malaise and weakness, headache, muscle aches, inflammation, and sore throat. The symptoms have been progressively increasing, resulting in the inability to go to work for four days, including today. I am NOT sure what brand of flu vaccine I received, just check the first one on the menu.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Congestion, sore throat, cough
Age: 77.0
Sex: F
Vaccine: FLU3
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Received Flu vaccine and the next day broke out in a red, itchy rash to her chest, abdomen and back.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Lethargy, Pallor, Product administered to patient of inappropriate age
Clinical narrative: Patient received Covid 12+ covid vaccine when patient is 9 years old. Per mom, patient was lethargic, flush/ pale, had a headache for about 48 hours post vaccine.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: LARGE AREA OF ERYTHEMA ON LEFT DELTOID. STARTED SMALL AND IS GROWING LARGER.
Age: 21.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Loss of personal independence in daily activities, Mobility decreased, Pain, Shoulder injury related to vaccine administration, Swelling
Clinical narrative: Two hours after receiving both the influenza and COVID-19 vaccine at the Pharmacy, I was unable to move my shoulder without severe pain. This pain was about an 7/10 at rest and a 10/10 when moving it. I consulted a doctor at an urgent care 36 hours after I received the vaccination where they diagnosed me with SIRVA, and referred me to an orthopedic doctor. I then followed up the an orthopedic doctor where they prescribed me a steroid and gave me a sling to wear. The steroid helped reduce the swelling which helped improve my range of motion and decrease the pain. After coming off the steroid, the pain resumed, but my range of motion stayed. I then followed up with the orthopedic and he prescribed me physical therapy for six weeks, and a stronger NSAID medication. I have now been in PT for 3 weeks, and my pain is still constant. My injury is still impacting daily activities in my life 7 weeks later.
Age: 21.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: X-ray limb
Clinical narrative: Two hours after receiving both the influenza and COVID-19 vaccine at the Pharmacy, I was unable to move my shoulder without severe pain. This pain was about an 7/10 at rest and a 10/10 when moving it. I consulted a doctor at an urgent care 36 hours after I received the vaccination where they diagnosed me with SIRVA, and referred me to an orthopedic doctor. I then followed up the an orthopedic doctor where they prescribed me a steroid and gave me a sling to wear. The steroid helped reduce the swelling which helped improve my range of motion and decrease the pain. After coming off the steroid, the pain resumed, but my range of motion stayed. I then followed up with the orthopedic and he prescribed me physical therapy for six weeks, and a stronger NSAID medication. I have now been in PT for 3 weeks, and my pain is still constant. My injury is still impacting daily activities in my life 7 weeks later.
Age: 61.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Fever of 101.4F for 2 days ending 10/27, chills, body and headache. Patient also had significant redness, pain, and heat at the administration site that spread across upper left arm. Patient also reported itching 4 days after administration.
Age: 61.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Injection site warmth, Pain, Pyrexia
Clinical narrative: Fever of 101.4F for 2 days ending 10/27, chills, body and headache. Patient also had significant redness, pain, and heat at the administration site that spread across upper left arm. Patient also reported itching 4 days after administration.
Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Underdose
Clinical narrative: Patient received the regular dose of influenza vaccine and should have received the high-dose for patients aged 65+.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Urticaria
Clinical narrative: Hives to R thigh 3x5 section. Hives lasted for 2 days, then decreasing. No respiratory distress/lip swelling.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Experiencing high pitched Tinnitus that has not gone away after COVID19 (Moderna) booster shot. Previous COVID shots had been Pfizer. Shot was giving 10/20/24 in the afternoon. Noticed ringing the next day, 10/21/24. Ringing is continuous and has not gone away 1 week later.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion
Clinical narrative: Sinus infection leading to  head and chest congestion.  Treated with antibiotics and expectorant.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: Sinus infection leading to  head and chest congestion.  Treated with antibiotics and expectorant.
Age: 16.0
Sex: M
Vaccine: HEPA
Symptoms: Extra dose administered
Clinical narrative: A patient came in on 10/21/2024 for catch-up vaccines, including Hepatitis A, which was administered that day. However, the patient returned on 10/25/2024 for another appointment, and during this visit, Hepatitis A was administered again, overlooking the fact that it had been given just a few days prior on 10/21/2024. Mother was notified of incident and had no questions or concerns.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctivitis
Clinical narrative: Pink eye 20 days later?
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: the patient received a dose of dtap at 7 years and 4 months instead of tdap
Age: 9.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site swelling
Clinical narrative: Parent reports redness and swelling at the injection site approximately 30 hours after injection.  Zyrtec recommended by office provider. Patient will be evaluated in office on 10/29/24.
Age: 78.0
Sex: F
Vaccine: RSV
Symptoms: Death
Clinical narrative: Resident received vaccine on 10/21/24, was discharged home on 10/23/24 and subsequently went back to hospital where she passed away on 10/24/24
Age: 16.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hyporesponsive to stimuli, Immediate post-injection reaction, Pallor, Seizure, Somnolence
Clinical narrative: I administered the Menquadfi in the right deltoid and then administered the Spikevax also into the right deltoid.  The patient immediately fainted and had a small seizure.  She was out for several seconds and then came to.  She was very groggy and could not keep her eyes open.  She was responsive somewhat.  I helped her over to the exam table to lie down for a while.  I offered a cool wet rag, water, crackers to which she refused all of them.  After layind down for a while she was interested in the water.  Her paleness slowly resolved and she got some color back into her face but it seemed to take longer than most other patients that I have had faint.  Her father decided to wait for the other two vax till later.
Age: 16.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Syncope
Clinical narrative: I administered the Menquadfi in the right deltoid and then administered the Spikevax also into the right deltoid.  The patient immediately fainted and had a small seizure.  She was out for several seconds and then came to.  She was very groggy and could not keep her eyes open.  She was responsive somewhat.  I helped her over to the exam table to lie down for a while.  I offered a cool wet rag, water, crackers to which she refused all of them.  After layind down for a while she was interested in the water.  Her paleness slowly resolved and she got some color back into her face but it seemed to take longer than most other patients that I have had faint.  Her father decided to wait for the other two vax till later.
Age: 8.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: kinrix administered at incorrect age of 8, should not be given after 6 years old
Age: 68.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Extra dose administered
Clinical narrative: Patient was given a 2nd dose of RSV (mResvia) when they received another RSV vaccine (Arexvy) the year prior. Patient said the only symptoms out of the normal that happened were loose stools otherwise patient was ok. Both vaccines were able to go through insurance. Pharmacist giving vaccine assumed pharmacist that checked the appt had checked immunization registry. Patient also received two other vaccines that day (Spikevax and Fluad).
Age: 83.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Disorientation, Disturbance in attention, Dizziness postural, Dysstasia, Fall
Clinical narrative: -tired, trouble concentration, dizziness upon standing, stomach was queasy, fell off of bed, trouble getting up, disoriented
Age: 83.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Fatigue, Nausea
Clinical narrative: -tired, trouble concentration, dizziness upon standing, stomach was queasy, fell off of bed, trouble getting up, disoriented
Age: 32.0
Sex: M
Vaccine: HEP
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rashes, hives and itching on face, trunk, chest and bilateral extremities since 10/22/24. Noted macular, erythematous raised itchy rash on face, chest, trunk, upper ext. and inner thigh
Age: 68.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site pruritus
Clinical narrative: Patient was given flu and covid shot on 10/24/2024 @11:36 am  and at 12:10 pm she reported feeling itch  on left arm were the flu shot was given. She was monitored at immunization room and a cold compress was applied at local arm area . She left immunization room at 12:30 pm intermitent itch felt locally no other generalized allergy symptoms reported. Patient came at 1:27 pm and reported only having a very mild itch and no other symptoms.
Age: 0.17
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: Expired VFC vaccine was stored in the refrigerator with current vaccines in a box labeled DO NOT USE - Expired vaccines. Another clinical employee utilized the vaccine and didn't note that the vaccine was expired.  Family has been notified and vaccine will be repeated.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Abrysvo vaccine in error.  Patient had received Abrysvo in November of 2023, so he would not need 2nd dose.  Based on current guidelines, patients aged 60 years and older are to receive 0.5mL IM as a SINGLE dose.  Patient received 11/17/2023 AND 10/25/2024;    Patient was consulted on error and his primary care provider, was notified.  Patient was instructed to notify us of any adverse events so reporting could be updated.  No adverse events observed at time of administration.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Gait inability, Pain, Sleep disorder
Clinical narrative: Patient could not walk 2 days afterward.  She felt burning and stinging in her thighs and legs, she couldn't sleep.  symptoms last for a week until 10/27
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Incorrectly stored vaccine- was stored and retrieved from freezer, thawed prior to administration. No adverse effects noted by patient day 3 post vaccination.
Age: 32.0
Sex: M
Vaccine: TDAP
Symptoms: Pruritus, Rash
Clinical narrative: Developed rash and itching on his left forearm and on the top of his left thigh. Rash and itching resolved within 20min. Rash and itching presented around 30min after immunization was given.
Age: 73.0
Sex: F
Vaccine: COVID19, FLU3, RSV
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Patient stated she experienced following symptoms on the same day after receiving all 3 vaccines: redness on whole upper right arm, swollen, hard bump, injection site was also hot to touch, and headache for 2 days. Patient states symptoms are improving; injection site is not as red, but blotchy, still present bump but not as hard, injection site is not as hot but still warm, no more headache.
Age: 73.0
Sex: F
Vaccine: COVID19, FLU3, RSV
Symptoms: Injection site warmth, Lymphadenopathy, Mammogram abnormal
Clinical narrative: Patient stated she experienced following symptoms on the same day after receiving all 3 vaccines: redness on whole upper right arm, swollen, hard bump, injection site was also hot to touch, and headache for 2 days. Patient states symptoms are improving; injection site is not as red, but blotchy, still present bump but not as hard, injection site is not as hot but still warm, no more headache.
Age: 72.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Chills, Dizziness, Dyspnoea, Mobility decreased, Pain
Clinical narrative: After I got the shot by the time i got to the car i felt short of breath and then when i got home, it got worse and i felt like i was having issues breathing so i took my inhaler and took that it did not help and i laid down and i started shivering and then i got a high temp and was dizzy and i could get out of bed. And i would only get up to go to bathroom and get water and this last the whole night my temp was 104.3-104.6. I went through the same thing  yesterday and today my fever broke this morning at 1 am . The dizziness is not gone yet and my breathing is better by body pain is still there.
Age: 72.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Pyrexia
Clinical narrative: After I got the shot by the time i got to the car i felt short of breath and then when i got home, it got worse and i felt like i was having issues breathing so i took my inhaler and took that it did not help and i laid down and i started shivering and then i got a high temp and was dizzy and i could get out of bed. And i would only get up to go to bathroom and get water and this last the whole night my temp was 104.3-104.6. I went through the same thing  yesterday and today my fever broke this morning at 1 am . The dizziness is not gone yet and my breathing is better by body pain is still there.
Age: 60.0
Sex: F
Vaccine: FLU3
Symptoms: Pain in extremity
Clinical narrative: she reports having soreness and pain in her arm for 2 weeks after being vaccinated
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Depressed level of consciousness, Dizziness, Immediate post-injection reaction
Clinical narrative: Patient was nervous about receiving Flu vaccine. Employee of health department. Immediately after vaccination patient became dizzy/lightheaded. Was seated and wanted to lay on the floor. Had nurses and other staff that attended to her. She did not lose consciousness completely but had difficulty answering questions and keeping eyes open. Patient did not improve and EMS was contacted. Patient transferred by EMS to local hospital.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Brain fog, Echocardiogram, Electrocardiogram, Laboratory test
Clinical narrative: PFIZER #1 1/10/2021 PFIZER #2 1/31/2021 DEVELOPED VACCINE INDUCED POST-EXERTIONAL MALAISE LOSS OF MENTAL CLARITY MIGRATORY ARTHALGIAS SMALL FIBER NEUROPATHY.   TREATED WITH IVERMECTIN NALTREXONE COLCHICINE AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Small fibre neuropathy
Clinical narrative: PFIZER #1 1/10/2021 PFIZER #2 1/31/2021 DEVELOPED VACCINE INDUCED POST-EXERTIONAL MALAISE LOSS OF MENTAL CLARITY MIGRATORY ARTHALGIAS SMALL FIBER NEUROPATHY.   TREATED WITH IVERMECTIN NALTREXONE COLCHICINE AND PROTOCOL BASE SPIKE DETOXIFICATION.
Age: 52.0
Sex: F
Vaccine: COVID19, FLU3, HEP, VARZOS
Symptoms: Cellulitis, Chills, Discomfort, Injection site erythema, Injection site pain
Clinical narrative: I have had four OVID 19 vaccinations. I have had them stand alone and with other vaccines, but each time I get an infected arm. I am prone to cellulitis and have been diagnosed with it more than ten times. I had mastitis 18 times during the nursing of my four now grown children. I am susceptible and very sensitive to cellulitis. I had the vaccine Wednesday evening (10/23/24) and by Friday I was getting more uncomfortable. On Sunday, my upper right arm was hot, red, swollen, painful to touch, and I was getting body aches and chills. I called doctor and was told to call pharmacy. The pharmacy I used was closed so I called the nearest one to that pharmacy and was told I had to go into see a doctor. My doctor has a five month wait period so I went to a clinic. I was given 500mg of cephalexin for 7 days and told to follow up with my doctor if it didn't get better. It has been just under 24 hours and I have taken three doses. My arm is no longer purple, the pain is nearly gone and my forearm and upper arm are no longer as swollen. This is the third time I have gotten cellulitis from the COVID 19 vaccine. It isn't necessarily a lack of the outer arm not being cleaned, it is just something I am prone to getting.
Age: 52.0
Sex: F
Vaccine: COVID19, FLU3, HEP, VARZOS
Symptoms: Injection site swelling, Injection site warmth, Localised infection, Pain, Peripheral swelling
Clinical narrative: I have had four OVID 19 vaccinations. I have had them stand alone and with other vaccines, but each time I get an infected arm. I am prone to cellulitis and have been diagnosed with it more than ten times. I had mastitis 18 times during the nursing of my four now grown children. I am susceptible and very sensitive to cellulitis. I had the vaccine Wednesday evening (10/23/24) and by Friday I was getting more uncomfortable. On Sunday, my upper right arm was hot, red, swollen, painful to touch, and I was getting body aches and chills. I called doctor and was told to call pharmacy. The pharmacy I used was closed so I called the nearest one to that pharmacy and was told I had to go into see a doctor. My doctor has a five month wait period so I went to a clinic. I was given 500mg of cephalexin for 7 days and told to follow up with my doctor if it didn't get better. It has been just under 24 hours and I have taken three doses. My arm is no longer purple, the pain is nearly gone and my forearm and upper arm are no longer as swollen. This is the third time I have gotten cellulitis from the COVID 19 vaccine. It isn't necessarily a lack of the outer arm not being cleaned, it is just something I am prone to getting.
Age: 78.0
Sex: M
Vaccine: RSV, TDAP
Symptoms: Fatigue, Headache, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient states he had redness and swelling in the vaccination area about 4-5 inches in diameter, warm to touch and firm, headache, low grade fever, body aches, extreme fatigue.  He states that symptoms arose approximately 6-7 hours after the vaccination in left arm.  Urgent care gave Augmentin to take by mouth and Rocephin with lidocaine injection.
Age: 78.0
Sex: M
Vaccine: RSV, TDAP
Symptoms: Injection site warmth, Pain, Pyrexia
Clinical narrative: Patient states he had redness and swelling in the vaccination area about 4-5 inches in diameter, warm to touch and firm, headache, low grade fever, body aches, extreme fatigue.  He states that symptoms arose approximately 6-7 hours after the vaccination in left arm.  Urgent care gave Augmentin to take by mouth and Rocephin with lidocaine injection.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received a third shingrix vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache, Myalgia, Nausea
Clinical narrative: Dizziness, weakness, muscle pain and weakness, headache, body aches, nausea
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Dizziness, weakness, muscle pain and weakness, headache, body aches, nausea
Age: 21.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Syncope
Clinical narrative: patient fainted after receiving both vaccines.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Brain fog, Confusional state, Constipation, Decreased appetite
Clinical narrative: Pt reports after 2nd Shingrix IMZ, she began feeling very ill. She visited her Rheumatologist and her Temp was 102.8 at the office. Pt reports her arm was red & swollen for 2 days after receiving her IMZ. She began to run a fever within 24 hours of IMZ, ran a fever for approx 36 hours total. She reports her arm was red and warm to the touch (no streaking), extreme fatigue, blisters arose in her mouth, roof of mouth, lips, and in her scalp. At time of reporting, no visible redness on Left arm. Pt reports she continues to feel fatigue, dizzy, syncopal, and states she has an altered gate "difficulty walking straight," confusion, foggy memory and no appetite. Asked more about GI symptoms, and pt states she stopped taking compounded Semaglutide 2 to 3 weeks ago, but continues to have nausea, anorexia and constipation. Asked if she had been taking anything to help her have a BM. Pt reports she takes Miralax daily, but today she threw up her coffee and Miralax this morning. I then asked pt when her last BM was, and she says about 2 weeks ago.  She reports not being able to eat, or to eat very little for at least 2 weeks. I asked if she is passing any gas out of her bottom, and she stated that she cannot recall passing any gas. We spoke about the symptoms and I asked her to please try to take something for constipation after taking something for nausea, be very aware of whether or not she passes any gas in the past 24 hours, and if she does NOT pass gas, to please seek care in urgent care or the ED. I am concerned that this pt may have a significant bowel obstruction or perforation and some of her symptoms could be from that. Pt states she has not received any confirmative dx, but Dr. is doing differentials to determine which autoimmune disorder she has, and prescribed Prednisone 20mg tablets to be taken in a specific manner and timing for additional diagnostics. Attempted to reach out to patient within 24 hours on confirmed mobile number, but pt did not answer, no voice mail set up and no returned call to see how pt was the following day.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Erythema, Fatigue, Gait disturbance, Lip blister
Clinical narrative: Pt reports after 2nd Shingrix IMZ, she began feeling very ill. She visited her Rheumatologist and her Temp was 102.8 at the office. Pt reports her arm was red & swollen for 2 days after receiving her IMZ. She began to run a fever within 24 hours of IMZ, ran a fever for approx 36 hours total. She reports her arm was red and warm to the touch (no streaking), extreme fatigue, blisters arose in her mouth, roof of mouth, lips, and in her scalp. At time of reporting, no visible redness on Left arm. Pt reports she continues to feel fatigue, dizzy, syncopal, and states she has an altered gate "difficulty walking straight," confusion, foggy memory and no appetite. Asked more about GI symptoms, and pt states she stopped taking compounded Semaglutide 2 to 3 weeks ago, but continues to have nausea, anorexia and constipation. Asked if she had been taking anything to help her have a BM. Pt reports she takes Miralax daily, but today she threw up her coffee and Miralax this morning. I then asked pt when her last BM was, and she says about 2 weeks ago.  She reports not being able to eat, or to eat very little for at least 2 weeks. I asked if she is passing any gas out of her bottom, and she stated that she cannot recall passing any gas. We spoke about the symptoms and I asked her to please try to take something for constipation after taking something for nausea, be very aware of whether or not she passes any gas in the past 24 hours, and if she does NOT pass gas, to please seek care in urgent care or the ED. I am concerned that this pt may have a significant bowel obstruction or perforation and some of her symptoms could be from that. Pt states she has not received any confirmative dx, but Dr. is doing differentials to determine which autoimmune disorder she has, and prescribed Prednisone 20mg tablets to be taken in a specific manner and timing for additional diagnostics. Attempted to reach out to patient within 24 hours on confirmed mobile number, but pt did not answer, no voice mail set up and no returned call to see how pt was the following day.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Nausea, Oral mucosal blistering, Peripheral swelling, Pyrexia
Clinical narrative: Pt reports after 2nd Shingrix IMZ, she began feeling very ill. She visited her Rheumatologist and her Temp was 102.8 at the office. Pt reports her arm was red & swollen for 2 days after receiving her IMZ. She began to run a fever within 24 hours of IMZ, ran a fever for approx 36 hours total. She reports her arm was red and warm to the touch (no streaking), extreme fatigue, blisters arose in her mouth, roof of mouth, lips, and in her scalp. At time of reporting, no visible redness on Left arm. Pt reports she continues to feel fatigue, dizzy, syncopal, and states she has an altered gate "difficulty walking straight," confusion, foggy memory and no appetite. Asked more about GI symptoms, and pt states she stopped taking compounded Semaglutide 2 to 3 weeks ago, but continues to have nausea, anorexia and constipation. Asked if she had been taking anything to help her have a BM. Pt reports she takes Miralax daily, but today she threw up her coffee and Miralax this morning. I then asked pt when her last BM was, and she says about 2 weeks ago.  She reports not being able to eat, or to eat very little for at least 2 weeks. I asked if she is passing any gas out of her bottom, and she stated that she cannot recall passing any gas. We spoke about the symptoms and I asked her to please try to take something for constipation after taking something for nausea, be very aware of whether or not she passes any gas in the past 24 hours, and if she does NOT pass gas, to please seek care in urgent care or the ED. I am concerned that this pt may have a significant bowel obstruction or perforation and some of her symptoms could be from that. Pt states she has not received any confirmative dx, but Dr. is doing differentials to determine which autoimmune disorder she has, and prescribed Prednisone 20mg tablets to be taken in a specific manner and timing for additional diagnostics. Attempted to reach out to patient within 24 hours on confirmed mobile number, but pt did not answer, no voice mail set up and no returned call to see how pt was the following day.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Syncope, Vomiting
Clinical narrative: Pt reports after 2nd Shingrix IMZ, she began feeling very ill. She visited her Rheumatologist and her Temp was 102.8 at the office. Pt reports her arm was red & swollen for 2 days after receiving her IMZ. She began to run a fever within 24 hours of IMZ, ran a fever for approx 36 hours total. She reports her arm was red and warm to the touch (no streaking), extreme fatigue, blisters arose in her mouth, roof of mouth, lips, and in her scalp. At time of reporting, no visible redness on Left arm. Pt reports she continues to feel fatigue, dizzy, syncopal, and states she has an altered gate "difficulty walking straight," confusion, foggy memory and no appetite. Asked more about GI symptoms, and pt states she stopped taking compounded Semaglutide 2 to 3 weeks ago, but continues to have nausea, anorexia and constipation. Asked if she had been taking anything to help her have a BM. Pt reports she takes Miralax daily, but today she threw up her coffee and Miralax this morning. I then asked pt when her last BM was, and she says about 2 weeks ago.  She reports not being able to eat, or to eat very little for at least 2 weeks. I asked if she is passing any gas out of her bottom, and she stated that she cannot recall passing any gas. We spoke about the symptoms and I asked her to please try to take something for constipation after taking something for nausea, be very aware of whether or not she passes any gas in the past 24 hours, and if she does NOT pass gas, to please seek care in urgent care or the ED. I am concerned that this pt may have a significant bowel obstruction or perforation and some of her symptoms could be from that. Pt states she has not received any confirmative dx, but Dr. is doing differentials to determine which autoimmune disorder she has, and prescribed Prednisone 20mg tablets to be taken in a specific manner and timing for additional diagnostics. Attempted to reach out to patient within 24 hours on confirmed mobile number, but pt did not answer, no voice mail set up and no returned call to see how pt was the following day.
Age: 53.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Asthenopia, Facial paralysis
Clinical narrative: Patient requested both vaccines to be administered in the same right arm/deltoid.  She presented to the local hospital with complaints of drooping right side of face and tired right eye the morning following the vaccine.
Age: 76.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash pruritic
Clinical narrative: rash with oozing sores left side of face from ear to mouth-- some pain and itching--  prescribed prednisone 10 mg, valacyclovir hcr 1 gram tablet, and mupirocin ointment usp 2%--  have had these symptoms for a week and on going
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site bruising, Injection site pain, Injection site swelling, Injection site warmth, Neck pain
Clinical narrative: Employee stated she experienced swelling and bruising at injection site and warmth at site the day of the vaccine. Employee stated she has pain at the injection site and radiates to the neck area.  Complains of tingling in her finger tips of left hand.
Age: 50.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Paraesthesia
Clinical narrative: Employee stated she experienced swelling and bruising at injection site and warmth at site the day of the vaccine. Employee stated she has pain at the injection site and radiates to the neck area.  Complains of tingling in her finger tips of left hand.
Age: 54.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Dermatitis, Induration, Nodule, Tenderness
Clinical narrative: This was a booster dose (initial 2 dose series performed 2 years ago).  A firm, ~3/4 inch diameter nodule developed SQ approximately one day after the injection.  The are was uncomfortable when light pressure was applied.  The overlying skin was inflamed, not ulcerated.  Signs/symptoms resolved over ~ 1.5 weeks.
Age: 61.0
Sex: F
Vaccine: FLU3
Symptoms: Oedema peripheral, Tenderness
Clinical narrative: Swollen area under armpit that was painful to the touch for the patient. Patient stated it lasted a couple days. She was worried it was something serious until asking pharmacy staff and checking on internet.
Age: 86.0
Sex: F
Vaccine: FLU3
Symptoms: Extra dose administered
Clinical narrative: Patient was given a duplicate flu shot. Received another flu shot in July
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Blood potassium decreased, Blood test, Chills, Cholecystitis
Clinical narrative: pt states 24 hours later he started getting the horrible chills, he was shaking and was having severe abdominal pain. An ambulance was call and he was transported hospital.  Dr. said his Gallblader, kidneys, and liver were all inflamed. He was diagnosed with pancreatitis. He does not have high fat diet so they could not explain why he was so sick. He as admitted for treatment. His white blood cell count was up to 22 and pottasium level was so low he had to have injections to boost it. He was given antibiotics intravaneously. He was on a liquid diet for 14 days and then put on a low fat diet. Surgeon Dr. at hospital placed a stent in the pancreas. He will need his gallbladder removed after the inflamation is gone. He is still recovering and using a cane to walk from being so weak and still on pain meds for the pain.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Echocardiogram, Electrocardiogram, Hepatitis, Muscular weakness
Clinical narrative: pt states 24 hours later he started getting the horrible chills, he was shaking and was having severe abdominal pain. An ambulance was call and he was transported hospital.  Dr. said his Gallblader, kidneys, and liver were all inflamed. He was diagnosed with pancreatitis. He does not have high fat diet so they could not explain why he was so sick. He as admitted for treatment. His white blood cell count was up to 22 and pottasium level was so low he had to have injections to boost it. He was given antibiotics intravaneously. He was on a liquid diet for 14 days and then put on a low fat diet. Surgeon Dr. at hospital placed a stent in the pancreas. He will need his gallbladder removed after the inflamation is gone. He is still recovering and using a cane to walk from being so weak and still on pain meds for the pain.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nephritis, Pancreatic stent placement, Pancreatitis, Scan with contrast, Tremor
Clinical narrative: pt states 24 hours later he started getting the horrible chills, he was shaking and was having severe abdominal pain. An ambulance was call and he was transported hospital.  Dr. said his Gallblader, kidneys, and liver were all inflamed. He was diagnosed with pancreatitis. He does not have high fat diet so they could not explain why he was so sick. He as admitted for treatment. His white blood cell count was up to 22 and pottasium level was so low he had to have injections to boost it. He was given antibiotics intravaneously. He was on a liquid diet for 14 days and then put on a low fat diet. Surgeon Dr. at hospital placed a stent in the pancreas. He will need his gallbladder removed after the inflamation is gone. He is still recovering and using a cane to walk from being so weak and still on pain meds for the pain.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Walking aid user, White blood cell count increased, X-ray
Clinical narrative: pt states 24 hours later he started getting the horrible chills, he was shaking and was having severe abdominal pain. An ambulance was call and he was transported hospital.  Dr. said his Gallblader, kidneys, and liver were all inflamed. He was diagnosed with pancreatitis. He does not have high fat diet so they could not explain why he was so sick. He as admitted for treatment. His white blood cell count was up to 22 and pottasium level was so low he had to have injections to boost it. He was given antibiotics intravaneously. He was on a liquid diet for 14 days and then put on a low fat diet. Surgeon Dr. at hospital placed a stent in the pancreas. He will need his gallbladder removed after the inflamation is gone. He is still recovering and using a cane to walk from being so weak and still on pain meds for the pain.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, Cholecystitis, Endoscopy, Hepatitis, Nephritis
Clinical narrative: pt states 24 hours later he started getting the horrible chills, he was shaking and was having severe abdominal pain. An ambulance was call and he was transported hospital.  Dr. said his Gallblader, kidneys, and liver were all inflamed. He was diagnosed with pancreatitis. He does not have high fat diet so they could not explain why he was so sick. He as admitted for treatment. His white blood cell count was up to 22 and pottasium level was so low he had to have injections to boost it. He was given antibiotics intravaneously. He was on a liquid diet for 14 days and then put on a low fat diet. Surgeon Dr. at hospital placed a stent in the pancreas. He will need his gallbladder removed after the inflamation is gone. He is still recovering and using a cane to walk from being so weak and still on pain meds for the pain.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pancreatitis acute, Ultrasound pancreas, Urinary system X-ray, X-ray
Clinical narrative: pt states 24 hours later he started getting the horrible chills, he was shaking and was having severe abdominal pain. An ambulance was call and he was transported hospital.  Dr. said his Gallblader, kidneys, and liver were all inflamed. He was diagnosed with pancreatitis. He does not have high fat diet so they could not explain why he was so sick. He as admitted for treatment. His white blood cell count was up to 22 and pottasium level was so low he had to have injections to boost it. He was given antibiotics intravaneously. He was on a liquid diet for 14 days and then put on a low fat diet. Surgeon Dr. at hospital placed a stent in the pancreas. He will need his gallbladder removed after the inflamation is gone. He is still recovering and using a cane to walk from being so weak and still on pain meds for the pain.
Age: 61.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: The patient received a second dose of Prevnar 20 when it was not indicated. The patient originally received a dose of Prevnar 20 on 11/21/2023. They received a second dose of the immunization in error on 10/21/2024.
Age: 57.0
Sex: F
Vaccine: COVID19, FLU3
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: Patient reports that she has had extensive soreness/pain in her right should such that she cannot lift her arm above shoulder level. This was reported on 10/24/2024. Patient reported she had been taking hot showers to try to relax the muscle. Reporter advised that she begin icing the area multiple times per day and using an NSAID such as ibuprofen to help with the pain.