chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: FLUC4
Symptoms: Nuclear magnetic resonance imaging abnormal, Palatal disorder, Paranasal sinus discomfort, Visual impairment
Clinical narrative: On 11/10 woke up with diplopia, felt very wobbly/ weak when standing. Called sister, to take to Urgency Room. Cat scan was able to rule out stroke/ aneurysm/tumor. Sent to Hospital Emergency Department - EKG and MRI - no abnormalities. Sent home and recommended Ophthalmology and Neurology. Appt for Ophthalmology - on 11/12 seen sinus pressure on MRI. Sent to ENT, ENT - seen same day at 2PM - wanted to drain sinus pressure but did not do Sent to Neurology - labs drawn, no infection seen with CBC. Admitted to hospital 11/12 admitted to Hospital - many tests done including CT/ MRI/ Spinal Tap on 11/15 diagnosed with Miller Fischer Syndrome and started treatment IVIG for 5 days. Sent home, residual symptoms - instability had improved, close up vision improving, soft palate function improving. Deep tendon reflexes continued to be absent. Follow up apt 11/30 with Neurology.
Age: 50.0
Sex: F
Vaccine: HEPA, VARZOS
Symptoms: Bursitis, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Injection site reaction
Clinical narrative: Immediate severe pain in right shoulder, causing a vasovagal reaction. Continuing pain, of a moderate level, from the moment of vaccination through at least two weeks (the pain resolved gradually, but only now would I say it is fully resolved, four weeks after the injection.) Restriction of movement for some time after the shot due to pain in shoulder/upper deltoid. Visit to primary care doctor resulted in the diagnosis of acute bursitis (never had before) due to the vaccine having been administered into the bursa. A prescription for Prednisone was given 1 week after the initial injury, but by this time the symptoms were beginning to decrease, so I chose to wait and rehabilitate the shoulder through exercise.
Age: 50.0
Sex: F
Vaccine: HEPA, VARZOS
Symptoms: Presyncope, Product administered at inappropriate site
Clinical narrative: Immediate severe pain in right shoulder, causing a vasovagal reaction. Continuing pain, of a moderate level, from the moment of vaccination through at least two weeks (the pain resolved gradually, but only now would I say it is fully resolved, four weeks after the injection.) Restriction of movement for some time after the shot due to pain in shoulder/upper deltoid. Visit to primary care doctor resulted in the diagnosis of acute bursitis (never had before) due to the vaccine having been administered into the bursa. A prescription for Prednisone was given 1 week after the initial injury, but by this time the symptoms were beginning to decrease, so I chose to wait and rehabilitate the shoulder through exercise.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Abdominal distension, Arthralgia, Back pain, Blood pressure increased, Burning sensation
Clinical narrative: Severe autoimmune reaction including: Headache, dizziness, chills, muscle aches, joint pain, fatigue, sore injection site, swollen face/eyes, legs/ankles and abdominal area, elevated blood pressure, burning sensation in hands and feet, sore throat, back pain, itchy skin, stiff neck and body aches. Pain level is a 7-8 out of 10. Seen by doctors 3 times since the vaccination and symptoms still persist along with pain level of 6 out of 10. Swelling has gone down in all areas but is not fully resolved. The doctors stated that it would be a matter of time before the vaccine was eliminated from my system. Steroid medication was prescribed but I did not take it as the side effects are contraindicated.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Chills, Differential white blood cell count, Dizziness, Eye swelling, Fatigue
Clinical narrative: Severe autoimmune reaction including: Headache, dizziness, chills, muscle aches, joint pain, fatigue, sore injection site, swollen face/eyes, legs/ankles and abdominal area, elevated blood pressure, burning sensation in hands and feet, sore throat, back pain, itchy skin, stiff neck and body aches. Pain level is a 7-8 out of 10. Seen by doctors 3 times since the vaccination and symptoms still persist along with pain level of 6 out of 10. Swelling has gone down in all areas but is not fully resolved. The doctors stated that it would be a matter of time before the vaccine was eliminated from my system. Steroid medication was prescribed but I did not take it as the side effects are contraindicated.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Full blood count, Headache, Injection site pain, Liver function test, Musculoskeletal stiffness
Clinical narrative: Severe autoimmune reaction including: Headache, dizziness, chills, muscle aches, joint pain, fatigue, sore injection site, swollen face/eyes, legs/ankles and abdominal area, elevated blood pressure, burning sensation in hands and feet, sore throat, back pain, itchy skin, stiff neck and body aches. Pain level is a 7-8 out of 10. Seen by doctors 3 times since the vaccination and symptoms still persist along with pain level of 6 out of 10. Swelling has gone down in all areas but is not fully resolved. The doctors stated that it would be a matter of time before the vaccine was eliminated from my system. Steroid medication was prescribed but I did not take it as the side effects are contraindicated.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Myalgia, Oropharyngeal pain, Pain, Peripheral swelling, Pruritus
Clinical narrative: Severe autoimmune reaction including: Headache, dizziness, chills, muscle aches, joint pain, fatigue, sore injection site, swollen face/eyes, legs/ankles and abdominal area, elevated blood pressure, burning sensation in hands and feet, sore throat, back pain, itchy skin, stiff neck and body aches. Pain level is a 7-8 out of 10. Seen by doctors 3 times since the vaccination and symptoms still persist along with pain level of 6 out of 10. Swelling has gone down in all areas but is not fully resolved. The doctors stated that it would be a matter of time before the vaccine was eliminated from my system. Steroid medication was prescribed but I did not take it as the side effects are contraindicated.
Age: 54.0
Sex: F
Vaccine: FLUR4
Symptoms: Swelling face
Clinical narrative: Severe autoimmune reaction including: Headache, dizziness, chills, muscle aches, joint pain, fatigue, sore injection site, swollen face/eyes, legs/ankles and abdominal area, elevated blood pressure, burning sensation in hands and feet, sore throat, back pain, itchy skin, stiff neck and body aches. Pain level is a 7-8 out of 10. Seen by doctors 3 times since the vaccination and symptoms still persist along with pain level of 6 out of 10. Swelling has gone down in all areas but is not fully resolved. The doctors stated that it would be a matter of time before the vaccine was eliminated from my system. Steroid medication was prescribed but I did not take it as the side effects are contraindicated.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ
Symptoms: Injection site cellulitis, Injection site erythema, Injection site induration, Injection site rash, Injection site swelling
Clinical narrative: Patient presented to PCP and received the following vaccines during the visit by RMA: influenza (lot TM9Z5) IM in patient's left deltoid, MENACTRA (Lot # U6143AA) IM in patient's left deltoid, and GARDASIL (Lot N035957) IM in patient's right deltoid on 11/26. The following day the patient's family contacted the provider and endorsed rash, redness, swelling and warmth of left arm for the past day. Patient was seen by provider on 11/27 for follow up. MD diagnosed " 3-4cm area over lateral aspect of LUE noted to be erythematuous with induration; no tenderness, no drainage".  Patient diagnosed with vaccine induced cellulitis. Patient prescribed cephalexin 500mg PO BID, as well as TYLENOL/MOTRIN as needed.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ
Symptoms: Injection site warmth
Clinical narrative: Patient presented to PCP and received the following vaccines during the visit by RMA: influenza (lot TM9Z5) IM in patient's left deltoid, MENACTRA (Lot # U6143AA) IM in patient's left deltoid, and GARDASIL (Lot N035957) IM in patient's right deltoid on 11/26. The following day the patient's family contacted the provider and endorsed rash, redness, swelling and warmth of left arm for the past day. Patient was seen by provider on 11/27 for follow up. MD diagnosed " 3-4cm area over lateral aspect of LUE noted to be erythematuous with induration; no tenderness, no drainage".  Patient diagnosed with vaccine induced cellulitis. Patient prescribed cephalexin 500mg PO BID, as well as TYLENOL/MOTRIN as needed.
Age: 47.0
Sex: F
Vaccine: HEP, TDAP
Symptoms: Pain, Swelling
Clinical narrative: Pain, swelling after 4 weeks-- given BACTRIM #20 for 10 days.
Age: 64.0
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Swelling
Clinical narrative: Pt. experienced redness, hotness and pain at injection site. Swelling was also reported. No fever.
Age: 64.0
Sex: U
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Feeling hot, Mobility decreased, Peripheral swelling
Clinical narrative: Pt. experienced redness, hotness and pain at injection site. Swelling was also reported. No fever.
Age: 14.0
Sex: M
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: Spoke with patient mom. He did not have any reactions to the vaccine.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test normal, Ear pain, Gait disturbance, Inflammatory marker increased
Clinical narrative: Flu like symptoms first 3 days. Then continued week, lethargic, pains in body, pains in rims of ears, up back of neck still at 2 months after shot. Could hardly lift my blankets off me and sever pain in right arm and shoulder which was not the arm where shot was given. I could barely walk for almost 2 months.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Lethargy, Musculoskeletal pain, Neck pain, Pain
Clinical narrative: Flu like symptoms first 3 days. Then continued week, lethargic, pains in body, pains in rims of ears, up back of neck still at 2 months after shot. Could hardly lift my blankets off me and sever pain in right arm and shoulder which was not the arm where shot was given. I could barely walk for almost 2 months.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Flu like symptoms first 3 days. Then continued week, lethargic, pains in body, pains in rims of ears, up back of neck still at 2 months after shot. Could hardly lift my blankets off me and sever pain in right arm and shoulder which was not the arm where shot was given. I could barely walk for almost 2 months.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Bedridden, Bone disorder, Fluid retention, Injection site reaction, Middle insomnia
Clinical narrative: Within approximately four (4) hours of the vaccine shot, my shoulder started feeling tender and painful. By the evening, pain intensified and my shoulder was getting stiff and throbbing. Overnight I was woken up several times due to sharp pain. By the following morning (11-16-18) my shoulder was frozen, extremely tender to the touch and painful. Over the next several days I used a homemade sling, took 2,200 mg  of Ibuprofen daily and applied heat. I remained bedridden for three (3) days. I was unable to move my arm. On 11-21-18, I was still in extreme pain with limited motion at which time I obtained an Ultrasound and X-ray from the clinic. The Ultrasound revealed a small pocket of fluid as well as bone erosion at the injection sight. On 11-23-18, I went to the Medical Center ER and was diagnosed (without any tests) with Tendonitis. On 11-26-18, I received another Toradol shot for the pain and stiffness. Still in pain. Still tender and limited range of motion without shooting pain
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Mobility decreased, Musculoskeletal pain, Musculoskeletal stiffness, Pain, Periarthritis
Clinical narrative: Within approximately four (4) hours of the vaccine shot, my shoulder started feeling tender and painful. By the evening, pain intensified and my shoulder was getting stiff and throbbing. Overnight I was woken up several times due to sharp pain. By the following morning (11-16-18) my shoulder was frozen, extremely tender to the touch and painful. Over the next several days I used a homemade sling, took 2,200 mg  of Ibuprofen daily and applied heat. I remained bedridden for three (3) days. I was unable to move my arm. On 11-21-18, I was still in extreme pain with limited motion at which time I obtained an Ultrasound and X-ray from the clinic. The Ultrasound revealed a small pocket of fluid as well as bone erosion at the injection sight. On 11-23-18, I went to the Medical Center ER and was diagnosed (without any tests) with Tendonitis. On 11-26-18, I received another Toradol shot for the pain and stiffness. Still in pain. Still tender and limited range of motion without shooting pain
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Tenderness, Tendonitis, Ultrasound scan abnormal, X-ray
Clinical narrative: Within approximately four (4) hours of the vaccine shot, my shoulder started feeling tender and painful. By the evening, pain intensified and my shoulder was getting stiff and throbbing. Overnight I was woken up several times due to sharp pain. By the following morning (11-16-18) my shoulder was frozen, extremely tender to the touch and painful. Over the next several days I used a homemade sling, took 2,200 mg  of Ibuprofen daily and applied heat. I remained bedridden for three (3) days. I was unable to move my arm. On 11-21-18, I was still in extreme pain with limited motion at which time I obtained an Ultrasound and X-ray from the clinic. The Ultrasound revealed a small pocket of fluid as well as bone erosion at the injection sight. On 11-23-18, I went to the Medical Center ER and was diagnosed (without any tests) with Tendonitis. On 11-26-18, I received another Toradol shot for the pain and stiffness. Still in pain. Still tender and limited range of motion without shooting pain
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, Fever - 36 hours.
Age: 21.0
Sex: F
Vaccine: FLU4, MENB, TD
Symptoms: Chills, Injection site erythema, Injection site pain
Clinical narrative: Pain left upper arm and increasing redness; felt with chills; no streaks from site; no fever; no tenderness - on physical exam 18 cm x 15 cm erythema almost completely circumferential of left upper arm inferior to 2 injection sites nontender. Treated empirically with Cephalexin 250 mg oral capsule .... 1 cap 3 times a day.
Age: 65.0
Sex: M
Vaccine: FLU3
Symptoms: Musculoskeletal pain, X-ray limb normal
Clinical narrative: Patient complains of shouldar pain since flu vaccine administration. Patient has been to MD for xrays (which show no sign of injury). Patient recieving care from MD.
Age: 0.5
Sex: U
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This spontaneous report was received from a vaccine administrator and refers to a 6-month-old patient. The patient's concurrent conditions medical history and concomitant therapies were not provided. On 12-NOV-2018, the 6-month old patient was vaccinated with a dose of VAQTA lot/batch # was reported as R013958, expiration date: 12-DEC-2019 (dose and route of administration were not provided) for prophylaxis. No adverse effects were reported.
Sex: F
Vaccine: PNC13
Symptoms: Pneumonia
Clinical narrative: This is a spontaneous report from a contactable consumer reporting for herself. This 52- year-old female patient received on an unknown date (about 5 years before this report) a single dose of PREVNAR 13, PNEUMOVAX on an unknown date (about 4 years before this report) and a different pneumonia vaccine taken before pneumococcal 13-val conj vac (dipht crm197 protein) (patient did not know what that was and had no further details), all for immunization. Concomitant medications were not reported. Medical history included ongoing rheumatoid arthritis and lupus. She has developed pneumonia several times since receiving all of these vaccines. Outcome was unknown. Information on the batch number has been requested.
Age: 8.0
Sex: F
Vaccine: FLU4, TYP
Symptoms: Abdominal pain upper, Dyskinesia, Memory impairment, Syncope
Clinical narrative: Upon administering the typhoid vaccine (which was the second vaccine being given in the arm that day following the flu vaccine) the patient began to lean forward in her seat toward her lap. It appeared she was in the process of fainting. When her upper body approached her laps she began to jerk as though she was having a mild seizure. Her mother held her upper body up while calling out to her for a response. When she regained consciousness she couldn't remember what happened because she asked "what happened?" She then said that her belly hurt. Her mother then sat her on her lap for a few minutes and then carried her out of the pharmacy to take her to a clinic for an evaluation.
Age: 63.0
Sex: F
Vaccine: PNC13
Symptoms: Contusion, Influenza like illness, Injection site pain, Injection site rash, Pyrexia
Clinical narrative: The day after feeling various flu like symptoms. Low grade fever. Pain and bruise at site of injection. A few weeks following injection, rash appeared at site of injection and continues to be a problem.
Age: 58.0
Sex: M
Vaccine: FLUC4, PPV
Symptoms: Cellulitis
Clinical narrative: Celullitis in the left arm. Patient goes to the doctors office and he prescribes Septra D/S (one tablet once a day) and Hibiclens (to wash the area daily).
Age: 63.0
Sex: M
Vaccine: FLU4
Symptoms: Asthenia, Dysstasia, Injection site pain, Muscular weakness
Clinical narrative: 8/10 pain at injection site next morning. The next day, severe weakness in particular to quadriceps muscles. Continues to the date of this report. Attempted relief using cold / heat then TENS. Nothing helps. The issue "feels" permanent. Very debilitating. Until the injection, I had no problem getting off the floor with one or both knees. Now I need to push myself off a table or other item to get enough leverage to stand up.
Age: 32.0
Sex: F
Vaccine: FLU4, MMR, MNQ, TYP
Symptoms: Hypersensitivity, Pyrexia, Rash, Vomiting
Clinical narrative: Per treating physician note: "MMR immunization...illicited a widespread allergic response in the patient including rash, fever and vomiting. This persisted for days and resolved with steroids."
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Pain, Pain in extremity, Peripheral swelling, Skin reaction, Skin warm
Clinical narrative: Pt said she developed swelling and pain shortly after injection. Pain increased throughout the night and today. Pt presented with her upper arm swelled and red.; hot to the touch. She said she feels pain, but is able to move her arm and fingers.
Age: 66.0
Sex: F
Vaccine: FLU3
Symptoms: Swelling
Clinical narrative: Pt said she developed swelling and pain shortly after injection. Pain increased throughout the night and today. Pt presented with her upper arm swelled and red.; hot to the touch. She said she feels pain, but is able to move her arm and fingers.
Age: 17.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Rash
Clinical narrative: Rash on both arms starting end Sept ?( per Mom), seen in ER x2 beginning of October and Nov 21st, was prescribed steroids and ZYRTEC, also advised to see a dermatologist as patient still has the rash.
Age: 43.0
Sex: M
Vaccine: FLU4
Symptoms: Joint range of motion decreased, Musculoskeletal pain
Clinical narrative: Shoulder pain that got progressively worse over the course of several weeks resulting in marked decreased range of motion. Missed work, visit to his doctor.
Age: 67.0
Sex: F
Vaccine: FLUA3, PPV
Symptoms: Discomfort, Pain in extremity, Peripheral swelling
Clinical narrative: Patient received PNEUMOVAX 23 and FLUAD vaccination on 11/26/2018. PNEUMOVAX was in left arm, FLUAD was in right arm. Several hours after receiving vaccinations, patient's left arm began to swell. Patient's arm right arm not affected. Left arm continued to swell until 11/28/2018. Patient only reports soreness and discomfort. Patient reports taking Benadryl and Tylenol to self-treat.
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Fever for 5 days per mom.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Peripheral swelling, Skin mass
Clinical narrative: Patient states approximately 3 weeks following influenza immunization her entire upper arm become swollen and sore and remained that way for 3 days. The swelling then went down, but the arm remained sore and a golf ball sized nodule appeared mid-upper arm. Was seen at a clinic and no treatment was prescribed.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Malaise, Myalgia
Clinical narrative: Malaise, fatigue, muscle pain, fever, shivering, stomach pain, and nausea.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pyrexia
Clinical narrative: Malaise, fatigue, muscle pain, fever, shivering, stomach pain, and nausea.
Age: 1.58
Sex: F
Vaccine: DTAPIPV
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 86.0
Sex: M
Vaccine: VARZOS
Symptoms: Ophthalmic herpes zoster, Rash vesicular
Clinical narrative: Patient has shingles like rash over right eye, and was diagnosed with shingles from eye doctor.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Persistent right shoulder pain near site of injection. Pain began during injection and persisted since then. Pain is worse when extending or abducting arms 90 degrees and when throwing ball or doing push ups.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Feeling hot, Nausea, Pallor
Clinical narrative: Client came in for her 4 year old shots and flu shot. Pain-ease spray applied to legs and shots given.  No crying at this time. About 5 minutes later client leaning against Mom's legs while standing and slid down her legs to the floor slowly. Client did not hit her head or loose consciousness. Mom picked her up and had her sit in her lap. Client was pale and then became nauseated, but did not get sick. She also complained of being hot. PHN also called into the room as standby. Had client lay on the exam table with feet elevated and drink water. Client appeared normal after 10 minutes (11:00). Client went home with Mom at 11:10.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria
Clinical narrative: Hives at injection site.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Blepharospasm, Fatigue, Guillain-Barre syndrome, Laboratory test normal, Muscle twitching
Clinical narrative: She began to have symptoms the end of October. She had "pins and needles" sensation both feet which progressed up to her knees. She also developed this sensation in her hands which progressed up to her forearms. She experienced weakness in her legs and arms. She stated there were days she had extreme fatigue. She had twitching of her left eye constantly for 4 weeks. She continues to have "random muscle twitches" which is the only remaining symptom.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness, Nerve conduction studies abnormal, Paraesthesia
Clinical narrative: She began to have symptoms the end of October. She had "pins and needles" sensation both feet which progressed up to her knees. She also developed this sensation in her hands which progressed up to her forearms. She experienced weakness in her legs and arms. She stated there were days she had extreme fatigue. She had twitching of her left eye constantly for 4 weeks. She continues to have "random muscle twitches" which is the only remaining symptom.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Bursitis, Injected limb mobility decreased, Orthopaedic examination, Pain, Product administered at inappropriate site
Clinical narrative: Severe pain started within 1 hour of injection. No swelling or redness, but marked immobility of left shoulder. Ortho consult 10 days later when still incapacitated -- dx subacromial bursitis from vaccine.  Pt reported vaccine given very high on shoulder. Medrol dose pack and NSAIDs and PT given. Dx of SIRVA.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Shoulder injury related to vaccine administration
Clinical narrative: Severe pain started within 1 hour of injection. No swelling or redness, but marked immobility of left shoulder. Ortho consult 10 days later when still incapacitated -- dx subacromial bursitis from vaccine.  Pt reported vaccine given very high on shoulder. Medrol dose pack and NSAIDs and PT given. Dx of SIRVA.
Age: 46.0
Sex: F
Vaccine: HEP
Symptoms: Pruritus, Throat irritation, Urticaria
Clinical narrative: Complained of itching, hives, and scratchy throat.
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Injection site cellulitis, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis (red, hard firm swelling, hot tissue along the left upper extremity into the axilla.
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Wrong product administered
Clinical narrative: NO treatment needed, vaccine was given by mistake. Doctor order MMR and Varicelle was given.
Age: 78.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site discomfort, Injection site pain
Clinical narrative: He explains that he had being feeling pain in the muscle on the site of the administration of the vaccine. He assures that he had experience it since the administration. Today is more than a month after was administrated the vaccine and he is still feeling discomfort in the area. He went to the physician and was prescribed NORFLEX and TORADOL.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Fall, Loss of consciousness, Mydriasis, Nausea, Respiratory arrest
Clinical narrative: Patient was sitting on bench after shot and I saw her fall on to a different costumers lap. I ran out of the pharmacy and helped lower her to the ground. She was unconscious and pupils were dilated. She didn't appear to be breathing but still had a pulse. I called out to our technicians to grab my immunization cart and to call 911. I gave her a epi pen 0.3mg shot in right thigh. I was just about to start rescue breathing and the epi pen kicked in. She let out a yell and then became conscious again.  She was able to talk. We elevated her legs until the paramedics came. When they came she got nauseous and vomited several times. She remained conscious and was able to communicate with the paramedics. They took her to a near by hospital.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Patient was sitting on bench after shot and I saw her fall on to a different costumers lap. I ran out of the pharmacy and helped lower her to the ground. She was unconscious and pupils were dilated. She didn't appear to be breathing but still had a pulse. I called out to our technicians to grab my immunization cart and to call 911. I gave her a epi pen 0.3mg shot in right thigh. I was just about to start rescue breathing and the epi pen kicked in. She let out a yell and then became conscious again.  She was able to talk. We elevated her legs until the paramedics came. When they came she got nauseous and vomited several times. She remained conscious and was able to communicate with the paramedics. They took her to a near by hospital.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Fatigue, Feeling cold, Nausea
Clinical narrative: Pt states she woke up Saturday morning at 1:23am shivering, and couldn't get warm. Pt states she was fevered at 100.0, nauseous, tired, had stomach pain, and body aches. Pt denies any rash. Pt states she alternated TYLENOL and Ibuprofen, and that helped her feel better. Pt states she is feeling better, but is not completely better. Pt states she has no fever today, but is still a bit nauseous and tired. Pt states she had read on the information sheet, that if she had any side effects, then she should let her provider know.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Pt states she woke up Saturday morning at 1:23am shivering, and couldn't get warm. Pt states she was fevered at 100.0, nauseous, tired, had stomach pain, and body aches. Pt denies any rash. Pt states she alternated TYLENOL and Ibuprofen, and that helped her feel better. Pt states she is feeling better, but is not completely better. Pt states she has no fever today, but is still a bit nauseous and tired. Pt states she had read on the information sheet, that if she had any side effects, then she should let her provider know.
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Peripheral swelling
Clinical narrative: After he went to bed the same day he received the vaccine, his upper and lower arm swelled up and was red. During the day the fluid would dissipate and then swell up again during  the night. After the 4th day, the swelling dissipated and after 7 days he was back to normal. At one point, he had a swelling in his lower arm the size of a small potato under the skin.
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Rash erythematous
Clinical narrative: Pt. reported red bumps that did not itch and went away.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Injection site swelling
Clinical narrative: Patient received SHINGRIX vaccine NDC 58160-0823-11 in her left arm on 11/27/18. Patient reports waking up today with flu like symptoms and redness/swelling in her upper left arm near injection site reaction. She was recommended to use OTC therapy to help relieve symptoms but if symptoms persist to contact her PCP.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Fatigue, Injection site discolouration, Injection site erythema, Injection site pain
Clinical narrative: Extreme lightheadedness, dizziness, and fatigue. Extreme soreness at injection site. Discoloration (redness) at injection site. Although the dizziness has abated, soreness and redness are still present after 3 days.
Age: 67.0
Sex: M
Vaccine: FLU3
Symptoms: Injection site pain, Myalgia, Neck pain
Clinical narrative: Patient states sore muscles, started the next day and it really hurt two days after the shot. He states pain into his shoulder and neck on left side. He states hard to lay down and sleep. He states ibuprofen helps a little and the pain is going away slowly.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Decreased appetite, Erythema, Fatigue, Feeling abnormal
Clinical narrative: Headache, chills, shivering, fever of 100 degrees, myalgia lasted approximately 12 hours. Began approximately 10:00 AM and tapered off around 10:00 PM on the day following the SHINGRIX shot. Very tired, slept approximately 5 hours during the day which is not usual at all.  Arm very sore and bright red with about a 3-inch diameter red, painful area on the 2nd day. Took ADVIL the 2nd day after the shot for residual headache which helped. Did not take anything the first day after the shot for shivering, fever, just too tired and miserable and didn't want to eat and felt taking aspirin or ADVIL on an empty stomach would only make matters worse with possible stomach upset.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Myalgia, Pain in extremity, Pyrexia, Somnolence
Clinical narrative: Headache, chills, shivering, fever of 100 degrees, myalgia lasted approximately 12 hours. Began approximately 10:00 AM and tapered off around 10:00 PM on the day following the SHINGRIX shot. Very tired, slept approximately 5 hours during the day which is not usual at all.  Arm very sore and bright red with about a 3-inch diameter red, painful area on the 2nd day. Took ADVIL the 2nd day after the shot for residual headache which helped. Did not take anything the first day after the shot for shivering, fever, just too tired and miserable and didn't want to eat and felt taking aspirin or ADVIL on an empty stomach would only make matters worse with possible stomach upset.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site erythema, Injection site swelling, Myalgia
Clinical narrative: Redness and swelling at the injection site; muscle pain, headache, fatigue.
Age: 28.0
Sex: M
Vaccine: ANTH
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Red, Swelling, Heat.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Fatigue, Nausea, Pain in extremity
Clinical narrative: Arm became progressively more sore within 1-2 hours but never swollen or reddened. Within 4-5 hours, extreme fatigue, chills, dizziness, and nausea set in and these symptoms persisted through the night. Symptoms have mainly subsided as of mid-day the following day, with residual elements of fatigue and intermittent bouts of nausea (with one bout of vomiting around 5 PM) still persisting. I expect to be on the 2-3 day recovery trajectory described in your article, pretty typical I guess. Thanks for the education!!
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Vomiting
Clinical narrative: Arm became progressively more sore within 1-2 hours but never swollen or reddened. Within 4-5 hours, extreme fatigue, chills, dizziness, and nausea set in and these symptoms persisted through the night. Symptoms have mainly subsided as of mid-day the following day, with residual elements of fatigue and intermittent bouts of nausea (with one bout of vomiting around 5 PM) still persisting. I expect to be on the 2-3 day recovery trajectory described in your article, pretty typical I guess. Thanks for the education!!
Age: 71.0
Sex: M
Vaccine: PPV
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: Patient woke up next day with left arm bicep area appearing inflamed, swollen and painful to touch.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Muscle spasms
Clinical narrative: Patient presented to pharmacy today 11/28 complaining of muscle spasms and joint pain since receiving her flu vaccine in October.
Age: 73.0
Sex: F
Vaccine: FLUA3
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient came in on 11/28/18 around 3:35pm just to inform the RPH about reaction to vaccine: (Redness around injection site about 2 to 3 inch in circumference. Slight swelling. No pain and no burning sensation) No other symptoms. Patient saw the primary care to and primary care informed patient of minor reaction to vaccine. Patient was suggested to use ice pack and TYLENOL if required, but patient claims of no pain at all.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: Throbbing pain in left shoulder that began approximately 24 hours after initial dose of SHINGRIX. Increases with movement (becomes a sharp pain). Patient believes she's lost a bit of her range of motion in the affected joint. Was stable up until patient received second dose of SHINGRIX 11/14/18. Patient received second dose in right arm and indicated that it is pain free at this time but that pain returned and significantly worsened in left shoulder. Patient has been taking ibuprofen 800mg at bedtime since administration of second dose. She has an appointment with PCP 12/3/18.
Age: 1.0
Sex: M
Vaccine: FLU4, HEPA, MMR, VARCEL
Symptoms: Rash papular, Varicella post vaccine
Clinical narrative: Developed an erythematous papular rash 8 days after varicella vaccine suspicious for vaccine related varicella.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Fluid retention, Joint range of motion decreased, Joint swelling, Musculoskeletal pain
Clinical narrative: Immediate, intense pain in shoulder. Continued pain, swelling, range of motion loss, weakness in shoulder and arm. Swelling on top of left wrist. When wrist is flexed, pain / shock feeling in palm of left hand.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Paraesthesia, Swelling, Ultrasound scan abnormal, X-ray abnormal
Clinical narrative: Immediate, intense pain in shoulder. Continued pain, swelling, range of motion loss, weakness in shoulder and arm. Swelling on top of left wrist. When wrist is flexed, pain / shock feeling in palm of left hand.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Vomiting
Clinical narrative: Patient described vomiting, fatigue, and a headache lasting 24 hours following the vaccination. However she also did start MOBIC for the first time shortly after receiving her vaccine and it's possible the reaction is due to MOBIC.
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Myalgia
Clinical narrative: Redness at injection site -patient described as approximately half-dollar size. Muscle soreness -generalized all over body.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Rash generalised, Rash pruritic, Urticaria
Clinical narrative: Patient started to be sore on the arm the night of receiving the vaccine and also developed hives, rash all over the body with itching. She started taking BENADRYL but did not help so see saw a clinic doctor who gave her a shot and prescribed steroid dose pack with no improvements as well.  This condition continued for approximately 9 days before symptoms improved this past Sunday.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia
Clinical narrative: PATIENT RECEIVED VACCINE, AFTERWARD SHE DEVELOPED TINGLING IN HER ARM AND FINGERS, TINGLING IS ONGOING SINCE VACCINATION.
Age: 70.0
Sex: M
Vaccine: FLUA3
Symptoms: Injection site pain, Pain
Clinical narrative: At patients doctor visit on 11/28/18, patient reported to nurse that he was still having pain at injection site and upon movement in that area. The nurse said there was no visible signs (redness, swelling) at injection site. Patient stated that pain was getting better after about a week, but then plateaued and remained same pain with no improvement.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia
Clinical narrative: Severe muscle and joint pain in upper torso. High fever all night long. Headache.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Myalgia, Nausea
Clinical narrative: Chills, muscle soreness, nausea, and fatigue.
Age: 34.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: PATIENT DID NOT HAVE AN ADVERSE REACTION TO THE VACCINE. HOWEVER, WHEN SHE CAME IN ONE MONTH LATER TO GET HER BOOSTER, IT WAS DISCOVERED THAT SHE RECEIVED THE PEDIATRIC DOSE OF ENGERIX B INSTEAD OF THE ADULT DOSE (10MCG INSTEAD OF 20MCG).
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Influenza like illness, Injection site pain
Clinical narrative: The evening of injection the patient had a headache, shivering, injection site was sore, felt like he had flu like symptoms which continued through the next day as well. On the following day (10/20/2018) the patient said he felt ok.
Age: 81.0
Sex: F
Vaccine: FLU3
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Pain in extremity
Clinical narrative: Pt reported redness, rash and pain at injection site. She is reporting pain in left arm as of 11/27/18.
Age: 49.0
Sex: M
Vaccine: PPV
Symptoms: Infection, Injection site erythema, Injection site pain, Swelling
Clinical narrative: Left deltoid pain/redness day after vaccination, swelling to softball size (10cm across per ER MD), appears infected at this time.
Age: 41.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site pain, Neuralgia
Clinical narrative: Instant pain at injection site. Nerve type pain down to elbow. Followed up with pt today and he stated that his arm/muscle was sore (like he lifted heavy weights) which lasted about a month. Symptoms have resolved as of today 11/28/18.
Sex: M
Vaccine: FLUX
Symptoms: Acute motor-sensory axonal neuropathy, Areflexia, CSF polymorphonuclear cell count increased, CSF white blood cell count increased, Electroencephalogram normal
Clinical narrative: This is a serious literature case, initially received on 16-Nov-2018, concerning a patient of unspecified age and gender. On an unspecified date, the patient was administered influenza vaccine (dose, route of administration, anatomical location, batch number, trade name, manufacturer and expiry date: not reported). Within 24 hours of vaccination, the patient developed unspecified symptoms which required intubation and mechanical ventilation. Within 36 hours of symptom onset, the patient had loss of all brain stem reflexes mimicking brain death. On an unspecified date, electroencephalogram was performed, which consistently showed the presence of cortical brain activity and excluded brain death. Nerve conduction study and electromyogram confirmed the diagnosis of acute motor-sensory axonal neuropathy (AMSAN). The Cerebrospinal fluid showed atypical presentation with polymorphonuclear pleocytosis initially, however, repeating lumbar puncture after two weeks was consistent with cytoalbumin dissociation. On an unspecified date (one week after vaccination), the patient was developing the fulminant Guillain-Barre Syndrome (GBS). The patient was treated with two courses of intravenous immunoglobulin treatment. The patient showed unique process of recovery in terms of gaining back the head and neck movement. At the time of this report the patient had not recovered from the event loss of brain stem reflex and the outcome of the events fulminant AMSAN and fulminant GBS was not reported. The reporter stated that, there was a questionable correlation between the recent influenza vaccination (one week prior to onset) and developed the fulminant GBS.
Sex: M
Vaccine: FLUX
Symptoms: Electromyogram abnormal, Endotracheal intubation, Guillain-Barre syndrome, Immunoglobulin therapy, Mechanical ventilation
Clinical narrative: This is a serious literature case, initially received on 16-Nov-2018, concerning a patient of unspecified age and gender. On an unspecified date, the patient was administered influenza vaccine (dose, route of administration, anatomical location, batch number, trade name, manufacturer and expiry date: not reported). Within 24 hours of vaccination, the patient developed unspecified symptoms which required intubation and mechanical ventilation. Within 36 hours of symptom onset, the patient had loss of all brain stem reflexes mimicking brain death. On an unspecified date, electroencephalogram was performed, which consistently showed the presence of cortical brain activity and excluded brain death. Nerve conduction study and electromyogram confirmed the diagnosis of acute motor-sensory axonal neuropathy (AMSAN). The Cerebrospinal fluid showed atypical presentation with polymorphonuclear pleocytosis initially, however, repeating lumbar puncture after two weeks was consistent with cytoalbumin dissociation. On an unspecified date (one week after vaccination), the patient was developing the fulminant Guillain-Barre Syndrome (GBS). The patient was treated with two courses of intravenous immunoglobulin treatment. The patient showed unique process of recovery in terms of gaining back the head and neck movement. At the time of this report the patient had not recovered from the event loss of brain stem reflex and the outcome of the events fulminant AMSAN and fulminant GBS was not reported. The reporter stated that, there was a questionable correlation between the recent influenza vaccination (one week prior to onset) and developed the fulminant GBS.
Sex: M
Vaccine: FLUX
Symptoms: Mobility decreased, Nerve conduction studies abnormal, Pleocytosis
Clinical narrative: This is a serious literature case, initially received on 16-Nov-2018, concerning a patient of unspecified age and gender. On an unspecified date, the patient was administered influenza vaccine (dose, route of administration, anatomical location, batch number, trade name, manufacturer and expiry date: not reported). Within 24 hours of vaccination, the patient developed unspecified symptoms which required intubation and mechanical ventilation. Within 36 hours of symptom onset, the patient had loss of all brain stem reflexes mimicking brain death. On an unspecified date, electroencephalogram was performed, which consistently showed the presence of cortical brain activity and excluded brain death. Nerve conduction study and electromyogram confirmed the diagnosis of acute motor-sensory axonal neuropathy (AMSAN). The Cerebrospinal fluid showed atypical presentation with polymorphonuclear pleocytosis initially, however, repeating lumbar puncture after two weeks was consistent with cytoalbumin dissociation. On an unspecified date (one week after vaccination), the patient was developing the fulminant Guillain-Barre Syndrome (GBS). The patient was treated with two courses of intravenous immunoglobulin treatment. The patient showed unique process of recovery in terms of gaining back the head and neck movement. At the time of this report the patient had not recovered from the event loss of brain stem reflex and the outcome of the events fulminant AMSAN and fulminant GBS was not reported. The reporter stated that, there was a questionable correlation between the recent influenza vaccination (one week prior to onset) and developed the fulminant GBS.
Age: 58.0
Sex: F
Vaccine: HEPAB, TDAP, TYP
Symptoms: Fatigue, Limb discomfort, Pain in extremity, Pruritus generalised, Rash
Clinical narrative: 11/1/18 AM TC from client who states that approx at 2 PM on 10/31/18 client experienced fatigue and an itchy sensation all over her body eps. the arms and back that lasted into the evening. Client states both arms where she received the vaccinations felt heavy and achey and didn't notice any redness or swelling. Client states approx 9:30 AM on 11/1/18 she developed a hive on her face. Client states her husband gave her some CALADRYL cream to put on her face. Client states she has a developed an additional hive behind her ear. Client reports no respiratory Sx or fever. Instructed client to contact her health care provider ASAP for an evaluation and PHN will call client this afternoon to assess her status. 11/1/18 PM TC from client. Client states she saw her PCP and was given Famotidine (antihistamine), hydroxyzine for itching and ice packs for hives. Client states her PCP does not know what caused the reaction. PHN to contact client next week to see if Sx have resolved. 11/8/18 TC to client. Client states that she is better but still experiencing some episodic itchiness and minor rashes in her hairline, on her cheek and on her left shoulder. Client denies having a latex allergy. Advised client that it would be recommended she be evaluated by an allergist and to have her next Hep A and Hep B vaccination done thru an allergist. Client agreed to do this. PHN contacted allergist Dr.'s office and spoke with her nurse. Dr.'s nurse arranged with client two appointments on 12/3/18 and 12/12/18 for client to be evaluated, allergy tested and to have single antigen Hep A and Hep B vaccinations administered. 11/28/18 TC to client. Client states that her symptoms resolved.