chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity
Clinical narrative: Mom called and said she was having horrible arm pain and could lift her arm but it she was in horrible pain when she did so.  She said she may need to take her to the MD.  Mom did come by later on that day to pick up a script from the urgent care for her.  Mom says it was related to the pain from the arm.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal menstrual clots, Acoustic stimulation tests, Allergy test, Arthralgia, Brain fog
Clinical narrative: Brain fog, cognitive impairment, body-wide pain near joints consistent with symptoms of fibromyalgia, migraines, intermittent numbness in face/legs/feet/hands, additional fatigue (beyond norm with hypersomnia), dizziness, POTS, heart palpitations, atypical menstrual blood clots (either extremely large or tiny/multiple pinprick sized), tinnitus, hyper  allergic sensitivities, etc.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Computerised tomogram abdomen, Dizziness, Electrocardiogram, Fatigue
Clinical narrative: Brain fog, cognitive impairment, body-wide pain near joints consistent with symptoms of fibromyalgia, migraines, intermittent numbness in face/legs/feet/hands, additional fatigue (beyond norm with hypersomnia), dizziness, POTS, heart palpitations, atypical menstrual blood clots (either extremely large or tiny/multiple pinprick sized), tinnitus, hyper  allergic sensitivities, etc.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fibromyalgia, Full blood count, Hypersensitivity, Hypoaesthesia, Migraine
Clinical narrative: Brain fog, cognitive impairment, body-wide pain near joints consistent with symptoms of fibromyalgia, migraines, intermittent numbness in face/legs/feet/hands, additional fatigue (beyond norm with hypersomnia), dizziness, POTS, heart palpitations, atypical menstrual blood clots (either extremely large or tiny/multiple pinprick sized), tinnitus, hyper  allergic sensitivities, etc.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Postural orthostatic tachycardia syndrome, Tinnitus
Clinical narrative: Brain fog, cognitive impairment, body-wide pain near joints consistent with symptoms of fibromyalgia, migraines, intermittent numbness in face/legs/feet/hands, additional fatigue (beyond norm with hypersomnia), dizziness, POTS, heart palpitations, atypical menstrual blood clots (either extremely large or tiny/multiple pinprick sized), tinnitus, hyper  allergic sensitivities, etc.
Age: 62.0
Sex: F
Vaccine: RSV
Symptoms: Urticaria
Clinical narrative: Hives.  Started on hands within minutes of shot.  Spread to head and upper body.
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Dyspnoea
Clinical narrative: I woke up and was very short of breath last about 4 houes
Age: 38.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Body temperature decreased, Chills, Pain in extremity, Urticaria
Clinical narrative: 7pm 12/15 moderate arm pain, chills, decreased temperature  11am hives on chest, stomach, thighs
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Diarrhoea, Nausea, Rash, Vomiting
Clinical narrative: Nausea, Vomiting(severe) Diarrhea, and Rash from Abdomin and down both legs (Right leg more severe).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Deafness, Ear infection, Inflammation, Laboratory test
Clinical narrative: Started as ear infection led to immune response on normal tissue leading to hearing loss, chronic inflammation and pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain
Clinical narrative: Started as ear infection led to immune response on normal tissue leading to hearing loss, chronic inflammation and pain.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUX, COVID19
Symptoms: Dizziness, Headache, Malaise, Sleep disorder, Vaccination site movement impairment
Clinical narrative: Primary = severe pain at injection site limiting range of motion; muscle pain has increased & has migrated down left arm to elbow impacting muscle along outside of arm, severely limits range of motion, cannot lift any weight w/left arm, cannot reach behind as in pulling on a coat sleeve, cannot bear weight on arm (as in pushing self off from seated position or in yoga positions.  Cannot sleep on left side as pain in arm will awaken me & requires Advil or Tylenol in order to sleep comfortably. Impacting daily care=difficulty combing hair, washing & dressing.  headache, lethargy was extreme for first few days but has diminished, tho headaches continue in frequency and intensity.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUX, COVID19
Symptoms: Vaccination site pain
Clinical narrative: Primary = severe pain at injection site limiting range of motion; muscle pain has increased & has migrated down left arm to elbow impacting muscle along outside of arm, severely limits range of motion, cannot lift any weight w/left arm, cannot reach behind as in pulling on a coat sleeve, cannot bear weight on arm (as in pushing self off from seated position or in yoga positions.  Cannot sleep on left side as pain in arm will awaken me & requires Advil or Tylenol in order to sleep comfortably. Impacting daily care=difficulty combing hair, washing & dressing.  headache, lethargy was extreme for first few days but has diminished, tho headaches continue in frequency and intensity.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUX, COVID19
Symptoms: Headache, Injected limb mobility decreased, Injection site pain, Joint range of motion decreased, Lethargy
Clinical narrative: Primary = severe pain at injection site limiting range of motion; muscle pain has increased & has migrated down left arm to elbow impacting muscle along outside of arm, severely limits range of motion, cannot lift any weight w/left arm, cannot reach behind as in pulling on a coat sleeve, cannot bear weight on arm (as in pushing self off from seated position or in yoga positions.  Cannot sleep on left side as pain in arm will awaken me & requires Advil or Tylenol in order to sleep comfortably. Impacting daily care=difficulty combing hair, washing & dressing.  headache, lethargy was extreme for first few days but has diminished, tho headaches continue in frequency and intensity.
Age: 66.0
Sex: F
Vaccine: COVID19, FLUX, COVID19
Symptoms: Loss of personal independence in daily activities, Myalgia, Sleep disorder, Weight bearing difficulty
Clinical narrative: Primary = severe pain at injection site limiting range of motion; muscle pain has increased & has migrated down left arm to elbow impacting muscle along outside of arm, severely limits range of motion, cannot lift any weight w/left arm, cannot reach behind as in pulling on a coat sleeve, cannot bear weight on arm (as in pushing self off from seated position or in yoga positions.  Cannot sleep on left side as pain in arm will awaken me & requires Advil or Tylenol in order to sleep comfortably. Impacting daily care=difficulty combing hair, washing & dressing.  headache, lethargy was extreme for first few days but has diminished, tho headaches continue in frequency and intensity.
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Bile duct stone, Bilirubin conjugated increased, Cholelithiasis, Computerised tomogram abdomen abnormal
Clinical narrative: Patient received the Moderna bivalent vaccine on November 10th and started turning jaundice on December 1st. The patient became so weak on December 16th  that he came to the ER.
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Endoscopic retrograde cholangiopancreatography, Jaundice, Laboratory test normal, Liver disorder, Magnetic resonance cholangiopancreatography
Clinical narrative: Patient received the Moderna bivalent vaccine on November 10th and started turning jaundice on December 1st. The patient became so weak on December 16th  that he came to the ER.
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging abnormal
Clinical narrative: Patient received the Moderna bivalent vaccine on November 10th and started turning jaundice on December 1st. The patient became so weak on December 16th  that he came to the ER.
Age: 92.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Injected limb mobility decreased
Clinical narrative: Concern for SIRVA. 92 y/o F with PMH dementia, DM2 (diet controlled; last A1c 6.2 on file in 2014; glucose levels all wnl here in past few years), HTN, mild CKD, pseudogout, subclinical hypothyroidism, osteoporosis, OA presenting with severe acute atraumatic L shoulder pain with limited ROM occurring within 48h of receiving Arexvy RSV vaccine (Glaxo Smith Kline, lot 9PM54) on 12/13/23, concerning for Shoulder Injury Related to Vaccine Administration (SIRVA). Not suggestive of fracture, infection, pseudogout, neuro/vascular etiology. -- prednisone 40mg daily x5d, warnings -- Tylenol or Vicodin PRN, warnings, Senna/Miralax -- shoulder MRI -- ortho referral to consider steroid injection or other acute treatment -- consider physical therapy referral if not rapidly resolving
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic aneurysm rupture, Imaging procedure abnormal
Clinical narrative: Two weeks following vaccine administration, patient presented with ruptured aortic aneurysm. Imaging showed intact aortobiiliac stents with rupture of large aortic aneurysm (6.6 x 6.8 cm). Had previous imaging 11 months prior with unremarkable infrarenal abdominal aorta.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Ischaemic cardiomyopathy
Clinical narrative: Pt had acute myocardial infarction (ST elevated) 2 wks after vaccination and ischemic cardiomyopathy.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Fatigue, Hypoaesthesia, Inflammation, Injection site pain
Clinical narrative: When shot was administered it was very painful and it burned extremely.  This continued and the left upper arm swelled, fever of 100.5 ensued for three days.  I developed an all over body inflammatory response with fatigue.  The left arm pain became more intense and radiates down to my finger which go numb.  I have pain across my upper back (shoulders) and neck.  I cannot move my neck backward without severe pain.  I was prescribed 20 MG of prednisone 2x day for 5 days, this did not help.  I have seen an Orthopedic doctor and prescribed Diclofenac 500 ER 1xday and will start Physical Therapy on 12/20/23.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site swelling, Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: When shot was administered it was very painful and it burned extremely.  This continued and the left upper arm swelled, fever of 100.5 ensued for three days.  I developed an all over body inflammatory response with fatigue.  The left arm pain became more intense and radiates down to my finger which go numb.  I have pain across my upper back (shoulders) and neck.  I cannot move my neck backward without severe pain.  I was prescribed 20 MG of prednisone 2x day for 5 days, this did not help.  I have seen an Orthopedic doctor and prescribed Diclofenac 500 ER 1xday and will start Physical Therapy on 12/20/23.
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: X-ray
Clinical narrative: When shot was administered it was very painful and it burned extremely.  This continued and the left upper arm swelled, fever of 100.5 ensued for three days.  I developed an all over body inflammatory response with fatigue.  The left arm pain became more intense and radiates down to my finger which go numb.  I have pain across my upper back (shoulders) and neck.  I cannot move my neck backward without severe pain.  I was prescribed 20 MG of prednisone 2x day for 5 days, this did not help.  I have seen an Orthopedic doctor and prescribed Diclofenac 500 ER 1xday and will start Physical Therapy on 12/20/23.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Malaise, Sleep disorder
Clinical narrative: I have received five Pfizer COVID-19 vaccinations before - without any side effects at all. I received this vaccination around 10:05 AM on Saturday (12/16/2023).. When taking a shower (around 5pm) I noticed that there was a huge area around the injection side that war red and painful to the touch. I could not sleep on my left side - far too painful. This morning the vaccination side is still very red and huge - painful to the touch. Generally, I feel a bit unwell and am worried if this is normal for the latest Pfizer COVID-19 vaccine (2023/2024). I treated the reddish injection side with hand sanitzer and antibiotic & pain relieving ointment - I hope that that will help ... I do not want to end up with a seroius skin infection, blood poisoning or even flesh eating disease. If it gets worse or not getting any better within a week will seek medical help ...
Age: 64.0
Sex: M
Vaccine: FLUC4
Symptoms: Contusion, Immediate post-injection reaction, Rash pruritic, Sluggishness
Clinical narrative: Itching rash immediately following vaccine lasting 3 days.  Bruise on arm next day.  Bruise remains as of this file date - one week and one day.  Feeling sluggish all week.
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Tinnitus
Clinical narrative: Patient states that after receiving this dose of the vaccine they began to experience tinnitus. They have previously had chicken pox.
Age: 77.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Seizure
Clinical narrative: Resident had a seizure at 0400 on
Age: 78.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Asthenia, Erythema, Fall, Gait inability, Posture abnormal
Clinical narrative: Residents left arm is red and warm to touch. Resident was leaning to the left, became weak and was no longer able to ambulate the day after vaccination. Resident then had  fall on 12/17 that resulted in being transferred to the ED. Weakness believed to be from vaccinations.
Age: 78.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Skin warm
Clinical narrative: Residents left arm is red and warm to touch. Resident was leaning to the left, became weak and was no longer able to ambulate the day after vaccination. Resident then had  fall on 12/17 that resulted in being transferred to the ED. Weakness believed to be from vaccinations.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Aortic aneurysm, Blood test, Chest pain, Chills, Computerised tomogram
Clinical narrative: Initial was a stabbing pain in left mid chest in the evening.  Went to bed and felt poor the next morning, out of sorts. mild chills and moderate chest pain in the left side.  Difficult taking a deep breath.  Chest pain got worse as the day went on and drove myself to the ER thinking I was having a heart attack.  I have a 4.6cm Ascending Aortic Aneurysm.   BP at hospital was 160/100.  Admitted to the ER and was given BP meds, pain meds, several blood test's and had a CAT Scan.  Doctors said my heart was fine & that I like had some sort of virus that would likely clear up in a few days.  Toady 12/17/2023 I still feel funny and have a slight (sharp) pain in my lower left chest like a muscle spasm.  Seem to slowly getting back to normal.
Age: 69.0
Sex: M
Vaccine: RSV
Symptoms: Dyspnoea, Feeling abnormal, Irritability, Viral infection
Clinical narrative: Initial was a stabbing pain in left mid chest in the evening.  Went to bed and felt poor the next morning, out of sorts. mild chills and moderate chest pain in the left side.  Difficult taking a deep breath.  Chest pain got worse as the day went on and drove myself to the ER thinking I was having a heart attack.  I have a 4.6cm Ascending Aortic Aneurysm.   BP at hospital was 160/100.  Admitted to the ER and was given BP meds, pain meds, several blood test's and had a CAT Scan.  Doctors said my heart was fine & that I like had some sort of virus that would likely clear up in a few days.  Toady 12/17/2023 I still feel funny and have a slight (sharp) pain in my lower left chest like a muscle spasm.  Seem to slowly getting back to normal.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Headache, slight fever, body aches
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: major swelling underneath the injection site
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Burning sensation, Rash
Clinical narrative: Burning sensation across your shoulder. Back of the neck has a rash.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female, Breast mass, Magnetic resonance imaging breast, Triple negative breast cancer
Clinical narrative: I received my 5th Covid shot on Sept 9, 2022, which was supposed to target the new variant. The pharmacist called me to tell me that I did not get the most current vaccine and told me I could come in for the correct one any time. I asked if it was ok to get both the old and new shot so close in time, and the pharmacist said it would not be a problem. So, I went back to pharmacy on September 11, 2022 to get my 6th  shot, which was the Covid vaccine that was supposed to target the latest variant. In late October I felt a lump in my breast, and was ultimately diagnosed with breast cancer in early 2023.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound breast
Clinical narrative: I received my 5th Covid shot on Sept 9, 2022, which was supposed to target the new variant. The pharmacist called me to tell me that I did not get the most current vaccine and told me I could come in for the correct one any time. I asked if it was ok to get both the old and new shot so close in time, and the pharmacist said it would not be a problem. So, I went back to pharmacy on September 11, 2022 to get my 6th  shot, which was the Covid vaccine that was supposed to target the latest variant. In late October I felt a lump in my breast, and was ultimately diagnosed with breast cancer in early 2023.
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Abortion missed, Exposure during pregnancy, Foetal cardiac arrest, Ultrasound scan vagina
Clinical narrative: Estimated due date: 7/24/24 Diagnosed with missed miscarriage on 12/11 due to no fetal cardiac activity. Gestational age estimated 6w1d based on gestational sac and fetal pole measurement via transvaginal ultrasound.
Age: 71.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Myalgia
Clinical narrative: Persistent ongoing Deltoid pain since the day of administration  with painful restriction of Left abduction movement
Age: 72.0
Sex: M
Vaccine: COVID19, PNC20, RSV
Symptoms: Blood test, Dysgeusia
Clinical narrative: Everything I eat or drink taste sweet since the day a received the vaccinations.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Appendicectomy, Appendicitis
Clinical narrative: Patient developed diffuse abdominal pain which subsequently localized to right lower quadrant.  He was taken to the ER and diagnosed with acute appendicitis. He had appendectomy with an uneventful recovery.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Arrhythmia, Atrial flutter, Cardiac monitoring, Conjunctivitis, Electrocardiogram abnormal
Clinical narrative: Cold/flu-like symptoms started a few hours after vaccine was administered on 11/7 and may not have been related to vaccine.  On 11/10, I started to notice unusual discharge from my eyes. On 11/15 I was seen at an Urgent Care facility for the eye discharge.  Conjunctivitis was diagnosed and successfully treated with prescription eye drops.  However, while being checked in at Urgent Care, my heart rate was 150 and a subsequent EKG revealed an abnormal heart rhythm.  I was sent to an ER where the abnormal rhythm was diagnosed as atrial flutter.  Administration of intravenous diltiazem brought down the heart rate, and the heart rhythm returned to normal.  I was discharged with a heart monitor (results of which are not yet available to me), and oral diltiazem and Eliquis.  I had no previous heart rate issues that I am aware of, and was, except for the cold and eye infection, asymptomatic for the heart issues on 11/15.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Eye discharge, Influenza like illness, Nasopharyngitis
Clinical narrative: Cold/flu-like symptoms started a few hours after vaccine was administered on 11/7 and may not have been related to vaccine.  On 11/10, I started to notice unusual discharge from my eyes. On 11/15 I was seen at an Urgent Care facility for the eye discharge.  Conjunctivitis was diagnosed and successfully treated with prescription eye drops.  However, while being checked in at Urgent Care, my heart rate was 150 and a subsequent EKG revealed an abnormal heart rhythm.  I was sent to an ER where the abnormal rhythm was diagnosed as atrial flutter.  Administration of intravenous diltiazem brought down the heart rate, and the heart rhythm returned to normal.  I was discharged with a heart monitor (results of which are not yet available to me), and oral diltiazem and Eliquis.  I had no previous heart rate issues that I am aware of, and was, except for the cold and eye infection, asymptomatic for the heart issues on 11/15.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Dyspnoea, Heart rate increased, Mobility decreased, Pain in extremity
Clinical narrative: Per patient, has had a sore arm where she can't lift her arm and has had more trouble breathing and a rapid heart rate since her vaccine. Thought it would go away after a few days, but still consisting of these side effects.
Age: 74.0
Sex: M
Vaccine: COVID19, FLU4, RSV
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: red and hot around area vaccine was given
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site reaction, Injection site urticaria
Clinical narrative: patient developed a large local reaction on the left thigh, then subsequently developed acute urticaria a few days later; the urticaria was treated with steroids and resolved
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: sore arm that she can barely lift and body aches
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood test, Heavy menstrual bleeding, Postmenopausal haemorrhage
Clinical narrative: Today i started a heavy period after being post-menopausal (by multiple blood tests) and not having a period for the past 6 years.  In addition, i had extreme abdominal bloating starting from the day after i got the vaccine and enduring until the present.
Age: 76.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Pruritus
Clinical narrative: Itching on entire body
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Audiogram abnormal, Hypoacusis, Tinnitus
Clinical narrative: Tinnitus in both ears, but stronger in the right ear
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pain in extremity, Underdose
Clinical narrative: Pediatric vaccine administered instead of adult version. Correct dose of 0.5 ml given.  No adverse events reported other than arm soreness.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Aura, Full blood count normal, Magnetic resonance imaging head normal
Clinical narrative: sudden onset of kaleidoscopic visual aura in periphery of visual fields, OU lasting 30 to 45 minutes no associated headache, motor or sensory symptoms, speech impairment or actual loss of vision no history of migraines seen in ER over course of 9 hours because of concern for TIA neurological exam normal
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Neurological examination normal
Clinical narrative: sudden onset of kaleidoscopic visual aura in periphery of visual fields, OU lasting 30 to 45 minutes no associated headache, motor or sensory symptoms, speech impairment or actual loss of vision no history of migraines seen in ER over course of 9 hours because of concern for TIA neurological exam normal
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in both ears
Age: 17.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Fall, Head injury, Loss of consciousness, Syncope
Clinical narrative: After receiving vaccination with Fluzone Quadravalent and Spikevax (one in each arm), patient and family exited our counselling room to sit in the waiting room. Before reaching the chairs the patient began to collapse, falling on a family member before hitting the ground, bumping her forehead. It is estimated that the patient lost conciousness for just a few moments. She was placed in a chair in our counselling room for 15 minutes under supervision of her family and intermittent observation of myself (pharmacist). We gave her water and some candy, and once she felt good enough to walk on her own the family went home.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Nausea
Clinical narrative: Extreme tiredness, and nausea
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Chills, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: PATIENT STATED HAD  CHILLS, ACHINESS NIGHT VACCINE GIVEN. A COUPLE OF DAYS LATER DEVELPOD REDNESS, SWELLING, ITCHINESS, AT INJECTION SITE, AND NOW PAIN AT SITE AS WELL AS SHOULDER.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Pain
Clinical narrative: PATIENT STATED HAD  CHILLS, ACHINESS NIGHT VACCINE GIVEN. A COUPLE OF DAYS LATER DEVELPOD REDNESS, SWELLING, ITCHINESS, AT INJECTION SITE, AND NOW PAIN AT SITE AS WELL AS SHOULDER.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Hypoaesthesia, Injection site induration, Injection site pain, Injection site reaction, Insomnia
Clinical narrative: Arm remains painful at the injection site.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Skin plaque, Sleep disorder
Clinical narrative: Arm remains painful at the injection site.
Age: 64.0
Sex: M
Vaccine: HEPAB
Symptoms: Abdominal pain
Clinical narrative: PT HAS HX OF REOCCURRING PANCREATITIS.  PT FELT PAIN IN THE ABDOMINEN THE DAY AFTER, SIMILIAR AS WHEN HE HAS A FLARE.  DR DECLARED IT WAS FROM VACCINE.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cellulitis
Clinical narrative: severe cellulitis requiring a trip to Urgent Care  and a course of antiobitiocs
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Cellulitis, Injection site erythema, Injection site swelling
Clinical narrative: Patient developed redness and swelling around the injection site about a week after vaccination. She came back to pharmacy where I instructed her to take a Benadryl and monitor the red area the next morning. It continued to spread, so she went to urgent care on 12/6.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Arthralgia, Asthenia, Computerised tomogram, Fatigue
Clinical narrative: Random swelling throughout body two weeks after second vaccine. Stiff swollen joints. Weakness. Rapid weight loss > 10 pounds. Limping. Pain and stiffness from hips to neck. Random rashes. Extreme fatigue. High anti CCP initially ignored. Led to positive RA test. Treated for RA with low dose prednisone, methotrexate, humira.  Did not respond to treatment. Became more ill. Lost more weight.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Joint stiffness, Joint swelling, Magnetic resonance imaging, Musculoskeletal stiffness
Clinical narrative: Random swelling throughout body two weeks after second vaccine. Stiff swollen joints. Weakness. Rapid weight loss > 10 pounds. Limping. Pain and stiffness from hips to neck. Random rashes. Extreme fatigue. High anti CCP initially ignored. Led to positive RA test. Treated for RA with low dose prednisone, methotrexate, humira.  Did not respond to treatment. Became more ill. Lost more weight.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Rash, Rheumatoid factor positive, Swelling, Weight decreased
Clinical narrative: Random swelling throughout body two weeks after second vaccine. Stiff swollen joints. Weakness. Rapid weight loss > 10 pounds. Limping. Pain and stiffness from hips to neck. Random rashes. Extreme fatigue. High anti CCP initially ignored. Led to positive RA test. Treated for RA with low dose prednisone, methotrexate, humira.  Did not respond to treatment. Became more ill. Lost more weight.
Age: 85.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: per patient, after she got the shot, her arm swollen and she went to urgent, no treatment at clinic.
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site warmth, Mobility decreased
Clinical narrative: Patient had redness at injection site that was warm to the touch and spreading around the bicep to the armpit area. Patient stated that she also had a headache that she took Excedrin Migraine for. She was going to use an ice pack over her lunch break to help with the pain/warmth/swelling of her arm. She stated that when she got up in the morning that her joints in her fingers/hand area were also very sore, making it hard to open and close her hand.
Age: 65.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient had redness at injection site that was warm to the touch and spreading around the bicep to the armpit area. Patient stated that she also had a headache that she took Excedrin Migraine for. She was going to use an ice pack over her lunch break to help with the pain/warmth/swelling of her arm. She stated that when she got up in the morning that her joints in her fingers/hand area were also very sore, making it hard to open and close her hand.
Age: 74.0
Sex: F
Vaccine: PPV
Symptoms: Cellulitis, Pain in extremity, Peripheral swelling
Clinical narrative: patient was given a shot on the 06/12/2023. 2 days later they came back complaining of swollen and pain in the upper arm. Pharmacist inspected and suspected a cellulitis. Pharmacist told the patient to go to urgent care.  patient did and doctor confirmed a cellulitis. Patient was prescribed an antibiotic (Crphalexin500mg)
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Pain in extremity, Peripheral swelling
Clinical narrative: arm was very sore, spread to wrist. it became swollen. Has been in pain for several days.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Abdominal pain upper, Bone pain, Dizziness, Gait disturbance, Injection site pain
Clinical narrative: Nausea and vomiting.  Stomach pain.  Dizziness and difficulty walking. Injection site pain and swelling.  Bone aches and pains.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling, Nausea, Vomiting
Clinical narrative: Nausea and vomiting.  Stomach pain.  Dizziness and difficulty walking. Injection site pain and swelling.  Bone aches and pains.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Ears stared ringing shortly afterwards though possibly could have been allergies, buy haven't gone away still continued ringing daily.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chillblains, Computerised tomogram, Scan with contrast, Ultrasound scan
Clinical narrative: Chilblains - on right hand chilblain lesions that have gotten progressively worse as weeks have gone on. Went to the ER multiple times to rule out blood clots, infection, etc. sent to rheumatologist who diagnosed chilblains.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Injection site pain, Pain, Pain in extremity
Clinical narrative: After the shot, my left arm was sore at the injection site, which is normal.  The next day, I started getting pain running from my elbow to my hand down to my pinkie finger.   I did not injure my arm in any way.  I didn't report anything last year, but the same thing happened when I got the COVID shot then as well. On Sunday, my wrist really ached and there was some intermittent shooting pain.  The last time it took several days to go away, I don't remember how long.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pyrexia, Vomiting
Clinical narrative: First time given Quadracel Pt vomited next morning 12-12-23 Developed fever Leg became Red, swollen - 12-13-23 Erythema worsened 12-14-23 Feels warm still spreading Zyrtec cool compress
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Sore throat, headache
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, SARS-CoV-2 test positive, Stomatitis
Clinical narrative: Sore throat, cough, sore in mouth
Age: 65.0
Sex: F
Vaccine: FLUA4, FLUC3
Symptoms: Electromyogram, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Numbness in the 4th and 5th digit; Pain radiating down right arm; Tingling in the 4th and 5th digit; This spontaneous case was retrieved on 04-Dec-2023 from Vaccine Adverse Event Reporting System (VAERS) (reference number: 2703755-1) reported by other healthcare professional and concerned a 65-year-old, female patient.  The patient's concurrent conditions included allergy to codeine. The patient's concomitant medication included vitamin D3 (colecalciferol), used for an unreported indication.  On 26-Sep-2023, the patient was vaccinated with Fluad Quadrivalent (influenza vaccine inact sag 4v; dose: reported as '1', route of administration: intramuscular, anatomical location: right arm (RA); indication: not reported). The batch number reported was 944467. The reported batch number was identified by Seqirus to be linked to suspect product Flucelvax Quadrivalent (influenza vaccine inact sag 4v) instead of reported suspect product Fluad Quadrivalent. Based on the reported batch number, the suspect product was changed to Flucelvax Quadrivalent Vaccine.  On the same date, after receiving Flucelvax Quadrivalent, the patient experienced pain radiating down right arm, followed by numbness and tingling in the fourth and fifth digit.  On an unspecified date in Oct-2023, two weeks after receiving Flucelvax Quadrivalent , the patient called to report the events continued and was referred to an employee health provider. Prednisone was prescribed, and electromyography (EMG) was ordered.  On 20-Oct-2023, electromyogram (EMG) was performed, however, the results were not provided.   At the time of initial reporting, the patient had not recovered from the events.  The reporter did not provide a causality assessment.  The case was assessed as non-serious.  Additional information received on 07-Dec-2023 from Seqirus' manufacturing quality assurance department: Batch / Lot # Seqirus populated on products tab. Suspect vaccine recoded as per batch number confirmation. Narrative was amended accordingly.  Company comment: A 65-year-old patient was vaccinated with Fluad Quadrivalent vaccine. On the same day, following vaccination, the patient experienced hypoaesthesia, paraesthesia and pain in extremity. Causality is assessed as possible for all reported events, due to suggestive chronology.; Sender's Comments: A 65-year-old patient was vaccinated with Fluad Quadrivalent vaccine. On the same day, following vaccination, the patient experienced hypoaesthesia, paraesthesia and pain in extremity. Causality is assessed as possible for all reported events, due to suggestive chronology.
Age: 85.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Balance disorder, Condition aggravated, Vertigo, Vestibular neuronitis
Clinical narrative: vestibular neuritis attacks; This serious case was reported by a physician via call center representative and described the occurrence of vestibular neuritis in a 85-year-old male patient who received RSVPreF3 adjuvanted (Arexvy) for prophylaxis.   The patient's past medical history included vestibular neuritis (had vestibular neuritis and was treated with prednisone- he was in remission.). Previously administered products included prednisone .   On 03-DEC-2023, the patient received the 1st dose of Arexvy. In DEC-2023, an unknown time after receiving Arexvy, the patient experienced vestibular neuritis (Verbatim: vestibular neuritis attacks) (serious criteria GSK medically significant). The patient was treated with methylprednisolone (Medrol Dosepak). The outcome of the vestibular neuritis was unknown.   It was unknown if the reporter considered the vestibular neuritis to be related to Arexvy.     It was unknown if the company considered the vestibular neuritis to be related to Arexvy.   Additional Information: GSK Receipt Date: 12-DEC-2023 The reporter was the patient and a retired physician.  He stated that prior to getting the Arexvy, he had vestibular neuritis and was treated with prednisone, he was in remission.  After receiving a dose of Arexvy last Sunday (prior to reporting day), he started getting vestibular neuritis attacks.  His physician gave him a Medrol Dosepak. The reporter did not consent to follow-up.
Age: 85.0
Sex: M
Vaccine: RSV, RSV
Symptoms: Condition aggravated, Vestibular neuronitis
Clinical narrative: vestibular neuritis attacks; This serious case was reported by a physician via call center representative and described the occurrence of vestibular neuritis in a 85-year-old male patient who received RSVPreF3 adjuvanted (Arexvy) for prophylaxis.   The patient's past medical history included vestibular neuritis (had vestibular neuritis and was treated with prednisone- he was in remission.). Previously administered products included prednisone .   On 03-DEC-2023, the patient received the 1st dose of Arexvy. In DEC-2023, an unknown time after receiving Arexvy, the patient experienced vestibular neuritis (Verbatim: vestibular neuritis attacks) (serious criteria GSK medically significant). The patient was treated with methylprednisolone (Medrol Dosepak). The outcome of the vestibular neuritis was unknown.   It was unknown if the reporter considered the vestibular neuritis to be related to Arexvy.     It was unknown if the company considered the vestibular neuritis to be related to Arexvy.   Additional Information: GSK Receipt Date: 12-DEC-2023 The reporter was the patient and a retired physician.  He stated that prior to getting the Arexvy, he had vestibular neuritis and was treated with prednisone, he was in remission.  After receiving a dose of Arexvy last Sunday (prior to reporting day), he started getting vestibular neuritis attacks.  His physician gave him a Medrol Dosepak. The reporter did not consent to follow-up.
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blister, Erythema, Pain of skin, Rash pruritic, Skin lesion
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Anion gap, Aspartate aminotransferase normal, Basophil count decreased
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood magnesium, Blood potassium decreased
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Blood sodium normal, Blood urea decreased, Blood urea nitrogen/creatinine ratio, Carbon dioxide normal, Condition aggravated
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Dermatitis bullous, Eosinophil count decreased, Eosinophil percentage decreased, Erythema multiforme, Globulin
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Glomerular filtration rate normal, Granulocyte count, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>
Age: 76.0
Sex: F
Vaccine: FLU4, FLU4
Symptoms: Hyperlipidaemia, Hypertension, Immature granulocyte count, Iron deficiency anaemia, Lymphocyte count decreased
Clinical narrative: Diagnosis, Assessment & Plan  - Free Text A&P Free Text A&P:   Assessment: Suspected bullous pemphigoid secondary to influenza vaccination Scattered pruritic annular erythematous urticarial rash with bulla Hypertension Hyperlipidemia Iron deficiency anemia   Plan: Scattered pruritic annular erythematous urticarial rash with blister/bulla following vaccination; we favor bullous pemphigoid over erythema multiforme or serum sickness. Recommend skin biopsy and testing (surgery consulted and tentative plan to biopsy on Monday when pathology is back); direct and indirect immunofluorescence to confirm the diagnosis. Concerns raised of possible antibiotic allergy or side effect, which is less likely, but ok to hold abx and monitor on steroids. Tentative plan at DC would be to resume PO Doxy to finish 10 day course.  Recommend oral steroids x10-14 days total course with taper thereafter (can also consider additional topical steroid). Would recommend reporting to VAERS if not already done, defer to hospital protocol/personnel.   <- Last Filed: 12/18/23 10:15>